1. Chronic Sympathetic Hyperactivity Triggers Electrophysiological Remodeling and Disrupts Excitation-Contraction Coupling in Heart
- Author
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George S.B. Williams, Jader S. Cruz, Artur Santos-Miranda, Julliane V. Joviano-Santos, Patricia Chakur Brum, Humberto C. Joca, and Rebeca Peres Moreno Maia-Joca
- Subjects
0301 basic medicine ,Cardiac function curve ,medicine.medical_specialty ,Sympathetic nervous system ,Sympathetic Nervous System ,Adrenergic receptor ,Heart Diseases ,lcsh:Medicine ,Fluorescent Antibody Technique ,Heart failure ,030204 cardiovascular system & hematology ,Models, Biological ,Article ,Contractility ,03 medical and health sciences ,Computational biophysics ,Mice ,0302 clinical medicine ,Internal medicine ,medicine ,Repolarization ,Myocyte ,Animals ,Myocytes, Cardiac ,Calcium Signaling ,lcsh:Science ,Excitation Contraction Coupling ,Ion transport ,Multidisciplinary ,Chemistry ,Calcium channel ,Myocardium ,lcsh:R ,Calcium signalling ,Resting potential ,Cardiovascular biology ,DOENÇAS CARDIOVASCULARES ,Sarcoplasmic Reticulum ,030104 developmental biology ,Endocrinology ,medicine.anatomical_structure ,lcsh:Q ,Calcium ,Cardiac Electrophysiology ,Ion channel signalling ,Algorithms - Abstract
The sympathetic nervous system is essential for maintenance of cardiac function via activation of post-junctional adrenergic receptors. Prolonged adrenergic receptor activation, however, has deleterious long-term effects leading to hypertrophy and the development of heart failure. Here we investigate the effect of chronic adrenergic receptors activation on excitation-contraction coupling (ECC) in ventricular cardiomyocytes from a previously characterized mouse model of chronic sympathetic hyperactivity, which are genetically deficient in the adrenoceptor α2A and α2C genes (ARDKO). When compared to wild-type (WT) cardiomyocytes, ARDKO displayed reduced fractional shortening (~33%) and slower relaxation (~20%). Furthermore, ARDKO cells exhibited several electrophysiological changes such as action potential (AP) prolongation (~50%), reduced L-type calcium channel (LCC) current (~33%), reduced outward potassium (K+) currents (~30%), and increased sodium/calcium exchanger (NCX) activity (~52%). Consistent with reduced contractility and calcium (Ca2+) currents, the cytosolic Ca2+ ([Ca2+]i) transient from ARDKO animals was smaller and decayed slower. Importantly, no changes were observed in membrane resting potential, AP amplitude, or the inward K+ current. Finally, we modified our existing cardiac ECC computational model to account for changes in the ARDKO heart. Simulations suggest that cellular changes in the ARDKO heart resulted in variable and dyssynchronous Ca2+-induced Ca2+ release therefore altering [Ca2+]i transient dynamics and reducing force generation. In conclusion, chronic sympathetic hyperactivity impairs ECC by changing the density of several ionic currents (and thus AP repolarization) causing altered Ca2+ dynamics and contractile activity. This demonstrates the important role of ECC remodeling in the cardiac dysfunction secondary to chronic sympathetic activity.
- Published
- 2020