Name: methods for the determination of rates of glucose and fatty acid oxidation in the isolated working rat heart
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Description: Watch this Scientific Journal Video about Methods for the Determination of Rates of Glucose and Fatty Acid Oxidation in the Isolated Working Rat Heart at JoVE.com

This work was supported by National Institutes of Health Grants R00 HL112952 (to R. H.), R01 HL108618 (to J.P.G.), P01 HL051971, and P20 GM104357. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

NOTE: All animal procedures were performed according to the NIH Public Health Service Policy on the Human Care and Use of Animals and were approved by the Institutional Animal Care and Use Committee of the University of Mississippi Medical Center. All procedures involving the use of radioisotopes were approved and performed according to the guidelines set by the radiation safety office of the University of Mississippi Medical Center.
1. Preparation of Stock Buffer Solutions and Reagents
<ol>...

<ol>
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E., McNulty, P., Taegtmeyer, H. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Adaptation+and+maladaptation+of+the+heart+in+diabetes:+Part+II:+potential+mechanisms.">Adaptation and maladaptation of the heart in diabetes: Part II: potential mechanisms.</a> Circulation. 105, 1861-1870 (2002).</li><li>Stanley, W. C., Recchia, F. A., Lopaschuk, G. D. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Myocardial+substrate+metabolism+in+the+normal+and+failing+heart.">Myocardial substrate metabolism in the normal and failing heart.</a> Physiol Rev. 85, 1093-1129 (2005).</li><li>Fillmore, N., Lopaschuk, G. D. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Targeting+mitochondrial+oxidative+metabolism+as+an+approach+to+treat+heart+failure.">Targeting mitochondrial oxidative metabolism as an approach to treat heart failure.</a> Biochim Biophys Acta. 1833, 857-865 (2013).</li><li>Jaswal, J. S., Keung, W., Wang, W., Ussher, J. R., Lopaschuk, G. 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L., Lopaschuk, G. D. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Methodology+for+measuring+in+vitro/ex+vivo+cardiac+energy+metabolism.">Methodology for measuring in vitro/ex vivo cardiac energy metabolism.</a> J Pharmacol Toxicol Methods. 43, 141-152 (2000).</li><li>Neely, J. R., Liebermeister, H., Battersby, E. J., Morgan, H. E. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Effect+of+pressure+development+on+oxygen+consumption+by+isolated+rat+heart.">Effect of pressure development on oxygen consumption by isolated rat heart.</a> Am J Physiol. 212, 804-814 (1967).</li><li>Taegtmeyer, H., Hems, R., Krebs, H. A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Utilization+of+energy-providing+substrates+in+the+isolated+working+rat+heart.">Utilization of energy-providing substrates in the isolated working rat heart.</a> Biochem J. 186, 701-711 (1980).</li><li>Liao, R., Podesser, B. K., Lim, C. C. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+continuing+evolution+of+the+Langendorff+and+ejecting+murine+heart:+new+advances+in+cardiac+phenotyping.">The continuing evolution of the Langendorff and ejecting murine heart: new advances in cardiac phenotyping.</a> Am J Physiol Heart Circ Physiol. 303, H156-H167 (2012).</li><li>Cingolani, O. H., Kass, D. A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Pressure-volume+relation+analysis+of+mouse+ventricular+function.">Pressure-volume relation analysis of mouse ventricular function.</a> Am J Physiol Heart Circ Physiol. 301, H2198-H2206 (2011).</li><li>Pacher, P., Nagayama, T., Mukhopadhyay, P., Batkai, S., Kass, D. A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Measurement+of+cardiac+function+using+pressure-volume+conductance+catheter+technique+in+mice+and+rats.">Measurement of cardiac function using pressure-volume conductance catheter technique in mice and rats.</a> Nat Protoc. 3, 1422-1434 (2008).</li><li>Abraham, D., Mao, L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Cardiac+Pressure-Volume+Loop+Analysis+Using+Conductance+Catheters+in+Mice.">Cardiac Pressure-Volume Loop Analysis Using Conductance Catheters in Mice.</a> J Vis Exp. , (2015).</li><li>Harmancey, R., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Insulin+resistance+improves+metabolic+and+contractile+efficiency+in+stressed+rat+heart.">Insulin resistance improves metabolic and contractile efficiency in stressed rat heart.</a> FASEB J. 26, 3118-3126 (2012).</li><li>Harmancey, R., Vasquez, H. G., Guthrie, P. H., Taegtmeyer, H. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Decreased+long-chain+fatty+acid+oxidation+impairs+postischemic+recovery+of+the+insulin-resistant+rat+heart.">Decreased long-chain fatty acid oxidation impairs postischemic recovery of the insulin-resistant rat heart.</a> FASEB J. 27, 3966-3978 (2013).</li><li>Goodwin, G. W., Taylor, C. S., Taegtmeyer, H. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Regulation+of+energy+metabolism+of+the+heart+during+acute+increase+in+heart+work.">Regulation of energy metabolism of the heart during acute increase in heart work.