Impaired beta-adrenergic response and decreased L-type calcium current of hypertrophied left ventricular myocytes in postinfarction heart failure

Infarct-induced heart failure is usually associated with cardiac hypertrophy and decreased beta-adrenergic responsiveness. However, conflicting results have been reported concerning the density of L-type calcium current (I Ca(L)), and the mechanisms underlying the decreased beta-adrenergic inotropic response. We determined I Ca(L) density, cytoplasmic calcium ([Ca2+]i) transients, and the effects of beta-adrenergic stimulation (isoproterenol) in a model of postinfarction heart failure in rats. Left ventricular myocytes were obtained by enzymatic digestion 8-10 weeks after infarction. Electrophysiological recordings were obtained using the patch-clamp technique. [Ca2+]i transients were investigated via fura-2 fluorescence. beta-Adrenergic receptor density was determined by [ H]-dihydroalprenolol binding to left ventricle homogenates. Postinfarction myocytes showed a significant 25 percent reduction in mean I Ca(L) density (5.7 + or - 0.28 vs 7.6 + or - 0.32 pA/pF) and a 19 percent reduction in mean peak [Ca2+]i transients (0.13 + or - 0.007 vs 0.16 + or - 0.009) compared to sham myocytes. The isoproterenol-stimulated increase in I Ca(L) was significantly smaller in postinfarction myocytes (Emax: 63.6 + or - 4.3 vs 123.3 + or - 0.9 percent in sham myocytes), but EC50 was not altered. The isoproterenol-stimulated peak amplitude of [Ca2+]i transients was also blunted in postinfarction myocytes. Adenylate cyclase activation through forskolin produced similar I Ca(L) increases in both groups. beta-Adrenergic receptor density was significantly reduced in homogenates from infarcted hearts (Bmax: 93.89 + or - 20.22 vs 271.5 + or - 31.43 fmol/mg protein in sham myocytes), while Kd values were similar. We conclude that postinfarction myocytes from large infarcts display reduced I Ca(L) density and peak [Ca2+]i transients. The response to Beta-adrenergic stimulation was also reduced and was probably related to Beta-adrenergic receptor down-regulation and not to changes in adenylate cyclase activity

Sera from chronic chagasic patients depress cardiac electrogenesis and conduction

We report results obtained with sera from 58 chronic chagasic patients that were evaluated for effects on heart rate and atrioventricular (AV) conduction in isolated rabbit hearts and screened for the presence of muscarinic and beta-adrenergic activity. We show that sera from 26 patients decreased heart rate, while 10 increased it and 22 had no effect. Additionally, sera from 20 of the 58 patients blocked AV conduction. Muscarinic activation seems to be involved in both effects, but is not the only mechanism, since atropine did not antagonize the decrease in heart rate in 23 percent of sera or AV block in 40 percent. Sera from patients with complex arrhythmias were significantly more effective in depressing both heart rate and AV conduction. Sera that induce increases in heart rate seem to operate exclusively through beta-adrenergic activation. Two of these sera, evaluated with respect to intercellular communication in primary cultures of embryonic cardiomyocytes were able to block gap junction conductance evaluated by a dye injection technique after 24-h exposure. The mechanisms underlying this uncoupling effect are currently being investigated

Outward potassium current oscillations in macrophage polykaryons: extracellular calcium entry and calcium-induced calcium release

Outward current oscillations associated with transient membrane hyperpolarizations were induced in murine macrophage polykaryons by membrane depolarization in the absence of external Na+. Oscillations corresponded to a cyclic activation of Ca2+ -dependent K+ currents (IKCa) probably correlated with variations in intracellular Ca2+ concentration. Addition of external Na+ (8mM) immediately abolished the outward current oscillations, suggesting that the absence of the cation is necessary not only for their induction but also for their maintenance. Oscillations were completely blocked by nisoldipine. Ruthenium red and ryanodine reduced the number of outward current cycles in each episode, whereas quercetin prolonged the hyperpolarization 2- to 15-fold. Neither low molecular weight heparin nor the absence of a Na+ gradient across the membrane had any influence on oscillations. The evidence suggests that Ca+ entry through a pathway sensitive to Ca2+ channel blockers is elicited by membrane depolarization in Na+ -free medium and is essential to initiate oscillations, which are also dependent on the cyclic release of Ca2+ from intracellular Ca2+ -sensitive stores; Ca2+ ATPase acts by reducing intracellular Ca2+, thus allowing slow deactivation of IKCa. Evidence is presented that neither a Na+/Ca2+ antiporter nor Ca2+ release from IP3 -sensitive Ca2+ stores participate directly in the mechanism of oscillation.

