Neonatal endotoxemia affects heart but not kidney bioenergetics

Purpose: The aim was to determine the effects of early and late endotoxemia on neonatal cardiac and renal mitochondrial energetics. Methods: Suckling rats received intraperitoneal 300 [mu ]g/kg lipopolysaccharide; controls received saline. Heart and kidney mitochondria were isolated after 2 hours (early) or 6 hours (late sepsis). State 3 (maximum mitochondrial flux) and 4 O₂ consumption and complex I activity were measured. Results, expressed as mean [plusmn] SEM normalized to citrate synthase (CS), were compared using paired t tests. Results: Mortality rate was zero within 2 hours, 2.7% between 2 and 6 hours of endotoxemia, and 100% 6 to 8 hours; therefore, we consider that 2 hours and 6 hours represent early and late endotoxemia, respectively. Endotoxic heart mitochondria had unaltered O₂ consumption at 2 hours but significantly decreased state 3 after 6 hours, resulting in significantly decreased respiratory control ratio. Complex I activity, which could affect O₂ consumption, was decreased significantly at 6 hours (9.8 [plusmn] 0.6 mU/U CS; n [equals] 15) versus controls (11.3 [plusmn] 0.8, n [equals] 15; P [equals] .04), but not at 2 hours. There were no differences in these measurements at either 2 hours or 6 hours in kidney mitochondria. Conclusions: The respiratory chain is affected late in endotoxemia. Neither early nor late endotoxemia affects oxidative function of kidney mitochondria. J Pediatr Surg 38:690-693. [copy ] 2003 Elsevier Inc. All rights reserved.