Ouabain decreases sarco(endo)plasmic reticulum calcium ATPase activity in rat hearts by a process involving protein

David J Kennedy1, Sandeep Vetteth, Miaorong Xie

  • 1Dept. of Medicine, Medical University of Ohio, Toledo, Ohio 43614-5089, USA.

Insights

Cardiac glycosides like ouabain affect heart function by altering calcium cycling. This study shows ouabain causes oxidative stress, damaging sarcoplasmic reticulum Ca2+-ATPase, which impacts heart muscle contraction.

Area of Science:

  • Cardiology
  • Molecular Biology
  • Biochemistry

Background:

  • Cardiac glycosides, such as ouabain, are known to enhance cardiac inotropy through alterations in calcium (Ca2+) cycling.
  • The precise mechanisms underlying these effects, particularly the impact on sarcoplasmic reticulum Ca2+-ATPase (SERCA) function, remain incompletely understood.

Purpose of the Study:

  • To investigate the effects of ouabain on sarcoplasmic reticulum Ca2+-ATPase (SERCA) function and Ca2+ handling in cardiac myocytes.
  • To explore the role of oxidative and nitrosative stress in ouabain-induced cardiac dysfunction.

Main Methods:

  • Primary rat cardiac myocytes and isolated perfused rat hearts were treated with ouabain.
  • Calcium transients, intracellular reactive oxygen species (ROS), and SERCA protein modifications (oxidation, nitrotyrosine) were analyzed.
  • Techniques included measurements of Ca2+ concentrations and time constants, exposure to ROS-inducing agents, and liquid chromatography-mass spectrometry.

Main Results:

  • Ouabain (50 microM) significantly increased systolic and diastolic Ca2+ concentrations and prolonged the Ca2+ transient recovery time constant (tau(Ca2+)).
  • Hydrogen peroxide (H2O2) mimicked ouabain's effect on tau(Ca2+), suggesting a role for reactive oxygen species.
  • N-acetylcysteine and green tea extract prevented ouabain-induced changes in Ca2+ handling and cardiac function.
  • Ouabain treatment led to increased oxidation and nitrotyrosine content in SERCA protein, indicative of oxidative and nitrosative stress.

Conclusions:

  • Ouabain induces oxidative modifications to the sarcoplasmic reticulum Ca2+-ATPase (SERCA) protein.
  • These structural and functional changes in SERCA likely contribute to altered Ca2+ cycling and cardiac dysfunction observed with ouabain treatment.
  • Antioxidant interventions may mitigate ouabain's adverse cardiac effects.

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