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Am J Physiol Heart Circ Physiol 284: H2100-H2105, 2003. First published January 30, 2003; doi:10.1152/ajpheart.00888.2002
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Vol. 284, Issue 6, H2100-H2105, June 2003

Increased myocardial oxygen consumption by TNF-alpha is mediated by a sphingosine signaling pathway

Ulrich Hofmann1, Erik Domeier2, Stefan Frantz1, Martin Laser1, Barbara Weckler1, Peter Kuhlencordt1, Stefan Heuer1, Boris Keweloh2, Georg Ertl1, and Andreas W. Bonz1

1 Department of Medicine/Cardiology, University of Würzburg, 97080 Würzburg; and 2 Department of Cardiology/Pulmonology, University of Göttingen, 37075 Göttingen, Germany

The present study investigated the effect of tumor necrosis factor (TNF)-alpha on myocardial energy metabolism as estimated by myocardial oxygen consumption (MVO2). MVO2 of electrically stimulated isolated trabeculae of right ventricular Wistar rat myocardium was analyzed using a Clark-type oxygen probe. After the initial data collection in the absence of TNF-alpha , measurements were repeated after TNF-alpha stimulation. In separate experiments, pretreatment with the nitric oxide (NO) synthase inhibitor NG-nitro-L-arginine methyl ester (L-NAME) or the ceramidase inhibitor n-oleoylethanolamine (NOE) was done to investigate NO/sphingosine-related effects. TNF-alpha impaired myocardial economy at increasing stimulation frequencies without altering baseline MVO2. Incubation with TNF-alpha in the presence of L-NAME further impaired myocardial economy. NOE preincubation abrogated the TNF-alpha effect on myocardial economy. Moreover, the negative inotropic effect of TNF-alpha was observed in NOE-pretreated but not L-NAME-pretreated muscle fibers. Exogenous sphingosine mimicked the TNF-alpha effect on mechanics and energetics. We conclude that TNF-alpha impairs the economy of chemomechanical energy transduction primarily through a sphingosine-mediated pathway.

cytokines; nitric oxide; myocardial energy metabolism; tumor necrosis factor-alpha


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