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1 Department of Cardiothoracic Surgery and 2 Department of Cardiac Medicine, National Heart and Lung Institute, Imperial College School of Medicine, London SW3 6LY, United Kingdom; and 3 Laboratory of Cardiovascular Science, Gerontology Research Center, National Institute on Aging, Baltimore, Maryland 21224
Rapid cooling
contractures were used in this study to test whether low-dose ramipril
improves sarcoplasmic reticulum (SR) Ca2+ uptake and
Na+/Ca2+ exchanger function in isolated
hypertrophied rat myocytes. Compensated cardiac hypertrophy was induced
by abdominal aortic constriction for 5 wk followed by administration of
ramipril (50 µg · kg
1 · day
1) or
vehicle for 4 wk. Myocyte cell length and cell width were significantly
(P < 0.05) increased in both hypertrophied groups (±ramipril). Myocytes were loaded with indo 1, and relaxation was
investigated after rapid cooling. Hypertrophied myocyte relaxation in
Na+-free/Ca2+-free solution was 63% slower
(P < 0.01) and the fall in intracellular Ca2+ was 60% slower (P < 0.05) than the
relaxation of control cells. After ramipril treatment both relaxation
and the decline in intracellular Ca2+ returned to control
rates through improved SR Ca2+-ATPase function. Relaxation
in caffeine showed no change after hypertrophy; however, after ramipril
treatment the time to 50% relaxation in caffeine decreased by 30%
(P < 0.05). The improvement in Ca2+
extrusion across the sarcolemmal membrane occurred independently of
changes in Na+/Ca2+ exchanger mRNA and protein
abundance. These data demonstrate that ramipril improves both
SR-dependent and non-SR-dependent calcium cycling after established
cardiac hypertrophy. However, the improvements in function are
independent of transcriptional activation and likely to involve altered
intracellular ion concentrations.
myocytes; Na+/Ca2+ exchanger; sarcoplasmic reticulum; ATPase; mRNA; protein abundance
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