L-Carnitine improves mechanical responses of cardiomyocytes and restores Ca2+ homeostasis during aging

Histochem Cell Biol. 2023 Oct;160(4):341-347. doi: 10.1007/s00418-023-02215-3. Epub 2023 Jun 17.

Abstract

L-Carnitine (β-hydroxy-γ-trimethylaminobutyric acid, LC) is a crucial molecule for the mitochondrial oxidation of fatty acids. It facilitates the transport of long-chain fatty acids into the mitochondrial matrix. The reduction in LC levels during the aging process has been linked to numerous cardiovascular disorders, including contractility dysfunction, and disrupted intracellular Ca2+ homeostasis. The aim of this study was to examine the effects of long-term (7 months) LC administration on cardiomyocyte contraction and intracellular Ca2+ transients ([Ca2+]i) in aging rats. Male albino Wistar rats were randomly assigned to either the control or LC-treated groups. LC (50 mg/kg body weight/day) was dissolved in distilled water and orally administered for a period of 7 months. The control group received distilled water alone. Subsequently, ventricular single cardiomyocytes were isolated, and the contractility and Ca2+ transients were recorded in aging (18 months) rats. This study demonstrates, for the first time, a novel inotropic effect of long-term LC treatment on rat ventricular cardiomyocyte contraction. LC increased cardiomyocyte cell shortening and resting sarcomere length. Furthermore, LC supplementation led to a reduction in resting [Ca2+]i level and an increase in the amplitude of [Ca2+]i transients, indicative of enhanced contraction. Consistent with these results, decay time of Ca2+ transients also decreased significantly in the LC-treated group. The long-term administration of LC may help restore the Ca2+ homeostasis altered during aging and could be used as a cardioprotective medication in cases where myocyte contractility is diminished.

Keywords: Aging; Ca2+ transients; Cardiomyocyte; L-Carnitine; Shortening.

MeSH terms

  • Aging
  • Animals
  • Calcium / metabolism
  • Calcium Signaling / physiology
  • Carnitine* / metabolism
  • Carnitine* / pharmacology
  • Homeostasis
  • Male
  • Myocytes, Cardiac* / metabolism
  • Rats
  • Rats, Wistar
  • Water / metabolism
  • Water / pharmacology

Substances

  • Carnitine
  • Water
  • Calcium