DITPA prevents the blunted contraction-frequency relationship in myocytes from infarcted hearts

Am J Physiol Heart Circ Physiol. 2000 Mar;278(3):H862-70. doi: 10.1152/ajpheart.2000.278.3.H862.

Abstract

Loss of the positive force-frequency relationship is a characteristic finding in failing hearts. The mechanisms of this change are not well understood. Myocardial infarction (MI) was induced in rabbits to produce left ventricular (LV) dysfunction. Beginning 1 day after MI, a subgroup of rabbits received diiodothyropropionic acid (DITPA) (3.75 mg x kg(-1) x day(-1) sc) for 3 wk. We measured contractions, Ca(2+) transients, action potentials, and sarcoplasmic reticulum (SR) Ca(2+) content at different stimulation rates in single LV myocytes. The shortening-frequency relationship was markedly flattened in MI myocytes compared with control myocytes. In addition, Ca(2+) transients, action potentials, and contractions were prolonged. Myocytes from DITPA-treated MI rabbits had preserved inotropic responses to increased stimulation rate and normal duration of action potentials and Ca(2+) transients. SR Ca(2+) content increased significantly when stimulation rate was increased from 0.5 to 2.0 Hz in control myocytes but did not change significantly in MI myocytes. Myocytes from DITPA-treated MI rabbits had a greater frequency-dependent increase in SR Ca(2+) content compared with the untreated MI rabbits. Thus single myocytes from infarcted rabbit hearts have frequency-dependent abnormalities of contractility, Ca(2+) cycling, and action potential repolarization. The flattened contraction-frequency relationship can be partially explained by an attenuation of the normal enhancement of SR Ca(2+) content that occurs when stimulation rate is increased. Chronic DITPA administration after MI largely prevents the development of these abnormalities.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Action Potentials
  • Animals
  • Calcium / metabolism
  • Cell Size
  • Diiodothyronines / administration & dosage
  • Diiodothyronines / pharmacology*
  • Echocardiography
  • Electric Stimulation
  • Male
  • Myocardial Contraction / drug effects*
  • Myocardial Infarction / physiopathology*
  • Myocardium / pathology
  • Propionates / administration & dosage
  • Propionates / pharmacology*
  • Rabbits
  • Sarcoplasmic Reticulum / metabolism

Substances

  • Diiodothyronines
  • Propionates
  • 3,5-diiodothyropropionic acid
  • Calcium