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1.
Physiol Genomics ; 44(20): 957-69, 2012 Oct 17.
Artículo en Inglés | MEDLINE | ID: mdl-22930739

RESUMEN

The incidence of myocardial infarction rises sharply at menopause, implicating a potential role for estrogen (E(2)) loss in age-related increases in ischemic injury. We aimed to identify quantitative changes to the cardiac mitochondrial proteome of aging females, based on the hypothesis that E(2) deficiency exacerbates age-dependent disruptions in mitochondrial proteins. Mitochondria isolated from left ventricles of adult (6 mo) and aged (24 mo) F344 ovary-intact or ovariectomized (OVX) rats were labeled with 8plex isobaric tags for relative and absolute quantification (iTRAQ; n = 5-6/group). Groups studied were adult, adult OVX, aged, and aged OVX. In vivo coronary artery ligation and in vitro mitochondrial respiration studies were also performed in a subset of rats. We identified 965 proteins across groups and significant directional changes in 67 proteins of aged and/or aged OVX; 32 proteins were unique to aged OVX. Notably, only six proteins were similarly altered in adult OVX (voltage-dependent ion channel 1, adenine nucleotide translocator 1, cytochrome c oxidase subunits VIIc and VIc, catalase, and myosin binding protein C). Proteins affected by aging were primarily related to cellular metabolism, oxidative stress, and cell death. The largest change occurred in monoamine oxidase-A (MAO-A), a source of oxidative stress. While acute MAO-A inhibition induced mild uncoupling in aged mitochondria, reductions in infarct size were not observed. Age-dependent alterations in mitochondrial signaling indicate a highly selective myocardial response to E(2) deficiency. The combined proteomic and functional approaches described here offer possibility of new protein targets for experimentation and therapeutic intervention in the aged female population.


Asunto(s)
Estrógenos/deficiencia , Estrógenos/metabolismo , Corazón/fisiología , Mitocondrias/metabolismo , Miocardio/metabolismo , Proteómica/métodos , Animales , Femenino , Ventrículos Cardíacos/metabolismo , Monoaminooxidasa/metabolismo , Isquemia Miocárdica/metabolismo , Ovario/metabolismo , Consumo de Oxígeno , Ratas , Ratas Endogámicas F344
2.
Am J Physiol Regul Integr Comp Physiol ; 301(5): R1242-9, 2011 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-21880866

RESUMEN

Reduced efficacy of cardioprotective interventions in the aged female heart, including estrogen replacement, highlights the need for alternative therapeutics to reduce myocardial ischemia-reperfusion (I/R) injury in postmenopausal women. Here, we sought to determine the efficacy of protein kinase-Cε (PKCε)-mediated cardioprotection in the aged, estradiol-deficient rat heart. Infarct size and functional recovery were assessed in Langendorff-perfused hearts from adult (5 mo) or aged (23 mo) female Fisher 344 ovary-intact or ovariectomized (OVX) rats administered a PKCε-activator, receptor for activated C kinase (ψεRACK) prior to 47-min ischemia and 60-min reperfusion. Proteomic analysis was conducted on left ventricular mitochondrial fractions treated with ψεRACK prior to I/R, utilizing isobaric tags for relative and absolute quantitation (iTRAQ) 8plex labeling and tandem mass spectrometry. Real-time PCR was utilized to assess connexin 43 (Cx43) and RACK2 mRNA post-I/R. Greater infarct size in aged OVX (78%) vs. adult (37%) was reduced by ψεRACK (35%, P < 0.0001) and associated with greater mitochondrial PKCε localization (P < 0.0003). Proteomic analysis revealed three novel mitochondrial targets of PKCε-mediated cardioprotection with aging (P < 0.05): the antioxidant enzymes glutathione peroxidase (GPX) and MnSOD2, and heat shock protein 10. Finally, decreased levels of Cx43 and RACK2 mRNA seen with age were partially abrogated by administration of ψεRACK (P < 0.05). The mechanisms described here may represent important therapeutic candidates for the treatment of acute myocardial infarction in postmenopausal women and age-associated estradiol deficiency.


