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1Portland State University, Portland, Oregon; 2Department of the Heart and Great Vessels "Attilio Reale," University "La Sapienza": UOC Biotechnologies Applied to Cardiovascular Diseases, Rome, Italy; 3Institut National de la Santé et de la Recherche Médicale, Athérosclérose, Pessac, France; and 4Université Victor Ségalen Bordeaux 2, and 5Centre National de la Recherche Scientifique, Université Victor Ségalen Bordeaux 2, and 6Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France
Submitted 21 November 2005 ; accepted in final form 29 January 2006
This study investigates the role of the mitochondrial ATP-sensitive K+ channel (mitoKATP) in response to positive inotropic stress. In Langendorff-perfused rat hearts, inotropy was induced by increasing perfusate calcium to 4 mM, by adding 80 µM ouabain or 0.25 µM dobutamine. Each of these treatments resulted in a sustained increase in rate-pressure product (RPP) of
60%. Inhibition of mitoKATP by perfusion of 5-hydroxydecanoate (5-HD) or tetraphenylphosphonium before induction of inotropic stress resulted in a marked attenuation of RPP. Inhibition of mitoKATP after induction of stress caused the inability of the heart to maintain a high-work state. In human atrial fibers, the increase in contractility induced by dobutamine was inhibited 60% by 5-HD. In permeabilized fibers from the Langendorff-perfused rat hearts, inhibition of mitoKATP resulted, in all cases, in an alteration of adenine nucleotide compartmentation, as reflected by a 60% decrease in the half-saturation constant for ADP [K1/2 (ADP)]. We conclude that opening of cardiac mitoKATP is essential for an appropriate response to positive inotropic stress and propose that its involvement proceeds through the prevention of stress-induced decrease in mitochondrial matrix volume. These results indicate a physiological role for mitoKATP in inotropy and, by extension, in heart failure.
mitochondria; creatine kinase; calcium; dobutamine; ouabain
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