Rat heart myocytes undergoing progressive damage demonstrate morphological
changes of shortening and swelling followed by the formation of intracellul
ar vacuoles and plasma membrane blebbing. The damaged myocytes displayed im
paired N,N'-tetramethyl-p-phenyldiamine (TMPD) ascorbate-stimulated respira
tory activity which was restored by the addition of reduced cytochrome c to
the cell culture medium. To clarify the role played by cytochrome c in the
impairment of cell respiration, polarographic, spectrophotometric and fluo
rescence as well as electron microscopy imaging experiments were performed.
TMPD/ascorbate-stimulated respiratory activity returned to control levels,
at approximately 20 mu M cytochrome c, establishing the threshold below wh
ich the turnover rate by cytochrome c oxidase in the cell depends on cytoch
rome concentration. Mildly damaged cardiac myocytes, as indicated by cell s
hortening, retention of visible striations and free-fluorescein exclusion,
together with the absence of lactate dehydrogenase leakage and exclusion of
trypan blue, were able to oxidize exogenous cytochrome c and were permeabl
e to fluorescein-conjugated cytochrome c. The results, while consistent wit
h an early cytochrome c release observed at the beginning of cell death, el
ucidate the role played by cytochrome c in the kinetic control of mitochond
rial electron transfer under pathological conditions, particularly those in
volving the terminal part of the respiratory chain. These data are the firs
t to demonstrate that the sarcolemma of cardiac myocytes, damaged but still
viable, is permeable to cytochrome c.