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J Am Coll Cardiol, 2001; 37:668-675
© 2001 by the American College of Cardiology Foundation
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EXPERIMENTAL STUDY

Soluble substances released from postischemic reperfused rat hearts reduce calcium transient and contractility by blocking the L-type calcium channel

Stephan B. Felix, MD*, Verena Stangl, MD{dagger}, Peter Pietsch, PhD{dagger}, Peter Bramlage, MD{dagger}, Alexander Staudt, MD*, Sabine Bartel, PhD{ddagger}, Ernst-Georg Krause, MD{ddagger}, J.örn-Uwe Borschke, MD§, Klaus-Dieter Wernecke, PhD||, Gerrit Isenberg, MD§ and Gert Baumann, MD{dagger}

* Klinik für Innere Medizin B, Ernst-Moritz-Arndt-Universität Greifswald, Greifswald, Germany
{dagger} Medizinische Klinik und Poliklinik Charité, Kardiologie, Campus Mitte, Humboldt-Universität zu Berlin, Berlin, Germany
{ddagger} Max Delbrück Zentrum für molekulare Medizin, Berlin-Buch, Germany
§ Institut für Physiologie, Universität Halle, Halle, Germany
|| Institut für Medizinische Biometrie, Charité, Humboldt-Universtät zu Berlin, Berlin, Germany

Manuscript received December 6, 1999; revised manuscript received August 22, 2000, accepted October 2, 2000.

Reprint requests and correspondence: Dr. Stephan Felix, Klinik für Innere Medizin B, Ernst-Moritz-Arndt-Universität Greifswald, Friedrich Loeffler Strasse 23a, 17489 Greifswald, Germany
felix{at}mail.uni-greifswald.de

OBJECTIVES

This study was designed to investigate the effects of cardiodepressant substances released from postischemic myocardial tissue on myocardial calcium-regulating pathways.

BACKGROUND

We have recently reported that new cardiodepressant substances are released from isolated hearts during reperfusion after myocardial ischemia.

METHODS

After 10 min of global ischemia, isolated rat hearts were reperfused, and the coronary effluent was collected for 30 s. We tested the effects of the postischemic coronary effluent on cell contraction, Ca2+ transients and Ca2+ currents of isolated rat cardiomyocytes by applying fluorescence microscopy and the whole-cell, voltage-clamp technique. Changes in intracellular phosphorylation mechanisms were studied by measuring tissue concentrations of cyclic adenosine monophosphate (cAMP) and cyclic guanosine monophosphate (cGMP), as well as activities of cAMP-dependent protein kinase (cAMP-dPK) and protein kinase C (PKC).

RESULTS

The postischemic coronary effluent, diluted with experimental buffer, caused a concentration-dependent reduction of cell shortening and Ca2+ transient in the field-stimulated isolated cardiomyocytes of rats, as well as a reduction in peak L-type Ca2+ current in voltage-clamped cardiomyocytes. The current reduction resulted from reduced maximal conductance—not from changes in voltage- and time-dependent gating of the L-type Ca2+ channel. The postischemic coronary effluent modified neither the tissue concentrations of cAMP or cGMP nor the activities of cAMP-dPK and PKC. However, the effluent completely eliminated the activation of glycogen phosphorylase after beta-adrenergic stimulation.

CONCLUSIONS

Negative inotropic substances released from isolated postischemic hearts reduce Ca2+ transient and cell contraction through cAMP-independent and cGMP-independent blockage of L-type Ca2+ channels.

Abbreviations and Acronyms
  BSA = bovine serum albumin
  cAMP = cyclic adenosine monophosphate
  cAMP-d PK = cAMP-dependent protein kinase
  cGMP = cyclic guanosine monophosphate
  DMSO = dimethyl sulfoxide
  KHB = Krebs-Henseleit buffer
  NIS = negative inotropic substances
  pA = picoampere
  pF = picofarad
  PKC = protein kinase C
  pS = picosiemeus
  rfu = relative fluorescence units
  SR = sarcoplasmic reticulum




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