Asunto(s)
Envejecimiento , Cardiotónicos/administración & dosificación , Infarto del Miocardio/prevención & control , Daño por Reperfusión Miocárdica/prevención & control , Miocardio/enzimología , Oligopéptidos/administración & dosificación , Proteína Quinasa C-epsilon/metabolismo , Factores de Edad , Animales , Chaperonina 10/metabolismo , Conexina 43/genética , Modelos Animales de Enfermedad , Activación Enzimática , Estradiol/deficiencia , Femenino , Glutatión Peroxidasa/metabolismo , Proteínas de la Membrana/genética , Mitocondrias Cardíacas/efectos de los fármacos , Mitocondrias Cardíacas/enzimología , Infarto del Miocardio/enzimología , Infarto del Miocardio/genética , Infarto del Miocardio/patología , Infarto del Miocardio/fisiopatología , Daño por Reperfusión Miocárdica/enzimología , Daño por Reperfusión Miocárdica/genética , Daño por Reperfusión Miocárdica/patología , Daño por Reperfusión Miocárdica/fisiopatología , Miocardio/patología , Ovariectomía , Perfusión , Proteómica/métodos , Proteínas Proto-Oncogénicas c-akt/metabolismo , ARN Mensajero/metabolismo , Ratas , Ratas Endogámicas F344 , Reacción en Cadena en Tiempo Real de la Polimerasa , Recuperación de la Función , Superóxido Dismutasa/metabolismo , Espectrometría de Masas en Tándem , Factores de Tiempo , Función Ventricular Izquierda/efectos de los fármacos
3.
Vascul Pharmacol ; 42(4): 153-62, 2005 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-15820441

RESUMEN

Glucocorticoids (GC) exert diverse cellular effects in response to both acute and chronic stress, the functional consequences of which have been implicated in the development of cardiovascular pathology such as hypertension and atherosclerosis. However, the mechanisms by which GCs activate divergent signaling pathways are poorly understood. The present study examined the direct effects of natural (cortisol) and synthetic (dexamethasone) GCs on protein kinase C (PKC) isoform expression in coronary arteries. Porcine right coronary arteries were treated in vitro for 18 h in the presence and absence of either dexamethasone (10, 100, or 500 nM) or cortisol (50, 125, 250, or 500 nM). PKC isoform levels and subcellular distribution were determined by immmunoblotting of whole cell homogenates and immunocytofluorescence using PKC-alpha, -betaII, -epsilon, -delta, and -zeta specific antibodies. Dexamethasone caused a approximately 4-fold increase in PKC-alpha, a approximately 2.5-fold increase in PKC-betaII, and a 2-fold increase in PKC-epsilon (p<0.05). In contrast, dexamethasone had no effect on PKC-delta or PKC- zeta levels. Dexamethasone also caused an increase in the activity of PKC-alpha (285%), -betaII (170%), and -epsilon (210%). Cortisol produced similar effects on PKC isoform expression. Confocal microscopy revealed that while dexamethasone altered localization patterns for PKC-alpha, -betaII and -epsilon, no such effect was observed for PKC-delta or PKC-zeta. The stimulatory effects of dexamethasone and cortisol on coronary PKC levels and translocation were prevented by the GC receptor (GR) blocker, RU486. These results demonstrate, for the first time, that GCs modulate coronary PKC expression and subcellular distribution in an isoform-specific manner through a GR-dependent mechanism.


Asunto(s)
Vasos Coronarios/efectos de los fármacos , Vasos Coronarios/enzimología , Glucocorticoides/farmacología , Proteína Quinasa C/metabolismo , Animales , Relación Dosis-Respuesta a Droga , Isoenzimas/biosíntesis , Isoenzimas/metabolismo , Masculino , Técnicas de Cultivo de Órganos , Proteína Quinasa C/biosíntesis , Fracciones Subcelulares/enzimología , Fracciones Subcelulares/metabolismo , Porcinos
4.
J Appl Physiol (1985) ; 96(4): 1425-32, 2004 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-14672961

RESUMEN

The intracellular mechanisms underlying enhanced myogenic contraction (MC) in coronary resistance arteries (CRAs) from exercise-trained (EX) pigs have not been established. The purpose of this study was to test the hypothesis that exercise-induced alterations in protein kinase C (PKC) signaling underlie enhanced MC. Furthermore, we sought to determine whether modulation of intracellular Ca(2+) signaling by PKC underlies enhanced MC in EX animals. Male Yucatan miniature swine were treadmill trained (n = 7) at approximately 75% of maximal O(2) uptake for 16 wk (6 miles/h, 60 min) or remained sedentary (SED, n = 6). Diameter measurements in response to intraluminal pressure (60, 75, and 90 cmH(2)O) or 60 mM KCl were determined in single, cannulated CRAs ( approximately 100 microm ID) with and without the PKC inhibitor chelerythrine (CE, 1 microM). Confocal imaging of Ca(2+) signaling [myogenic Ca(2+) (Ca(m))] was also performed in CRAs of similar internal diameter after abluminal loading of the Ca(2+) indicator dye fluo 4 (1 microM, 37 degrees C, 30 min). We observed significantly greater MC in CRAs isolated from EX than from SED animals at 90 cmH(2)O, as well as greater reductions in MC after CE at all pressures studied. At intraluminal pressures of 75 and 90 cmH(2)O, CE produced greater decreases in Ca(m) in CRAs from EX than from SED animals (64% vs. 25%, P < 0.05). Inhibition of KCl constriction and Ca(m) by CE was also greater in EX animals (P < 0.05). Western blotting revealed significant increases in Ca(2+)-dependent PKC-alpha ( approximately 50%) but not Ca(2+)-independent PKC-epsilon levels in CRAs isolated from EX animals (P < 0.05). We also observed significant group differences in phosphorylated PKC-alpha levels. Finally, voltage-gated Ca(2+) current (VGCC) was effectively blocked by CE, bisindolylmaleimide, and staurosporine in isolated smooth muscle cells from CRAs, providing evidence for a mechanistic link between VGCCs and PKC in our experimental paradigm. These results suggest that enhanced MC in CRAs from EX animals involves PKC-dependent modulation of intracellular Ca(2+), including regulation of VGCCs.


