Key result
Reducing muscle length from optimal length (reduced preload) in rat cardiac trabeculae increased Mechanical Control of Relaxation by 20%.
Why the study?
Biophysical and biomechanical modifiers alter myocardial relaxation, but the mechanisms of Mechanical Control of Relaxation across different preloads remained to be investigated.
Does reduced preload increase Mechanical Control of Relaxation in intact rat cardiac trabeculae?
Does reduced preload increase Mechanical Control of Relaxation in intact rat cardiac trabeculae?
Reduced preload enhances the mechanical control of myocardial relaxation, with computational models suggesting myosin kinetics as a potential target for treating diastolic dysfunction.
Reduced preload may enhance relaxation control in rat models; hypothesis-generating for myosin-targeted diastolic therapies.
Rapid myocardial relaxation is essential in maintaining cardiac output, and impaired relaxation is an early indicator of diastolic dysfunction. While the biochemical modifiers of relaxation are well known to include calcium handling, thin filament activation, and myosin kinetics, biophysical and biomechanical modifiers can also alter relaxation. We have previously shown that the relaxation rate is increased by an increasing strain rate, not a reduction in afterload. The slope of the relaxation rate to strain rate relationship defines Mechanical Control of Relaxation (MCR). To investigate MCR further, we performed in vitro experiments and computational modeling of preload-adjustment using intact rat cardiac trabeculae. Trabeculae studies are often performed using isometric (fixed-end) muscles at optimal length (Lo, length producing maximal developed force). We determined that reducing muscle length from Lo increased MCR by 20%, meaning that reducing preload could substantially increase the sensitivity of the relaxation rate to the strain rate. We subsequently used computational modeling to predict mechanisms that might underlie this preload-dependence. Computational modeling was not able to fully replicate experimental data, but suggested that thin-filament properties are not sufficient to explain preload-dependence of MCR because the model required the thin-filament to become more activated at reduced preloads. The models suggested that myosin kinetics may underlie the increase in MCR at reduced preload, an effect that can be enhanced by force-dependence. Relaxation can be modified and enhanced by reduced preload. Computational modeling implicates myosin-based targets for treatment of diastolic dysfunction, but further model refinements are needed to fully replicate experimental data.
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Schick et al. (2021) studied Diastolic dysfunction. Reduced preload (reducing muscle length from Lo) vs. Optimal length (Lo) was evaluated on Mechanical Control of Relaxation (MCR) (20% increase). Reducing muscle length from optimal length (reduced preload) in rat cardiac trabeculae increased Mechanical Control of Relaxation by 20%.
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