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1 Institut fur Pathophysiologie, Zentrum fur Innere Medizin, Universitatsklinikum Essen, Essen, Germany
2 Institut fur Physiologische Chemie, Universitatsklinikum Essen, Essen, Germany
* To whom correspondence should be addressed. E-mail: rainer_schulz{at}uni-essen.de.
In hearts with chronic left ventricular (LV) systolic dysfunction secondary to hypertension or myocardial infarction, mitogen activated protein kinase (MAPK) phosphorylation and/or activity are increased. Whether other settings of LV dysfunction, not associated with ischemia/reperfusion, are also characterized by increased MAPK phosphorylation or activity is unknown. After 3 weeks of rapid LV pacing (400 bpm), 8 rabbits displayed clinical signs of heart failure (HF), and echocardiography revealed an increase in LV end-diastolic diameter from 15.6±0.7(SEM) to 18.8±0.7 mm and a reduced shortening fraction from 31±1 to 10±2% (both p<0.05). Morphological alterations in HF included increased number of TUNEL-positive cardiomyocytes, the extent of fibrosis and cross sectional cardiomyocyte area. Total p38 MAPK did not differ between failing and 8 normal hearts. However, p38 MAPK phosphorylation (164488±29323 vs. 43565±14817 AU, p<0.05, densitometry) and the activities of p38 MAPK alpha and beta were increased in failing compared to normal hearts (149441±38381 and 170430±32952 vs. 68815±28984 and 81788±22774 AU, respectively, both p<0.05). In failing as compared to normal hearts, total and phosphorylated jnk46 and jnk54 MAPK were increased, while total and phosphorylated erk MAPK remained unchanged. Conclusion: In pacing-induced HF, p38 and jnk MAPK phosphorylation as well as p38 MAPK activity are increased. Further studies will have to define whether or not chronic specific blockade of MAPK activity can interfere with apoptosis/fibrosis and thereby attenuate the progression of HF.
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