Abstract
Depressed contractility of failing myocytes involves a decreased rate
of rise of the Ca$^2+$ transient. Synchronization of Ca$^2+$
release from the junctional sarcoplasmic reticulum (SR) is responsible
for the rapid rise of the normal Ca$^2+$ transient. This study
examined the idea that spatially and temporally dyssynchronous SR
Ca$^2+$ release slows the rise of the cytosolic Ca$^2+$ transient
in failing feline myocytes. Left ventricular hypertrophy (LVH) with
and without heart failure (HF) was induced in felines by constricting
the ascending aorta. Ca$^2+$ transients were measured in ventricular
myocytes using confocal line scan imaging. Ca$^2+$ transients
were induced by field stimulation, square wave voltage steps, or
action potential (AP) voltage clamp. SR Ca$^2+$ release was significantly
less well spatially and temporally synchronized in field-stimulated
HF versus control or LVH myocytes. Surprisingly, depolarization of
HF cells to potentials where Ca$^2+$ currents (ICa) were maximal
resynchronized SR Ca$^2+$ release. Correspondingly, decreases
in the amplitude of ICa desynchronized SR Ca$^2+$ release in
control, LVH, and HF myocytes to the same extent. HF myocytes had
significant loss of phase 1 AP repolarization and smaller ICa density,
which should both reduce Ca$^2+$ influx. When normal myocytes
were voltage clamped with HF AP profiles SR Ca$^2+$ release was
desynchronized. SR Ca$^2+$ release becomes dyssynchronized in
failing feline ventricular myocytes because of reductions in Ca$^2+$
influx induced in part by alterations in early repolarization of
the AP. Therefore, therapies that restore normal early repolarization
should improve the contractility of the failing heart.
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