Key result
T. cruzi infection in mice increases cardiomyocyte diastolic Ca2+ ~3.4-fold via the reverse Na+/Ca2+ exchanger.
Why the study?
To further address chronic elevation of diastolic Ca2+ concentration associated with deterioration in Chagas cardiomyopathy by exploring the role of the Na+/Ca2+ exchanger.
In a mouse model of Chagas cardiomyopathy, the reverse mode of the Na+/Ca2+ exchanger contributes significantly to intracellular calcium overload, suggesting NCX inhibitors could be a potential therapeutic target.
Chagas disease is produced by the parasite Trypanosoma cruzi (T. cruzi) , which is the leading cause of death and morbidity in Latin America. We have shown that in patients with Chagas cardiomyopathy, there is a chronic elevation of diastolic Ca 2+ concentration ([Ca 2+ ] d ), associated with deterioration to further address this issue, we explored the role Na + /Ca 2+ exchanger (NCX). Experiments were carried out in noninfected C57BL/6 mice and infected with blood-derived trypomastigotes of the T. cruzi Y strain. Anesthetized mice were sacrificed and the cardiomyocytes were enzymatically dissociated. Diastolic [Ca 2+ ] ([Ca 2+ ] d ) was measured using Ca 2+ selective microelectrodes in cardiomyocytes from control mice (CONT) and cardiomyocytes from T. cruzi infected mice in the early acute phase (EAP) at 20 dpi, in the acute phase (AP) at 40 dpi, and in the chronic phase (CP) at 120 dpi. [Ca 2+ ] d was 1.5-times higher in EAP, 2.6-times in AP, and 3.4-times in CP compared to CONT. Exploring the reverse mode activity of NCX, we replaced extracellular Na + in equivalent amounts with N-methyl-D-glucamine. Reduction of [Na + ] e to 65 mM caused an increase in [Ca 2+ ] d of 1.7 times in cardiomyocytes from CONT mice, 2 times in EAP infected mice, 2.4 times in AP infected mice and 2.8 in CP infected mice. The Na + free solution caused a further elevation of [Ca 2+ ] d of 2.5 times in cardiomyocytes from CONT, 2.8 times in EAP infected mice, 3.1 times in AP infected mice, and 3.3 times in CP infected mice. Extracellular Ca 2+ withdrawal reduced [Ca 2+ ] d in both CONT and cardiomyocytes from Chagas-infected mice and prevented the increase in [Ca 2+ ] d induced by Na + depletion. Preincubation with 10µM KB-R7943 or in 1µM YM-244769 reduced [Ca 2+ ] d in cardiomyocytes from infected mice, but not control mice. Furthermore, both NCX blockers prevented the increase in [Ca 2+ ] d associated with exposure to a solution without Na + . These results suggest that Ca 2+ entry through the reverse NCX mode plays a significant role in the observed [Ca 2+ ] d dyshomeostasis in Chagas infected cardiomyocytes. Additionally, NCX inhibitors may be a viable therapeutic approach for treating patients with Chagas cardiomyopathy.
No takes yet. Share an insight, caveat, or question.
López et al. (2022) studied Chagas disease cardiomyopathy. Trypanosoma cruzi infection (Y strain) vs. Non-infected control was evaluated on Diastolic Ca2+ concentration ([Ca2+]d) in chronic phase (120 dpi) (p=<0.001). Trypanosoma cruzi infection in mice significantly increased diastolic Ca2+ concentration in cardiomyocytes by up to 3.4-times in the chronic phase compared to controls, mediated by the reverse mode of the Na+/Ca2+ exchanger.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: