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Effects of chronic endothelin-1 stimulation on cardiac myocyte contractile function

¹Institut für Experimentelle und Klinische Pharmakologie und Toxikologie, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91054 Erlangen; and ²Institut für Experimentelle und Klinische Pharmakologie, Universitätsklinikum Hamburg-Eppendorf, 20246 Hamburg, Germany

Submitted 25 June 2003 ; accepted in final form 31 October 2003

Endothelin-1 (ET-1) has acute positive inotropic effects, but consequences of chronically increased ET-1 on contractile function of cardiac myocytes are largely unknown. In the present study, effects of long-term treatment with ET-1 (10 nM) for 5 days on both force development [force of contraction (FOC)] and kinetics of contraction were determined in heart tissue reconstituted from rat cardiac cells. Isometric force was measured in response to cumulative concentrations of Ca²⁺ and isoprenaline. ET-1 augmented basal FOC by 64 ± 11% (P < 0.05), which was associated with a significantly blunted contractile response to Ca²⁺ and isoprenaline. Moreover, ET-1 significantly prolonged relaxation (62 ± 3 vs. 53 ± 2 ms). Selective ET_A (BQ-123) and ET_B receptor blockade (BQ-788) demonstrated that effects of ET-1 on contractile function were mediated through the ET_A receptor subtype. Effects of ET-1 were prevented by cotreatment with either Ro31-8425, a PKC inhibitor, or dimethylamiloride, an inhibitor of the Na⁺/H⁺ exchanger. In contrast to long-term ET-1 treatment, no changes in contractile parameters were observed after ET-1 treatment for 3 h before force measurement. These data suggest that chronic ET-1 stimulation has dual effects on contractility: improvement of basal force but impairment of twitch kinetics and inotropic responsiveness to -adrenoceptor stimulation. The signaling pathways involved include ET_A receptors, PKC, and the Na⁺/H⁺ exchanger. The present in vitro findings raise the possibility that ET-1 may exert both adaptive and maladaptive effects in the failing myocardium in which local accumulation of ET-1 is present.

engineered heart tissue; Na⁺/H⁺ exchanger

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