cell biochemistry and function Cell Biochem Funct (2015) Published online in Wiley Online Library (wileyonlinelibrary.com) DOI: 10.1002/cbf.3089 AMP promotes oxygen consumption and ATP synthesis in heart mitochondria through the adenylate kinase reaction: an NMR spectroscopy and polarography study Nicolai M. Doliba1, Andriy M. Babsky1,2*, Nataliya M. Doliba3, Suzanne L. Wehrli4 and Mary D. Osbakken5 1 University of Pennsylvania, Philadelphia, PA, USA Ivan Franko National University of Lviv, Lviv, Ukraine 3 Actelion Clinical Research, Cherry Hill, NJ, USA 4 Children’s Hospital of Philadelphia, Philadelphia, PA, USA 5 Osbakken Consulting, LLC, and Visiting Research Professor, School of Biomedical Engineering, Science and Health Systems, Drexel University, Philadelphia, PA, USA 2 Adenylate kinase plays an important role in cellular energy homeostasis by catalysing the interconversion of adenine nucleotides. The goal of present study was to evaluate the contribution of the adenylate kinase reaction to oxidative ATP synthesis by direct measurements of ATP using 31P NMR spectroscopy. Results show that AMP can stimulate ATP synthesis in the presence or absence of ADP. In particular, addition of 1 mM AMP to the 0.6 mM ADP superfusion system of isolated superfused mitochondria (contained and maintained in agarose beads) led to a 25% increase in ATP synthesis as measured by the increase in βATP signal. More importantly, we show that AMP can support ATP synthesis in the absence of ADP, demonstrated as follows. Superfusion of mitochondria without ADP led to the disappearance of ATP γ, α and β signals and the increase of Pi. Addition of AMP to the medium restored the production of ATP, as demonstrated by the reappearance of γ, α and β ATP signals, in conjunction with a decrease in Pi, which is being used for ATP synthesis. Polarographic studies showed Mg2+ dependence of this process, confirming the specificity of the adenylate kinase reaction. Furthermore, data obtained from this study demonstrate, for the first time, that different aspects of the adenylate kinase reaction can be evaluated with 31P NMR spectroscopy. Copyright © 2015 John Wiley & Sons, Ltd. SIGNIFICANCE OF RESEARCH PARAGRAPH The data generated in the present study indicate that 31P NMR spectroscopy can effectively be used to study the adenylate kinase reaction under a variety of conditions. This is important because understanding of adenylate kinase function and/or malfunction is essential to understanding its role in health and disease. The data obtained with 31P NMR were confirmed by polarographic studies, which further strengthens the robustness of the NMR findings. In summary, 31P NMR spectroscopy provides a sensitive tool to study adenylate kinase activity in different physiological and pathophysiological conditions, including but not exclusive of, cancer, ischemic injury, hemolytic anemia and neurological problems such as sensorineural deafness. key words—adenylate kinase; 31 P NMR; oxygen consumption; AMP; ATP synthesis; heart mitochondria INTRODUCTION Enzyme systems that produce ADP may be capable of stimulating respiration and ATP synthesis. Hexokinase, adenylate kinase and mitochondrial creatine kinase all catalyse reactions that produce ADP and thus may play a role in cellular nucleotide metabolism or control of mitochondrial oxidative phosphorylation.1,2 Adenylate kinase (also known as myokinase) is a phosphotransferase enzyme that catalyses *Correspondence to: Andriy Babsky, Department of Physiology of Human and Animals, Ivan Franko National University of Lviv, 4 Hrushevsky St., Lviv, Ukraine 79005. E-mail: [email protected] Copyright © 2015 John Wiley & Sons, Ltd. the conversion of two moles of ADP to ATP and AMP, thus equilibrating ADP with ATP and AMP (2ADP⇔ATP + AMP). In muscle, the concentration of ATP is typically 7–10 times higher than ADP and 100 times higher than AMP. The rate of oxidative phosphorylation is controlled by the availability of ADP. Adenylate kinase facilitates transfer and utilization of γ and