Effects of catestatin on ventricular arrhythmia in isolated rat hearts with chronic heart failure

AIM:To determine the effects of catestatin (CST) on ventricular arrhythmia (VA) in isolated rat hearts with chronic heart failure (CHF). METHODS:Fifty-one male rats were randomly divided into 2 groups: control (CTL) group (n=17) and CHF group (n=34), which were injected with 0.9% normal saline (1 mL·kg-1·d-1, ip) and isoproterenol (ISO, 5 mg·kg-1·d-1, ip) for 7 d,respectively. The echocardiography was used to assess the cardiac functions 2 weeks after the end of modeling in both groups. The CHF rats were divided into non-treatment group (n=17) and CST treatment group (CST group, n=17). The rats in CST group was given CST (2 nmol·kg-1·d-1, ip) for 3 weeks, while 0.9% normal saline (1 mL·kg-1·d-1, ip) was applied to the rats in non-treatment group. To all the whole Langendorff-perfused hearts, the monophasic action potential (MAP) and the ventricular effective refractory period (VERP) were recorded and measured in left anterior free wall (LAF). The programmed electrical stimulation and burst pacing were used to induce action potential duration (APD) alternans (ALT) and VA in the LAF, respectively. The car-diac myocytes of LAF were enzymatically isolated and the technique of whole-cell patch clamp was used to record L-type Ca2+ current (ICa-L). RESULTS:Compared with CTL group, the peak ICa-L density, 90% of MAP duration (MAPD90), VERP, median of maximum pacing cycle length (PCLmax) inducing APD-ALT and incidence of VA (83.33% vs 1667%) were significantly increased in non-treatment group (all P<0.01). Compared with non-treatment group, the peak ICa-L density, MAPD90, VERP, median of PCLmax inducing APD-ALT and incidence of VA were significantly decreased in CST group (all P<0.05). CONCLUSION: Treatment with CST reduces the incidence of VA in CHF rats, which might be associated with the inhibition of ICa-L.     

The changes of intrarenal endothelin system in the course of congestive heart failure induced by rapid right ventricular pacing in dogs

AIM: To investigate the changes of intrarenal endothelin system in the course of congestive heart failure. METHODS: A canine congestive heart failure model induced by rapid right ventricular pacing was used in the present study. Twenty-one mongrel dogs divided randomly into 3 groups: control, congestive heart failure 2 weeks (CHF2) and congestive heart failure 4 weeks (CHF4). The severity of heart failure was evaluated by means of hemodynamic measurement. The concentration of plasma endothelin was detected via RIA, and the expression of endothelin was detected by RT-PCR. RESULTS: The concentration of plasma endothelin in both of CHF2 and CHF4 elevated significantly. In CHF2, the expression of endothelin receptor B(ETB) in renal medulla increased significantly. And in CHF4, the expression of preproendothelin, endothelin receptor A (ETA) and ETB increased both in renal cortex and medulla. Furthermore, in cortex, the expression of ETA increased more significantly than ETB, while in medulla, ETB expressed much more than ETA. CONCLUSION: The changes of renal endothelin system expression plays a role in the regulation of water and electrolyte balance during the progress of congestive heart failure.     

Effect of β3-adrenoceptor activation on ventricle fibrillation threshold and effective refractory period in rats with heart failure