</a> J Biol Chem. 273, 29530-29539 (1998).</li><li>Lopaschuk, G. D., Ussher, J. R., Folmes, C. D., Jaswal, J. S., Stanley, W. C. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Myocardial+fatty+acid+metabolism+in+health+and+disease.">Myocardial fatty acid metabolism in health and disease.</a> Physiol Rev. 90, 207-258 (2010).</li><li>Neely, J. R., Denton, R. M., England, P. J., Randle, P. J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+effects+of+increased+heart+work+on+the+tricarboxylate+cycle+and+its+interactions+with+glycolysis+in+the+perfused+rat+heart.">The effects of increased heart work on the tricarboxylate cycle and its interactions with glycolysis in the perfused rat heart.</a> Biochem J. 128, 147-159 (1972).</li><li>Katz, J., Dunn, A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Glucose-2-t+as+a+tracer+for+glucose+metabolism.">Glucose-2-t as a tracer for glucose metabolism.</a> Biochemistry. 6, 1-5 (1967).</li><li>Gillis, A. M., Kulisz, E., Mathison, H. J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Cardiac+electrophysiological+variables+in+blood-perfused+and+buffer-perfused,+isolated,+working+rabbit+heart.">Cardiac electrophysiological variables in blood-perfused and buffer-perfused, isolated, working rabbit heart.</a> Am J Physiol. 271, H784-H789 (1996).</li><li>Qiu, Y., Hearse, D. J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Comparison+of+ischemic+vulnerability+and+responsiveness+to+cardioplegic+protection+in+crystalloid-perfused+versus+blood-perfused+hearts.">Comparison of ischemic vulnerability and responsiveness to cardioplegic protection in crystalloid-perfused versus blood-perfused hearts.</a> J Thorac Cardiovasc Surg. 103, 960-968 (1992).</li><li>Cotter, D. G., Schugar, R. C., Crawford, P. A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Ketone+body+metabolism+and+cardiovascular+disease.">Ketone body metabolism and cardiovascular disease.</a> Am J Physiol Heart Circ Physiol. 304, H1060-H1076 (2013).</li><li>Huang, Y., Zhou, M., Sun, H., Wang, Y. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Branched-chain+amino+acid+metabolism+in+heart+disease:+an+epiphenomenon+or+a+real+culprit?.">Branched-chain amino acid metabolism in heart disease: an epiphenomenon or a real culprit?.</a> Cardiovasc Res. 90, 220-223 (2011).</li><li>Buse, M. G., Biggers, J. F., Friderici, K. H., Buse, J. F. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Oxidation+of+branched+chain+amino+acids+by+isolated+hearts+and+diaphragms+of+the+rat.+The+effect+of+fatty+acids,+glucose,+and+pyruvate+respiration.">Oxidation of branched chain amino acids by isolated hearts and diaphragms of the rat. The effect of fatty acids, glucose, and pyruvate respiration.</a> J Biol Chem. 247, 8085-8096 (1972).</li><li>Liepinsh, E., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+heart+is+better+protected+against+myocardial+infarction+in+the+fed+state+compared+to+the+fasted+state.">The heart is better protected against myocardial infarction in the fed state compared to the fasted state.</a> Metabolism. 63, 127-136 (2014).</li><li>Niu, Y. G., Hauton, D., Evans, R. 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W. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Anesthesia's+effects+on+plasma+glucose+and+insulin+and+cardiac+hexokinase+at+similar+hemodynamics+and+without+major+surgical+stress+in+fed+rats.">Anesthesia's effects on plasma glucose and insulin and cardiac hexokinase at similar hemodynamics and without major surgical stress in fed rats.</a> Anesth Analg. 106, 135-142 (2008).</li><li>Oguchi, T., Kashimoto, S., Yamaguchi, T., Nakamura, T., Kumazawa, T. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Is+pentobarbital+appropriate+for+basal+anesthesia+in+the+working+rat+heart+model?.">Is pentobarbital appropriate for basal anesthesia in the working rat heart model?.</a> J Pharmacol Toxicol Methods. 29, 37-43 (1993).</li><li>Segal, J., Schwalb, H., Shmorak, V., Uretzky, G. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Effect+of+anesthesia+on+cardiac+function+and+response+in+the+perfused+rat+heart.">Effect of anesthesia on cardiac function and response in the perfused rat heart.</a> J Mol Cell Cardiol. 22, 1317-1324 (1990).</li><li>Webster, I., Smith, A., Lochner, A., Huisamen, B. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Sanguinarine+non-+versus+re-circulation+during+isolated+heart+perfusion--a+Jekyll+and+Hyde+effect?.">Sanguinarine non- versus re-circulation during isolated heart perfusion--a Jekyll and Hyde effect?.</a> Cardiovasc Drugs Ther. 28, 489-491 (2014).</li><li>Belke, D. 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The preceding protocol details the methods to simultaneously quantify the flux of substrate through glucose oxidation and fatty acid oxidation in the isolated working rat heart. The measurements can then be superimposed to the recorded cardiac functional parameters to determine the relationship between substrates metabolism and cardiac work under baseline and stress conditions (change in workload, ischemia-reperfusion, etc&#8230;). It is also possible to evaluate how the metabolism/contraction relationship is af...

