Intracellular ATP depletion is a hallmark event in ischemic injury. It has
been extensively characterized in models of chemical anoxia in vitro. In co
ntrast, the fate of GTP during ischemia remains unknown. We used LLC-PK pro
ximal tubular cells to measure GTP and ATP changes during anoxia. In 45 min
, antimycin A decreased ATP and GTP to 8% and 2% of controls, respectively.
Ischemia in vivo resulted in comparable reductions in GTP and ATP. After 2
h of recovery, GTP levels in LLC-PK cells increased to 65% while ATP incre
ased to 29%. We also investigated steady-state models of selective ATP or G
TP depletion. Combinations of antimycin A and mycophenolic acid selectively
reduced GTP to 51% or 25% of control. Similarly, alanosine selectively red
uced ATP to 61% or 26% of control. Selective GTP depletion resulted in sign
ificant apoptosis. Selective ATP depletion caused mostly necrosis. These mo
dels of ATP or GTP depletion can prove useful in dissecting the relative co
ntribution of the two nucleotides to the ischemic phenotype.