Abstract
Purpose
We assessed whether the infusion of Coenzyme Q10-loaded liposomes (CoQ10-L) in rabbits with an experimental myocardial infarction can result in increased intracellular delivery of CoQ10 and thus limit the fraction of the irreversibly damaged myocardium.
Methods
CoQ10-L, empty liposomes (EL), or Krebs–Henseleit (KH) buffer were administered by intracoronary infusion, followed by 30 min of occlusion and 3 h of reperfusion. Unisperse Blue dye was used to demarcate the net size of the occlusion-induced ischemic zone (“area at risk”) while nitroblue tetrazolium staining was used to detect the final fraction of the irreversibly damaged myocardium within the total area at risk.
Results
The total size of the area at risk in all experimental animals was approx. 20% wt. of the left ventricle (LV). The final irreversible damage in CoQ10-L-treated animals was only ca. 30% of the total area at risk as compared with ca. 60% in the group treated with EL (p < 0.006) and ca. 70% in the KH buffer-treated group (p < 0.001).
Conclusions
CoQ10-L effectively protected the ischemic heart muscle by enhancing the intracellular delivery of CoQ10 in hypoxic cardiocytes in rabbits with an experimental myocardial infarction as evidenced by a significantly decreased fraction of the irreversibly damaged heart within the total area at risk. CoQ10-L may provide an effective exogenous source of the CoQ10 in vivo to protect ischemic cells
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Abbreviations
- Ch:
-
Cholesterol
- CoQ10-L:
-
Coenzyme Q10 liposomes
- DD:
-
Detergent dialysis
- DOTAP:
-
1,2-dioleoyl-3-trimethyl-ammonium-propane
- ECG:
-
Electrocardiogram
- ED:
-
Ethanol dissolution
- EL:
-
Empty liposomes
- EPR:
-
Enhanced permeability and retention
- KH:
-
Kreb sHenseleit
- LDL:
-
Low-density lipoprotein
- LFH:
-
Lipid film hydration
- LV:
-
Left ventricle
- NBT:
-
Nitro blue tetrazolium
- PC:
-
Egg phosphatidylcholine
- PEG-PE:
-
1,2-distearoyl-sn-glycero-3-phosphoethanolamine-N-[methoxy(polyethylene glycol)-2000]
- REV:
-
Reverse phase evaporation
- USB:
-
Unispearse blue dye
References
F. L. Crane, I. L. Sun, and E. E. Sun. The essential functions of coenzyme Q. Clin. Investig. 71:S55–S59 (1993).
S. Greenberg and W. H. Frishman. Co-enzyme Q10: a new drug for cardiovascular disease. J. Clin. Pharmacol. 30:596–608 (1990).
M. Sikorska, H. Borowy-Borowski, B. Zurakowski, and P. R. Walker. Derivatised alpha-tocopherol as a CoQ10 carrier in a novel water-soluble formulation. Biofactors 18:173–183 (2003).
B. Sarter. Coenzyme Q10 and cardiovascular disease: a review. J. Cardiovasc. Nurs. 16:9–20 (2002).
T. R. Kommuru, M. Ashraf, M. A. Khan, and I. K. Reddy. Stability and bioequivalence studies of two marketed formulations of coenzyme Q10 in beagle dogs. Chem. Pharm. Bull. (Tokyo) 47:1024–1028 (1999).
S. A. Mortensen. Perspectives on therapy of cardiovascular diseases with coenzyme Q10 (ubiquinone). Clin. Investig. 71:S116–S123 (1993).
L. Ernster and G. Dallner. Biochemical, physiological and medical aspects of ubiquinone function. Biochim. Biophys. Acta. 1271:195–204 (1995).
P. Forsmark-Andree and L. Ernster. Evidence for a protective effect of endogenous ubiquinol against oxidative damage to mitochondrial protein and DNA during lipid peroxidation. Mol. Aspects Med. 15(Suppl):s73–s81 (1994).
M. Sunamori, H. Tanaka, T. Maruyama, I. Sultan, T. Sakamoto, and A. Suzuki. Clinical experience of coenzyme Q10 to enhance intraoperative myocardial protection in coronary artery revascularization. Cardiovasc. Drugs Ther. 5(Suppl 2):297–300 (1991).
