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Articles in PresS, published online ahead of print June 27, 2002
Am J Physiol Heart Circ Physiol, 10.1152/ajpheart.00186.2002
Submitted on March 4, 2002
Accepted on June 14, 2002
1 Medicine, Geisinger Medical Center, Danville, Pennsylvania, USA
2 Weis Center for Research, Geisinger Medical Center, Danville, Pennsylvania, USA
3 Biochemistry & Molecular Biology, University of Calgary, Calgary, Alberta, Canada
4 Weis Center for Research, Geisinger Medical Center, Danville, Pennsylvania, USA; Medicine, Geisinger Medical Center, Danville, Pennsylvania, USA
* To whom correspondence should be addressed. E-mail: jcheung{at}geisinger.edu.
Previous studies on myocytes isolated from rat hearts 3 wk after myocardial infarction (MI) demonstrated depressed Na+/Ca2+ exchange (NCX1), altered contractility and intracellular Ca2+ concentration ([Ca2+]i) transients. In the present study we investigated whether NCX1 downregulation in normal adult rat myocytes resulted in contractility changes observed in MI myocytes. Compared with control myocytes infected with adenovirus expressing green fluorescent protein (GFP) only, myocytes infected with adenovirus expressing both GFP and antisense (AS) to NCX1 had 30% less NCX1 (p<0.01) at 3 days and 66% less NCX1 at 6 days (p=0.0003). Half-time of relaxation from caffeine-induced contracture, an estimate of forward Na+/Ca2+ exchange activity, was twice as long (p<0.0002) in ASNCX1 myocytes. Sarcoplasmic reticulum (SR) Ca2+-ATPase abundance, SR Ca2+ uptake, resting membrane potential,action potential amplitude and duration, L-type Ca2+ current density and cell size were not affected by ASNCX1 treatment. At extracellular calcium concentration ([Ca2+]o) of 5 mM, ASNCX1 myocytes had significantly lower contraction and [Ca2+]i transient amplitudes and SR Ca2+ contents than control myocytes. At 0.6 mM [Ca2+]o, contraction and [Ca2+]i transient amplitudes and SR Ca2+ contents were significantly higher in ASNCX1 myocytes. At 1.8 mM [Ca2+]o, contraction and [Ca2+]i transient amplitudes were not different between control and ASNCX1 myocytes. This pattern of contractile and [Ca2+]i transient abnormalities in ASNCX1 myocytes mimics that observed in rat MI myocytes. We conclude that downregulation of NCX1 in adult rat myocytes resulted in decreases in both Ca2+ influx and efflux during a twitch. We suggest that depressed Na+/Ca2+ exchange activity may partly account for the contractile abnormalities after myocardial infarction.
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