Asunto(s)
Vasos Coronarios/fisiología , Músculo Liso Vascular/fisiología , Proteína Quinasa C/metabolismo , Transducción de Señal/fisiología , Resistencia Vascular , Animales , Calcio/metabolismo , Canales de Calcio/metabolismo , Electrofisiología , Membranas Intracelulares/metabolismo , Masculino , Condicionamiento Físico Animal , Proteína Quinasa C-alfa , Proteína Quinasa C-epsilon , Porcinos , Porcinos Enanos , Vasoconstricción/fisiología
5.
Med Sci Sports Exerc ; 33(1): 81-91, 2001 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-11194116

RESUMEN

The primary focus of this review is to discuss the importance of vascular smooth muscle function in mechanisms underlying exercise hyperemia in skeletal muscle. Important features of exercise hyperemia are presented and include: 1) the large magnitude of increase in blood flow, 2) the pattern of increased blood flow within and among skeletal muscle during exercise, 3) exercise hyperemia results from increases in vascular conductance produced by relaxation of vascular smooth muscle, 4) the increased blood flow is linked to the oxidative metabolism of the muscle, and 5) the increased blood flow occurs very rapidly with the initiation of exercise. A prevailing theme throughout this review is that vascular smooth muscle is a primary integrator of vasoactive signals that, in turn, regulate vascular resistance and muscle blood flow. Signal transduction pathways involved in vascular smooth muscle contraction and relaxation are discussed, with particular emphasis on the role of multiple and redundant signaling pathways for initiating a given contractile/relaxation response. We emphasize the concept that exercise hyperemia is a local phenomenon and that, during maximal exercise when most signals for vasoconstriction are still present, three primary control mechanisms are thought to regulate vasodilation and subsequent increases in vascular conductance: myogenic vascular control, metabolic vascular control, and endothelium-mediated vascular control. Experimental paradigms to test the relative importance of the predominant mechanisms thought to underlie exercise hyperemia are discussed and evaluated in light of the multiple and redundant control systems now known to contribute to control of blood flow in striated muscle tissue.


Asunto(s)
Ejercicio Físico/fisiología , Hiperemia/fisiopatología , Músculo Liso Vascular/fisiología , Humanos , Músculo Liso Vascular/irrigación sanguínea , Músculo Liso Vascular/enzimología , Estados Unidos
6.
Med Sci Sports Exerc ; 30(10): 1502-9, 1998 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-9789850

RESUMEN

PURPOSE AND METHODS: The isovolumic contractile responsiveness of left ventricular (LV) myocardium to altered extracellular [Ca2+], [Na+], and pacing frequency was examined using perfused hearts (37 degrees C) isolated from sedentary (SED) and treadmill-trained (TR) adult female rats. RESULTS: The suppressive effect of reducing perfusate free [Ca2+] to 0.7 mM on LV developed pressure (delta LVP) was greater in the TR hearts compared with SED hearts (P < 0.05). When perfusate [Na+] was reduced to 120 mM ([Ca2+] = 0.7 mM), delta LVP augmentation was greatest in the TR hearts (P < 0.05). The negative force-frequency relationship observed at physiologic [Ca2+] and [Na+] was progressively altered toward a positive force-frequency relationship with each subsequent change in perfusate [Ca2+] and [Na+] although the effect was greatest in TR hearts (P < 0.05). CONCLUSIONS: Training elicited a small but significant (P < 0.05) prolongation in the pressure development phase of contraction. Under the physiological [Ca2+], [Na+] perfusion condition, training produced an increase in the magnitude of extrasystolic potentiation of LV pressure, whereas the time constant of mechanical restitution was unaffected. Training affected neither the Ca(2+)-dependence nor the maximal capacity of [3H] ryanodine binding to LV myocardial homogenates. The simplest interpretation of [Na+] and [Ca2+] reduction experiments is that myocardial Ca2+ efflux was augmented by exercise training.