N. Ferrara, P. Abete, G. Ambrosio, P. Landino, P. Caccese, P. Cirillo, A. Oradei, G. P. Littarru, M. Chiariello, and F. Rengo. Protective role of chronic ubiquinone administration on acute cardiac oxidative stress. J. Pharmacol. Exp. Ther. 274:858–865 (1995).
R. Stocker, V. W. Bowry, and B. Frei. Ubiquinol-10 protects human low density lipoprotein more efficiently against lipid peroxidation than does alpha-tocopherol. Proc. Natl. Acad. Sci. U. S. A. 88:1646–1650 (1991).
K. Folkers and R. Simonsen. Two successful double-blind trials with coenzyme Q10 (vitamin Q10) on muscular dystrophies and neurogenic atrophies. Biochim. Biophys. Acta. 1271:281–286 (1995).
K. Folkers, T. Hanioka, L. J. Xia, J. T. McRee, Jr., and P. Langsjoen. Coenzyme Q10 increases T4/T8 ratios of lymphocytes in ordinary subjects and relevance to patients having the AIDS related complex. Biochem. Biophys. Res. Commun. 176:786–791 (1991).
K. Folkers. Heart failure is a dominant deficiency of coenzyme Q10 and challenges for future clinical research on CoQ10. Clin. Investig. 71:S51–S54 (1993).
Y. Nakamura, M. Takahashi, J. Hayashi, H. Mori, S. Ogawa, Y. Tanabe, and K. Hara. Protection of ischaemic myocardium with coenzyme Q10. Cardiovasc. Res. 16:132–137 (1982).
W. G. Nayler. The use of Q10 to protect ischemic heart muscle. In Y. Yakamura and Y. Iti (eds.), Biomedical and Clinical Aspects of Coenzyme Q10, Vol. 2, Elsevier, Amsterdam, 1980, pp. 409–425.
T. Furuta, I. Kodama, N. Kondo, J. Toyama, and K. Yamada. A protective effect of coenzyme Q10 on isolated rabbit ventricular muscle under hypoxic condition. J. Cardiovasc. Pharmacol. 4:1062–1067 (1982).
H. Matsumoto, H. Matasunaga, M. Kawauchi, F. Miyawaki, and K.-I. Aano. Effect of coenzime Q10 pretreatmant on myocardial preservation. Heart Transplant. 3:160–165 (1984).
H. Matasunaga, H. Matsumoto, T. Yoshitake, and M. Saigusa. Protection cardiac muscle in surgery. In Y. Yamamura, K. Folkers, and Y. Ito (eds.), Biomedical and Clinical Aspects of Coenzyme Q10, Elsevier, Amsterdam, 1980, pp. 67–76.
F. Okamoto, B. S. Allen, G. D. Buckberg, J. Leaf, and H. Bugyi. Reperfusate composition: supplemental role of intravenous and intracoronary coenzyme Q10 in avoiding reperfusion damage. J. Thorac. Cardiovasc. Surg. 92:573–582 (1986).
H. Ohhara, H. Kanaide, and M. Nakamura. A protective effect of coenzyme Q10 on the adriamycin-induced cardiotoxicity in the isolated perfused rat heart. J. Mol. Cell. Cardiol. 13:741–752 (1981).
T. Konishi, Y. Nakamura, T. Konishi, and C. Kawai. Improvement in recovery of left ventricular function during reperfusion with coenzyme Q10 in isolated working rat heart. Cardiovasc. Res. 19:38–43 (1985).
S. Nagai, Y. Miyazaki, K. Ogawa, T. Satake, S. Sugiyama, and T. Ozawa. The effect of Coenzyme Q10 on reperfusion injury in canine myocardium. J. Mol. Cell Cardiol. 17:873–884 (1985).
Y. C. Chuang, J. Y. Chan, A. Y. Chang, M. Sikorska, H. Borowy-Borowski, C. W. Liou, and S. H. Chan. Neuroprotective effects of coenzyme Q10 at rostral ventrolateral medulla against fatality during experimental endotoxemia in the rat. Shock 19:427–432 (2003).
Y. F. Chen, Y. T. Lin, and S. C. Wu. Effectiveness of coenzyme Q10 on myocardial preservation during hypothermic cardioplegic arrest. J. Thorac. Cardiovasc. Surg. 107:242–247 (1994).