AIM: To observe the effect of β₃-adrenoceptor (AR) on ventricle fibrillation threshold (VFT) and effective refractory period (ERP) in rats with heart failure.METHODS: Rats were randomized into control group and heart failure group. The expression of β₃- AR mRNA was detected with RT-PCR. The VFT, ERP, left ventricle end-systolic pressure(LVESP)，left ventricle end-diastolic pressure(LVEDP), +dp/dtmax and -dp/dtmax were measured at the same time with administration of BRL37344 (β₃-AR agonist).RESULTS: ① Both the expression of β₃-AR mRNA and the proportion (β₃/β₁+β₂+β₃) were increased in failure rats comparied with those in control rats (0.028 vs 0.011 and 5.4% vs 1.2%, P<0.05). ② ERP was longer in rats with heart failure than that in control group (70.5 ms±5.5 ms vs 59.5 ms±6.4 ms, P<0.05). No difference in ERP in rats with heart failure was observed before and after administration of BRL37344 (73.0 ms±4.8 ms vs 70.5 ms±5.5 ms, P>0.05). ③ VFT was lower in rats with heart failure than that in control group (10.9 mV±0.8 mV vs 30.5 mV±1.3 mV, P<0.05) and decreased obviously in rats with heart failure after administration of BRL37344 (7.1 mV±0.6 mV vs 10.9 mV±0.8 mV, P<0.05). The decrease in VFT correlated with the effect of LVESP, +dp/dtmax, -dp/dtmax with BRL37344 and the expression of β₃-AR mRNA (correlation coefficient: 0.788, 0.708, 0.759, 0.787; P<0.05). CONCLUSION: The expression of β₃-AR mRNA in left ventricle is obviously increased in rats with heart failure. The activation of β₃-AR has no effect on ERP but can decrease VFT which correlates with the effect of β₃-AR on LVESP, +dp/dtmax, -dp/dtmax and the expression of β₃-AR mRNA.     

Effects of different ages on ventricular remodeling after ischemic heart failure in mice

AIM: To observe ventricular remodeling induced by ischemic heart failure in the mice at different ages.METHODS: Three-month-old (young group, n=50) and 18-month-old (old group, n=50) male C57BL/6J mice were selected in the study. Forty mice underwent ligation of left coronary artery with certain infarct size, and 10 were sham-operated for control. Echocardiography was performed after 8 weeks of infarction. All mice were killed and the hearts were collected for examinations. Masson trichrome staining was used to detect myocardial fibrosis. The expression of type I and type Ⅲ collagens was measured by the method of immunohistochemistry.RESULTS: The incidences of cardiac rupture (18% vs 10%, P<0.05) and heart failure (22% vs 10%, P<0.05) were significantly higher in aged mice than those in young mice. The degrees of left ventricular dilation, contractile dysfunction and heart rate were significantly higher in aged mice than those in young mice (P<0.05). The left ventricular mass index, collagen volume fraction, the expression of type I collagen and ratio of type Ⅰ/Ⅲ collagens were significantly increased in aged mice as compared with young mice (P<0.05).CONCLUSION: After heart failure, aged mice show abnormal collagen distribution, and suffer from worse cardiac functions and more serious ventricular remodeling.     

Characteristics of transient outward potassium current in repolarization 1 phase from the canine right ventricular mid-myocardial cells

AIM: To examine the electrophysiological characteristics of transient outward potassium current(Ito₁) in repolarization 1 phase from the canine right ventricular M cells. METHODS: By use of whole cell patch-clamp technique, we quantitatively researched the ionic intensity, density of Ito₁ and the notch magnitude of action potential in repolarization 1 phase. RESULTS: (1) The activating process of Ito₁ of canine right ventricular M cells presented evident voltage-dependency. Under the condition of 37℃, 5 000 ms, 0 mV and +70 mV, the average peak Ito₁ intensity of right ventricular M cell were (690±380) pA and (3 130±1 910) pA, respectively (P＜0.01). (2) The Ito₁ intensity of canine right ventricular M cell possessed obvious frequent dependency. Under the condition of 37℃,+70 mV, 500 ms and 5 000 ms, the average peak Ito₁ intensity were (1 690±830) pA,(3 130±1 910) pA, respectively(P＜0.01), corresponding to the increase of action potential "spike-dome" magnitude in repolarization 1 phase. CONCLUSION: Potent Ito₁ as well as the "spike-dome"-like action potential figure mediated by Ito₁ is one of the prominent electrophysiological characteristics of the canine right ventricular M cells.     

Effects of action potential duration restitution on ventricular arrhythmia in chronic heart failure rabbit hearts

AIM: To determine the effects of action potential duration restitution (APDR) on ventricular arrhythmia (VA) in Langendorff-perfused chronic heart failure (CHF) rabbit hearts. METHODS:Twenty male New Zea-land rabbits were equally divided into 2 groups randomly: control (CTL) group and CHF group. CHF was induced by abdominal aortic banding for 14 d. The echocardiography was applied to assess the cardiac function and structural change in both groups 4 weeks after the end of modeling. In the whole Langendorff-perfused hearts, the monophasic action potential (MAP) and the effective refractory period (ERP) were recorded and measured in ventricular chamber, and the action potential duration (APD) curves were also constructed in both groups. The burst pacing was used to induce APD alternans and VA. RESULTS: Compared with the same sites of CTL group, the 90% of MAP duration (MAPD90), the ERP, the maximal slope (Smax) of APDR curves were increased in CHF group (all P<0.05). The VAs in CHF group were easier to be induced than those in CTL group (all P<0.05). The coefficients of variation of Smax (COV-Smax) of APDR curves in CHF group were greater than those in CTL group (all P<0.05).CONCLUSION: Both Smax and COV-Smax of APDR curves increase during CHF to facilitate the ventricular arrhythmia.     

Effects of pentoxifylline on ventricular remodeling and cardiac function of dilated cardiomyopathy rats

AIM: To explore the effects of pentoxifylline (PTX) on ventricular remodeling and cardiac function in dilated cardiomyopathy (DCM) rats.METHODS: Lewis rats were randomly allocated to a myocin-induced dilated cardiomyopathy (DCM) group receiving saline (n=10), a DCM group receiving PTX (PTX group; 25 mg·kg^-1·d^-1, ip, for 30 days, n=10) or healthy control group (n=10). The levels of tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6) and IL-10 in the blood plasma were analyzed by ELISA. The extent of fibrosis was estimated using Massons staining and immunohistochemistry analyses. Cardiac structure and function were measured by echocardiography.RESULTS: PTX decreased plasma levels of TNF-α and IL-6, and increased IL-10 level in DCM animals compared with DCM group ［TNF-α: (7.21±0.24) μg/L vs (19.30±1.31) μg/L, P<0.01; IL-6: (119.60±36.58) ng/L vs (189.50±13.25) ng/L, P<0.05; IL-10: (41.26±3.27) μg/L vs (32.45±4.32) μg/L, P<0.05］. Collagen volume fraction (CVF), perivascular collagen area (PVCA) and collagen Ⅰ/Ⅲ ratio were lower in PTX group than those in DCM group ［CVF: (16.45±3.01)% vs (23.33±4.43)%, P<0.05; PVCA: 4.58±2.10 vs 13.74±4.29, P<0.05; Ⅰ/Ⅲ ratio: 2.84±0.67 vs 4.22±0.54, P<0.01］. Left ventricular end-diastolic dimension reduced ［(6.11±0.51) mm vs (6.46±0.28) mm, P<0.05］ and left ventricular ejection fraction elevated ［(77.29±5.20)% vs (62.73±10.11)%, P<0.01］ by PTX compared with DCM.CONCLUSION: PTX modulates plasma levels of inflammatory cytokines, delays the ventricle remodeling and improves the heart function in DCM rats.     

Effects of FKBP12.6 gene on canine heart failure transfected by ultrasound mediated destruction of microbubbles

AIM: To investigate the effect of gene transfection of FKBP12.6 (FK12.6 binding protein) on the canine failing heart induced by rapid ventricular pacing. METHODS: Three weeks after onset of rapid ventricular pacing (250 bpm), 28 canines were divided into 4 groups. Either pcDNA3.1-FKBP12.6 plasmid encoding human FKBP12.6 gene (transfection groupⅠ,Ⅱ; observed at the 4th or 14th days respectively after transfection) or empty vector (controlⅠ,Ⅱ) was transferred into myocardium under ultrasonic microbubble destruction. After transfection, maintenance pacing at a reduced rate (190 beats/min) was continued until end-point of experiment. Echocadiographic, hemodynamic and plasmic ANP (atrial natriuretic peptide), BNP (brain natriuretic peptide) data were collected three times (before pacing, before transfection and endpoint). Semiquantative RT-PCR was used to identify FKBP12.6 expression in myocardium. RESULTS: Gene transfection of FKBP12.6 elevated expression of FKBP12.6 mRNA 3.5 folds at day 4, and 1.7 folds at day 14 respectively, compared with control group. Significant improvements of cardiac function, hemodynamics and plasmic concentrations of ANP, BNP were observed in transfection groupⅠ and these effects were stable for at least 2 weeks. Cardiac output (CO), ejection fraction (EF) and fractional shortening (FS) were still lower than pre-pacing although they increased in transfection groups. Left ventricular end-diastolic diameter (LVEDD) and left ventricular end-diastolic volume (LVEDV) decreased at day 14 but LVEDD remained unchanged at day 4 compared with pre-transfection. CONCLUSION: Gene transfection of FKBP12.6 improves cardiac functions in the failing heart and reverses myocyte remodeling. This might be a novel therapeutic application for treating human heart failure.     

