Key result
A cardiac muscle kinetic model in guinea pig hearts predicted a better-restored relationship between Ca2+ and cross-bridge function on reperfusion after 17°C ischemia compared to 37°C ischemia.
Cold ischemia (17°C) for 240 minutes preserves cross-bridge kinetics and Ca2+ responsiveness better than 30 minutes of normothermic (37°C) ischemia in a guinea pig heart model.
Does not support altering clinical myocardial protection temperatures; leaves open translation of guinea pig cross-bridge kinetics to human ischemia-reperfusion.
We modeled changes in contractile element kinetics derived from the cyclic relationship between myoplasmic [Ca(2+)], measured by indo 1 fluorescence, and left ventricular pressure (LVP). We estimated model rate constants of the Ca(2+) affinity for troponin C (TnC) on actin (A) filament (TnCA) and actin and myosin (M) cross-bridge (A x M) cycling in intact guinea pig hearts during baseline 37 degrees C perfusion and evaluated changes at 1) 20 min 17 degrees C pressure, 2) 30-min reperfusion (RP) after 30-min 37 degrees C global ischemia during 37 degrees C RP, and 3) 30-min RP after 240-min 17 degrees C global ischemia during 37 degrees C RP. At 17 degrees C perfusion versus 37 degrees C perfusion, the model predicted: A x M binding was less sensitive; A x M dissociation was slower; Ca(2+) was less likely to bind to TnCA with A x M present; and Ca(2+) and TnCA binding was less sensitive in the absence of A x M. Model results were consistent with a cold-induced fall in heart rate from 260 beats/min (37 degrees C) to 33 beats/min (17 degrees C), increased diastolic LVP, and increased phasic Ca(2+). On RP after 37 degrees C ischemia vs. 37 degrees C perfusion, the model predicted the following: A x M binding was less sensitive; A x M dissociation was slower; and Ca(2+) was less likely to bind to TnCA in the absence of A. M. Model results were consistent with reduced myofilament responsiveness to [Ca(2+)] and diastolic contracture on 37 degrees C RP. In contrast, after cold ischemia versus 37 degrees C perfusion, A x M association and dissociation rates, and Ca(2+) and TnCA association rates, returned to preischemic values, whereas the dissociation rate of Ca(2+) from A x M was ninefold faster. This cardiac muscle kinetic model predicted a better-restored relationship between Ca(2+) and cross-bridge function on RP after an eightfold longer period of 17 degrees C than 37 degrees C ischemia.
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Rhodes et al. (2003) studied Myocardial ischemia and reperfusion. 17°C ischemia and reperfusion vs. 37°C ischemia and reperfusion was evaluated on Changes in contractile element kinetics (cross-bridge cycling and Ca2+ affinity). A cardiac muscle kinetic model in guinea pig hearts predicted a better-restored relationship between Ca2+ and cross-bridge function on reperfusion after 17°C ischemia compared to 37°C ischemia.
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