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Heart Failure II: Pathophysiology01:29

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Analysis of Tubular Membrane Networks in Cardiac Myocytes from Atria and Ventricles
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Decrease in the density of t-tubular L-type Ca2+ channel currents in failing ventricular myocytes.

Miwa Horiuchi-Hirose1, Toshihide Kashihara, Tsutomu Nakada

  • 1Department of Anatomy and Molecular Pharmacology, Shinshu University School of Medicine, Nagano, Japan.

American Journal of Physiology. Heart and Circulatory Physiology
|January 4, 2011
PubMed
Summary

Excessive beta-adrenergic stimulation in heart failure reduces the density of L-type calcium channels (LTCCs) in t-tubules, impairing calcium release and potentially causing cardiac dysfunction.

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Area of Science:

  • Cardiology
  • Molecular Biology
  • Physiology

Background:

  • Cardiac hypertrophy and failure can involve decreased calcium-induced calcium release (CICR) gain, despite normal sarcoplasmic reticulum calcium content and L-type calcium channel (LTCC) current density.
  • This decrease in CICR gain has been linked to structural changes in dyads or t-tubules (TT).
  • However, altered LTCC activity at the cell surface suggests a potential issue with TT LTCCs in heart failure.

Purpose of the Study:

  • To investigate the role of TT LTCC current density in the reduced CICR gain observed in heart failure.
  • To analyze the impact of excessive beta-adrenergic stimulation on TT LTCCs in a mouse model of heart failure.

Main Methods:

  • Analysis of LTCC currents in failing ventricular myocytes from mice chronically treated with isoproterenol (Iso).
  • Detubulation of isolated ventricular myocytes using osmotic shock to assess TT LTCC current density.
  • Pharmacological analysis of TT LTCC regulation by protein kinases and phosphatases.

Main Results:

  • Iso-treated mice had intact t-tubules and normal LTCC subunit expression.
  • Detubulation revealed a halved TT LTCC current density in Iso-treated myocytes compared to controls.
  • TT LTCCs were insufficiently activated by kinases (other than PKA or CaMKII) and excessively suppressed by protein phosphatase 1/2A in Iso-treated myocytes.

Conclusions:

  • Excessive beta-adrenergic stimulation leads to decreased TT LTCC current density in heart failure.
  • This reduction is mediated by altered regulation of TT LTCCs by protein kinases and phosphatases.
  • The decrease in TT LTCC current density may underlie the reduced CICR gain seen in heart failure.