Hypoxia facilitates rapid pacing-induced calcium transient alternations in ventricular myocytes

AIM:To explore the effect of hypoxia on rapid pacing-induced calcium transient alternations in ventricular myocytes.METHODS:Ventricular myocytes were isolated from the heart of adult SD rats and cultured in serum-free hypoxic fluid to set up an in vitro model of hypoxia-induced cardiac injury. The calcium transient and its alternations were investigated under confocal laser scanning microscope. The mitochondrial function was also examined by WST-8 kit. RESULTS:Under normoxic condition, the ventricular myocytes were claviform. Low frequency of pacing, ranging from 60 to 240 min^-1, induced calcium transient, but not calcium transient alternations, which was elicited by the pacing over a threshold frequency of(288 ±27)min^-1. Exposure of the ventricular myocytes to hypoxia did not obviously affect the morphology of the cells, but reduced the threshold frequency of pacing to(227±26) min^-1(P<0.05). Additionally, exposure of the cells to hypoxia repressed the activity of mitochondrial dehydrogenase from(100.2±8.7)%(control group) to(57.6±7.5)%, which was partially blocked by L-type Ca²⁺ channel inhibitor. CONCLUSION:Hypoxia facilitates calcium transient alternations induced by rapid pacing, and the calcium transient alternations are involved in the hypoxia-injured mitochondria function.     

Urinary concentration of aquaporin-2 water channel protein at different stages of chronic heart failure rats

AIM: To study urinary concentration of aquaporin-2 water channel protein(AQP2) at different stages of chronic heart failure(CHF) rats and its relation to hyponatremia. METHODS: Male Sprague-Dawley rats(200~250 g) underwent either a left coronary artery ligation (a model of CHF) or a sham-operation. At different stage after surgery, urinary AQP2 concentration was measured by Western blot. 24-hours urine volume, serum sodium and urine osmolality were measured at the same time. RESULTS: There were two peaks of urinary excretion of AQP2 in severe heart failure rats model: one was the third day after operation, the other was the 9th week. Serum sodium and urine osmolality were significantly different in CHF rats as compared with sham-operated rats. Seven weeks after surgery, urinary AQP2 concentration was increased significantly insevere CHF rats compared with the mild ones and the control ones(365%±103% vs 179%±81% and 99%±48%, P＜0.01).CONCLUSION: The variation of urinary AQP2 excretion at different stages after ligation showed that the expression of AQP2 gene was increased obviously in CHF rats, and its expression level was higher as the heart failure became more severe.This is the important reason of heart failure with hyponatremia.     

Cardiac L-type calcium channel and its alterations in cardiac hypertrophy and heart failure

There are two type of cardiac calcium channel current, both are inward current: (1) L-type Ca²⁺channel current (I_ca-L), plays a major role in determining myocyte action potential plateau characteristics as well as initiating the myocyte excitation-contraction coupling; (2) T-type Ca²⁺ channel current (I_ca-T), probably plays an important role in pacemaker activity. The alterations of L-type calcium channel abundance and function in cardiac hypertrophy and heart failure are determined by the the species difference, especially by the stage of the disease process and the degree of the disease. Both abundance and function of L-type calcium channel decrease in severe hypertrophy and heart failure.     

