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Updated: Aug 30, 2026

Assessment of Myofilament Ca2+ Sensitivity Underlying Cardiac Excitation-contraction Coupling
Published on: August 1, 2016
Peroxynitrite-induced cardiac depression: role of myofilament desensitization and cGMP pathway
Friedrich Brunner1, Gerald Wölkart
1Institut für Pharmakologie und Toxikologie, Karl-Franzens-Universität Graz, Universitätsplatz 2, A-8010, Graz, Austria. friedrich.brunner@kfunigraz.ac.at
Objective:
The oxidant species peroxynitrite, the reaction product of nitric oxide (NO.) and superoxide, has been implicated in several pathophysiological conditions of the heart. Here, we studied the mechanism of peroxynitrite-induced cardiac depression using specific drugs and simultaneous analyses of myocardial function and intracellular Ca(2+) ([Ca(2+)](i)).
Methods:
Rat hearts were perfused retrogradely and left ventricular function (balloon method) and [Ca(2+)](i) transients were recorded on a beat-to-beat basis using the aequorin bioluminescence method. Peroxynitrite was infused at 10.8+/-0.93 microM via sideline for 10 min, followed by a 15-min recovery period to monitor irreversible effects. Test drugs were infused prior to and during peroxynitrite application.
Results:
Peroxynitrite depressed left ventricular developed pressure (LVDevP; -40%), yet increased systolic and diastolic [Ca(2+)](i) (1.3- and 2.3-fold, respectively; n=12). When Ca(2+) entry through Ca(2+) channels or Na(+)/Ca(2+) exchange transport was blocked using nicardipine (1 microM, n=3) or dichlorobenzamil (30 microM, n=5), respectively, cells showed lower [Ca(2+)](i) and accentuated negative inotropic action in response to peroxynitrite. Peroxynitrite slowed left ventricular relaxation and [Ca(2+)](i) transients, both of which were not affected by extracellular Ca(2+) restriction. Importantly, the oxidant greatly depressed myofilament responsiveness to Ca(2+), which was partly antagonized by Rp-8-(4-chlorophenylthio)guanosine-3',5'-cyclic monophosphorothioate (Rp-cGMPS), an inhibitor of cGMP-dependent protein kinase. Also, the inhibitor partially restored left ventricular contractility (n=6). Peroxynitrite stimulated cardiac cGMP production and coronary cGMP efflux (n=6). Decomposed peroxynitrite had no effect in any of the tests.
Conclusions:
Peroxynitrite depresses myocardial contractility by decreasing the ability of Ca(2+) to trigger contraction, and this effect is partly mediated by the cGMP/cGMP-dependent protein kinase pathway.
Insights
Peroxynitrite impairs heart function by reducing myofilament calcium responsiveness, partly via the cGMP-dependent protein kinase pathway. This mechanism explains peroxynitrite-induced cardiac depression.
Area of Science:
- Cardiovascular Physiology
- Biochemistry
- Oxidative Stress
Background:
- Peroxynitrite, a reactive nitrogen species, is linked to heart disease.
- Understanding its cardiac effects is crucial for therapeutic development.
Purpose of the Study:
- Investigate the mechanism of peroxynitrite-induced cardiac depression.
- Analyze myocardial function and intracellular calcium dynamics.
Main Methods:
- Isolated rat hearts perfused retrogradely.
- Measured left ventricular function and intracellular calcium ([Ca2+]i) using aequorin.
- Administered peroxynitrite and specific pharmacological inhibitors.
Main Results:
- Peroxynitrite decreased left ventricular developed pressure and slowed relaxation.
- Increased [Ca2+]i, but reduced myofilament responsiveness to Ca2+.
- cGMP-dependent protein kinase inhibition partially reversed cardiac depression.
Conclusions:
- Peroxynitrite depresses myocardial contractility by impairing Ca2+ activation of myofilaments.
- The cGMP/cGMP-dependent protein kinase pathway mediates part of this effect.
- This study elucidates a key mechanism in peroxynitrite-induced cardiac dysfunction.
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