Sarcoplasmic phospholamban protein is involved in the mechanisms of postresuscitation myocardial dysfunction and the cardioprotective effect of nitrite during resuscitation

Incubation with sodium nitrite attenuates fatigue development in intact single mouse fibres at physiological P O 2

KEY POINTS

Dietary nitrate supplementation increases plasma nitrite concentration, which provides an oxygen-independent source of nitric oxide and can delay skeletal muscle fatigue. Nitrate supplementation has been shown to increase myofibre calcium release and force production in mouse skeletal muscle during contractions at a supra-physiological oxygen tension, but it is unclear whether nitrite exposure can delay fatigue development and improve myofibre calcium handling at a near-physiological oxygen tension. Single mouse muscle fibres acutely treated with nitrite had a lower force and cytosolic calcium concentration during single non-fatiguing contractions at a near-physiological oxygen tension. Nitrite treatment delayed fatigue development during repeated fatiguing isometric contractions at near-physiological, but not at supra-physiological, oxygen tension in combination with better maintenance of myofilament calcium sensitivity and sarcoplasmic reticulum calcium pumping. These findings improve understanding of the mechanisms by which increased skeletal muscle nitrite exposure might be ergogenic and imply that this is related to improved calcium handling.

ABSTRACT

Dietary nitrate (NO₃ ^- ) supplementation, which increases plasma nitrite (NO₂ ^- ) concentration, has been reported to attenuate skeletal muscle fatigue development. Sarcoplasmic reticulum (SR) calcium (Ca²⁺ ) release is enhanced in isolated single skeletal muscle fibres following NO₃ ^- supplementation or NO₂ ^- incubation at a supra-physiological P O 2 but it is unclear whether NO₂ ^- incubation can alter Ca²⁺ handling and fatigue development at a near-physiological P O 2 . We hypothesised that NO₂ ^- treatment would improve Ca²⁺ handling and delay fatigue at a physiological P O 2 in intact single mouse skeletal muscle fibres. Each muscle fibre was perfused with Tyrode solution pre-equilibrated with either 20% ( P O 2 ∼150 Torr) or 2% O₂ ( P O 2  = 15.6 Torr) in the absence and presence of 100 µM NaNO₂ . At supra-physiological P O 2 (i.e. 20% O₂ ), time to fatigue was lowered by 34% with NaNO₂ (control: 257 ± 94 vs. NaNO₂ : 159 ± 46 s, Cohen's d = 1.63, P < 0.05), but extended by 21% with NaNO₂ at 2% O₂ (control: 308 ± 217 vs. NaNO₂ : 368 ± 242 s, d = 1.14, P < 0.01). During the fatiguing contraction protocol completed with NaNO₂ at 2% O₂ , peak cytosolic Ca²⁺ concentration ([Ca²⁺ ]_c ) was not different (P > 0.05) but [Ca²⁺ ]_c accumulation between contractions was lower, concomitant with a greater SR Ca²⁺ pumping rate (P < 0.05) compared to the control condition. These results demonstrate that increased exposure to NO₂ ^- blunts fatigue development at near-physiological, but not at supra-physiological, P O 2 through enhancing SR Ca²⁺ pumping rate in single skeletal muscle fibres. These findings extend our understanding of the mechanisms by which increased NO₂ ^- exposure can mitigate skeletal muscle fatigue development.

Nitrite Confers Preconditioning and Cytoprotection After Ischemia/Reperfusion Injury Through the Modulation of Mitochondrial Function

SIGNIFICANCE

Nitrite is now recognized as an intrinsic signaling molecule that mediates a number of biological processes. One of the most reproducible effects of nitrite is its ability to mediate cytoprotection after ischemia/reperfusion (I/R). This robust phenomenon has been reproduced by a number of investigators in varying animal models focusing on different target organs. Furthermore, nitrite's cytoprotective versatility is highlighted by its ability to mediate delayed preconditioning and remote conditioning in addition to acute protection.

RECENT ADVANCES

In the last 10 years, significant progress has been made in elucidating the mechanisms underlying nitrite-mediated ischemic tolerance.

CRITICAL ISSUES

The mitochondrion, which is essential to both the progression of I/R injury and the protection afforded by preconditioning, has emerged as a major subcellular target for nitrite. This review will outline the role of the mitochondrion in I/R injury and preconditioning, review the accumulated preclinical studies demonstrating nitrite-mediated cytoprotection, and finally focus on the known interactions of nitrite with mitochondria and their role in the mechanism of nitrite-mediated ischemic tolerance.

FUTURE DIRECTIONS

These studies set the stage for current clinical trials testing the efficacy of nitrite to prevent warm and cold I/R injury.