Many studies have suggested that parenteral administration of coenzyme Q(10
) (Q(10)) protects the myocardium of young experimental animals from post-i
schemic reperfusion injury. Although parenteral administration, in contrast
to per os supplementation, seems to elevate coenzyme Q concentrations in h
eart tissue, it is not suitable for prophylactic use. In addition, the inci
dence of ischemic events is greatest in older age. We studied the effect of
Q(10) supplementation on myocardial postischemic recovery in 18-month-old
Wistar rats. The treated group (n=9) received 10 mg/kg/day of Q(10) for 8 w
eeks in their chow while the normal chow of the control group (n=9) contain
ed less than 0.5 mg/kg/day of Q(10). The treatment clearly elevated plasma
Q(10) concentration (286 +/- 25 mu mol/l and 48 +/- 30 mu mol/l, treated an
d controls, respectively, p < 0.0001) but neither Q(9) nor Q(10) concentrat
ions in heart tissue were affected by the supplementation. The isolated per
fused hearts were subjected to 20 minutes of ischemia and 30 minutes of rep
erfusion. The preischemic values of developed pressure (DP) but not contrac
tility (+DP/Delta t) and relaxation (-DP/Delta t) were improved by Q(10) su
pplementation (p = 0.034, p = 0.057 and p = 0.13, respectively) while in po
stischemic recovery no differences were observed between the groups (p > 0.
05 at all time points). Also, in myocardial flow, myocardial oxygen consump
tion (MVO2) and myocardial aerobic efficiency (DP/MVO2) the groups did not
differ at any time points. Although dietary Q(10) supplementation clearly e
levated plasma Q(10) concentrations in senescent rats, the coenzyme Q conte
nts in heart tissue and myocardial recovery from ischemia were not affected
. However, it is possible that the site of action for the reported benefici
al effects of Q(10) is in the coronary endothelium rather than myocardium i
tself.