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Involvement of phosphoinositide turnover in ouabain inotropism

H Gotoh1, A Kamiyama, R Shibayama

  • 1Department of Physiology, Iwate Medical University School of Medicine, Japan.

Insights

Ouabain enhances cardiac muscle contraction by activating phospholipase C (PLC). This action increases diacylglycerol (DG) levels, which in turn activates protein kinase C (PKC), augmenting heart muscle force.

Area of Science:

  • Cardiovascular Physiology
  • Cell Signaling
  • Pharmacology

Background:

  • Cardiac glycosides like ouabain are known to affect heart contractility.
  • The precise intracellular mechanisms by which ouabain enhances cardiac contraction are not fully elucidated.
  • Second messenger pathways involving phospholipases and kinases are critical in regulating cardiac function.

Purpose of the Study:

  • To investigate the role of phospholipase C (PLC) and protein kinase C (PKC) in mediating ouabain's positive inotropic effects.
  • To determine if ouabain alters intracellular levels of second messengers like diacylglycerol (DG).

Main Methods:

  • Experiments were conducted using isolated rabbit papillary muscles.
  • Pharmacological inhibitors (NCDC for PLC, Calphostin C for PKC) and an activator (TPA for PKC) were used.
  • Radioenzymatic assays were employed to measure diacylglycerol (DG) content.

Main Results:

  • Inhibition of PLC with NCDC abolished ouabain-induced inotropy.
  • Inhibition of PKC with Calphostin C also reduced ouabain's inotropic effect.
  • Activation of PKC with TPA enhanced contractility.
  • Ouabain treatment significantly increased diacylglycerol (DG) levels in papillary muscles.

Conclusions:

  • Ouabain activates phospholipase C (PLC) in cardiac muscle.
  • The resulting increase in diacylglycerol (DG) activates protein kinase C (PKC).
  • This PLC/DG/PKC signaling pathway is essential for ouabain's positive inotropic action, reinforcing cardiac contraction force.

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