Clinical Relevance
In the mammalian heart, there is a strong positive relationship between the flux of substrates through oxidative metabolic pathways, ATP generation and cardiac work1. Over the past two decades, the investigation of the intricate link between cardiac metabolism and function has led to recognize that alterations in cardiac metabolism are a cause for contractile dysfunction and possibly pathological structural remodeling in the setting of different types of heart disease2-4.Therefore, it is expected that our understanding of the mechanisms governing metabolic remodeling of the stressed heart will lead to the identification of therapeutic targets for the prevention or treatment of heart failure5-7. The recent publication of a scientific statement from the American Heart Association on &#34;Assessing Cardiac Metabolism&#34; emphasizes the growing interest of the scientific community for this field of research8. But while the technological advances in cardiac imaging now allow for a rapid and accurate evaluation of cardiac morphology and function, the in vivo study of cardiac metabolism remains limited and burdensome: Nuclear Magnetic Resonance (NMR) spectroscopy and Positron Emission Tomography (PET) imaging can be used to follow cardiac high energy phosphate metabolism and Krebs cycle activity, but these techniques are plagued by high operating costs and by their inability to determine the contribution of various substrates to oxidative metabolism in steady-state conditions9.To this date the ex vivo working heart preparation represents the sole and unique technique available to study, simultaneously and in real time, contractile function and flux of substrates into oxidative metabolic pathways7,9. The following protocol aims to provide guidelines in the preparation and utilization of reagents used to determine the rates of substrates utilization in the isolated working rat heart.
The Isolated Working Rodent Heart Apparatus
Although the technique is almost half a century old, the isolated working rat heart preparation remains a method of choice for cardiovascular research. As with the Langendorff heart preparation, the working rodent heart offers a relatively simple, reliable, and inexpensive way to measure a wide range of cardiac parameters independently from the confounding effects of other organs, neurohormonal and other circulating factors. But in contrast to the Langendorff-perfused heart, the working heart continues to perform near-physiological cardiac work, a prerequisite for the generation of oxidative metabolic flux to levels that are relevant to in vivo conditions. This is achieved by delivering the perfusion buffer to the left ventricle (LV) via a cannula connected to the left atrium, and as the LV fills and contracts, the buffer is ejected through the aortic line against a determined afterload hydrostatic pressure. The design of the perfusion apparatus originally described by Neely and colleagues10 was subsequently improved by Taegtmeyer, Hems and Krebs11, but has changed very little ever since. As described in the original apparatus, contractile function can be assessed through determination of cardiac output, using no more than graduated cylinders and a stopwatch to measure aortic and coronary flows10,11. Several vendors now offer complete working rodent heart perfusion systems. These commercially available apparatus can be acquired with flowprobes, pressure transducers, a pressure-volume catheter and all the equipment necessary for cardiac functional data acquisition and analysis. The vendors provide extensive documentation and training sessions to familiarize the new user with their equipment. Several review articles also detail protocols on the working heart instrumentation and on the use of catheters to measure cardiac function in rodents12-15. For this reason, we will only briefly mention the set-up of the perfusion apparatus and the recording equipment. The present protocol rather aims to complement the already available information with a description of the methods that can be implemented to simultaneously measure the rates of glucose and long-chain fatty acid oxidation, the two major energy providing substrates in the normal heart. We describe here all the steps involved in the use of radiolabeled energy substrates for the assessment of myocardial oxidative metabolism, from the preparation of reagents and buffers to the recovery and processing of samples, to the data analysis.
Principles of the Method
Cardiomyocytes generate the bulk of their energy for contraction from the oxidative phosphorylation of fatty acids (principally long-chain fatty acids) and carbohydrates (glucose and lactate). The heart has very limited energetic reserves and relies on a constant supply of these energy providing substrates from the circulation. The catabolism of glucose through the glycolytic pathway yields pyruvate which is then decarboxylated by the pyruvate dehydrogenase complex of the inner mitochondrial membrane. Long-chain fatty acids, extracted from circulating albumin or lipoprotein triglycerides, are first activated into acyl-CoA molecules in the cytosol and subsequently transported inside the mitochondrial matrix through the carnitine shuttle to enter the beta-oxidation pathway. The acetyl-CoA molecules produced by the catabolism of glucose and fatty acids fuel the Krebs cycle to generate the reducing equivalents (NADH and FADH2) which are used by the electron transport chain to build the proton-motive force across the inner mitochondrial membrane and generate ATP through the activity of the ATP synthase. Water and carbon dioxide are the end byproducts of the enzymatic reactions taking place inside the Krebs cycle. The supply of 14C- and 3H- radiolabeled substrates (such as 14C-radiolabeled glucose and 3H-radiolabeled oleic acid) to the isolated working heart will consequently lead to the production of 14CO2 and 3H2O which can be quantitatively recovered from the coronary effluent. The collection of 14CO2 is carried out by keeping the isolated perfused heart into a sealed chamber and by immediately recovering the coronary effluent as it exits the heart. A small anion exchange column is used to separate and recover 3H2O from the coronary effluent. The radioactivity from the processed samples is measured with a liquid scintillation counter, and with knowledge of the specific activity of the radiolabeled substrates used, it is then possible to individually quantitate the flux of glucose and fatty acid in the oxidation pathways16,17.