β phosphates in the ATP molecule.3,4 In skeletal muscles, ATP levels decrease by no more than 20% during intensive exercise. At the same time, ADP levels may increase by 50%, and AMP levels, which are in the micromolar range, may increase by 300%.5 AMP activates several metabolic pathways, including glycolysis, glycogenolysis and fatty acid oxidation (particularly in muscle tissues), to ensure that ATP homeostasis Received 11 August 2014 Revised 3 December 2014 Accepted 9 December 2014 n. m. doliba et al. is maintained.6 Thus, mitochondria maintain high levels of ATP because of both adenylate kinase and oxidative phosphorylation. In contrast, adenylate kinase activates ADP production from ATP and AMP when the myocyte’s need for ATP is low. It is known that adenylate kinases may be found in cytoplasm (AK1) or in mitochondria (AK2, AK3, AKL3L1).7 Furthermore, it has been shown that the enzymatic isoform, AK3L1, is specifically associated with mitochondrial matrix,8 whilst AK2 is found in the mitochondrial intermembrane space.9,10 Knock out of the human gene encoding proteins for adenylate kinase (AK1) desynchronized inorganic phosphate turnover at ATP-consuming sites and ATP synthesis sites. This decreases energetic signal processes in the post-ischemic heart resulting in insufficient coronary reflow following ischemia-reperfusion injury.7 Krishnamurthy et al. show that adenylate kinase is associated with Mg2+, diadenosinepentaphosphate and four coordinated water molecules.4 Mg2+, coordination water and surrounding charged residues uphold the geometry and distances of the AMP α-phosphate and ATP β and γ phosphates. This is sufficient to support an associative reaction mechanism for phosphate transfer.4 Along these lines, it has been shown that AMP has similar effects as ADP on respiration of mitochondrial suspensions under aerobic conditions.11,12 The authors hypothesized that AMP reacts with endogenous ATP by the action of adenylate kinase to produce ADP, which then activates oxidative phosphorylation. There are several enzymatic methods that can be used to analyse adenylate kinase activity at one point in time, or at different times by continuous sampling from an enzyme reaction mixture. These techniques generally use purified enzymes.9,10,8 In the present study, an NMR spectroscopy method was developed that allows continuous measurement of adenylate kinase activity in intact organelles in real time. In this regard, we used 31P NMR spectroscopy in conjunction with superfused mitochondria incorporated into agarose beads.13 This approach allows excellent mitochondrial metabolic stability and provides a unique tool for investigation of many aspects of intact mitochondrial function in real time. MATERIALS AND METHODS Preparation of isolated mitochondria Heart mitochondria were isolated from 3–4 rat hearts (for each NMR experiment) or from 1–2 hearts (for each polarographic experiment) using differential centrifugation according to a generally accepted scheme, with modifications which provide protection of mitochondrial native state.14,15 To ensure optimal protection of the mitochondrial native state, rat hearts were quickly excised under Nembutal anesthesia (50 mg/kg, injected intraperitoneally), exsanguinated, chilled and weighed. Then, hearts were homogenized in buffer containing: 300 mM sucrose, 10 mM HEPES Copyright © 2015 John Wiley & Sons, Ltd. (pH = 7.4) and 1 mM EDTA. To stabilize the mitochondrial membrane, 0.25% BSA was added to the homogenizing media. An Akhmerov’s homogenizer, with a motor-driven Teflon pestle containing a metal core in the middle of the pestle, was used.16 This allowed increase in the quality of homogenization and decrease in homogenization time. After initial centrifugation (7 min at 480 g), the pellet-containing nuclei and other cellular debris were discarded. The supernatant was centrifuged at 10 000 g for another 15 min to sediment the mitochondrial fraction. To document the physiological state of isolated mitochondria, the respiration control index (RCI) of a sample from each mitochondrial preparation was determined. Respiration rates were measured using pyruvate plus malate as substrate. State 3 respiration was determined by addition of 320 nmol ADP to the mitochondria in the solution listed in the preceding text. State 4 respiration was defined as oxygen usage after ADP phosphorylation. The RCI was determined as the ratio of State 3/State 4 respiration rates. The RCI of the isolated mitochondrial preparations was generally high and in the range of normal RCIs from 5 to 6. Mitochondrial preparations with a RCI less than 5.5 were not used. Furthermore, the rates of oxygen consumption before and after ADP phosphorylation were almost equal, indirectly indicating full recovery of NAD, restoration of the proton gradient and native state of inner mitochondrial membranes. Polarographic experiments Respiration assays were performed using a Gilson oxygraph equipped with a Clark electrode. Reactions were conducted at 28 °C in a 1.5-ml chamber containing 2–3 mg of the mitochondrial fraction suspended in the respiration buffer of 220 mM sucrose, 50 mM KCl, 1 mM KH2PO4 and 5 mM HEPES (pH = 7.4). Documentation of the mitochondrial physiological state was carried out as described earlier under ‘Preparation of isolated mitochondria’. NMR experiments preparation Prior to all NMR experiments, mitochondrial physiological state was checked by measuring the RCI of a mitochondrial aliquot, as described above. Mitochondria were placed in agarose beads (bead size = 800–1000 μm, 2000–2500 beads/cm3)13,17 to maintain them in a stable environment and prevent them from escaping from the superfusion system. Approximately 7–10 mg of mitochondrial protein, of the initial 30 mg that was isolated, was incorporated into the beads. Mitochondria were suspended in 1 ml of buffer, which contained 220 mM sucrose, 50 mM KCl, 1 mM KH2PO4, 2 mM MgCl2, 0.5 mM EDTA, 20 mM HEPES (pH 7.4), 0.6 mM ADP and 2 mM ATP, 2.5 mM creatine, 5 mM pyruvate plus 5 mM malate. Mitochondria, suspended in this buffer, were then added to 1 ml of 6% agarose (Sigma type VII, low gelling temperature) and mixed at 37 °C. This suspension was then decanted into 50 ml of paraffin oil (37 ° C) and stirred continuously. The interaction (difference in surface tension) of the oil and agarose caused bead Cell Biochem Funct (2015) role of amp in mitochondrial atp synthesis formation. Beads were cooled to 10 °C by adding ice to the water bath while stirring continuously for 5 min to allow them to become firm and to maintain their shape. Beads containing mitochondria were suspended in buffer without ATP, and washed several times. The initial use of ATP in the medium was to maintain mitochondrial stability until they could be superfused in beads. Superfusion apparatus Beads containing mitochondria were placed in a 10 mm diameter glass NMR tube and maintained in place by a filter (100 μm pore size). Each NMR sample contained approximately 1.5 ml of the beads suspended in 1 ml buffer (7–10 mg mitochondrial protein or 84–120 μl of mitochondria by volume). The mitochondria and the capillary tube containing a methylene diphosphonate standard were placed within the sensitive volume of the NMR coil. The superfusion medium containing ADP, but without ATP, was equilibrated with 95% O2, 5% CO2 at 28 °C and was introduced through an in-flow line (at 2.7 ml/min). A suction line, placed above the beads, removed the superfusate. The superfusate was not recirculated. The superfusion medium used for the ischemia-reperfusion studies contained (in mM): sucrose, 150; KCl, 50; KH2PO4, 1; HEPES, 20 or 30; MgSO4, 2; EDTA, 0.5; creatine, 2.5; α-ketoglutarate (KG), 5; and ADP, 0.6. 