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Pieske, B; Sütterlin, M; Schmidt-Schweda, S; Minami, K; Meyer, M; Olschewski, M; Holubarsch, C; Just, H; Hasenfuss, G.
Diminished post-rest potentiation of contractile force in human dilated cardiomyopathy. Functional evidence for alterations in intracellular Ca2+ handling.
J Clin Invest. 1996; 98(3):764-776 Doi: 10.1172/JCI118849 [OPEN ACCESS]
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Leading authors Med Uni Graz
Pieske Burkert Mathias
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Abstract:
Post-rest contractile behavior of isolated myocardium indicates the capacity of the sarcoplasmic reticulum (SR) to store and release Ca2+. We investigated post-rest behavior in isolated muscle strips from nonfailing (NF) and endstage failing (dilated cardiomyopathy [DCM]) human hearts. At a basal stimulation frequency of 1 Hz, contractile parameters of the first twitch after increasing rest intervals (2-240 s) were evaluated. In NF (n = 9), steady state twitch tension was 13.7 +/- 1.8 mN/mm2. With increasing rest intervals, post-rest twitch tension continuously increased to maximally 29.9 +/- 4.1 mN/mm2 after 120s (P < 0.05) and to 26.7 +/- 4.5 mN after 240 s rest. In DCM (n = 22), basal twitch tension was 10.0 +/- 1.5 mN/mm2 and increased to maximally 13.6 +/- 2.2 mN/mm2 after 20 s rest (P < 0.05). With longer rest intervals, however, post-rest twitch tension continuously declined (rest decay) to 4.7 +/- 1.0 mN/mm2 at 240 s (P < 0.05). The rest-dependent changes in twitch tension were associated with parallel changes in intracellular Ca2- transients in NF and DCM (aequorin method). The relation between rest-induced changes in twitch tension and aequorin light emission was similar in NF and DCM, indicating preserved Ca(2-)-responsiveness of the myofilaments. Ryanodine (1 microM) completely abolished post-rest potentiation. Increasing basal stimulation frequency (2 Hz) augmented post-rest potentiation, but did not prevent rest decay after longer rest intervals in DCM. The altered post-rest behavior in failing human myocardium indicates disturbed intracellular Ca2- handling involving altered function of the SR.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Aged -
Calcium - metabolism
Cardiomyopathy, Dilated - physiopathology
Female - physiopathology
Humans - physiopathology
Male - physiopathology
Middle Aged - physiopathology
Myocardial Contraction - physiopathology
Ryanodine - pharmacology
Sarcoplasmic Reticulum - metabolism
Stroke Volume - metabolism

Find related publications in this database (Keywords)
myocardial function
excitation-contraction-coupling
sarcoplasmic reticulum
aequorin
calcium handling
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