Gupta R C, Shimoyama H, Tanimura M, Nair R, Lesch M, Sabbah H N
Department of Medicine, Henry Ford Heart and Vascular Institute, Detroit, Michigan 48202, USA.
Am J Physiol. 1997 Jul;273(1 Pt 2):H12-8. doi: 10.1152/ajpheart.1997.273.1.H12.
The purpose of this study was to examine the activity and expression of sarcoplasmic reticulum (SR) Ca(2+)-ATPase in left ventricular (LV) myocardium of dogs with chronic heart failure (HF). LV and right ventricular (RV) tissue specimens were obtained from six normal (NL) control dogs and six dogs with chronic HF (LV ejection fraction, 23 +/- 2%) produced by multiple sequential intracoronary microembolizations. Thapsigargin-sensitive Ca(2+)-ATPase activity was measured in isolated SR membrane fractions prepared from LV and RV myocardium. Ca(2+)-ATPase expression, using a specific dog myocardium monoclonal antibody, was measured in sodium dodecyl sulfate (SDS) extract prepared from LV and RV myocardium. Ca(2+)-ATPase activity in both ventricles of NL or HF dogs increased with increasing Ca2+ concentration and reached a plateau at 3 microM Ca2+. The maximal velocity (Vmax, mumol Pi released.min-1.mg-1) of Ca(2+)-ATPase activity was significantly lower in LV of HF dogs compared with NL (0.15 +/- 0.01 vs. 0.23 +/- 0.01, P < 0.05), whereas the affinity of the Ca2+ pump for Ca2+ was unchanged. LV tissue levels of Ca(2+)-ATPase (densitometric units/5 micrograms noncollagen protein) were also significantly lower in LV myocardium of HF dogs compared with NL (3.52 +/- 0.43 vs. 5.53 +/- 0.47, P < 0.05). No significant differences in Ca(2+)-ATPase activity or expression were observed in RV myocardium of HF dogs compared with NL. We conclude that SR Ca(2+)-ATPase activity and protein levels are reduced in LV myocardium of dogs with chronic HF. This abnormality of the SR Ca2+ pump of the failed LV can result in impaired Ca2+ uptake and ultimately to Ca2+ overload and global LV dysfunction.
本研究旨在检测慢性心力衰竭(HF)犬左心室(LV)心肌肌浆网(SR)Ca²⁺-ATP酶的活性及表达。从6只正常(NL)对照犬和6只通过多次序贯冠状动脉内微栓塞产生慢性HF(左心室射血分数,23±2%)的犬获取左心室和右心室(RV)组织标本。在从左心室和右心室心肌制备的分离SR膜组分中测量毒胡萝卜素敏感的Ca²⁺-ATP酶活性。使用特异性犬心肌单克隆抗体,在从左心室和右心室心肌制备的十二烷基硫酸钠(SDS)提取物中测量Ca²⁺-ATP酶表达。NL犬或HF犬两个心室中的Ca²⁺-ATP酶活性均随Ca²⁺浓度增加而升高,并在3μM Ca²⁺时达到平台期。与NL犬相比,HF犬左心室中Ca²⁺-ATP酶活性的最大速度(Vmax,μmol Pi释放·min⁻¹·mg⁻¹)显著降低(0.15±0.01对0.23±0.01,P<0.05),而Ca²⁺泵对Ca²⁺的亲和力未改变。与NL犬相比,HF犬左心室心肌中Ca²⁺-ATP酶的左心室组织水平(光密度单位/5μg非胶原蛋白)也显著降低(3.52±0.43对5.53±0.47,P<0.05)。与NL犬相比,HF犬右心室心肌中未观察到Ca²⁺-ATP酶活性或表达的显著差异。我们得出结论,慢性HF犬左心室心肌中SR Ca²⁺-ATP酶活性和蛋白水平降低。衰竭左心室SR Ca²⁺泵的这种异常可导致Ca²⁺摄取受损,并最终导致Ca²⁺超载和左心室整体功能障碍。