<table border="1" fo:keep-together.within-page="1" fo:keep-with-next.within-page="always">
	<tbody>
		<tr>
			<td>Sodium Chloride (NaCl)</td>
			<td>Fisher Scientific</td>
			<td>BP358</td>
			<td></td>
		</tr>
		<tr>
			<td>Potassium Chloride (KCl)</td>
			<td>Fisher Scientific</td>
			<td>BP366</td>
			<td></td>
		</tr>
		<tr>
			<td>Potassium Phosphate Monobasic (KH2PO4)</td>
			<td>Fisher Scientific</td>
			<td>P284</td>
			<td></td>
		</tr>
		<tr>
			<td>Magnesium Sulfate Heptahydrate (MgSO4*7H2O)</td>
			<td>Fisher Scientific</td>
			<td>M63</td>
			<td></td>
		</tr>
		<tr>
			<td>Sodium Bicarbonate (NaHCO3)</td>
			<td>Fisher Scientific</td>
			<td>S233</td>
			<td></td>
		</tr>
		<tr>
			<td>Calcium Chloride (CaCl2)</td>
			<td>Sigma-Aldrich</td>
			<td>C5670</td>
			<td></td>
		</tr>
		<tr>
			<td>AG 1-X8 resin, chloride form, 100-200 dry mesh size, 500 g</td>
			<td>Bio-Rad</td>
			<td>1401441</td>
			<td>This item can be replaced by purchasing directly the hydoxide form&#160; (see reference below), but this will cost almost 8 times more</td>
		</tr>
		<tr>
			<td>AG 1-X8 resin, hydroxide form, 100-200 dry mesh size, 100 g</td>
			<td>Bio-Rad</td>
			<td>1432445</td>
			<td>Purchasing this item allows to bypass the conversion of the anion exchange resin from the chloride form to the hydroxide form (See section 1.2 of protocol)</td>
		</tr>
		<tr>
			<td>Glass Microanalysis Vacuum Filter Holder</td>
			<td>Fisher Scientific</td>
			<td>09-753-2</td>
			<td></td>
		</tr>
		<tr>
			<td>Sodium Hydroxide (NaOH)</td>
			<td>Fisher Scientific</td>
			<td>S318</td>
			<td>Corrosive. Consult the product MSDS for appropriate handling and storage.</td>
		</tr>
		<tr>
			<td>Gas Dispersion Tube with Fritted Cylinder</td>
			<td>Fisher Scientific</td>
			<td>11-138B</td>
			<td></td>
		</tr>
		<tr>
			<td>Probumin Bovine Serum Albumin Fatty Acid Free, Powder</td>
			<td>EMD Millipore</td>
			<td>820027</td>
			<td>We recommend the use of a charcoal-defatted BSA, as other purification process such as cold ethanol fractionation may leave residues toxic for the heart.</td>
		</tr>
		<tr>
			<td>Sodium Oleate</td>
			<td>Sigma-Aldrich</td>
			<td>O7501</td>
			<td></td>
		</tr>
		<tr>
			<td>Oleic Acid, [9,10-3H(N)]-</td>
			<td>PerkinElmer</td>
			<td>NET289005MC</td>
			<td>Radioactive material. Follow your Institution&#39;s radiation safety office guidelines for ordering and handling.</td>
		</tr>
		<tr>
			<td>Dialysis Membrane Tubing, 29 mm diameter</td>
			<td>Fisher Scientific</td>
			<td>08-667E</td>