Asunto(s)
Calcio/farmacología , Corazón/efectos de los fármacos , Contracción Miocárdica/efectos de los fármacos , Condicionamiento Físico Animal/fisiología , Resistencia Física/fisiología , Sodio/farmacología , Adaptación Fisiológica , Animales , Calcio/metabolismo , Estimulación Cardíaca Artificial , Femenino , Frecuencia Cardíaca/fisiología , Miocardio/metabolismo , Radiofármacos , Ratas , Ratas Sprague-Dawley , Rianodina/metabolismo , Sodio/metabolismo , Factores de Tiempo , Tritio , Función Ventricular Izquierda/efectos de los fármacos , Complejos Prematuros Ventriculares/fisiopatología , Presión Ventricular/efectos de los fármacos
7.
Cleve Clin J Med ; 57(1): 53-6, 1990.
Artículo en Inglés | MEDLINE | ID: mdl-2306868

RESUMEN

The value of early symptom-limited stress electrocardiography following percutaneous transluminal coronary angioplasty in assessing late outcome was evaluated in 218 patients. All subjects were tested using the Bruce or Sheffield Protocols, 2.5 +/- 1.3 days after percutaneous transluminal coronary angioplasty. Repeat coronary angiography was performed after percutaneous transluminal coronary angioplasty because of symptoms (58%) or as routine follow-up (42%). Stress electrocardiography results were compared to coronary angiography. The sensitivity and specificity were 35.3% and 52.6%, respectively. The positive and negative predictive values were 39.6% and 48.0%. Two acute myocardial infarctions and one coronary angiographic-proven restenosis occurred within hours of the stress electrocardiogram in three patients (1.4%). It is concluded that symptom-limited stress testing immediately following percutaneous transluminal coronary angioplasty has no prognostic value and may carry increased risk for immediate negative coronary events.


Asunto(s)
Angioplastia Coronaria con Balón , Electrocardiografía , Prueba de Esfuerzo , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Factores de Tiempo
8.
Cleve Clin J Med ; 56(6): 590-6, 1989 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-2530009

RESUMEN

The determinants of left ventricular (LV) mass were evaluated in 150 patients with aortic stenosis. All patients underwent M-mode, two-dimensional, and Doppler echocardiography. Peak aortic gradients ranged from 9 mmHg to 144 mmHg (mean 52.3 mmHg). The degree of left ventricular hypertrophy, as determined by LV mass index, was compared to several variables, including age, systolic blood pressure, left ventricular function, peak and mean pressure gradients, relative wall thickness, estimated LV systolic pressure, and aortic valve area. The LV mass index varied from 114.1 to 547.2 g/m2 (mean, 159.4 g/m2). Multiple regression analysis revealed that both age and LV function were highly significant predictors of LV mass index. Moreover, LV mass index and systolic blood pressure were significantly greater in patients older than 65 years (P less than .01; P less than .0001, respectively). These results suggest that the severity of left ventricular hypertrophy in the presence of aortic stenosis is multifactorial and not affected only by the hemodynamic severity of aortic stenosis as assessed by aortic valve area or pressure gradient estimation. Patient age, systolic blood pressure, and ventricular function should all be considered when evaluating the degree of left ventricular hypertrophy in patients with aortic stenosis.


Asunto(s)
Estenosis de la Válvula Aórtica/diagnóstico , Cardiomegalia/diagnóstico , Ecocardiografía , Factores de Edad , Anciano , Estenosis de la Válvula Aórtica/complicaciones , Cardiomegalia/etiología , Ecocardiografía Doppler , Femenino , Humanos , Masculino , Persona de Mediana Edad
9.
Mol Cell Endocrinol ; 389(1-2): 31-9, 2014 May 25.
Artículo en Inglés | MEDLINE | ID: mdl-24462775

RESUMEN

Estrogen has a plethora of effects in the cardiovascular system. Studies of estrogen and the heart span human clinical trials and basic cell and molecular investigations. Greater understanding of cell and molecular responses to estrogens can provide further insights into the findings of clinical studies. Differences in expression and cellular/intracellular distribution of the two main receptors, estrogen receptor (ER) α and ß, are thought to account for the specificity and differences in responses to estrogen. Much remains to be learned in this area, but cellular distribution within the cardiovascular system is becoming clearer. Identification of GPER as a third ER has introduced further complexity to the system. 17ß-estradiol (E2), the most potent human estrogen, clearly has protective properties activating a signaling cascade leading to cellular protection and also influencing expression of the protective heat shock proteins (HSP). E2 protects the heart from ischemic injury in basic studies, but the picture is more involved in the whole organism and clinical studies. Here the complexity of E2's widespread effects comes into play and makes interpretation of findings more challenging. Estrogen loss occurs primarily with aging, but few studies have used aged models despite clear evidence of differences between the response to estrogen deficiency in adult and aged animals. Thus more work is needed focusing on the effects of aging vs. estrogen loss on the cardiovascular system.