M. Chello, P. Mastroroberto, R. Romano, E. Bevacqua, D. Pantaleo, R. Ascione, A. R. Marchese, and N. Spampinato. Protection by coenzyme Q10 from myocardial reperfusion injury during coronary artery bypass grafting. Ann. Thorac. Surg. 58:1427–1432 (1994).
W. V. Judy, W. W. Stogsdill, and K. Folkers. Myocardial preservation by therapy with coenzyme Q10 during heart surgery. Clin. Investig. 71:S155–S161 (1993).
J. Tanaka, R. Tominaga, M. Yoshitoshi, K. Matsui, M. Komori, A. Sese, H. Yasui, and K. Tokunaga. Coenzyme Q10: the prophylactic effect on low cardiac output following cardiac valve replacement. Ann. Thorac. Surg. 33:145–151 (1982).
S.T. Sinatra. Refractory congestive heart failure successfully managed with high dose coenzyme Q10 administration. Mol. Aspects Med. 18(Suppl):S299–S305 (1997).
E. M. Kurowska, G. Dresser, L. Deutsch, E. Bassoo, and D.J. Freeman. Relative bioavailability and antioxidant potential of two coenzyme q10 preparations. Ann. Nutr. Metab. 47:16–21 (2003).
D.D. Lasic and D. Papahadjopoulos. Medical applications of liposomes, Elsevier, Amsterdam, 1998.
V. J. Caride and B. L. Zaret. Liposome accumulation in regions of experimental myocardial infarction. Science 198:735–738 (1977).
T. N. Palmer, V. J. Caride, M. A. Caldecourt, J. Twickler, and V. Abdullah. The mechanism of liposome accumulation in infarction. Biochim. Biophys. Acta 797:363–368 (1984).
A. N. Lukyanov, W. C. Hartner, and V. P. Torchilin. Increased accumulation of PEG-PE micelles in the area of experimental myocardial infarction in rabbits. J. Control. Release 94:187–193 (2004).
H. Maeda, J. Wu, T. Sawa, Y. Matsumura, and K. Hori. Tumor vascular permeability and the EPR effect in macromolecular therapeutics: a review. J. Control. Release 65:271–284 (2000).
H. Maeda. The enhanced permeability and retention (EPR) effect in tumor vasculature: the key role of tumor-selective macromolecular drug targeting. Adv. Enzyme Regul. 41:189–207 (2001).
B. A. Khaw, V. P. Torchilin, I. Vural, and J. Narula. Plug and seal: prevention of hypoxic cardiocyte death by sealing membrane lesions with antimyosin-liposomes. Nat. Med. 1:1195–1198 (1995).
D. D. Verma, T. S. Levchenko, E. A. Bernstein, and V. P. Torchilin. ATP-loaded liposomes effectively protect mechanical functions of the myocardium from global ischemia in an isolated rat heart model. J. Control. Release 108:460–471 (2005).
D. D. Verma, W. C. Hartner, T. S. Levchenko, E. A. Bernstein, and V. P. Torchilin. ATP-loaded liposomes effectively protect the myocardium in rabbits with an acute experimental myocardial infarction. Pharm. Res. 22:2115–2120 (2005).
F. Puisieux, E. Fattal, M. Lahiani, J. Auger, P. Jouannet, P. Couvreur, and J. Delattre. Liposomes, an interesting tool to deliver a bioenergetic substrate (ATP). In vitro and in vivo studies. J. Drug Target. 2:443–448 (1994).
H. Konno, A. F. Matin, Y. Maruo, S. Nakamura, and S. Baba. Liposomal ATP protects the liver from injury during shock. Eur. Surg. Res. 28:140–145 (1996).
Y. Y. Han, L. Huang, E. K. Jackson, R. K. Dubey, D. G. Gillepsie, and J. A. Carcillo. Liposomal atp or NAD+ protects human endothelial cells from energy failure in a cell culture model of sepsis. Res. Commun. Mol. Pathol. Pharmacol. 110:107–116 (2001).
K. Niibori, H. Yokoyama, J. A. Crestanello, and G. J. Whitman. Acute administration of liposomal coenzyme Q10 increases myocardial tissue levels and improves tolerance to ischemia reperfusion injury. J. Surg. Res. 79:141–145 (1998).
K. Niibori, K. P. Wroblewski, H. Yokoyama, J. A. Crestanello, and G. J. Whitman. Bioenergetic effect of liposomal coenzyme Q10 on myocardial ischemia reperfusion injury. Biofactors 9:307–313 (1999).
