Hydroxy-2-nonenal (HNE) is a major lipid peroxidation product formed during
oxidative stress. Because of its reactivity with nucleophilic compounds, p
articularly metabolites and proteins containing thiol groups, HNE is cytoto
xic. The aim of this study was to assess the extent and time course for the
formation of HNE-modified proteins during ischemia and ischemia plus reper
fusion in isolated rat hearts. With an antibody to HNE-Cys/His/Lys and dens
itometry of Western blots, we quantified the amount of HNE-protein adduct i
n the heart. By taking biopsies from single hearts (n = 5) at various times
(0, 5, 10, 15, 20, 35, and 40 min) after onset of zero-flow global ischemi
a, we showed a progressive, time-dependent increase (which peaked after 30
min) in HNE-mediated modification of a discrete number of proteins. In stud
ies with individual hearts (n = 4/group), control aerobic perfusion (70 min
) resulted in a very low level (296 arbitrary units) of HNE-protein adduct
formation; by contrast, after 30-min ischemia HNE-adduct content increased
by >50-fold (15,356 units, P < 0.05). In other studies (n = 4/group), admin
istration of N-(2-mercaptopropionyl)glycine (MPG, 1 mM) to the heart for 5
min immediately before 30-min ischemia reduced HNE-protein adduct formation
during ischemia by similar to 75%. In studies (n = 4/group) that included
reperfusion of hearts after 5, 10, 15, or 30 min of ischemia, there was no
further increase in the extent of HNE-protein adduct formation over that se
en with ischemia alone. Similarly, in experiments with MPG, reperfusion did
not significantly influence the tissue content of HNE-protein adduct. West
ern immunoblot results were confirmed in studies using in situ immunofluore
scent localization of HNE-protein in cryosections. In conclusion, ischemia
causes a major increase in HNE-protein adduct that would be expected to ref
lect a toxic sequence of events that might act to compromise tissue surviva
l during ischemia and recovery on reperfusion.