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1Departments of Medicine and Pharmacology, Medical University of Ohio, Toledo, Ohio; 2Department of Medicine, Friendship Hospital, Beijing; 3The Institute of Nutrition and Food Hygiene, Chinese Academy of Medical Sciences, Beijing, China; and 4Proteomics Core Laboratory, Medical University of Ohio, Toledo, Ohio
Submitted 8 June 2006 ; accepted in final form 17 July 2006
The effect of cardiac glycosides to increase cardiac inotropy by altering Ca2+ cycling is well known but still poorly understood. The studies described in this report focus on defining the effects of ouabain signaling on sarcoplasmic reticulum Ca2+-ATPase function. Rat cardiac myocytes treated with 50 µM ouabain demonstrated substantial increases in systolic and diastolic Ca2+ concentrations. The recovery time constant for the Ca2+ transient, 
, was significantly prolonged by ouabain. Exposure to 10 µM H2O2, which causes an increase in intracellular reactive oxygen species similar to that of 50 µM ouabain, caused a similar increase in 
. Concurrent exposure to 10 mM N-acetylcysteine or an aqueous extract from green tea (50 mg/ml) both prevented the increases in 
as well as the changes in systolic or diastolic Ca2+ concentrations. We also observed that 50 µM ouabain induced increases in developed pressure in addition to diastolic dysfunction in the isolated perfused rat heart. Coadministration of ouabain with N-acetylcysteine prevented these increases. Analysis of sarcoplasmic reticulum Ca2+-ATPase protein revealed increases in both the oxidation and nitrotyrosine content in the ouabain-treated hearts. Liquid chromatography-mass spectrometric analysis confirmed that the sarcoplasmic reticulum Ca2+-ATPase protein from ouabain-treated hearts had modifications consistent with oxidative and nitrosative stress. These data suggest that ouabain induces oxidative changes of the sarcoplasmic reticulum Ca2+-ATPase structure and function that may, in turn, produce some of the associated changes in Ca2+ cycling and physiological function.
reactive oxygen species; cardiac signaling
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