			<td></td>
		</tr>
		<tr>
			<td>D-(+)-Glucose</td>
			<td>Sigma-Aldrich</td>
			<td>G7021</td>
			<td></td>
		</tr>
		<tr>
			<td>Glucose, D-[14C(U)]-</td>
			<td>PerkinElmer</td>
			<td>NEC042B005MC</td>
			<td>Radioactive material. Follow your Institution&#39;s radiation safety office guidelines for ordering and handling.</td>
		</tr>
		<tr>
			<td>Humulin R U-100</td>
			<td>Eli Lilly and Company</td>
			<td>NDC 0002-8215-01 (HI-210)</td>
			<td></td>
		</tr>
		<tr>
			<td>Inactin Hydrate</td>
			<td>Sigma-Aldrich</td>
			<td>T133</td>
			<td>Controlled substance on USDEA Schedule III</td>
		</tr>
		<tr>
			<td>3-0 Silk Black Braid</td>
			<td>Roboz Surgical</td>
			<td>SUT-15-3</td>
			<td></td>
		</tr>
		<tr>
			<td>10X Hyamine Hydroxide</td>
			<td>PerkinElmer</td>
			<td>6003005</td>
			<td>Highly toxic and causes severe burns. Consult the product MSDS for appropriate handling and storage</td>
		</tr>
		<tr>
			<td>20 mL Glass Scintillation Vials</td>
			<td>Fisher Scientific</td>
			<td>03-341-25E</td>
			<td>Use glass vials for quantitative recovery of 14CO2</td>
		</tr>
		<tr>
			<td>20 mL HDPE Scintillation Vials</td>
			<td>Fisher Scientific</td>
			<td>03-337-23B</td>
			<td>Use HDPE vials for quantitative recovery of 3H2O</td>
		</tr>
		<tr>
			<td>Red Rubber Sleeve Stoppers</td>
			<td>Fisher Scientific</td>
			<td>14-126DD</td>
			<td>Fit 20 mL scintillation vials; Reusable</td>
		</tr>
		<tr>
			<td>BD PrecisionGlide Needle 23G x 40 mm</td>
			<td>BD</td>
			<td>305194</td>
			<td>Use to inject perchloric acid through the rubber sleeve stopper of the CO2 trap</td>
		</tr>
		<tr>
			<td>Perchloric Acid, 60%</td>
			<td>Fisher Scientific</td>
			<td>A228</td>
			<td>Highly corrosive and may act as an oxidizer and/or cause an explosion hazard. Consult the product MSDS for appropriate handling and storage</td>
		</tr>
		<tr>
			<td>Ultima Gold, Scintillation Cocktail</td>
			<td>PerkinElmer</td>
			<td>6013327</td>
			<td></td>
		</tr>
		<tr>
			<td>Glass Wool</td>
			<td>Fisher Scientific</td>
			<td>AC38606</td>
			<td></td>
		</tr>
		<tr>
			<td>Decon Dri-Clean Detergent Powder</td>
			<td>Fisher Scientific</td>
			<td>04-355</td>
			<td>For cleaning of glassware, plastic parts, and tubing</td>
		</tr>
		<tr>
			<td>Alconox Tergazyme Enzyme-Active Powered Detergent</td>
			<td>Fisher Scientific</td>
			<td>16-000-115</td>
			<td>For cleaning of &#34;hard to reach&#34; surfaces (tubing, glassware) contaminated by fatty acid-BSA residue</td>
		</tr>
	</tbody>
</table>

