Cariporide (HOE642), a Selective Na+-H+ Exchange Inhibitor, Inhibits the Mitochondrial Death Pathway

Yasushi Teshima, Masaharu Akao, Steven P. Jones, Eduardo Marbán

Research output: Contribution to journalArticlepeer-review

97 Scopus citations


Background - The Na+-H+ exchanger figures prominently in cardiac ischemia-reperfusion injury. Several experimental and clinical studies have demonstrated a cardioprotective effect of Na +-H+ exchanger inhibition; however, the precise mechanisms have not been established. Methods and Results - We examined the effects of cariporide (HOE642, 10 μmol/L) on cell death induced by oxidative stress (H2O2, 100 μmol/L) in cultured neonatal rat cardiomyocytes. Cariporide significantly suppressed markers of cell death, such as TUNEL positivity and caspase-3 cleavage, at 8 or 16 hours after H 2O2. The early phase of cell death, reported by increases in phosphatidylserine exposure and propidium iodide uptake, was also inhibited by cariporide. To explore the mechanisms of cell protection, we examined the effects of cariporide on increases in intracellular Na+ and Ca 2+ induced by oxidative stress. Cariporide remarkably suppressed cytosolic Na+ and Ca2+ accumulation. Next, we investigated the effects of cariporide on mitochondria-associated death process. Mitochondrial Ca2+ overload induced by H2O2 was remarkably suppressed by cariporide. Loss of mitochondrial membrane potential is a critical step of the death pathway; cariporide prevented mitochondrial membrane potential loss induced by H2O2. Conclusions - Cariporide protects cardiomyocytes against oxidant-induced cell death by preserving intracellular ion homeostasis and mitochondrial integrity.

Original languageEnglish (US)
Pages (from-to)2275-2281
Number of pages7
Issue number18
StatePublished - Nov 4 2003


  • Apoptosis
  • Calcium
  • Ion channels
  • Prevention
  • Sodium

ASJC Scopus subject areas

  • Physiology
  • Cardiology and Cardiovascular Medicine


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