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1 Departments of Medicine and 2 Pediatrics and 3 Institute of Molecular Cardiobiology, Johns Hopkins University, Baltimore, Maryland 21205; and 4 Department of Cardiology and Pneumology, Georg-August-University, 37075 Göttingen, Germany
Cardiac excitation-contraction
(E-C) coupling is impaired at the myofilament level in the reversible
postischemic dysfunction known as "stunned" myocardium. We
characterized tension development and calcium cycling in intact
isolated trabeculae from transgenic (TG) mice expressing the major
proteolytic degradation fragment of troponin I (TnI) found in stunned
myocardium (TnI1-193) and determined the ATPase
activity of myofibrils extracted from TG and non-TG mouse hearts. The
phenotype of these mice at baseline recapitulates that of stunning.
Here, we address the question of whether contractile reserve is
preserved in these mice, as it is in genuine stunned myocardium. During
twitch contractions, calcium cycling was normal, whereas tension was
greatly reduced, compared with non-TG controls. A decrease in maximum
Ca2+-activated tension and Ca2+ desensitization
of the myofilaments accounted for this contractile dysfunction. The
decrease in maximum tension was paralleled by an equivalent decrease in
maximum Ca2+-activated myofibrillar ATPase activity.
Exposure to high calcium or isoproterenol recruited a sizable
contractile reserve in TG muscles, which was proportionately similar to
that in control muscles but scaled downward in amplitude. These results
suggest that calcium regulatory pathways and
-adrenergic signal
transduction remain intact in isolated trabeculae from stunned TG mice,
further recapitulating key features of genuine stunned myocardium.
cardiac excitation-contraction coupling; signal transduction; calcium ion sensitivity
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