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July 1, 1994Cardiovascular Research25 citationsOpen Access

Positive inotropism and myocardial energetics: influence of   receptor agonist stimulation, phosphodiesterase inhibition, and ouabain

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CHChristian HolubarschGHGerd HasenfußHJH. Just

Key Result

Epinine, E-1020, and ouabain increased peak developed force in guinea pig papillary muscles, but epinine and E-1020 decreased the economy of isometric contraction while ouabain left it unchanged.

Structured PICO

Do epinine, E-1020, or ouabain alter myocardial force development and heat production in guinea pig papillary muscles?

P
Population
Guinea pig papillary muscles (n=17)
I
Intervention
Epinine (beta adrenoceptor stimulation), E-1020 (phosphodiesterase inhibition), and ouabain (sodium-potassium ATPase inhibition) at optimal concentrations
C
Comparator
Baseline (pre-intervention measurements)
O
Outcome
Myocardial force development (peak developed force) and heat production (tension dependent and tension independent heat)surrogate

In guinea pig papillary muscles, epinine and E-1020 reduce overall contraction economy by increasing tension independent heat and decreasing crossbridge force-time integral, whereas ouabain increases muscle activation without altering crossbridge kinetics.

Abstract

OBJECTIVE: The aim was to study the effect of three positive inotropic interventions on myocardial force development and heat production in guinea pig papillary muscles in order to investigate the energetic consequences. METHODS: The positive inotropic agents used were epinine (beta adrenoceptor stimulation), E-1020 (phosphodiesterase inhibition), and ouabain (sodium-potassium ATPase inhibition). Heat measurements were accomplished using antimony-bismuth thermopiles, and initial heat was separated into tension dependent and tension independent heat using the butanedione-monoxime (BDM) and the shortening methods. RESULTS: Optimal concentrations of epinine, E-1020, and ouabain increased peak developed force from 20.0(SD 6.6) to 55.5(9.3) (n = 5; p < 0.01), from 20.9(9.1) to 27.2(7.2) (n = 6; p < 0.05), and from 23.4(9.2) to 44.9(18.0) mN.mm-2 (n = 6; p < 0.01), respectively. Epinine and E-1020 decreased the tension-time integral per unit initial heat, ie, the economy of isometric contraction, from 5.5(1.4) to 3.6(0.5) (p < 0.01) and from 5.5(1.4) to 3.1(0.9) N.m.s.J-1 (p < 0.01), respectively; no significant change was observed with ouabain 6.7(1.4) to 8.3(0.5) N.m.s.J-1. The tension independent heat (calcium turnover) was measured in two different ways using BDM or shortening to abolish force production. It was increased significantly by epinine (by 141-243%), E-1020 (by 77-114%), and ouabain (by 23-38%). The first measurement in brackets is the BDM estimate, the second is the shortening estimate. From the tension-time integral and the tension dependent heat the crossbridge force-time integral was analysed: epinine and E-1020 decreased the crossbridge force-time integral from 0.46(0.16) to 0.31(0.06) pN.s (p < 0.01) and from 0.50(0.19) to 0.31(0.08) pN.s (p < 0.01), respectively, while ouabain left the force-time integral unchanged 0.59(0.27) to 0.63(0.20) pN.s. CONCLUSIONS: (1) The inotropic effect of ouabain results from an increase in muscle activation with no change in crossbridge kinetics; (2) epinine and E-1020 increase the tension independent heat and decrease the crossbridge force-time integral, both effects reducing the overall economy; and (3) the shortening and BDM methods for measuring the tension independent heat give qualitatively similar but quantitatively different results.

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Cite This Study

Holubarsch et al. (1994) studied Guinea pig papillary muscles (animal model) (n=17). Epinine, E-1020, and ouabain vs. Baseline was evaluated on Peak developed force and heat production. Epinine, E-1020, and ouabain increased peak developed force in guinea pig papillary muscles, but epinine and E-1020 decreased the economy of isometric contraction while ouabain left it unchanged.

synapsesocial.com/papers/6a0aafba4f5e7da68b2e0285https://doi.org/10.1093/cvr/28.7.994
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Concentration-response curves of positive inotropic agents before and after ouabain pretreatment1985 · 25 citations
  2. 2New Inotropic Concepts: Rationale for and Differences between Calcium Sensitizers and Phosphodiesterase Inhibitors2008 · 30 citations
  3. 3Influence of Isoproterenol and Ouabain on Excitation-Contraction Coupling, Cross-Bridge Function, and Energetics in Failing Human Myocardium1996 · 54 citations
  4. 4Energetic aspects of inotropic interventions in rat myocardium1987 · 30 citations
  5. 5Independence of the positive inotropic effect of ouabain from the inhibition of the heart Na+/K+ pump.1980 · 37 citations