Asunto(s)
Estrógenos/metabolismo , Corazón/fisiología , Factores de Edad , Animales , Ensayos Clínicos como Asunto , Femenino , Humanos , Miocardio/metabolismo , Receptores de Estrógenos/metabolismo
10.
Am J Physiol Cell Physiol ; 293(2): C805-13, 2007 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-17507429

RESUMEN

Sex hormone status has emerged as an important modulator of coronary physiology and cardiovascular disease risk in both males and females. Our previous studies have demonstrated that testosterone increases protein kinase C (PKC) delta expression and activity in coronary smooth muscle (CSMC). Because PKCdelta has been implicated in regulation of proliferation and apoptosis in other cell types, we sought to determine if testosterone modulates CSMC proliferation and/or apoptosis through PKCdelta. Porcine CSMC cultures (passages 2-6) from castrated males were treated with testosterone for 24 h. Testosterone (20 and 100 nM) decreased [(3)H]thymidine incorporation in proliferating CSMC to 59 +/- 5.3 and 33.1 +/- 4.5% of control. Flow cytometric analysis demonstrated that testosterone induced G(1) arrest in CSMC with a concomitant reduction in the S phase cells. Testosterone reduced protein levels of cyclins D(1) and E and phosphorylation of retinoblastoma protein while elevating levels of p21(cip1) and p27(kip1). There were no significant differences in the levels of cyclins D(3), CDK2, CDK4, or CDK6. Testosterone significantly reduced kinase activity of CDK2 and -6, but not CDK4, -7, or -1. PKCdelta small interfering RNA (siRNA) prevented testosterone-mediated G(1) arrest, p21(cip1) upregulation, and cyclin D(1) and E downregulation. Furthermore, testosterone increased CSMC apoptosis in a dose-dependent manner, which was blocked by either PKCdelta siRNA or caspase 3 inhibition. These findings demonstrate that the anti-proliferative, pro-apoptotic effects of testosterone on CSMCs are substantially mediated by PKCdelta.


Asunto(s)
Apoptosis , Proliferación Celular , Músculo Liso Vascular/metabolismo , Miocitos del Músculo Liso/metabolismo , Proteína Quinasa C-delta/metabolismo , Testosterona/metabolismo , Animales , Apoptosis/efectos de los fármacos , Caspasa 3/metabolismo , Inhibidores de Caspasas , Castración , Proliferación Celular/efectos de los fármacos , Células Cultivadas , Vasos Coronarios/citología , Vasos Coronarios/metabolismo , Quinasas Ciclina-Dependientes/metabolismo , Ciclinas/metabolismo , Relación Dosis-Respuesta a Droga , Inhibidores Enzimáticos/farmacología , Fase G1/efectos de los fármacos , Masculino , Músculo Liso Vascular/citología , Músculo Liso Vascular/efectos de los fármacos , Músculo Liso Vascular/enzimología , Músculo Liso Vascular/patología , Miocitos del Músculo Liso/efectos de los fármacos , Miocitos del Músculo Liso/enzimología , Miocitos del Músculo Liso/patología , Proteína Quinasa C-delta/genética , Interferencia de ARN , ARN Interferente Pequeño/metabolismo , Fase S/efectos de los fármacos , Porcinos , Testosterona/farmacología
11.
Acta Physiol Scand ; 178(2): 97-106, 2003 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-12780383

RESUMEN

UNLABELLED: Epidemiological studies have demonstrated that chronic exercise is cardioprotective, and recent evidence from our laboratory suggests a key role for protein kinase C (PKC)-dependent pathways, at least in part, as a cellular basis for this response. However, the dose-response relationship linking exercise volume and the time course of isoform-specific PKC activation are poorly understood. AIM: The purpose of this investigation was to determine the effects of acute exercise of varying durations on PKC subcellular distribution and phosphorylation in the rat left ventricle. METHODS: Adult (5 months) male Fischer-344 more rats were subjected to a single bout (OB) or 7 days (SB) of treadmill running (n = 6/group; 23 m min-1, 20 min), and compared with sedentary controls (SED; n = 8). Hearts were isolated immediately after [early window (EW); n = 3/group] or 24 h after the last exercise bout [late window (LW); n = 3/group] in OB and SD, respectively. Total PKC and subcellular distribution for the alpha, delta, epsilon, betaI, and betaII isoforms, as well as phosphorylated (phospho-) PKC epsilon (pSer729), PKC alpha (pSer657) and PKCdelta (pThr507) levels were assessed by western blotting. Protein kinase C epsilon and PKC alpha mRNA levels were assessed by real time polymerase chain reaction. RESULTS: Following OB, PKCbetaI protein levels were reduced, while total phospho-PKC epsilon (pSer729), PKC alpha (pSer657) and PKC delta (pThr507) levels were increased during EW (P < 0.05). Interestingly, total PKC delta (31%) and membrane-associated PKC alpha (24%) levels decreased from EW to LW (P < 0.05). In contrast, SB yielded chronic increases in total PKC epsilon (80.5%) levels and PKC delta (20.0%) levels (P < 0.03), with reversal of effects on phospho-PKC epsilon (Ser729), phospho-PKC alpha (Ser657) and phospho-PKC delta (Thr507) levels observed with OB. Reductions in total phospho-PKC alpha (Ser657) persisted at SB (26.1%; P < 0.02). Interestingly, mRNA levels for PKC epsilon were significantly increased following SB while PKC alpha mRNA levels were reduced, respectively. CONCLUSION: These data suggest that divergent patterns of PKC activation occur following OB and SB at both the transcriptional and translational levels. That similar patterns of PKC translocation are observed in experimental models of ischaemic preconditioning and genetic PKC manipulation provide evidence for a dose-dependent cardioprotective phenotype induced by physical activity.


