We studied the effects of the major long-chain
fatty acids accumulating in
very long-chain acyl-CoA dehydrogenase (
VLCAD) deficiency, namely cis-5-tetradecenoic
acid (Cis-5) and
myristic acid (Myr), on important mitochondrial functions in isolated mitochondria from cardiac fibers and cardiomyocytes of juvenile rats. Cis-5 and Myr at pathological concentrations markedly reduced mitochondrial membrane potential (ΔΨm ), matrix
NAD(P)H pool, Ca2+ retention capacity,
ADP- (state 3) and
carbonyl cyanide 3-chlorophenyl
hydrazine-stimulated (uncoupled) respiration, and
ATP generation. By contrast, these
fatty acids increased resting (state 4) respiration (uncoupling effect) with the involvement of the
adenine nucleotide translocator because
carboxyatractyloside significantly attenuated the increased state 4 respiration provoked by Cis-5 and Myr. Furthermore, the classical inhibitors of mitochondrial permeability transition (MPT) pore
cyclosporin A plus
ADP, as well as the Ca2+ uptake blocker
ruthenium red, fully prevented the Cis-5- and Myr-induced decrease in ΔΨm in Ca2+ -loaded mitochondria, suggesting, respectively, the induction of MPT pore opening and the contribution of Ca2+ toward these effects. The findings of the present study indicate that the major long-chain
fatty acids that accumulate in
VLCAD deficiency disrupt mitochondrial bioenergetics and Ca2+ homeostasis, acting as uncouplers and metabolic inhibitors of oxidative phosphorylation, as well as inducers of MPT pore opening, in the heart at pathological relevant concentrations. It is therefore presumed that a disturbance of bioenergetics and Ca2+ homeostasis may contribute to the cardiac manifestations observed in
VLCAD deficiency.