Abstract-Plasmalogen rather than diacyl phospholipids are the preferred substrate for the cardiac phospholipase A 2 (PLA 2 ) isoform activated during ischemia. The diacyl metabolite, lysophosphatidylcholine, is arrhythmogenic, but the effects of the plasmalogen metabolite, lysoplasmenylcholine (LPLC), are essentially unknown. We found that 2.5 and 5 mol/L LPLC induced spontaneous contractions of intact isolated rabbit ventricular myocytes (median times, 27.4 and 16.4 minutes, respectively) significantly faster than lysophosphatidylcholine (Ͼ60 and 37.8 minutes, respectively). Whole-cell recordings revealed that LPLC depolarized the resting membrane potential from -83.5Ϯ0.2 to -21.5Ϯ1.0 mV. Depolarization was due to a guanidinium toxin-insensitive Na ϩ influx. The LPLC-induced current reversed at -18.5Ϯ0.9 mV and was shifted 26.7Ϯ4.2 mV negative by a 10-fold reduction of bath Na ϩ (Na ϩ /K ϩ permeability ratio, Ϸ 0.12Ϯ0.06). In contrast, block of Ca 2ϩ channels with Cd 2ϩ and reducing bath Cl -failed to affect the current. The actions of LPLC were opposed by lanthanides. Gd 3ϩ and La 3ϩ were equally effective inhibitors of the LPLC-induced current and equally delayed the onset of spontaneous contractions. However, the characteristics of lanthanide block imply that Gd 3ϩ -sensitive, poorly selective, stretch-activated channels were not involved. Instead, the data are consistent with the view that lanthanides increase phospholipid ordering and may thereby oppose membrane perturbations caused by LPLC. Plasmalogens constitute a significant fraction of cardiac sarcolemmal choline phospholipids. In light of their subclass-specific catabolism by phospholipase A 2 and the present results, it is suggested that LPLC accumulation may contribute to ventricular dysrhythmias during ischemia. (Circ Res. 1998;83:533-540.) Key Words: plasmalogen Ⅲ lysophosphatidylcholine Ⅲ ischemia Ⅲ lanthanide Ⅲ lysoplasmenylcholine A ltered membrane phospholipid metabolism is one of the earliest manifestations of myocardial ischemia. Phospholipase A 2 (PLA 2 ) is activated, 1-3 and lysophosphatidylcholine (LPC), a product of diacyl phospholipid catabolism, increases in tissue 4-6 and coronary effluents. [7][8][9] In addition to diacyl phospholipids, cardiac cell membranes contain plasmalogen phospholipids. Plasmalogens constitute 57% of choline phospholipids in canine sarcolemma 10 and Ͼ35% of total choline phospholipids in rabbit and human hearts.11 In contrast to the ester-linked fatty acid in diacyl phospholipids, the sn-1 position in plasmalogens contains an alkenyl ether moiety. Because of this structural feature, plasmalogens are metabolized differently from their diacyl counterparts. For instance, a Ca 2ϩ -independent PLA 2 rapidly activated during ischemia is reported to have a 16-fold higher reaction velocity with choline plasmalogen substrate than with phosphatidylcholine.2 This PLA 2 isoform also is present in human heart and is claimed to represent Ͼ95% of total PLA 2 activity.12 In addition, the rate of lysoplasmalogen removal from...