Following a large myocardial infarction (MI), remaining viable muscle often undergoes pathological remodelling and progresses towards chronic heart failure. Mitochondria may also be affected by this process and, due to their functional importance, likely contribute to the progression of the disease. Aerobic interval training (AIT) has been shown effective in diminishing pathological myocardial transformation, but the effects of AIT on mitochondrial function in hearts undergoing remodelling are not known. Adult female Sprague–Dawley rats were randomized to either 8 weeks of aerobic interval treadmill running (5 days/week), which started 4 weeks after left coronary artery ligation (MI-Trained), or a sedentary group (MI-Sedentary). Echocardiography was performed before and after the 8-week period, at which point the left ventricles (LVs) were also harvested. Twelve weeks after surgery, MI-Sedentary rats had significantly lower LV fractional shortening compared with MI-Trained rats. Complex I-dependent respiration assessed in isolated LV mitochondria was decreased by ∼37% in MI-Sedentary and 17% in MI-Trained animals (group differences P < 0.05), compared with sham-operated animals. This was paralleled with diminished ATP production and increased degree of protein oxidation in MI-Sedentary rats. The enzymatic activity of complex I was also decreased to a greater extent in MI-Sedentary than in MI-Trained animals, with no evidence of its reduced expression. When complex II substrate was used, no differences among the three groups were observed. Exercise reduces LV contractile deterioration in post-infarction heart failure and alleviates the extent of mitochondrial dysfunction, which is paralleled with preserved complex I activity.

Scuba diving is associated with breathing gas at increased pressure, which often leads to tissue gas supersaturation during ascent and the formation of venous gas emboli (VGE). VGE crossover to systemic arteries (arterialization), mostly through the patent foramen ovale, has been implicated in various diving-related pathologies. Since recent research has shown that arterializations frequently occur in the absence of cardiac septal defects, our aim was to investigate the mechanisms responsible for these events. Divers who tested negative for patent foramen ovale were subjected to laboratory testing where agitated saline contrast bubbles were injected in the cubital vein at rest and exercise. The individual propensity for transpulmonary bubble passage was evaluated echocardiographically. The same subjects performed a standard air dive followed by an echosonographic assessment of VGE generation (graded on a scale of 0–5) and distribution. Twenty-three of thirty-four subjects allowed the transpulmonary passage of saline contrast bubbles in the laboratory at rest or after a mild/moderate exercise, and nine of them arterialized after a field dive. All subjects with postdive arterialization had bubble loads reaching or exceeding grade 4B in the right heart. In individuals without transpulmonary passage of saline contrast bubbles, injected either at rest or after an exercise bout, no postdive arterialization was detected. Therefore, postdive VGE arterialization occurs in subjects that meet two criteria: 1) transpulmonary shunting of contrast bubbles at rest or at mild/moderate exercise and 2) VGE generation after a dive reaches the threshold grade. These findings may represent a novel concept in approach to diving, where diving routines will be tailored individually.

Mitochondrial reactive oxygen species (ROS) play a central role in cardiac ischemia/reperfusion injury, heart failure, and arrhythmogenesis, while also serving essential signaling functions under physiological conditions. Among the eleven identified mitochondrial ROS-producing sites, complexes I and III are considered the major contributors, particularly under conditions of impaired electron flow. However, much of the existing knowledge comes from rodent models or cultured cells and is often assumed to apply to humans. Here, ROS production from complexes I and III was measured directly in human myocardial and skeletal muscle biopsies and compared with corresponding rat tissues under identical experimental conditions. Hydrogen peroxide generation was quantified using Amplex UltraRed, with simultaneous monitoring of mitochondrial respiration using a Clark-type oxygen electrode. Across all examined mechanisms—reverse and forward electron transport at complex I and the ubiquinol oxidation site of complex III, rat tissues produced more ROS than human tissues, consistent with their higher respiratory rates. However, the dominant ROS-producing sites differed: in rats, complex III was the primary source, whereas in human tissues the highest ROS production occurred during reverse electron transport at complex I. When normalized to respiration, human tissues showed relatively greater ROS generation at complex I but markedly lower production at complex III. These direct measurements of mitochondrial ROS production in human myocardium provide new insight into cardiac redox physiology and may explain the limited clinical translation of cardioprotective strategies targeting mitochondrial ROS production, such as interventions aimed at modulating reperfusion injury or preconditioning.

Background/Objectives: Doxorubicin-induced cardiotoxicity (DIC) is driven by oxidative stress and impaired oxidative phosphorylation (OXPHOS). Antioxidant properties of carotenoids in vivo depend on extraction, while their direct role in mitigating DIC remains undetermined. This study evaluated the cardioprotective potential of natural deep eutectic solvents (NADES)-derived pumpkin carotenoid extract in a rat model of DIC. Methods: NADES-derived pumpkin pulp extract was characterized by spectrophotometry and HPLC-DAD. Wistar rats (n = 30) were assigned to six groups: C (control), N (NADES, 1 mL, p.o.), P (extract, 900 µg/kg body weight/day of total carotenoids, p.o.), D (doxorubicin, four i.p. doses, 2 mg/kg), ND (NADES/doxorubicin) and PD (900 µg/kg body weight/day of total carotenoids/doxorubicin). The activity of antioxidant enzymes and mitochondrial respiration in saponin-permeabilized left ventricular fibers using a Clark-type oxygen electrode) was measured. Results: Compared to control, cardiac antioxidant enzyme activities, mitochondrial respiration in complex I–linked respiration, ADP-supported OXPHOS, maximal respiratory capacity, and complex II and IV-linked respiration were significantly impaired by doxorubicin and unaltered by NADES. Co-administration of the extract significantly improved antioxidant enzyme activities (GSH-Px: D group 45 vs. PD group 95 nmol/mg proteins; GR: D group 95 vs. PD group 145 nmol/mg proteins; GST: D group 15 vs. PD group 22 nmol/mg proteins; SOD: D group 9 vs. PD group 17 U/mg proteins) and attenuated mitochondrial respiratory dysfunction compared with doxorubicin-treated group, indicating partial preservation of electron transport system capacity. Conclusions: Despite limitations of the study (single sex, single dose), results suggest NADES-based carotenoid extracts have cardioprotective properties in DIC by enhancing antioxidant defenses and supporting mitochondrial respiration.