Asunto(s)
Miocardio/enzimología , Condicionamiento Físico Animal/métodos , Proteína Quinasa C/metabolismo , Animales , Western Blotting/métodos , Ventrículos Cardíacos/enzimología , Isoenzimas/análisis , Masculino , Fosforilación , Reacción en Cadena de la Polimerasa , Proteína Quinasa C/análisis , ARN Mensajero/análisis , Ratas , Ratas Endogámicas F344 , Factores de Tiempo
12.
Prog Cardiovasc Dis ; 37(6): 371-96, 1995.
Artículo en Inglés | MEDLINE | ID: mdl-7777668

RESUMEN

The heart responds positively to programs of chronic dynamic exercise. Hallmark adaptations of the heart include a training bradycardia, increases in end-diastolic dimension and maximal stroke volume, and a general improvement in ventricular performance and contractile function. Of considerable clinical significance are the general observations that chronic exercise renders the myocardium less susceptible to the deleterious effects of acute ischemic episodes and can effectively prevent and/or reverse many of the cardiac functional deficits that are known to occur in settings of chronic hypertension, advanced age, and myocardial infarction. In the text that follows, information gathered over the last 25 to 30 years has been reviewed in an attempt to identify cellular myocardial adaptations, both known and hypothetical, that are responsible for the observed effects of chronic dynamic exercise on the function and morphology of the heart in both normal and selected pathophysiologic settings. Finally, a variety of unresolved issues regarding the ability of chronic exercise to elicit adaptive cardiocyte responses has been identified. In so doing, it is hoped that creative thought and future work in the area will be stimulated.


Asunto(s)
Adaptación Fisiológica , Ejercicio Físico/fisiología , Corazón/anatomía & histología , Contracción Miocárdica/fisiología , Enfermedades Cardiovasculares/prevención & control , Corazón/fisiología , Humanos , Volumen Sistólico/fisiología
13.
Am J Physiol ; 271(6 Pt 2): H2599-608, 1996 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-8997321

RESUMEN

The singular and combined effects of mild renovascular hypertension (HTN) and chronic exercise on the contractile responsiveness of the heart to alpha 1-adrenergic receptor (alpha 1-AR) stimulation were determined. Age-matched normotensive and HTN male Fischer-344 rats were assigned to sedentary control or treadmill training groups. Left ventricular (LV) contractile performance was assessed by utilizing a modified isovolumic heart preparation at varying concentrations of phenylephrine (PE). Groups studied were normotensive sedentary (NSD), hypertensive sedentary (HSD), normotensive trained (NTR), and hypertensive trained (HTR). PE elicited increases in LV developed pressure (delta P), LV maximal rate of pressure development (dP/dt(max)), and LV dP/dt(max)/delta P in all experimental groups in a dose-dependent fashion. These PE-induced effects were representative of alpha 1-AR-mediated responses because they were observed in the presence of beta-adrenoceptor blockade with propranolol. Relative to NSD, the effects of PE on contractile function were attenuated in HSD and augmented in NTR and HTR hearts. The strength of extrasystolic contractions elicited by the delivery of a 300-ms extrasystolic interval at each of three different pacing frequencies (240, 270, and 300 beats/min) was greater in NTR and HTR and significantly reduced in HSD compared with NSD. Scatchard analysis of [3H]prazosin binding was used to assess alpha 1-AR number in myocardium isolated from each experimental group. Across all groups, a significant correlation was found between alpha 1-AR number and the inotropic responsiveness of the heart to PE stimulation. Collectively, these data provide evidence that mild HTN diminishes while training augments the inotropic responsiveness of the heart to alpha 1-AR stimulation. In addition, training appears to attenuate the adverse effects of mild HTN on the alpha 1-AR contractile responsiveness of the myocardium.


