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Updated: Feb 11, 2026

Evaluation of Cardiac Contractility Modulation Therapy in 2D Human Stem Cell-Derived Cardiomyocytes
Published on: December 16, 2022
Critical role of the chymase/angiotensin-(1-12) axis in modulating cardiomyocyte contractility
Tiankai Li1, Xiaowei Zhang2, Heng-Jie Cheng1
1Department of Cardiology, the First Affiliated Hospital of Harbin Medical University, Harbin, China; Department of Internal Medicine, Section on Cardiovascular Medicine, Wake Forest School of Medicine, Winston Salem, NC, United States.
Insights
Angiotensin-(1-12) [Ang-(1-12)] impacts heart muscle contractility and calcium handling similarly to Angiotensin II (Ang II) in normal and heart failure (HF) rats. These effects are chymase-dependent and involve cAMP signaling pathways.
Area of Science:
- Cardiovascular Physiology
- Molecular Cardiology
- Renal Physiology
Background:
- Angiotensin-(1-12) [Ang-(1-12)] is recognized as a precursor to Angiotensin II (Ang II), a key mediator of cardiac activity.
- The direct impact of Ang-(1-12) on cardiomyocyte contractility and intracellular calcium ([Ca2+]i) regulation in both normal and heart failure (HF) states remains incompletely understood.
Purpose of the Study:
- To investigate the direct contractile effects of Ang-(1-12) on cardiomyocytes from normal and HF rat models.
- To elucidate the role of Ang-(1-12) in modulating intracellular calcium ([Ca2+]i) handling and contractility in the context of cardiac health and disease.
Main Methods:
- Comparison of left ventricle (LV) myocyte contractile and calcium transient ([Ca2+]iT) responses to Ang II and Ang-(1-12) in normal rats and rats with isoproterenol-induced HF.
- Assessment of the effects of chymostatin, Rp-cAMPS (cAMP analog), and pertussis toxin (PTX) on Ang-(1-12) and Ang II-mediated myocyte function.
Main Results:
- Ang-(1-12) significantly increased cardiomyocyte contractility (dL/dtmax) and [Ca2+]iT in normal rat myocytes, comparable to Ang II.
- In HF myocytes, Ang-(1-12) and Ang II exhibited attenuated positive inotropic effects, with reduced increases in dL/dtmax and [Ca2+]iT.
- Chymostatin abolished Ang-(1-12)-induced effects, while Rp-cAMPS prevented them in both normal and HF myocytes. PTX augmented Ang II effects in HF myocytes.
Conclusions:
- Ang-(1-12) directly stimulates cardiomyocyte contractile function and [Ca2+]iT in normal and HF rats via a chymase-dependent mechanism.
- The altered inotropic responses to Ang-(1-12) and Ang II in HF are mediated by a cAMP-dependent pathway involving both stimulatory G proteins and inhibitory PTX-sensitive G proteins.
Background:
Angiotensin-(1-12) [Ang-(1-12)] is a chymase-dependent source for angiotensin II (Ang II) cardiac activity. The direct contractile effects of Ang-(1-12) in normal and heart failure (HF) remain to be demonstrated. We assessed the hypothesis that Ang-(1-12) may modulate [Ca2+]i regulation and alter cardiomyocyte contractility in normal and HF rats.
Methods And Results:
We compared left ventricle (LV) myocyte contractile and calcium transient ([Ca2+]iT) responses to angiotensin peptides in 16 SD rats with isoproterenol-induced HF and 16 age-matched controls. In normal myocytes, versus baseline, Ang II (10-6 M) superfusion significantly increased myocyte contractility (dL/dtmax: 40%) and [Ca2+]iT (29%). Ang-(1-12) (4 × 10-6 M) caused similar increases in dL/dtmax (34%) and [Ca2+]iT (25%). Compared with normal myocytes, superfusion of Ang II and Ang-(1-12) in myocytes obtained from rats with isoproterenol-induced HF caused similar but significantly attenuated positive inotropic actions with about 42% to 50% less increases in dL/dtmax and [Ca2+]iT. Chymostatin abolished Ang-(1-12)-mediated effects in normal and HF myocytes. The presence of an inhibitory cAMP analog, Rp-cAMPS prevented Ang-(1-12)-induced inotropic effects in both normal and HF myocytes. Incubation of HF myocytes with pertussis toxin (PTX) further augmented Ang II-mediated contractility.
Conclusions:
Ang-(1-12) stimulates cardiomyocyte contractile function and [Ca2+]iT in both normal and HF rats through a chymase mediated action. Altered inotropic responses to Ang-(1-12) and Ang II in HF myocytes are mediated through a cAMP-dependent mechanism that is coupled to both stimulatory G and inhibitory PTX-sensitive G proteins.
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