Effects of extracellular sodium, quinidine, and ryanodine on slow response excitability in rabbit atrial trabeculae

1. We investigated Na(+)-Ca2+ exchange and the involvement of the sarcoplasmic reticulum in frequency-dependent slow response excitability enhancement in rabbit atrial trabeculae. 2. Slow responses were induced in a modified Tyrode solution containing high K+ and Ba2+ and conventional electrophysiological techniques were used for stimulating and recording membrane potentials. 3. Under these conditions, the frequency-dependence of slow response excitability can be demonstrated with excitability enhancement as stimulation frequency is increased (0.25 to 1.0 Hz). 4. The frequency-dependent excitability enhancement depends on external Na+, increasing in high-[Na+]o (173.8 mM) and decreasing in low-[Na+]o (103.8 mM) media. 5. Quinidine (10 microM) and ryanodine (10 microM) decrease frequency-dependent slow response excitability enhancement. 6. These results indicate that the Na(+)-Ca2+ exchange might have an important role in frequency-dependent excitability enhancement of slow responses. Moreover, we suggest that the control of internal Ca2+ by the sarcoplasmic reticulum might have an additional role in regulating the excitability enhancement process in depolarized atrial trabeculae

Electrophysiological effects of somatostatin at the supraventricular level of isolated guinea pig hearts

The objective of the present study was to evaluate the electrophysiological effects of the peptide somatostatin (SST) at the supraventricular level in isolated guinea hearts. ECG recording from isolated hearts perfused by the Langendorff method i9ndicating that 1.0 uM SST induced a decrease in heart rate from 174 ñ 15 to 157 ñ 9 bpm (N=6, P<0.05), blocked AV conductio9n (the PR interval increased from 92 ñ 11 ms to 106 ñ 5 ms, N+5, P<0.05) and increased the QTc interval from 210 ñ 0 to 232 ñ 4 ms (N+5, P<0.05). The supraventricular effect of SST, particulary upon the AV conduction , were potentiated by a reduction in calcium concentration from 2.5 to 0.5 mM in the perfusing solution. Thus, 1.0 uM SST induced 2nd degree AV conduction block progressing to AV dissociation in 75% of thye hearts in the low calcium medium instead of the first degree conduction block observed in all hearts in normal calcium medium. His bundle electrogram evidence a complete A-H dissociation withouth significant change in the H-V interval and microelectrode studies showed a complete abolition of the AV node action potential in the presence of 1.0 uM SST. Both results demonstrate that the site of AV conduction block induced by SST is at the AV node. All the supraventricular effects of SST were transitory, subsiding within abouth 10 min of hormone exposition, showing desensitization. The effects of somatostatin here described were not blocked by 10 uM atropine, indicating that they are not mediated by muscarinic receptors. These data provide a direct electrophysiological demonstration of the supraventricular effects of SST, and suggest that this peptide decreases calcium influx during the action potential

The electrocardiogram of rats with an old extensive myocardial infarction

The electrocardiographic alterations of old murine myocardial infarction have not been well characterized. In the present study, adult Wistar rats, of both sexes were infarcted by left coronary artery ligation and the electrocardiogram was recorded 1 to 11 months later. When compared to sham-operated rats, animals with large infarcts, identified on the basis of extensive transmural scars, showed (P<0.01) a marked rightward deviation of the QRS axis (+125.3- ñ 34.3- vs 59.99- ñ 15.9-), a high incidence of Q waves (88% vs 0% in classic lead 1), a decrease in QRS amplitude index (0.66 ñ 0.31 mV vs 1.00 ñ 0.23 mV), a discrete increse in PR interval (58 ñ 7 ms vs 53 ñ 5ms) and greater P wave amplitude. The present results show that the electrocardiogram (EKG) is a reliable tool for diagnosis of old extensive infarctions in rats

Frequency-dependent excitability enhancement in isolated ventricular myocardial cells

The understanding of the mechanisms underling the frquency-dependent slow response ecitability enhancement has been hndered by the problem inhyerent in multicellular preparations. These include ion acdcumulation/depletion in intercellular space and difficulties in the spatial control of transmembrane voltage. In the present communication we show that isolated ventricular cells exposed to a depolarizing (high potassium-barium containing) solution present electrophysiological properties similar to those of mulcellular preparations: stable resting potential of -45.2 ñ 0.7 mV (mean ñ SEM, N = 57) in 75% of the cells and spontaneous activity in the remaining 25% (maximum diatolic potential of -41.9 ñ 1.2 mV, N=19)ñ high input resistance and slow response, under current clamp conditions. Under whole cell voltage clamp conditions with -45 mV holding potential, transient outward and delayed potassium currents as well as typical L type calcium channel are present. These cells also present thye frequency-dependent excitability enhancement of the slow response, with the threshold stimulus at 1 Hz corresponding to about 50% of that obtained at 0.1 Hz. Thus, isolated ventricular cells constitute a suitable model for the study of frequency-dependent exitability enhancement of the slow response