Key result
Failing rat myocardium exhibited a negative slow force response to sudden stretch (93.7% of initial twitch amplitude) compared to the positive response in healthy myocardium (110.9%), reflecting disrupted intracellular Ca2+ balancing.
Why the study?
The slow force response to stretch is substantially attenuated in heart failure, but its relationship with Ca2+ transient decay in healthy versus failing myocardium remains unclear.
Absolute Event Rate: 93.7% vs 110.9%
p-value: p=0.004
Failing rat myocardium lacks the normal slow force response to stretch, which is associated with disrupted intracellular Ca2+ balancing mechanisms.
Attenuated SFR in failing rat myocardium may involve Ca-TnC kinetics; leaves open mechanisms and therapeutic targets in human HF.
The slow force response (SFR) to stretch is an important adaptive mechanism of the heart. The SFR may result in ~ 20–30% extra force but it is substantially attenuated in heart failure. We investigated the relation of SFR magnitude with Ca 2+ transient decay in healthy (CONT) and monocrotaline-treated rats with heart failure (MCT). Right ventricular trabeculae were stretched from 85 to 95% of optimal length and held stretched for 10 min at 30 °C and 1 Hz. Isometric twitches and Ca 2+ transients were collected on 2, 4, 6, 8, 10 min after stretch. The changes in peak tension and Ca 2+ transient decay characteristics during SFR were evaluated as a percentage of the value measured immediately after stretch. The amount of Ca 2+ utilized by TnC was indirectly evaluated using the methods of Ca 2+ transient “bump” and “difference curve.” The muscles of CONT rats produced positive SFR and they showed prominent functional relation between SFR magnitude and the magnitude (amplitude, integral intensity) of Ca 2+ transient “bump” and “difference curve.” The myocardium of MCT rats showed negative SFR to stretch (force decreased in time) which was not correlated well with the characteristics of Ca 2+ transient decay, evaluated by the methods of “bump” and “difference curve.” We conclude that the intracellular mechanisms of Ca 2+ balancing during stretch-induced slow adaptation of myocardial contractility are disrupted in failing rat myocardium. The potential significance of our findings is that the deficiency of slow force response in diseased myocardium may be diminished under augmented kinetics of Ca–TnC interaction.
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Lookin et al. (2018) studied Heart failure (n=12). Monocrotaline-induced heart failure vs. Healthy control was evaluated on Slow force response (SFR) magnitude at 10 minutes after stretch (percentage of first twitch amplitude) (p=0.004). Failing rat myocardium exhibited a negative slow force response to sudden stretch (93.7% of initial twitch amplitude) compared to the positive response in healthy myocardium (110.9%), reflecting disrupted intracellular Ca2+ balancing.
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