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Am J Physiol Heart Circ Physiol (January 19, 2007). doi:10.1152/ajpheart.01164.2006
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Submitted on October 23, 2006
Accepted on January 9, 2007

Cellular mechanisms of burn-related changes in contractility and its prevention by mesenteric lymph ligation

Kentaro Kawai1, Tomoko Kawai1, Justin T Sambol1, Da-Zhong Xu1, Zhiqiang Yuan1, Frank Caputo, Chirag Badami1, Edwin A. Deitch2, and Atsuko Yatani1*

1 Surgery, UMDNJ - NJ Medical School, Newark, New Jersey, United States
2 Surgery, UMD-New Jersey Medical School, Newark, New Jersey, United States

* To whom correspondence should be addressed. E-mail: yataniat{at}umdnj.edu.

Major burn injury results in impairment of left ventricular (LV) contractile function. There is strong evidence to support the involvement of gut-derived factor(s) transported in mesenteric lymph in the development of burn-related contractile dysfunction; i.e., mesenteric lymph duct ligation (LDL) prevents burn-related contractile depression. However, the cellular mechanisms for altered myocardial contractility of post-burn hearts are largely unknown and the cellular basis for the salutary effects of LDL on cardiac function have not been investigated. We examined contractility, Ca2+ transients and L-type Ca2+ currents (ICa) in LV myocytes isolated from four groups of rats: 1) sham burn, 2) sham burn with LDL (sham+LDL), 3) burn ({cong}40% of total body surface area burn), and 4) burn with LDL (burn+LDL). Myocytes isolated from hearts at 24 hrs post-burn had a depressed contractility ({cong}20%) at baseline and blunted responsiveness to elevation of bath Ca2+. Myocyte contractility was comparable in sham+LDL and sham burn hearts. LDL completely prevented burn-related changes in myocyte contractility. Mechanistically, the decrease in contractility in myocytes from post-burn hearts occurred with a decrease in the amplitude of Ca2+ transients ({cong}20%) without changes in resting Ca2+ or Ca2+ content of the sarcoplasmic reticulum (SR). On the other hand, density was decreased ({cong}30%) in myocytes from post-burn hearts, with unaltered voltage-dependent properties. Thus, burn-related myocardial contractile dysfunction is linked with depressed myocyte contractility associated with a decrease in ICa density. These findings also provide strong evidence that mesenteric lymph is involved in the onset of burn-related cardiomyocyte dysfunction.




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J. T. Sambol, M. A. Lee, F. J. Caputo, K. Kawai, C. Badami, T. Kawai, E. A. Deitch, and A. Yatani
Mesenteric lymph duct ligation prevents trauma/hemorrhage shock-induced cardiac contractile dysfunction
J Appl Physiol, January 1, 2009; 106(1): 57 - 65.
[Abstract] [Full Text] [PDF]




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