Asunto(s)
Agonistas alfa-Adrenérgicos/farmacología , Corazón/efectos de los fármacos , Hipertensión/fisiopatología , Contracción Miocárdica , Esfuerzo Físico , Animales , Complejos Cardíacos Prematuros/fisiopatología , Masculino , Fenilefrina/farmacología , Condicionamiento Físico Animal , Ratas , Ratas Endogámicas F344 , Receptores Adrenérgicos alfa/metabolismo , Factores de Tiempo
14.
Am J Physiol Heart Circ Physiol ; 285(6): H2694-703, 2003 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-12919931

RESUMEN

Vascular complications associated with diabetes mellitus (DM) have been linked to activation of PKC-dependent signaling pathways in both human and animal models of DM. To determine whether aberrant PKC signaling mechanisms specifically impact the coronary circulation, we assessed isolated coronary artery (CA) responses after the induction of Type 1 DM. Male Sprague-Dawley rats were subjected to partial pancreatectomy (DM; n = 23) and compared with age-matched controls (CTL; n = 19). Vasoreactivity was assessed in single CAs ( approximately 250 microm internal diameter) after abluminal administration of the Gq-dependent vasoconstrictors endothelin (ET)-1 (10(-10)-10(-9) M) and U-44619 (10(-9)-10(-5) M) or the voltage-gated Ca2+ channel agonist BAY K 8644 (10(-9)-10(-5) M) with and without the PKC inhibitor bisindolylmaleimide (Bis; 10(-6) M). Dilator responses to ACh (10(-9)-10(-5) M) were also assessed. ET-1 resulted in significantly greater constriction in the DM versus CTL group (50 +/- 4% vs. 33 +/- 5%, P < 0.0001), whereas responses to U-44619 and BAY K 8644 were similar between groups. Importantly, inhibition of ET-1 and U-44619 constriction by Bis occurred in the DM but not CTL group (P < 0.05). Western blotting on isolated CAs revealed greater levels of PKC-alpha, PKC-beta I, and PKC-beta II by 22%, 15.3%, and 17.6%, respectively, in the DM versus CTL group (P < 0.05), whereas PKC-delta and PKC-epsilon protein levels were unchanged. DM was also associated with attenuated CA dilation after ACh treatment (P < 0.0566) and reductions in endothelial nitric oxide synthase protein levels versus CTL (P < 0.03). These data suggest that Ca2+-dependent PKC signaling pathways, particularly for ET-1, play a greater role in modulating CA vasoconstrictor responses in DM versus CTL. These data further suggest that aberrant CA constrictor and dilator responses are likely to contribute to the coronary vascular pathology associated with DM.


Asunto(s)
Vasos Coronarios/enzimología , Diabetes Mellitus Tipo 1/metabolismo , Isoenzimas/metabolismo , Proteína Quinasa C/metabolismo , Animales , Masculino , Músculo Liso Vascular/enzimología , Óxido Nítrico Sintasa/metabolismo , Óxido Nítrico Sintasa de Tipo III , Proteína Quinasa C beta , Proteína Quinasa C-alfa , Proteína Quinasa C-delta , Proteína Quinasa C-epsilon , Ratas , Ratas Sprague-Dawley , Receptor de Endotelina A/metabolismo , Receptor de Endotelina B/metabolismo , Vasoconstricción/fisiología , Vasodilatación/fisiología
15.
Eur Heart J ; 11 Suppl G: 72-8, 1990 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-2150039

RESUMEN

To evaluate the effects of left ventricular hypertrophy in the development of myocardial ischaemia as detected by thallium-201 exercise scintigraphy, we studied 150 patients by two-dimensional echocardiography, SPECT thallium-201 scintigraphy, and coronary arteriography. Patients were divided into four groups according to the presence or absence of left ventricular hypertrophy and coronary artery disease. There were 62 patients with coronary artery disease and 28 with left ventricular hypertrophy. Left ventricular mass index ranged from a mean of 91.2 g m-2 in the no LVH no CAD group, to a mean of 150.6 g m-2 in the LVH CAD group. For the whole group, the sensitivity of thallium for the detection of coronary artery disease was 82%, specificity 75%, positive predictive value 70%, and negative predictive value 86%. The proportion of patients with abnormal thallium was highest (100%) in the group with left ventricular hypertrophy and coronary artery disease. The second largest group with abnormal perfusion by thallium imaging comprised patients with coronary artery disease and no left ventricular hypertrophy (78%). Both coronary artery disease and left ventricular mass index were demonstrated to be independent predictors of myocardial ischaemia in a multivariate regression model (P = 0.01). We conclude that left ventricular hypertrophy sensitizes the myocardium for the development of ischaemia.