J. Dzierzkowska, A. Witanowska, G. Ciurzynska, M. Chciuk-Gornicka, M. Jozwicka, M. Gajewski, M. Kurenko-Deptuch, T. W. Deptuch, and S. Maslinski. The influence of intestinal ischaemia on energy balance in the myocardium during ischaemia–reperfusion induced cardiac injury in the rat. Inflamm. Res. 48(Suppl 1):S98–S99 (1999).
J. A. Crestanello, N. M. Doliba, N. M. Doliba, A. M. Babsky, K. Niborii, M. D. Osbakken, and G. J. Whitman. Effect of coenzyme Q10 supplementation on mitochondrial function after myocardial ischemia reperfusion. J. Surg. Res. 102:221–228 (2002).
A. D. Bangham, M. M. Standish, and J. C. Watkins. Diffusion of univalent ions across the lamellae of swollen phospholipids. J. Mol. Biol. 13:238–252 (1965).
F. Szoka, Jr. and D. Papahadjopoulos. Procedure for preparation of liposomes with large internal aqueous space and high capture by reverse-phase evaporation. Proc. Natl. Acad. Sci. U. S. A. 75:4194–4198 (1978).
W. Liang, T. S. Levchenko, and V. P. Torchilin. Encapsulation of ATP into liposomes by different methods: optimization of the procedure. J. Microencapsul. 21:251–261 (2004).
Y. Birnbaum, S. L. Hale, and R. A. Kloner. The effect of coenzyme Q10 on infarct size in a rabbit model of ischemia/reperfusion. Cardiovasc. Res. 32:861–868 (1996).
P. Mitchell. Protonmotive redox mechanism of the cytochrome b-c1 complex in the respiratory chain: protonmotive ubiquinone cycle. FEBS Lett. 56:1–6 (1975).
J. A. Crestanello, J. Kamelgard, D. M. Lingle, S. A. Mortensen, M. Rhode, and G. J. Whitman. Elucidation of a tripartite mechanism underlying the improvement in cardiac tolerance to ischemia by coenzyme Q10 pretreatment. J. Thorac. Cardiovasc. Surg. 111:443–450 (1996).
F. Yamamoto, H. Yamamoto, S. Yoshida, H. Ichikawa, A. Takahashi, K. Tanaka, Y. Kosakai, T. Yagihara, and T. Fujita. The effects of several pharmacologic agents upon postischemic recovery. Cardiovasc. Drugs Ther. 5(Suppl 2):301–308 (1991).
N. A. Choudhury, S. Sakaguchi, K. Koyano, A. F. Matin, and H. Muro. Free radical injury in skeletal muscle ischemia and reperfusion. J. Surg. Res. 51:392–398 (1991).
S. Chapat, V. Frey, N. Claperon, C. Bouchaud, F. Puisieux, P. Couvreur, P. Rossignol, and J. Delattre. Efficiency of liposomal ATP in cerebral ischemia: bioavailability features. Brain Res. Bull. 26:339–342 (1991).
A. Laham, N. Claperon, J. J. Durussel, E. Fattal, J. Delattre, F. Puisieux, P. Couvreur, and P. Rossignol. Intracarotidal administration of liposomally-entrapped ATP: improved efficiency against experimental brain ischemia. Pharmacol. Res. Commun. 20:699–705 (1988).
F. Mixich and S. Mihailescu. Liposome microcapsules; an experimental model for drug transport across the Blood–Brain Barrier (BBB). In B. de Boer and W. Sutanto (eds.), Drug Transport Across the Blood–Brain Barrier, Harwood, GMBH, Amsterdam, 1997, pp. 201–213.
Acknowledgement
This study was supported by the NIH grant RO1 HL55519 to Vladimir P. Torchilin. The authors acknowledge the advice and support by Dr. B.-A. Khaw.
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Verma, D.D., Hartner, W.C., Thakkar, V. et al. Protective Effect of Coenzyme Q10-loaded Liposomes on the Myocardium in Rabbits with an Acute Experimental Myocardial Infarction. Pharm Res 24, 2131–2137 (2007). https://doi.org/10.1007/s11095-007-9334-0
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DOI: https://doi.org/10.1007/s11095-007-9334-0