Ischaemia in the heart is accompanied by the accumulation of long-chain acylcarnitines (LCACs) which is one of the multiple factors that contribute to the ischaemia-
reperfusion damage development. Long-term pre-treatment that decreases
carnitine and LCAC contents also reduces ischaemia-reperfusion (IR) damage; however, the duration of the post-treatment effects is not known. The aim of the study was to assess the post-treatment effects of the
carnitine transport (OCTN2) inhibitor,
methyl-GBB, on LCAC content and the duration of its cardioprotective effect. Male Wistar rats received
methyl-GBB (5 mg/kg for 28 days), and the anti-
infarction effects on Langendorff-perfused hearts and the
acylcarnitine profile in cardiac tissues were measured up to 28 days following the end of the treatment.
Methyl-GBB pre-treatment for 28 days decreased LCAC heart tissue content by 87%, and the
infarct size was decreased by 57%. Fourteen days post-treatment, the LCAC content was still decreased by 69%, and the
infarct size was decreased by 32% compared to Control. A significant Pearson correlation (r = 0.48, p = 0.026) was found between
infarct size and LCAC tissue content in the
methyl-GBB-treated rat hearts. The addition of 2 mM
carnitine to isolated heart perfusate significantly diminished the
methyl-GBB-induced decrease in LCACs and
infarct size. In conclusion, the anti-
infarction effect of
methyl-GBB continues for at least 2 weeks post-treatment. No less than a 70% decrease in LCAC content is required to protect ischaemic heart tissues, and the decrease in LCAC levels defines the duration of the post-treatment cardioprotective effect of the OCTN2 inhibitor,
methyl-GBB.