A short-term high-dose administration of sodium pivalate impairs pyruvate metabolism without affecting cardiac function

Janis Kuka, Marina Makrecka, Solveiga Grinberga, Osvalds Pugovics, Edgars Liepinsh, Maija Dambrova

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)


The pivalate moiety of some oral antibiotics enhances their intestinal absorption, but liberated pivalic acid decreases tissue carnitine concentration and could lead to impaired energy metabolism. The present study investigated the effects of short-term sodium pivalate administration on cardiac functionality and mitochondrial energy metabolism. Wistar rats received sodium pivalate (40 mM) in their drinking water for 14 days, and the carnitine content was measured in heart tissues. The activities of carnitinedependent enzymes, including carnitine acetyltransferase (CrAT) and carnitine palmitoyltransferase I (CPT I), and the mitochondrial respiration rate were also measured. The isolated rat heart ischemia-reperfusion injury assay was performed based on the Langendorff technique through the reversible occlusion of the left anterior descending coronary artery. The administration of sodium pivalate decreased carnitine concentration in the myocardium by 37 %. Sodium pivalate significantly decreased mitochondrial respiration on pyruvate/malate by 28 %. The activities of CrAT and CPT I in sodium pivalate-treated animals were decreased by 34 and 30 %, respectively. No differences were observed in the infarct size or in the heart functional parameters between the groups. Together, these results indicate that the short-term administration of a high dose of sodium pivalate impairs cardiac mitochondrial energy metabolism without depressing cardiac function during ischemia-reperfusion injury.

Original languageEnglish
Pages (from-to)298-303
Number of pages6
JournalCardiovascular Toxicology
Issue number4
Publication statusPublished - Dec 2012


  • Carnitine
  • Energy metabolism
  • Heart mitochondria
  • Ischemia-reperfusion injury
  • Pivalate

Field of Science*

  • 3.1 Basic medicine

Publication Type*

  • 1.1. Scientific article indexed in Web of Science and/or Scopus database


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