Document Detail


Impaired β-adrenergic responsiveness accentuates dysfunctional excitation-contraction coupling in an ovine model of tachypacing-induced heart failure.
MedLine Citation:
PMID:  21242250     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Reduced inotropic responsiveness is characteristic of heart failure (HF). This study determined the cellular Ca2+ homeostatic and molecular mechanisms causing the blunted β-adrenergic (β-AR) response in HF.We induced HF by tachypacing in sheep; intracellular Ca2+ concentration was measured in voltage-clamped ventricular myocytes. In HF, Ca2+ transient amplitude and peak L-type Ca2+ current (ICa-L) were reduced (to 70 ± 11% and 50 ± 3.7% of control, respectively, P <0.05) whereas sarcoplasmic reticulum (SR) Ca2+ content was unchanged. β-AR stimulation with isoprenaline (ISO) increased Ca2+ transient amplitude, ICa-L and SRCa2+ content in both cell types; however, the response of HF cells was markedly diminished (P <0.05).Western blotting revealed an increase in protein phosphatase levels (PP1, 158 ± 17% and PP2A, 188 ± 34% of control, P <0.05) and reduced phosphorylation of phospholamban in HF (Ser16, 30 ± 10% and Thr17, 41 ± 15% of control, P <0.05). The β-AR receptor kinase GRK-2 was also increased in HF (173 ± 38% of control, P <0.05). In HF, activation of adenylyl cyclase with forskolin rescued the Ca2+ transient, SR Ca2+ content and SR Ca2+ uptake rate to the same levels as control cells in ISO. In conclusion, the reduced responsiveness of the myocardium to β-AR agonists in HF probably arises as a consequence of impaired phosphorylation of key intracellular proteins responsible for regulating the SR Ca2+ content and therefore failure of the systolic Ca2+ transient to increase appropriately during β-AR stimulation.
Authors:
Sarah J Briston; Jessica L Caldwell; Margaux A Horn; Jessica D Clarke; Mark A Richards; David J Greensmith; Helen K Graham; Mark C S Hall; David A Eisner; Katharine M Dibb; Andrew W Trafford
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't     Date:  2011-01-17
Journal Detail:
Title:  The Journal of physiology     Volume:  589     ISSN:  1469-7793     ISO Abbreviation:  J. Physiol. (Lond.)     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-04-13     Completed Date:  2012-03-06     Revised Date:  2012-09-18    
Medline Journal Info:
Nlm Unique ID:  0266262     Medline TA:  J Physiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  1367-82     Citation Subset:  IM    
Affiliation:
Unit of Cardiac Physiology, Manchester Academic Health Sciences Centre, University of Manchester, Manchester M13 9NT, UK.
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MeSH Terms
Descriptor/Qualifier:
Animals
Disease Models, Animal*
Excitation Contraction Coupling / physiology*
Female
Heart Failure / etiology,  physiopathology*
Myocardial Contraction / physiology
Receptors, Adrenergic, beta / physiology*
Sheep
Tachycardia, Ventricular / complications,  physiopathology*
Grant Support
ID/Acronym/Agency:
PG06/150//British Heart Foundation; PG07/099//British Heart Foundation; PG07/124//British Heart Foundation; PG09/062//British Heart Foundation
Chemical
Reg. No./Substance:
0/Receptors, Adrenergic, beta
Comments/Corrections

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