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Luers, C; Fialka, F; Elgner, A; Zhu, D; Kockskämper, J; von Lewinski, D; Pieske, B.
Stretch-dependent modulation of Na+i, Ca2+i, and pHi in rabbit myocardium--a mechanism for the slow force response.
Cardiovasc Res. 2005; 68(3):454-463 Doi: 10.1016/j.cardiores.2005.07.001 [OPEN ACCESS]
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Führende Autor*innen der Med Uni Graz
Pieske Burkert Mathias
Co-Autor*innen der Med Uni Graz
Kockskämper Jens
von Lewinski Dirk
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Abstract:
Objective: Rabbit ventricular myocardium is characterized by a biphasic response to stretch with an initial, rapid increase in force followed by a delayed, slow increase in force (slow force response, SFR). The initial phase is attributed to increased myofilament Ca2+ sensitivity, but the mechanisms of the delayed phase are only incompletely understood. We tested whether stretch-dependent stimulation of Na+/H+ exchange (NHEI) and consecutive changes in pH(i) and/or [Na+](i) may underlie the SFR. Methods: Isometric contractions of rabbit ventricular muscles were recorded in bicarbonate-containing Tyrode's (Tyrode) or bicarbonate-free HEPES-buffered solution (HEPES). Muscles were loaded with the Ca2+ indicator aequorin, the pH indicator BCECF, or the Na+ indicator SBFI and rapidly stretched from 88% (L-88) to 98% (L-98) of optimal length. The resulting immediate and slow increases in twitch force (1st phase and SFR) as well as changes in [Ca2+](i), [Na+](i), or pH(i) were quantified before and after inhibition of NHE I by HOE 642 (3 mu M) or reverse-mode Na+/Ca2+ exchange (NCX) by KB-R 7943 (5 mu M). Results: In both Tyrode (n=21) and HEPES (n=22), developed force increased to similar to 160% during the 1st phase followed by a further increase to similar to 205% during the SFR. The SFR was accompanied by a 21% increase of the aequorin light transient (n =4; normalized to the 1st phase) and a similar to 3 mM increase in [Na+](i) (n =4-7). The SFR was also associated with an increase in pH(i). However, this increase was delayed and was significant only after the SFR had reached its maximum. The delayed pHi increase was larger in HEPES than in Tyrode. HOE 642 and/or KB-R 7943 reduced the SFR by similar to 30-40%. In addition, HOE 642 diminished the stretch-mediated elevation of [Na+](i) by 72% and the delayed alkalinization. Conclusions: The data are consistent with the hypothesis that SFR results from increases in [Ca2+](i) secondary to altered flux via NCX in part resulting from increases in [Na+]i mediated by NHE1 (c) 2005 European Society of Cardiology. Published by Elsevier B.V All rights reserved.
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Animals -
Bicarbonates - pharmacology
Calcium - metabolism
Cation Transport Proteins - antagonists and inhibitors
Guanidines - pharmacology
Heart Ventricles -
Hydrogen-Ion Concentration -
Membrane Proteins - antagonists and inhibitors
Microscopy, Fluorescence -
Myocardial Contraction - drug effects Myocardial Contraction - physiology
Myocardium - metabolism
Rabbits -
Sodium - metabolism
Sodium-Calcium Exchanger - antagonists and inhibitors
Sodium-Hydrogen Antiporter - antagonists and inhibitors
Stress, Mechanical -
Sulfones - pharmacology
Thiourea - analogs and derivatives Thiourea - pharmacology

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E-c coupling
stretch
intracellular ions
Na/H-exchanger
myocytes
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