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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 (
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 (
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 (
20%) without changes in resting Ca2+ or Ca2+ content of the sarcoplasmic reticulum (SR). On the other hand, density was decreased (
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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