Key result
Reducing MgATP levels from 8 mM to 4 mM in demembranated cardiac muscle caused a 20% to 25% reduction in maximal power generation and a 20% slowing of cross-bridge cycling kinetics.
Why the study?
It was unclear whether the fall in myocardial ATP observed in heart failure is sufficient to impair contractile protein function, given that in vitro myofilament Km values for MgATP are far below heart failure levels.
Does a reduction in MgATP levels to those seen in heart failure impair myocardial contraction in demembranated cardiac muscle preparations?
Does a reduction in MgATP levels to those seen in heart failure impair myocardial contraction in demembranated cardiac muscle preparations?
Decreased cellular ATP levels typical of heart failure directly impair maximal power generation and cross-bridge cycling kinetics in cardiac muscle, suggesting therapies to increase adenine nucleotide pools may be beneficial.
Hypothesis-generating for ATP-sensitive contractility in disease; leaves open in vivo relevance and clinical translation.
For patients with heart failure, myocardial ATP level can be reduced to one-half of that observed in healthy controls. This marked reduction (from ≈8 mM in healthy controls to as low as 3–4 mM in heart failure) has been suggested to contribute to impaired myocardial contraction and to the decreased pump function characteristic of heart failure. However, in vitro measures of maximum myofilament force generation, maximum shortening velocity, and the actomyosin ATPase activity show effective K M values for MgATP ranging from ≈10 μM to 150 μM, well below the intracellular ATP level in heart failure. Thus, it is not clear that the fall of myocardial ATP observed in heart failure is sufficient to impair the function of the contractile proteins. Therefore, we tested the effect of low MgATP levels on myocardial contraction using demembranated cardiac muscle preparations that were exposed to MgATP levels typical of the range found in non-failing and failing hearts. Consistent with previous studies, we found that a 50% reduction in MgATP level (from 8 mM to 4 mM) did not reduce maximum force generation or maximum velocity of shortening. However, we found that a 50% reduction in MgATP level caused a 20%–25% reduction in maximal power generation (measured during muscle shortening against a load) and a 20% slowing of cross-bridge cycling kinetics. These results suggest that the decreased cellular ATP level occurring in heart failure contributes to the impaired pump function of the failing heart. Since the ATP-myosin ATPase dissociation constant is estimated to be submillimolar, these findings also suggest that MgATP concentration affects cross-bridge dynamics through a mechanism that is more complex than through the direct dependence of MgATP concentration on myosin ATPase activity. Finally, these studies suggest that therapies targeted to increase adenine nucleotide pool levels in cardiomyocytes might be beneficial for treating heart failure.
No takes yet. Share an insight, caveat, or question.
Beard et al. (2022) studied Heart failure. Low MgATP levels vs. Normal MgATP levels (8 mM) was evaluated on Maximal power generation. Reducing MgATP levels from 8 mM to 4 mM in demembranated cardiac muscle caused a 20% to 25% reduction in maximal power generation and a 20% slowing of cross-bridge cycling kinetics.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: