Perfusion of all mammalian heart muscle except hamster with Ca2+-free Tyrod
e and thereafter reperfusion with normal Tyrode causes irreversible damage,
the calcium paradox. Our study aims at deciphering the role of creatine ki
nase, high energy phosphates and Ca2+ influx in the genesis of myocardial i
njury in the:rat and comparing it with the hamster. Isolated hearts from ha
mster and rats were perfused in the Langendorff mode at 37 degrees C for 30
min with normal Tyrode, for 15 min: with Ca2+-free Tyrode and thereafter f
or 30 min of reperfusion with normal Tyrode. The 'high energy phosphate com
pound' levels were monitored by P-31-NMR, creatine kinase (CK) release was
measured in the perfusate. Ca-45 influx was estimated in the papillary musc
le. We observed that in the rat heart: (a) high energy phosphate levels dec
lined significantly within 1 min of Ca2+ reperfusion; (b) a massive release
of CK occurred upon Ca2+ reperfusion; (c) there was a significant increase
of Ca2+ influx. Tn the hamster heart, there was preservation of high energ
y phosphates, CK release was prevented completely and no rise in Ca-45 infl
ux was observed upon Ca2+ reperfusion. These results suggest that the hamst
er heart has a remarkable capacity for Ca2+ homeostasis which protects the
heart from Ca2+ overload. (C) 2000 Academic Press.