Resumo (PT):
Endothelin-1 (ET-1) increases myocardial distensibility in conditions
of cardiac overload, an effect that was shown to be mediated by ETA receptors
and modulated by the endocardial endothelium (EE). The present study investigated
the role of NO and prostaglandins on ET-1 induced diastolic distensibility.
The effects of ET-1 (0.1, 1, 10 nM) were tested in papillary muscles isolated from
New Zealand white rabbits (Krebs-Ringer; 1.8mM CaCl2, 35°C) in the presence
of: (i) intact endocardial endothelium (EE) (n=9); (ii) damaged EE (0.5% Triton
X-100, n=10); (iii) NG-Nitro-L-Arginine (LNA; nitric oxide synthase inhibitor, n=9),
and (iv) Indomethacin (INDO; cyclooxigenase inhibitor, n=6). Reported parameters
include: active tension (AT), maximum velocities of tension rise (dT/dtmax)
and tension decline (dT/dtmin), resting tension at the beginning (RTbeg) and at
the end (RTend) of the isometric twitch. Only significant results (mean±SEM,
p<0.05) are given, expressed as % change from baseline.
In papillary muscles with intact EE, ET-1 induced dose-dependent positive
inotropic and lusitropic effects: AT increased 15.3±5.4%, 47.2±9.8% and
88.6±18.3%; dT/dtmax increased 15.4±5.9%, 47.1±12.3% and 103.7±21.5%;
and dT/dtmin increased 13.3±4.9%, 42.4±6.8% and 85.6±16.9%. These
effects were maintained when ET-1 was given after damaging EE (AT
increased 15.1±4.5%, 47.7±10.3% and 74.1±12.5%; dT/dtmax increased
11.5±3.6%, 48.8±8.7% and 97.7±13.5%; and dT/dtmin increased 8.0±2.7%, 38.4±14.0% and 60.0±14.4%), in the presence of LNA (AT increased 8.4±2.4%,
31.2±7.7% and 84.3±19.3%, dT/dtmax increased 14.2±4.1%; 45.4±7.5% and
126.7±16.6%, and dT/dtmin increased 4.9±2.4%, 32.2±9.4% and 69.8±24.8%)
or in the presence of INDO (AT increased 8.0±2.3%, 34.4±14.2% and
87.6±33.0%, dT/dtmax increased 5.7±2.4%; 32.7±14.4% and 109.6±40.0%,
and dT/dtmin increased 6.5±2.4%, 29.4±17.0% and 87.7±40.0%). ET-1 reduced
RTend (increased diastolic distensibility) by 3.2±1.3%, 6.0±1.6% and 8.8±2.7%
(at 0.1, 1 and 10 nM, respectively), in muscles with intact EE, effect that was
completely abolished after damaging EE or in the presence of LNA or INDO.
This study demonstrated that the increase in myocardial distensibility induced by
ET-1 is dependent of nitric oxide and prostaglandin release. As this increase in
diastolic distensibility might contribute to ventricular dilation, these findings might
improve our understanding about the role of ET-1 and endothelial dysfunction in
the pathophysiology of heart failure.
Language:
English
Type (Professor's evaluation):
Scientific
Notes:
World Congress of Cardiology, published in journal, European Heart Journal. 2006; Vol.27(Suppl.1):478-478.