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1 Department of Medicine, Duke University Medical Center, Durham, North Carolina 27710; 2 Medical Biotechnology Center, University of Maryland Biotechnology Institute, and 3 Department of Physiology, University of Maryland School of Medicine, Baltimore, Maryland 21201; 4 Institute of Neurobiology, University of Puerto Rico, San Juan, Puerto Rico 00901; and 5 Departamento de Bioquimica e Imunologia, Laboratorio de Membranas Excitaveis, Universidade Federal de Minas Gerais, Minas Gerais, Brazil
Heart failure and dilated cardiomyopathy develop in mice that
lack the muscle LIM protein (MLP) gene (MLP
/
). The
character and extent of the heart failure that occurs in MLP
/
mice were investigated using echocardiography and
in vivo pressure-volume (P-V) loop measurements. P-V loop data were
obtained with a new method for mice (sonomicrometry) using two pairs of
orthogonal piezoelectric crystals implanted in the endocardial wall.
Sonomicrometry revealed right-shifted P-V loops in MLP
/
mice, depressed systolic contractility, and additional evidence of
heart failure. Cellular changes in MLP
/
mice were
examined in isolated single cells using patch-clamp and confocal
Ca2+ concentration ([Ca2+]) imaging
techniques. This cellular investigation revealed unchanged Ca2+ currents and Ca2+ spark characteristics
but decreased intracellular [Ca2+] transients and
contractile responses and a defect in excitation-contraction coupling.
Normal cellular and whole heart function was restored in
MLP
/
mice that express a cardiac-targeted transgene,
which blocks the function of
-adrenergic receptor (
-AR) kinase-1
(
ARK1). These data suggest that, despite the persistent stimulus to
develop heart failure in MLP
/
mice (i.e., loss of the
structural protein MLP), downregulation and desensitization of the
-ARs may play a pivotal role in the pathogenesis. Furthermore, this
work suggests that the inhibition of
ARK1 action may prove an
effective therapy for heart failure.
contractility;
-adrenergic receptor; excitation-contraction
coupling; calcium signaling; transgenic;
-adrenergic receptor
kinase
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