31 P NMR method The 31P NMR measurements were performed with a Bruker AM-400 spectrometer at 162 MHz. 31P NMR spectra were acquired (without proton decoupling) consecutively in 10-min periods (1000 transients) for up to 10 h. The following conditions were used: pulse width 36°, sweep width 13 kHz, 16 K data points, repetition time 0.6 s. Free induction decays were processed with a Lorentz-Gauss window function for resolution enhancement (Bruker parameters: line broadening = 8, maximum of the Gaussian function = 0.003). The spectra were referenced to the resonance of PCr set at 0 ppm. Figure 1. Dependence of heart mitochondria ATP, PCr and AMP on external ADP concentration. ATP synthesis was measured by following the βATP signal. Peak areas for ATP, PCr and AMP were normalized to the reference of a methylene diphosphonate standard by monitoring the βATP signal. Mitochondrial ATP production reached saturation at high concentrations of ADP (~3 mM) (Figure 1). During synthesis of ATP from ADP, AMP was found to increase as well. In addition, at the higher concentrations of ADP (1.2–5.0 mM), the PCr signal disappeared, indicating that PCr also can be used for ATP synthesis in the creatine kinase reaction. Stimulation of ATP synthesis by AMP: 31 P NMR data Figure 2 (Baseline) presents spectra from heart mitochondria oxidizing 5 mM pyruvate plus 5 mM malate in the presence of 0.6 mM ADP, 1 mM phosphate, and 2.5 mM creatinine at 28 °C. Each spectrum clearly displays the resonances of ATP (which is absent from the superfusate), as well as Pi and βADP. Whilst the α-phosphate signals of ATP and ADP overlap, their terminal phosphates are clearly separated (γATP and βADP). Addition of 1 mM of AMP to superfusate Statistical analysis 31 P NMR data are presented as typical spectra (n = 4–5). All polarographic data are presented as the mean ± standard error of mean, and represent the range across a cohort of animals. Analysis of the polarographic data was performed using the Student’s t-test. A p-value < 0.05 was used to define statistical significance. RESULTS 31 Regulation of mitochondrial ATP synthesis by ADP 31 P NMR spectroscopy methods are ideally suited to study the regulation of ATP synthesis by various substrates and regulators. In these studies, we evaluated the effects of increasing ADP concentration on ATP synthesis, as measured Copyright © 2015 John Wiley & Sons, Ltd. Figure 2. Effect of addition of AMP on P NMR spectra of superfused heart mitochondria. Heart mitochondria were superfused with oxygenated 31 buffer at 28 °C. P NMR spectra were acquired consecutively (without proton decoupling) in 10-min periods (1000 transients). Peak assignments are indicated on the figure: MDP = methylene diphosphonate standard; Pi = inorganic phosphate; PCr = phosphocreatine; ADP = adenosine diphosphate (α, β); ATP = adenosine triphosphate (γ, α, β) Cell Biochem Funct (2015) n. m. doliba et al. 31 31 Figure 3. P NMR spectra of superfused heart mitochondria with ADP (Baseline), without ADP and AMP, and with AMP but without ADP. Refer to Figure 2 for definitions and explanation of other experimental conditions containing 0.6 mM of ADP leads to a 25% increase in ATP synthesis as measured by following the βATP signal. The next set of experiments showed that AMP can support ATP synthesis in the absence of ADP. Superfusion of mitochondria without ADP and AMP leads to the disappearance of the ATP signals [Figure 3 (middle spectrum)]. Addition of AMP (1 mM) to the medium restored the production of ATP, which could be followed by the appearance of the γ, α and β ATP signals (upper spectrum). The Pi signal decreased, as it was being used for ATP synthesis. These results indicate that AMP can support ATP synthesis in the absence of exogenous ADP. AMP-supported post-ischemic recovery AMP may play an important role in heart muscle during post-ischemic recovery. Figure 4 presents 31P spectra from superfused heart mitochondria before, during and after ischemia. The ischemia was initiated by 20-min stop flow, followed by 30-min re-superfusion. Ischemia led to significant increase in Pi peak, to the complete disappearance of all ADP and ATP peaks whilst AMP peak became clearly visible at ppm 6.0 (middle spectrum). The full recovery of ADP and ATP peaks during 30-min re-superfusion was accompanied by the disappearance of the AMP peak (upper spectra). This finding suggests