Gupta Subash C, Varian Kenneth D, Bal Naresh C, Abraham Jessica L, Periasamy Muthu, Janssen Paul M L
Department of Physiology and Cell Biology, College of Medicine, The Ohio State University, Columbus, OH 43210, USA.
Am J Physiol Heart Circ Physiol. 2009 Jun;296(6):H1933-9. doi: 10.1152/ajpheart.00026.2009. Epub 2009 Apr 17.
Following pulmonary artery banding (PAB), the contractile function of right ventricle diminishes over time. Subsequently, the right atrium (RA) has to contract against a higher afterload, but it is unknown to what extent ventricular dysfunction has an effect on the atrial contractility. We hypothesized that right ventricular pressure overload may have an affect on atrial contractility and Ca(2+) transport protein expression. Therefore, we induced pressure overload of the right ventricle by PAB for 10 wk in rabbits and examined the changes in the expression of Ca(2+) transport proteins in the atrium. We demonstrate that PAB significantly decreased the expression of sarco(endo)plasmic reticulum Ca(2+)-ATPase (Serca) 2a while expression of Na(+)/Ca(2+) exchanger-1 was significantly upregulated in the RA but not in the left atria of rabbit hearts, indicating that pressure is the major trigger. A decrease in Serca2a expression was concomitant with a significant decrease in sarcolipin (SLN), possibly indicating a compensatory role of SLN. The decreased expression of SLN was unable to completely restore sarcoplasmic reticulum Ca(2+) uptake function of Serca2a. Functional contractile assessments in isolated trabeculae showed no difference between PAB- and sham-operated rabbits at 1 Hz but displayed an enhanced force development at higher frequencies and in the presence of isoproterenol, while twitch timing was unaffected. Our results indicate that right ventricular mechanical overload due to PAB affects the expression of the Ca(2+)-handling proteins in the RA in rabbits.
在进行肺动脉环扎术(PAB)后,右心室的收缩功能会随时间逐渐减弱。随后,右心房(RA)必须在更高的后负荷下收缩,但目前尚不清楚心室功能障碍对心房收缩力的影响程度。我们推测右心室压力过载可能会影响心房收缩力和Ca(2+)转运蛋白的表达。因此,我们通过对兔子进行10周的PAB诱导右心室压力过载,并检测心房中Ca(2+)转运蛋白表达的变化。我们发现,PAB显著降低了肌浆网Ca(2+)-ATP酶(Serca)2a的表达,而Na(+)/Ca(2+)交换蛋白-1的表达在兔子心脏的右心房中显著上调,而左心房中则没有,这表明压力是主要触发因素。Serca2a表达的降低与肌浆球蛋白(SLN)的显著降低同时出现,这可能表明SLN具有补偿作用。SLN表达的降低无法完全恢复Serca2a的肌浆网Ca(2+)摄取功能。在离体小梁上进行的功能性收缩评估显示,在1Hz时,PAB组和假手术组兔子之间没有差异,但在更高频率和存在异丙肾上腺素的情况下,力量发展增强,而抽搐时间不受影响。我们的结果表明,PAB导致的右心室机械过载会影响兔子右心房中Ca(2+)处理蛋白的表达。