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Department of Physiology, Stritch School of Medicine, Loyola University Chicago and Cardiovascular Institute, Maywood, Illinois 60153
The purpose of this study is to determine the effects of brief
rapid pacing (RP; ~200-240 beats/min for ~5 min) on
contractile function in ventricular myocytes. RP was followed by a
sustained inhibition of peak systolic cell shortening (
44 ± 4%) that was not due to changes in diastolic cell length, membrane
voltage, or L-type Ca2+ current
(ICa,L). During RP, baseline and peak
intracellular Ca2+ concentration
([Ca2+]i) increased markedly. After RP,
Ca2+ transients were similar to control. The effects of RP
on cell shortening were not prevented by 1 µM calpain inhibitor I, 25 µM
L-N5-(1-iminoethyl)-orthinthine, or
100 µM NG-monomethyl-L-arginine.
However, RP-induced inhibition of cell shortening was prevented by
lowering extracellular [Ca2+] (0.5 mM) during RP or
exposure to chelerythrine (2-4 µM), a protein kinase C (PKC)
inhibitor, or LY379196 (30 nM), a selective inhibitor of PKC-
.
Exposure to phorbol ester (200 nM phorbol 12-myristate 13-acetate)
inhibited cell shortening (
46 ± 7%). Western blots indicated
that cat myocytes express PKC-
, -
, and -
as well as PKC-
.
These findings suggest that brief RP of ventricular myocytes depresses
contractility at the myofilament level via Ca2+/PKC-dependent signaling. These findings may provide
insight into the mechanisms of contractile dysfunction that follow
paroxysmal tachyarrhythmias.
intracellular calcium; excitation-contraction coupling; stunning; tachyarrhythmias; protein kinase C
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