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1Imperial College London, National Heart and Lung Institute, Harefield Heart Science Centre, Harefield, Middlesex, United Kingdom; and 2Department of Biochemistry, Medical University of Gdansk, Gdansk, Poland
Submitted 23 June 2004 ; accepted in final form 31 October 2004
Clenbuterol (Clen), a
2-agonist, is known to produce skeletal and myocardial hypertrophy. This compound has recently been used in combination with left ventricular assist devices for the treatment of end-stage heart failure to reverse or prevent the adverse effects of unloading-induced myocardial atrophy. However, the mechanisms of action of Clen on myocardial cells have not been fully elucidated. In an attempt to clarify this issue, we examined the effects of chronic administration of Clen on Ca2+ handling and substrate preference in cardiac muscle. Rats were treated with either 2 mg·kg1·day1 Clen or saline (Sal) for 4 wk with the use of osmotic minipumps. Ventricular myocytes were enzymatically dissociated. Cells were field stimulated at 0.5, 1, and 2 Hz, and cytoplasmic Ca2+ transients were monitored with the use of the fluorescent indicator indo-1 acetoxymethyl ester. Two-dimensional surface area and action potentials in current clamp were also measured. We found that in the Clen group there was significant hypertrophy at the organ and cellular levels compared with Sal. In Clen myocytes, the amplitude of the indo-1 ratio transients was significantly increased. Sarcoplasmic reticulum Ca2+ content, estimated by rapid application of 20 mM caffeine, was significantly increased in the Clen group. The action potential was prolonged in the Clen group compared with Sal. Carbohydrate contribution to the tricarboxylic cycle (Krebs cycle) flux was increased several times in the Clen group. This increase was associated with decreased expression of peroxisome proliferator-activated receptor-
. This study shows that chronic administration of Clen induces cellular hypertrophy and increases oxidative carbohydrate utilization together with an increase in sarcoplasmic reticulum Ca2+ content, which results in increased amplitude of the Ca2+ transients. These effects could be important when Clen is used in conjunction with left ventricular assist devices treatment.
sarcoplasmic reticulum Ca2+ content; tricarboxylic cycle; left ventricular assist devices
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