Phospholipid metabolism was studied in rat myocardial slices that were incubated under normoxia or hypoxia for up to 24 hours. Phospholipid degradation was prominent in hypoxic myocardium, particularly phosphatidylcholine, which markedly decreased after 24 hours of hypoxia. In contrast, lysophosphatidjlcholine increased. The mechanism of phospholipid degradation in hypoxic myocardium was studied. The highest activity for phospholipase A 2 among subcellular fractions was found in microsomal fraction. In hypoxic myocardium, this phospholipase A 2 activity markedly increased and had substrate specificity toward phosphatidylcholine and phosphatidylethanolamine. Phosphatidylcholine was slightly hydrolyzed in control myocardium, but it was markedly hydrolyzed in hypoxic myocardium. Phospholipase C activity was found in cytosol and had a high substrate specificity toward phosphatidylinositol. In hypoxic myocardium, its activity gradually decreased during hypoxic incubation. Prostacyclin biosynthesis was also determined. The synthesis of prostacyclin in hypoxic myocardial microsomes did not increase. These results suggest that hypoxia causes phospholipid degradation and activates phospholipase A 2 activity. {Circulation Research 1988;62:1175-1181) H igh levels of circulating free fatty acids have been observed in patients after myocardial infarction, 1 " 4 and elevated free fatty acid levels have been correlated with the appearance of ventricular arrhythmias.3 Many aspects of the changes associated with myocardial ischemia have been intensively studied.67 Abnormal lipid metabolism alters cardiac function by changing the cardiac cell membrane properties. These functional changes may contribute to decreased myocardial contractility, arrhythmia, and cell death that follow coronary artery occlusion.8 Despite early functional changes in membrane properties that are responsible for the electrophysiological manifestation of ischemia, little is known about myocardial phospholipid metabolism. The possibility that lysophospholipids contribute to ischemic heart damage was first suggested by Hajidu et al. Lysophospholipid accumulation is caused by decreased lysophospholipase a c t i v i t y " ; however, the extent of the lysophosphatide increase in the ischemic heart is a matter of controversy.Recently, we showed that free fatty acid and prostacyclin [prostaglandin (PG)I14 2 ] are released from isolated heart during hypoxia; phospholipid degradation in canine ischemic myocardium has been also reported by Chien et al. But the mechanisms of phospholipid degradation and fatty acid release remain unclear.This study was performed to determine the early and delayed effects of hypoxia on phospholipase activity and prostaglandin synthesis. We attempt to clarify the enzymatic mechanisms of phospholipid degradation Received December 12, 1986; accepted January 15, 1988. leading to free fatty acid and PGI 2 releases in hypoxic myocardium.
Materials and Methods
Experimental ProtocolExperiments were carried out on male Wistar rats (200-300 g)...