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Am J Physiol Heart Circ Physiol (January 12, 2007). doi:10.1152/ajpheart.00392.2006
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Submitted on April 13, 2006
Accepted on January 5, 2007

Impact of Acute and Enduring Volume Overload on Mechanotransduction and Cytoskeletal Integrity of Canine Left-Ventricular Myocardium

Dirk W. Donker1, Jos G. Maessen2, Fons Verheyen3, Frans C. Ramaekers3, Roel L.H.M.G. Spätjens1, Helma Kuijpers3, Christian R. Ramakers4, Paul M.H. Schiffers5, Marc A. Vos6, Harry J.G.M. Crijns1, and Paul G.A. Volders1*

1 Cardiology, Cardiovascular Research Institute Maastricht, Maastricht, Netherlands
2 Cardiothoracic Surgery, Cardiovascular Research Institute Maastricht, Maastricht, Netherlands
3 Molecular Cell Biology, Cardiovascular Research Institute Maastricht, Maastricht, Netherlands
4 Department of Anatomy and Embryology, Experimental and Molecular Cardiology Group, Academic Medical Centre, Amsterdam, Netherlands
5 Pharmacology and Toxicology, Cardiovascular Research Institute Maastricht, Maastricht, Netherlands
6 Physiology, University Medical Center Utrecht, Utrecht, Netherlands

* To whom correspondence should be addressed. E-mail: p.volders{at}cardio.unimaas.nl.

It is poorly understood how mechanical stimuli influence in-vivo myocardial remodeling during chronic hemodynamic overload. Combined quantitation of ventricular mechanics and expression of key proteins involved in mechanotransduction can improve fundamental understanding. Methods: Adult anesthetized dogs (n=20) were studied at sinus rhythm (SR) and 0, 3, 10 and 35 days of complete atrioventricular block (AVB). Serial left-ventricular (LV) myofiber mechanics were measured. Repeated LV biopsies were analyzed for mRNA and/or protein expression of {beta}1D integrin, melusin, Akt, glycogen-synthase-kinase-3{beta} (GSK3{beta}), muscle LIM protein (MLP), four-and-a-half LIM protein 2 (fhl2), desmin, and calpain. Results: Upon AVB, increased ejection strain (0.29±0.01 vs. 0.13±0.02, SR) and end-diastolic stress (4.8±1.1 vs. 2.7±0.4 kPa) dominated mechanical changes. Brain natriuretic peptide plasma levels were correspondingly high (33±4 vs. 19±1 pg/mL, SR). {beta}1D-Integrin protein expression increased chronically after AVB. Melusin was temporarily overexpressed (+33±9%, 3 days AVB vs. SR), followed by elevated ratios of phosphorylated (P)-Akt / Akt and P-GSK3{beta} / GSK3{beta} (+26±6% and +30±8% at 10 days AVB vs. SR). These changes corresponded to peak hypertrophic growth at 3 to 10 days. MLP increased gradually to maxima at chronic AVB (+36±7%). In contrast, fhl2 (-22±3%, 3 days) and desmin (-30±9%, 10 days AVB) transiently declined but recovered at chronic AVB. Calpain protein expression remained unaltered. Conclusions: Volume overload after AVB causes a transient compromise of cytoskeletal integrity based, at least partly, on transcriptional downregulation. Subsequent cytoskeletal reorganization coincides with the upregulation of melusin, P-Akt, P-GSK3{beta} and MLP, indicating a strong drive to compensated hypertrophy.




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Am. J. Physiol. Heart Circ. Physiol.Home page
A. L. Baggish, K. Yared, F. Wang, R. B. Weiner, A. M. Hutter Jr., M. H. Picard, and M. J. Wood
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Am J Physiol Heart Circ Physiol, September 1, 2008; 295(3): H1109 - H1116.
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