that AMP could be an important substrate for direct or indirect (through ADP) ATP synthesis. AMP-stimulated oxygen consumption Figure 5 presents the oxygen electrode tracing of heart mitochondria oxidizing 1 mM pyruvate plus 1 mM malate. Addition of 0.1 mM AMP greatly stimulates oxygen consumption in Mg2+-containing buffer (curve 1) but has no Copyright © 2015 John Wiley & Sons, Ltd. Figure 4. Effect of ischemia on P NMR spectra of superfused heart mitochondria. Ischemia: 20-min stop-flow superfusion; recovery: 30-min resuperfusion. The superfusion medium used for the ischemia-reperfusion studies contained (in mM): sucrose, 150; KCl, 50; KH2PO4, 1; HEPES, 20 or 30; MgSO4, 2; EDTA, 0.5; creatine, 2.5; α-Ketoglutarate, 5; ADP, 0.6. Refer to Figure 2 for definitions and explanation of other experimental conditions effect in Mg2+-free buffer (curve 2). Addition of Mg2+ to the medium containing 0.1 mM AMP (curve 2) increased the respiration to the same level as seen in curve 1. An inhibitor of oxidative ATP synthesis, oligomycin, completely abolished the effect of AMP (curve 3). Intensive activation of respiration by FCCP indirectly shows a strong coupling between respiration and oxidative phosphorylation in both curves 1 and 3. Statistical analysis of oxygen consumption data is summarized in Table 1. To evaluate the Km for AMP, heart mitochondria oxygen uptake was activated by different concentrations of AMP. Figure 6 represents the dependence of the rate of mitochondrial respiration on AMP concentrations in the polarographic chamber (in mM): 0.025, 0.05, 0.1, 0.2, 0.3 and 0.6. The Km for AMP was found to be 20.7 ± 3.50 μM. DISCUSSION In this study, the contribution of the adenylate kinase reaction to oxidative ATP synthesis in rat heart mitochondria was estimated using both 31P NMR spectroscopy and polarographic oxygen consumption measurements. In isolated mitochondria superfused with 0.6 mM of ADP, the addition of 1 mM AMP led to an increase in ATP, as measured by the increase of the βATP signal. The data demonstrate that AMP can support ATP synthesis. Superfusion of mitochondria without ADP led to disappearance of ATP signals and increase in Pi. Addition of AMP to the medium restored the production of ATP, which was followed by the Cell Biochem Funct (2015) role of amp in mitochondrial atp synthesis Figure 5. Effect of AMP on oxygen uptake of heart mitochondria. Respiration was measured polarographically in 1.5 ml of incubation mixture (see Materials and Methods); temperature 28 °C. The mitochondria were added at a concentration of 1.28 mg of protein per 1.5 ml. 1 and 3 – with MgCl2, 2 – w/o MgCl2. Concentrations: MgCl2, 1 mM; AMP, 0.1 mM; oligomycin (Oligo), 2.5 μM. Substrates: pyruvate, 1 mM plus malate, 1 mM. The numbers next to each curve indicate the rate of respiration (ng-atoms O per min per mg protein). n = 8 (curve 1), 3–4 (curves 2 and 3) appearance of the γ, α and β ATP signals. The Pi was decreased as it was being used for oxidative phosphorylation of ADP. The data demonstrate that AMP, as well as ADP, stimulates heart mitochondrial oxygen consumption. The Km for AMP was found to be 21 μM. It has been shown that the mitochondrial adenylate kinase (AK2 isoform) in heart muscle has the highest affinity (lowest Km) for AMP (≤10 μM) amongst AMP metabolizing enzymes.7,18 In addition, in the mitochondria-like kinetoplast organelle, the Km for AMP (AK2) is 74 μM.19 Thus, we believe that the current data (21 μM ) obtained with polarography are close enough to be in a comparable range with other studies when different techniques were used. Mitochondrial ATP synthesis depends on the amount of ADP available. A dose dependency curve for ATP production shows that ATP synthesis reaches saturation at high Table 1. concentrations of ADP (Figure 1). These results are different from literature data on mitochondrial oxygen consumption,20 which show saturation of ATP synthesis at much lower concentrations of ADP with the Km 20–30 μM. The saturation behaviour observed in the current experiments