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Cardiovascular Research Laboratory, Departments of Medicine (Cardiology) and Physiology, University of California at Los Angeles School of Medicine, Los Angeles, California 90095
We
studied the interplay between matrix Ca2+ concentration
([Ca2+]) and mitochondrial membrane potential
(
) in regulation of the mitochondrial permeability transition
(MPT) during anoxia and reoxygenation. Without Ca2+
loading, anoxia caused near-synchronous 
dissipation,
mitochondrial Ca2+ efflux, and matrix volume shrinkage when
a critically low PO2 was reached, which was
rapidly reversible upon reoxygenation. These changes were related to
electron transport inhibition, not MPT. Cyclosporin A-sensitive MPT did
occur when extramitochondrial [Ca2+] was increased to
promote significant Ca2+ uptake during anoxia, depending on
the Ca2+ load size and ability to maintain 
. However,
when [Ca2+] was increased after complete 
dissipation, MPT did not occur until reoxygenation, at which time
reactivation of electron transport led to partial 
regeneration.
In the setting of elevated extramitochondrial Ca2+, this
enhanced matrix Ca2+ uptake while promoting MPT because of
less than full recovery of 
. The interplay between 
and
matrix [Ca2+] in accelerating or inhibiting MPT during
anoxia/reoxygenation has implications for preventing reoxygenation
injury associated with MPT.
cardiomyocytes; mitochondrial Ca2+ uptake; Ca2+ efflux; permeability transition pore
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