Hanft Laurin M, McDonald Kerry S
Dept. of Physiology, School of Medicine, Univ. of Missouri, Columbia, MO, USA.
Am J Physiol Heart Circ Physiol. 2009 May;296(5):H1524-31. doi: 10.1152/ajpheart.00864.2008. Epub 2009 Feb 27.
The Frank-Starling relationship of the heart yields increased stroke volume with greater end-diastolic volume, and this relationship is steeper after beta-adrenergic stimulation. The underlying basis for the Frank-Starling mechanism involves length-dependent changes in both Ca(2+) sensitivity of myofibrillar force and power output. In this study, we tested the hypothesis that PKA-induced phosphorylation of myofibrillar proteins would increase the length dependence of myofibrillar power output, which would provide a myofibrillar basis to, in part, explain the steeper Frank-Starling relations after beta-adrenergic stimulation. For these experiments, adult rat left ventricles were mechanically disrupted, permeabilized cardiac myocyte preparations were attached between a force transducer and position motor, and the length dependence of loaded shortening and power output were measured before and after treatment with PKA. PKA increased the phosphorylation of myosin binding protein C and cardiac troponin I, as assessed by autoradiography. In terms of myocyte mechanics, PKA decreased the Ca(2+) sensitivity of force and increased loaded shortening and power output at all relative loads when the myocyte preparations were at long sarcomere length ( approximately 2.30 mum). PKA had less of an effect on loaded shortening and power output at short sarcomere length ( approximately 2.0 mum). These changes resulted in a greater length dependence of myocyte power output after PKA treatment; peak normalized power output increased approximately 20% with length before PKA and approximately 40% after PKA. These results suggest that PKA-induced phosphorylation of myofibrillar proteins explains, in part, the steeper ventricular function curves (i.e., Frank-Starling relationship) after beta-adrenergic stimulation of the left ventricle.
心脏的Frank-Starling关系表现为舒张末期容积越大,每搏输出量增加,且这种关系在β-肾上腺素能刺激后更陡峭。Frank-Starling机制的潜在基础涉及肌原纤维力和功率输出的Ca(2+)敏感性的长度依赖性变化。在本研究中,我们检验了以下假设:蛋白激酶A(PKA)诱导的肌原纤维蛋白磷酸化会增加肌原纤维功率输出的长度依赖性,这将为部分解释β-肾上腺素能刺激后更陡峭的Frank-Starling关系提供肌原纤维基础。对于这些实验,将成年大鼠左心室机械破碎,将透化的心肌细胞制剂连接在力传感器和位置马达之间,并在PKA处理前后测量负荷缩短和功率输出的长度依赖性。通过放射自显影评估,PKA增加了肌球蛋白结合蛋白C和心肌肌钙蛋白I的磷酸化。就心肌细胞力学而言,当心肌细胞制剂处于长肌节长度(约2.30μm)时,PKA降低了力对Ca(2+)的敏感性,并增加了所有相对负荷下的负荷缩短和功率输出。PKA对短肌节长度(约2.0μm)时的负荷缩短和功率输出影响较小。这些变化导致PKA处理后心肌细胞功率输出的长度依赖性更大;PKA处理前,峰值标准化功率输出随长度增加约20%,PKA处理后增加约40%。这些结果表明,PKA诱导的肌原纤维蛋白磷酸化部分解释了左心室β-肾上腺素能刺激后更陡峭的心室功能曲线(即Frank-Starling关系)。