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Am J Physiol Heart Circ Physiol 276: H1678-H1690, 1999;
0363-6135/99 $5.00
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Vol. 276, Issue 5, H1678-H1690, May 1999

Cellular and molecular remodeling in a heart failure model treated with the beta -blocker carteolol

Judith K. Gwathmey1,2, Catherine S. Kim1,2, Roger J. Hajjar3, Farid Khan4, Thomas G. DiSalvo3, Akira Matsumori5, and Michael R. Bristow4

1 Integrated Physiology Research Laboratories, Boston University School of Medicine, Cambridge, Massachusetts 02138; 2 Whitaker Cardiovascular Institute, Boston, Massachusetts 02118; 3 Cardiac Unit, Massachusetts General Hospital, Boston, Massachusetts 02114; 4 Division of Cardiology, University of Colorado, Denver, Colorado 80262; and 5 Third Division, Department of Internal Medicine, Kyoto University, Kyoto 606, Japan

Broad-breasted white turkey poults fed furazolidone developed dilated cardiomyopathy (DCM) characterized by ventricular dilatation, decreased ejection fraction, beta 1-receptor density, sarcoplasmic reticulum (SR) Ca2+-ATPase, myofibrillar ATPase activity, and reduced metabolism markers. We investigated the effects of carteolol, a beta -adrenergic blocking agent, by administrating two different dosages (0.01 and 10.0 mg/kg) twice a day for 4 wk to control and DCM turkey poults. At completion of the study there was 59% mortality in the nontreated DCM group, 55% mortality in the group treated with the low dose of carteolol, and 22% mortality in the group treated with the high dose of carteolol. Both treated groups showed a significant decrease in left ventricle size and significant restoration of ejection fraction and left ventricular peak systolic pressure. Carteolol treatment increased beta -adrenergic receptor density, and the high carteolol dose restored SR Ca2+-ATPase and myofibrillar ATPase activities, along with creatine kinase, lactate dehydrogenase, aspartate transaminase, and ATP synthase activities, to normal. These results show that beta -blockade with carteolol improves survival, reverses contractile abnormalities, and induces cellular remodeling in this model of heart failure.

beta -receptor antagonist; turkey; cellular mechanisms


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