Asunto(s)
Cardiomegalia/complicaciones , Enfermedad Coronaria/etiología , Adulto , Anciano , Angiografía Coronaria , Enfermedad Coronaria/complicaciones , Enfermedad Coronaria/diagnóstico , Ecocardiografía , Prueba de Esfuerzo , Femenino , Corazón/diagnóstico por imagen , Humanos , Hipertensión/complicaciones , Masculino , Persona de Mediana Edad , Radioisótopos de Talio , Tomografía Computarizada de Emisión de Fotón Único
16.
Am J Physiol ; 272(1 Pt 2): H590-6, 1997 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-9038983

RESUMEN

To determine the direct functional significance of the beta-adrenergic receptor (AR) kinase 1 (beta ARK1) on myocardial performance in the absence of tonic sympathoadrenal neural activation and mechanical loading, we measured the contractile responses to acute beta 1-AR stimulation in left ventricular myocytes isolated from nontransgenic control (NTG) and transgenic mice overexpressing either beta ARK1 (TG beta K12) or a beta ARK1 inhibitor (TGMini27). Contractile response to five concentrations (10(-8)-10(-7) M) of the beta 1-AR agonist norepinephrine (NE) plus prazosin (10(-6) M) was measured after a 60-s rest, i.e., rested-state contraction (RSC), and during steady-state contraction (SSC) stimulation at 0.5 Hz (23 degrees C). At baseline, resting cell length was significantly greater in TG beta K12 myocytes (P < 0.05); however, there were no significant differences in RSC or SSC among NTG, TG beta K12, or TG Mini27 mice. On the other hand, both the dose-response curve and kinetics for the NE-induced SSC response normalized to RSC (SSC/RSC) were significantly different among experimental groups (P < 0.001). Specifically, maximal SSC induced by NE in myocytes isolated from TG beta K12 was only 70% of the response observed in NTG cells and 50% of the response measured in TGMini27. These data suggest that 1) in the absence of circulating catecholamines or basal sympathetic tone, beta ARK1 actions in single myocytes are minimal, and 2) substantial functional beta ARK1 modulation of beta 1-AR signaling occurs in cardiac myocytes even during short-term beta 1-AR stimulation. These results are consistent with a role for agonist-induced phosphorylation and desensitization of cardiac beta 1-ARs by beta ARK1 in single myocytes and highlight the potential functional importance of beta ARK1 as a critical determinant of the cardiac beta 1-AR contractile response.


Asunto(s)
Agonistas Adrenérgicos beta/farmacología , Proteínas Quinasas Dependientes de AMP Cíclico/genética , Corazón/efectos de los fármacos , Ratones Transgénicos/genética , Contracción Miocárdica , Norepinefrina/farmacología , Animales , Separación Celular , Quinasa 2 del Receptor Acoplado a Proteína-G , Cinética , Ratones , Miocardio/citología , Quinasas de Receptores Adrenérgicos beta
17.
Am J Physiol Heart Circ Physiol ; 281(2): H581-9, 2001 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-11454560

RESUMEN

Myocardial reserve function declines with aging due in part to reduced alpha- and beta-adrenergic receptor (AR)-mediated contractile augmentation. Whereas specific age-associated deficits in beta-AR signaling have been identified, it is not known which components of the alpha1-AR signaling cascade, e.g., protein kinase C (PKC) and associated anchoring proteins (receptors for activated C kinase; RACKs), underlie deficits in alpha1-AR contractile function with aging. We therefore assessed cardiac contraction (dP/dt) in Langendorff perfused hearts isolated from adult (5 mo) and senescent (24 mo) Wistar rats following maximal alpha1-AR stimulation with phenylephrine (PE), and we measured the subcellular distribution of PKCalpha and PKCepsilon, and their respective anchoring proteins RACK1 and RACK2 by Western blotting. The maximum dP/dt response to PE (10(-5) M) was significantly reduced by 41% in 24-mo-old vs. 5-mo-old (P < 0.01). Inhibitory effects of PKC blockade (chelerythrine; 10 microM) on dP/dt following alpha1-AR stimulation with PE observed in adult hearts were absent in 24-mo-old hearts (P < 0.01). In 5-mo-old hearts, PE elicited reductions in soluble PKCalpha and PKCepsilon levels, while increasing particulate PKCalpha and PKCepsilon levels to a similar extent. In contrast, soluble PKCalpha and PKCepsilon levels in 24-mo-old hearts were increased in response to PE; particulate PKCepsilon and PKCalpha were unchanged or reduced and associated with significant reductions in particulate RACK1 and RACK2. The results indicate, for the first time, that selective translocation of PKCalpha and PKCepsilon in response to alpha1-AR stimulation is disrupted in the senescent myocardium. That age-related reductions in particulate RACK1 and RACK2 levels were also observed provide evidence that alterations in PKC-anchoring proteins may contribute to impaired PKC translocation and defective alpha1-AR contraction in the aged rat heart.


Asunto(s)
Envejecimiento/fisiología , Corazón/fisiología , Proteína Quinasa C/fisiología , Receptores Adrenérgicos alfa/fisiología , Animales , Masculino , Contracción Miocárdica/fisiología , Ratas , Ratas Wistar , Transducción de Señal/fisiología
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