may represent not only oxidative ATP synthesis but also other rate limiting steps, such as transport processes or the combination of the simultaneous function of several metabolic pathways. For example, ATP produced by the myokinase reaction may contribute to the ATP produced by oxidative processes, thus allowing for higher levels of ATP production. The evidence supporting this hypothesis is that the AMP level increased as the exogenous ADP concentration was increased. The level of PCr, in contrast, decreased and the signal disappeared at higher concentrations of ADP (1.2 mM of ADP), indicating that PCr also can be used for ATP synthesis in the creatine kinase reaction. The current data show that NMR spectroscopy can be used to study adenylate kinase activity, which plays an important role in cellular energy homeostasis in normal, as well as in pathological conditions, such as hypoxia and ischemia. NMR spectroscopy allows evaluation of the adenylate kinase reaction by measuring changes in the 31P ATP signals. The polarographic studies supported the findings of the 31P NMR data; i.e., that ATP synthesis was maintained by AMP via Mg2+-related adenylate kinase reaction because it is strongly dependent on the presence of Mg2+. This study demonstrates that 31P NMR is an excellent tool to evaluate adenylate kinase activity under different conditions that play a role in pathophysiology related to changes in this enzyme system. It has been shown that there is a connection between adenylate kinases malfunction and progression of cancer,9 ischemia-induced injury,7 hemolytic anemia21 and sensorineural deafness.22 In summary, these data demonstrate the importance of the adenylate kinase reaction to support oxidative ATP synthesis as measured by 31P NMR spectroscopy. This technology can be effectively used to evaluate simultaneous interaction of intra-mitochondrial processes. In addition, the present data show that AMP can serve not only as a regulator but also as an indirect substrate for oxidative phosphorylation by reacting with endogenous ATP to produce ADP, which then activates oxidative phosphorylation. Rates of oxygen consumption under experimental conditions for investigation of AMP stimulated respiration in isolated heart mitochondria Experimental conditions Before AMP With AMP After AMP +MgCl2 n MgCl2 +MgCl2 n +MgCl2 and oligomycin, n 24.8 ± 1.49 8 21.1 ± 5.69 158 ± 12.9* 8 26.2 ± 6.33 159 ± 38.3* 4 26.2 ± 1.89 4 130 ± 12.6* 8 — 261 ± 8.53* 8 — — 231 ± 14.9* 4 4 22.6 ± 1.64 4 With FCCP № of Curves (see Figure 5) 1 2 3 Note. mean ± standard error of mean. Respiration rate values are presented in ng-atoms O/min × mg protein. *p < 0.05 (vs. Before AMP). Substrates: pyruvate, 1 mM plus malate, 1 mM. Concentrations: MgCl2, 1 mM; AMP, 0.1 mM; oligomycin, 2.5 μM. Copyright © 2015 John Wiley & Sons, Ltd. Cell Biochem Funct (2015) n. m. doliba et al. 5. 6. 7. 8. 9. 10. 11. Figure 6. Relationship between the AMP-stimulated respiration and the AMP concentration in the medium. Data represent the dependence of the rate of mitochondrial respiration on AMP concentrations in the polarographic chamber (in mM): 0.025, 0.05, 0.1, 0.2, 0.3 and 0.6. The Km for AMP was found to be 20.7 ± 3.50 μM. Refer to Figure 5 for explanation of other experimental conditions 13. CONFLICT OF INTEREST 14. 12. The authors have declared that there is no conflict of interest. 15. ACKNOWLEDGEMENTS This paper is dedicated to the memory of Dr. Stepan K. Hordiy (1936–2010), teacher, colleague and friend, who always generously inspired us to study the role of adenylate kinase in energetic processes. 16. 17. 18. 19. REFERENCES 1. Clark JF, Kuznetsov AV, Radda GK. ADP-regenerating enzyme systems in mitochondria of guinea pig myometrium and heart. Am J Physiol 1997; 272(2 Pt 1): C399–C404. 2. Nishiki K, Erecińska M, Wilson DF. Energy relationships between cytosolic metabolism and mitochondrial respiration in rat heart. Am J Physiol 1978; 234(3): C73–C81. 3. Dzeja P, Terzic A. 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