A negative staircase response is associated with a high intracellular Na concentration in human and animal myocardium (Shattock & Bers, 1989). The mechanisms underlying this phenomenon remain unclear but has been postulated to involve the relative phosphorylation of intracellular sites. β-agonists act via protein kinase-A (PKA), and such sites in turn can be a target for the Ca-dependent phosphatase, calcineurin. The potential role of PKA and calcineurin in modifying the staircase response was explored by examining the effects of the calcineurin inhibitor cyclosporin-A, alone or in combination with isoprenaline. Isolated mouse left ventricles strips (<1 mm diam) were superfused with Tyrode’s solution (24 mM NaHCO3/5% CO2, pH 7.40, 37°C), attached to an isometric force transducer and field-stimulated between 0.1-6.0 Hz (values normalised to 1 Hz values=100%). Interventions, isoprenaline (10 μM + 10 μM ascorbic acid) and the calcineurin inhibitor cyclosporin A (10 μM) were added to the superfusate. Data are expressed as mean ± S.E.; *p<0.05; **p<0.01; ***p<0.001 by paired Students’s t-tests. Multiple group comparisons used ANOVA. An increase of stimulation frequency decreased significantly isometric peak tension across the range: e.g. at 0.4, 1.2, 2.0 and 6.0 Hz (n=7) normalized tensions were 136.0±12.2%*; 93.6±1.6%**; 74.9±6.7%***, 64.4±15.6%*, respectively. Superfusion with the β-adrenergic agonist, isoprenaline (Iso) generated a positive inotropic effect at all frequencies. However, the negative staircase associated with increasing frequency was abolished: e.g. values at 0.4, 1.2, 2.0 and 6.0 Hz (n=7) were not significantly different from each other: 156.9±21.4%; 134.5±25.0%; 118.3±19.4%, 150.2±32.4%, respectively. A quantitative index of the force-frequency relationship calculated the tension ratio at 1.2 and 0.4 Hz (T1.2/T0.4). Isoprenaline increased T1.2/T0.4 from 0.64±0.04 to 0.86±0.22*, n=6. Pretreatment with cyclosporin A (CysA) alone for 15 min did not affect T1.2/T0.4 (0.61±0.07; 0.70±0.06; control vs CysA). Moreover, the combination of CysA and Iso (0.81±0.05; n=5) was not different from the action of Iso alone. Our data demonstrate a negative force-frequency relationship in mouse myocardium over a wide range of frequencies, which was flattened with isoprenaline. This action of isoprenaline was unaffected by CysA. We hypothesise that isoprenaline and calcineurin act at different intracellular phosphorylation sites.
University College Dublin (2009) Proc Physiol Soc 15, PC26
Poster Communications: Modulation of the staircase response in mouse myocardium by isoprenaline.
Y. Lin1, C. H. Fry1, R. I. Jabr1
1. Postgraduate Medical School, University of Surrey, Guildford, Surrey, United Kingdom.
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