Abstract
Excitation-contraction coupling and intracellular Ca$^2+$ homeostasis
are altered in heart failure. We tested the hypothesis that these
changes are related to disturbed Ca$^2+$ handling of the sarcoplasmic
reticulum (SR). Isolated, electrically stimulated trabeculae were
obtained from end-stage failing (NYHA IV) and nonfailing human
hearts. Isometric twitch tension, intracellular Ca$^2+$ transients
(aequorin method) and SR Ca$^2+$ content (rapid cooling contractures)
were assessed under basal conditions (1 Hz, 37 degrees C) as well
as after stepwise increasing rest intervals from 2-240 s (post-rest
contractions). Protein expression of SERCA2a and phospholamban (Western
blot) was assessed in a subset of failing trabeculae. In addition,
the effects of SERCA1 overexpression on contractile function of isolated
myocytes was tested. On average, post-rest twitch tension continuously
increased with increasing rest intervals in nonfailing, but declined
with rest intervals longer than 15 s in failing myocardium. The rest-dependent
contractile changes were accompanied by parallel changes in intracellular
Ca$^2+$ transients. Failing trabeculae (n = 40) were grouped
(group A: post-rest potentiation (force of contraction > pre-rest
twitch force) after 120 s rest interval; group B: post-rest decay
(force of contraction < pre-rest twitch force) after 120 s rest interval),
and post-rest contractile function was related to SERCA2a and PLB
expression. While PLB protein expression was not different, SERCA2a
protein expression as well as SERCA2a/PLB ratio was significantly
higher in group A vs. group B. Transfection of SERCA1 increased shortening
amplitude and enhanced relaxation kinetics in failing human myocytes.
In conclusion, SR Ca$^2+$ handling is severely altered in human
heart failure. Reduced SR Ca$^2+$ release is due to diminished
SR Ca$^2+$ content directly related to a depressed expression
of SERCA2a protein. Enhancing SERCA function or expression may improve
SR Ca$^2+$ handling in failing human myocardium.
- 12479237
- atpase,
- calcium,
- calcium-binding
- cardiac
- contraction,
- gov't,
- heart,
- humans,
- in
- low,
- myocardial
- non-u.s.
- output,
- proteins,
- reference
- research
- rest,
- reticulum,
- sarcoplasmic
- support,
- values,
- vitro,
- {c}a$^{2+}$-transporting
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