4-Hydroxy-2-nonenal Induces Calcium Overload via the Generation of Reactive Oxygen Species in Isolated Rat Cardiac Myocytes

Background: It has been reported that that the amount of 4-hydroxy-2-nonenal (FINE), which is a major lipid peroxidation product and a cytotoxic aldehyde, is increased in the human failing myocardium. This study was designed to determine whether FINE has a pro-oxidant effect in cardiac myocytes and whether FINE causes Ca2+ overload. Methods and Results: Exposure to FINE for 10 minutes in the presence of ferric nitrilotriacetate induced the production of hydroxyl radical (.OH) in the rat myocardium as assessed by electron spin resonance spectroscopy, and FINE induced the generation of reactive oxygen species (ROS) in a dose-dependent manner as assessed by 2', 7'-dichlorofluorescein diacetate fluorescence. FINE increased intracellular Ca2+ concentration ([Ca2+](i)) as assessed by fura-2 ratio in a dose- and time-dependent manner. After 20 minutes of FINE (400 mu mol/L) exposure, hypercontracture was induced in 67% of the cells. Catalase, an antioxidative enzyme that can decompose hydrogen peroxide (H2O2), significantly attenuated the increase in [Ca2+](i) and completely inhibited hypercontracture. Carvedilol, a beta-blocker with potent antioxidant activity, also significantly attenuated the increase in [Ca2+](i) and completely inhibited hypercontracture, but propranolol had no effect on either [Ca2+](i) increase or hypercontracture. Conclusions: FINE induces the formation of ROS, especially H2O2 and .OH, in cardiomyocytes and subsequently ROS cause intracellular Ca2+ overload. FINE formation may play an important role as a mediator of oxidative stress in heart failure. (J Cardiac Fail 2009;15:709-716)