Why the study?
Deep hypothermia can cause cardiac malfunction, but much research was done in rats and mice whose myocardium differs from humans, prompting study in guinea pigs.
Deep hypothermia (10°C) impairs sarcoplasmic reticulum-dependent mechanisms like post-rest potentiation and relaxation acceleration in guinea pig myocardium, while L-type Ca2+ channel-mediated force-frequency relationship remains resistant.
Guinea pig models may better approximate human myocardial responses to deep hypothermia than rodents; leaves open translation to clinical practice.
While deep hypothermia is well known to lead to cardiac malfunction up to circulatory arrest, mild hypothermia can prevent hypoxic damage to the heart. Importantly, a large body of research on deep hypothermia was carried out on rats and mice whose myocardium is significantly different from the human. In the present work, we investigated the effect of deep hypothermia on rhythmoinotropic phenomena in the guinea pig (GP) whose myocardium is more alike the human. The force––frequency relationship (FFR), effect of post-rest potentiation, and frequency-dependent acceleration of relaxation (FDAR) were studied in GP right ventricular papillary muscles (PM) within a range of 0.1–3.0 Hz at temperatures of 30, 20 and 10°C. It was shown that a positive FFR, mediated mainly by the inward Ca2+ current through the L-type Ca2+ channel, persists when cooling to 10°C, suggesting that this mechanism retains its activity even under deep hypothermia. The effect of post-rest potentiation persists down to 20°C, while further cooling replaces potentiation by depression. This may indicate that at 10°C, the functioning of the sarcoplasmic reticulum is impaired, as manifested in the rest-induced inversion of the post-rest potentiation effect. The effect of frequency-dependent acceleration of the kinetics of muscular contraction also persists down to 20°C, supporting the suggestion that this effect in the GP myocardium relies on the sarcoplasmic reticulum. Thus, we found that among the studied frequency-dependent effects, there are those affected by deep hypothermia (post-rest potentiation effect, FDAR) and those resistant to this exposure (FFR), which may reflect the differences in thermal sensitivity of the underlying mechanisms of Ca2 + transport.
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Аверин et al. (2021) studied this question.
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