Altered cardiac EC coupling and ??-adrenergic responsiveness in an ovine model of heart failure.

University of Manchester (2010) Proc Physiol Soc 19, PC118

Poster Communications: Altered cardiac EC coupling and ??-adrenergic responsiveness in an ovine model of heart failure.

S. J. Briston1, J. L. Caldwell1, M. A. Horn1, J. D. Clarke1, M. A. Richards1, M. A. Hall2, H. K. Graham1, D. A. Eisner1, K. M. Dibb1, A. W. Trafford1

1. Unit of Cardiac Physiology, University of Manchester, Manchester, United Kingdom. 2. Cardiothoracic Centre, Broadgreen Hospital, Liverpool, United Kingdom.

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Alterations in cardiac excitation-contraction (EC) coupling are known to occur during heart failure (HF). We therefore sought to characterise EC coupling and investigate the responses to β-adrenergic stimulation in an ovine model of HF. Sheep aged 18 months were subjected to right ventricular tachypacing (210bpm) to induce heart failure with untreated age-matched animals used as controls. Animals were anaesthetised with isoflurane (1-3% in oxygen) and perioperative analgesia provided (meloxicam 0.5 mg/kg). Myocytes were isolated from the left ventricular mid-myocardial wall and whole cell voltage clamp experiments performed at 37°C using a Cs+ based pipette solution containing the Ca indicator Fluo-5F. Western blots were performed using left-ventricular wall protein extracts from five control and seven HF animals. Data are presented as mean ± S.E.M with the Student’s t-test or Mann-Whitney U-test used for statistical analyses. A reduction in the amplitude of ICa-L occurred in HF (3.97± 0.23 pA/pF v 8.02±0.42 pA/pF, n= 42-47 cells). This was accompanied by a decrease in the amplitude of the systolic Ca transient (87±12.6 nM v 130±12.6 nM, n=22 cells). SERCA function was reduced by 31% whereas NCX function increased by 42%. SR Ca content was unchanged in HF. A reduction in phospholamban phosphorylation was observed at both Ser16 (70%) and Thr17 (52%) sites. β-adrenergic stimulation (100 nM isoprenaline) normalised ICa-L in HF animals, comparable to control conditions in healthy sheep (8.35±1.02 pA/pF, n=27 cells). Ca transient amplitude, SR Ca content and SERCA function were all increased by isoprenaline in HF but to a substantially smaller extent than occurred in controls. Bypassing β-adrenergic receptor activation with forskolin (3 µM) increased Ca transient amplitude to an extent similar to isoprenaline-stimulated activity in healthy sheep (576±152 nM v 623±104 nM, n=6-17 cells). Western blotting additionally revealed a 70% increase in the expression of the β-adrenergic receptor kinase (GRK2) in HF. Ventricular tachypacing in sheep produces multiple abnormalities in cardiac EC coupling, notably a reduced responsiveness to β-adrenergic stimulation. Our data suggests this is a result of a loss of β-adrenergic receptors rather than perturbed PKA- dependent effects.



Where applicable, experiments conform with Society ethical requirements.

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