Resumo (PT):
Background: Urotensin II (U-II) is a peptide expressed, together with
its receptor, in the central nervous system and in many peripheral tissues, including
the cardiovascular system. In the latter, U-II has been shown to modulate the
vascular tonus, myocardial contraction, heart rate and cardiac fibrosis and hypertrophy.
In the current study, we investigated the, yet unknown, acute effects of U-II
on the diastolic properties of the myocardium.
Methods: Effects of increasing concentrations of U-II (10-8 to 10-6M) were evaluated
in isolated right papillary muscles (n=13) from male New Zealand White rabbits
(Krebs-Ringer: 1,8mM CaCl2, 35°C). Reported parameters include: active
tension (AT; mN/mm2), maximum velocities of tension rise and tension decline
(dT/dtmax e dT/dtmin, respectively; mN/mm2/s), resting tension (RT; mN/mm2)
and muscle length (L; L/Lmax). Only significant results (means±SEM, p<0.05)
are given, expressed as % change from baseline.
Results: U-II had no significant effects on AT, dT/dtmax and dT/dtmin in the concentration
range of this study. It, however, promoted a concentration-dependent
increase in resting muscle length up to 1.007±0.0016 L/Lmax at the highest concentration.
Correcting muscle length to its initial value resulted in a 20.6±3.59%
decrease of RT, indicating decreased muscle stiffness.
Conclusion: The present study demonstrated a novel effect of U-II on the diastolic
properties of the myocardium, which consisted on a concentration dependent
acute decrease of myocardial stiffness. This effect is a potentially powerful physiologic
mechanism, as it may allow the heart to reach the same diastolic volume
with up to 20% lower filling pressures. Furthermore, as the plasmatic levels of U-II
are increased in heart failure, these results might help to better understand the
physiopathology of this syndrome.
Language:
English
Type (Professor's evaluation):
Scientific
Notes:
XVth World Congress of Cardiology, published in journal, European Heart Journal. 2006; Vol.27(Suppl.1):846-846.