Exposure of the isolated mouse soleus muscle preparation to 10, 25 or
50 mu M menadione for 30 min causes subsequent release of creatine kin
ase (CK) and ultrastructural damage to the myofilament apparatus. CK r
elease was slightly reduced under hypoxia (p < 0.01), but radical scav
engers catalase (150,000 U/l) desferrioxamine (0.8 mM) or dimethylthio
urea (10 mM) were without significant effect. Mannitol at high concent
ration (50 mM) reduced CK efflux (p < 0.05). CK efflux with menadione
(10 or 25 mu M) was approximately doubled when external Ca2+ was remov
ed; under these conditions, hypoxia provided complete production. The
ultrastructural damage of the myofilament apparatus and cell organelle
s was characteristic of that triggered by a raised [Ca2+](i) and was u
naffected by external conditions. It is concluded that (1) CK release
and myofilament damage are independent pathways; (2) menadione causes
the release of Ca2+ from intracellular sites and so causes cell damage
; (3) O-2 radicals do not play a major part in this Ca2+ release; (4)
removal of extracellular Ca2+ activates the CK release mechanism and a
lso switches it so that it operates via an O-2-dependent mechanism, an
d (5) raised [Ca2+](i) interacts synergistically with the activated CK
release mechanism.