methods for the determination of rates of glucose and fatty acid oxidation in the isolated working rat heart

The mammalian heart is a major consumer of ATP and requires a constant supply of energy substrates for contraction. Not surprisingly, alterations of myocardial metabolism have been linked to the development of contractile dysfunction and heart failure. Therefore, unraveling the link between metabolism and contraction should shed light on some of the mechanisms governing cardiac adaptation or maladaptation in disease states. The isolated working rat heart preparation can be used to follow, simultaneously and in real time, cardiac contractile function and flux of energy providing substrates into oxidative metabolic pathways. The present protocol aims to provide a detailed description of the methods used in the preparation and utilization of buffers for the quantitative measurement of the rates of oxidation for glucose and fatty acids, the main energy providing substrates of the heart. The methods used for sample analysis and data interpretation are also discussed. In brief, the technique is based on the supply of 14C- radiolabeled glucose and a 3H- radiolabeled long-chain fatty acid to an ex vivo beating heart via normothermic crystalloid perfusion. 14CO2 and 3H2O, end byproducts of the enzymatic reactions involved in the utilization of these energy providing substrates, are then quantitatively recovered from the coronary effluent. With knowledge of the specific activity of the radiolabeled substrates used, it is then possible to individually quantitate the flux of glucose and fatty acid in the oxidation pathways. Contractile function of the isolated heart can be determined in parallel with the appropriate recording equipment and directly correlated to metabolic flux values. The technique is extremely useful to study the metabolism/contraction relationship in response to various stress conditions such as alterations in pre and after load and ischemia, a drug or a circulating factor, or following the alteration in the expression of a gene product.

Two representative experiments are described in the figures below. In both cases, the heart of a 16 week old male Sprague Dawley rat was isolated and perfused in the working mode with KH buffer prepared according to the preceding protocol. In each experiment, the heart was subjected to a stress condition to affect cardiac work. Cardiac contractile function was assessed by continuous recording of pulse pressure through insertion of a pressure transducer in the aortic line and by determinat...

Watch this Scientific Journal Video about Methods for the Determination of Rates of Glucose and Fatty Acid Oxidation in the Isolated Working Rat Heart at JoVE.com

Methods for the Determination of Rates of Glucose and Fatty Acid Oxidation in the Isolated Working Rat Heart

The following protocol describes the preparation and utilization of buffers for the quantitative measurement of rates of glucose and fatty acid oxidation in the isolated working rat heart. The methods used for sample analysis and data interpretation are also discussed.

The mammalian heart is a major consumer of ATP and requires a constant supply of energy substrates for contraction. Not surprisingly, alterations of ...

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