Change of Gq-phosphoinositide signaling pathway in left ventricular tissue in rats with chronic heart failure and reverse effect of benazepril on it

AIM: To investigate the changes of Gq-phosphoinositide pathway in left ventricular tissue of rats with chronic heart failure in order to assess the role of this signal pathway in the formation of heart failure. METHODS: Male Sprague-Dawle rats were divided into three groups: control, chronic heart failure and benazepril therapy group. Chronic heart failure was induced with adriamycin. Rats in benazepril group received benazepril 10 mg·kg-1·d-1 and adriamycin at the same time. Hemodynamic measurement was carried out after 4 weeks. The expression of Gα q/11 protein in left ventricle was detected by Western blotting analysis and activity of phospholipase C was measured by the method of hydrolysis of nuclear substrate. RESULTS: Compared with control group, the ±dp/dtmax in chronic heart failure group significantly decreased, and protein Gα q/11 expression, basic and stimulated phospholipase C activity significantly increased (P<0.01). The ±dp/dtmax in benazepril group was significantly lower than that in control but obviously higher than that in chronic heart failure group (P<0.05). Gα q/11 expression, basic and stimulated phospholipase C activity in benazepril group were significantly higher than those in control but obviously lower than those in heart failure group (P<0.01). CONCLUSION: Gq-phosphoinositide signaling pathway may play a role in the formation of chronic heart failure. Benazepril partialy attenuates the activation of phosphoinositide signaling pathway.     

Effects of dietary sodium on the expression of angiotensinogen mRNA in myocardium of rats with congestive heart failure

AIM:This study was designed to investigate the effects of sodium restriction and sodium supplementation on the expression of angiotensinogen mRNA in myocardium of rats with congestive heart failure(CHF).METHODS:Radioimmunassay and in situ hybridization techniques were used to determine the angiotensin Ⅱ(AngⅡ)contents and the expression of angiotensinogen(ANG)mRNA in myocardium, respectively.RESULTS: In sodium restricted group, the plasma sodium was obviously lower than that in CHF group(P＜0.05), while the contents of AngⅡ,the expression of ANG mRNA in myocardium and the ratio of heart weight/body weight(HW/BW)were significantly higher than those in CHF group (P＜0.05 or P＜0.01). It was also found that the AngⅡ, the mRNA contents in rat myocardium and the ratio of HW/BW were not significantly changed in case of sodium supplementation. CONCLUSION:Restriction of sodium intake can further activate the local renin-angiotensin system in CHF heart.     

Changes of transmural repolarization heterogeneity and ion currents in rabbits with left ventricular hypertrophy

AIM: To investigate the changes of transmural repolarization heterogeneity and ion currents in rabbits with left ventricular hypertrophy. METHODS: Ventricular hypertrophy was induced by a partial constriction of the abdominal aorta in rabbits. Myocytes were isolated by a two steps enzymological method. The sub-endocardial (Endo) and sub-epicardium (Epi) tissues were separated from other region (midmyocardium, Mid) with a razor. Whole cell patch clamp technique was used to record the action potential and ion currents. RESULTS: The action potentials duration at 90% repolarization (APD₉₀) of Epi, Mid and Endo were all prolonged significantly in hypertrophy group compared to control group. This prolongation of APD₉₀ was more pronounced in Mid (26.0%±2.7%) than that in Epi (14.0%±1.6%) and Endo (10.0%±1.1%). The transmural repolarization heterogeneity was increased significantly in the hypertrophy group. The I_Ks and I_to density in Epi, Mid and Endo was decreased significantly in hypertrophy group compared to those in control group. This decrease in I_Ks and I_to density was more pronounced in Mid than in Epi and Endo. No significantly difference of I_Ca,L and I_Kr density between hypertrophy group and control group in three layers was observed. The I_K1 density decreased significantly in hypertrophy group compared to control group, but the extent of the decrease had no differences among the three layers. CONCLUSIONS: The transmural repolarization heterogeneity increases significantly in rabbit hypertrophied ventricle. The decrease in transmural heterogeneity of I_to and I_Ks is the main causes.