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Schillinger, W; Ohler, A; Emami, S; Müller, F; Christians, C; Janssen, PM; Kögler, H; Teucher, N; Pieske, B; Seidler, T; Hasenfuss, G.
The functional effect of adenoviral Na+/Ca2+ exchanger overexpression in rabbit myocytes depends on the activity of the Na+/K+-ATPase.
Cardiovasc Res. 2003; 57(4):996-1003 Doi: 10.1016/S0008-6363(02)00829-5 [OPEN ACCESS]
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Co-Autor*innen der Med Uni Graz
Pieske Burkert Mathias
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Abstract:
OBJECTIVES: The functional consequences of Na+/Ca2+ exchanger (NCX) overexpression in heart failure have been controversially discussed. NCX function strongly depends on intracellular sodium which has been shown to be increased in heart failure. METHODS AND RESULTS: We investigated the Na+/K+-ATPase (NKA) inhibitor ouabain (0.5-16 micromol/l) in electrically stimulated, isotonically contracting adult rabbit cardiocytes overexpressing NCX after adenoviral gene transfer (Ad-NCX-GFP, 48 h culture time). Myocytes transfected with adenovirus encoding for green fluorescent protein (Ad-GFP) served as a control. Contractions were analyzed by video-edge detection. In the Ad-NCX-GFP group, the maximum inotropic response was significantly reduced by 50.7% (P<0.05). This was a result of an enhanced susceptibility to contracture after exposure to the drug (median concentration (25-75%): 4 (4-8) vs. 8 (6-16) micromol/l, P<0.05). When analyzing relaxation before contracture, the maximum relaxation velocity was reduced (0.15+/-0.04 vs. 0.27+/-0.04 microm/s, P<0.05) and the time from peak shortening to 90% of relaxation was increased (298+/-39 vs. 185+/-15 ms, P<0.05). No differences in systolic and diastolic parameters were observed with the Na+ channel modulator BDF9198 (1 micromol/l). CONCLUSIONS: Inhibition of NKA by ouabain induces a combined diastolic and systolic dysfunction in NCX overexpressing rabbit myocytes. This may be the consequence of cytoplasmic Ca2+ overload due to inhibition of forward mode or induction of reverse mode Na+/Ca2+ exchange. In end-stage failing human myocardium and during digitalis treatment this mechanism may be of major importance.
Find related publications in this database (using NLM MeSH Indexing)
Adenoviridae - genetics
Animals - genetics
Cardiotonic Agents - pharmacology
Cells, Cultured - pharmacology
Enzyme Inhibitors - pharmacology
Genetic Vectors - pharmacology
Myocardial Contraction - drug effects
Myocytes, Cardiac - metabolism
Na(+)-K(+)-Exchanging ATPase - antagonists and inhibitors
Ouabain - pharmacology
Rabbits - pharmacology
Sodium Channels - drug effects
Sodium-Calcium Exchanger - genetics
Transfection - genetics

Find related publications in this database (Keywords)
calcium (cellular)
contractile function
heart failure
Na/Ca-exchanger
Na/K-pump
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