Ryanodine wastes oxygen consumption for Ca2+ handling in the dog heart. A new pathological heart model

T Takasago1, Y Goto, O Kawaguchi

  • 1Department of Cardiovascular Dynamics, National Cardiovascular Center, Osaka, Japan.

Insights

Low-concentration ryanodine (RYA) causes cardiac energy waste by making calcium channels leaky. This negatively impacts heart contractility, mimicking conditions like myocardial ischemia.

Area of Science:

  • Cardiovascular Physiology
  • Cardiac Energetics
  • Calcium Channel Pharmacology

Background:

  • Ryanodine (RYA) at low concentrations selectively opens cardiac sarcoplasmic reticulum (SR) Ca2+ release channels.
  • This action serves as a model for Ca2+-leaky SR in pathological heart conditions.

Purpose of the Study:

  • To investigate the effects of altered Ca2+ release channel activity on cardiac mechanoenergetics.
  • To analyze the negative inotropic effect of RYA on left ventricular (LV) function and energy consumption.

Main Methods:

  • Used isolated, blood-perfused dog hearts (n=11).
  • Analyzed LV Emax (contractility) and myocardial oxygen consumption (LV VO2) in relation to systolic pressure-volume area (PVA).
  • Administered low concentrations of RYA (up to 30 +/- 13 nM).

Main Results:

  • RYA significantly decreased LV Emax by 42%.
  • PVA-independent LV VO2 remained high (93% of control), indicating disproportionate oxygen consumption.
  • This "oxygen-wasting" effect differs from typical inotropic drugs.

Conclusions:

  • RYA suppresses cardiac muscle force generation for a given SR Ca2+ load, similar to myocardial ischemia.
  • The mechanism likely involves RYA inducing SR Ca2+ leakiness, leading to wasted energy in Ca2+ handling.

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