Reperfusion of the ischaemic myocardium leads to intracellular calcium over
load followed by mitochondrial dysfunction, resulting in insufficient energ
y supply and ultimately myocardial necrosis, Ruthenium red (RR), a potent m
itochondrial calcium uptake inhibitor, prevents this disruption to mitochon
drial metabolism and improves post reperfusion recovery. This therefore sug
gested that mitochondrial calcium influx is an attractive target for the tr
eatment of reperfusion injury. However, RR is unsuitable for therapeutic us
e, so we undertook a search for novel compounds which inhibit mitochondrial
calcium uptake. The most potent compounds discovered were simple tris(ethy
lenediamine) transition metal complexes and dinuclear Co complexes. The str
ucture-activity relationship (SAR) of these small molecules has helped to d
efine the structural requirements for inhibition of calcium transport by ou
tlining the size and charge dependency of the interactive site on the mitoc
hondrial calcium uniporter. (C) 1999 Elsevier Science Ltd. All rights reser
ved.