Chronic tachycardia-induced dilated cardiomyopathy causes increased plasma catecholamines and alterations in β-adrenergic responsiveness in vivo. However, whether isolated myocyte contractile response to β-stimulation is directly affected by the development of cardiomyopathy and how these changes are related to alterations in the β-adrenergic receptor system remain unclear. Accordingly, isolated mycoyte function and β-adrenergic responsiveness were examined in two groups of 12 pigs each: sham controls, and with supraventricular tachycardia induced cardiomyopathy (SVT; pace: 240 beats/min, 3 weeks). Isolated LV myocyte percent and velocity of shortening were examined at baseline, with isoproterenol (2-100 nM), and forskolin (0.1-4 μM). Baseline percent and velocity of shortening were significantly reduced with SVT compared to controls (1.6 ± 0.1 vs 5.4 ± 0.2%, 56 ± 3 vs 25 ± 1 μm/s, respectively, P < 0.05). The maximal increase in the percent and velocity of shortening with isoproterenol was significantly blunted in the SVT myocytes compared with controls (3.2 ± 0.4 vs 9.7 ± 1.0%, 48.0 ± 5.3 vs 122.6 ± 15.5 μm/s, respectively, P < 0.05). Similarly, maximal increase in the percent and velocity of shortening with forskolin were reduced with SVT compared to controls (3.3 ± 0.4 vs 10.5 ± 0.6%, 50.7 ± 6.4 vs 120.1 ± 9.7 μm/s, respectively, P < 0.05). In order to determine the cellular basis for these changes in β-adrenergic response, myocytes structure, sarcolemmal β-receptor density and affinity, and adenylate cyclase activity were examined. There was a 25% reduction in β-receptor number with SVT ( P < 0.05) but no change in affinity. Basal adenylate cyclase activity was lower with SVT compared to control (46 ± 3 vs 77 ± 10 pmol cyclic AMP/mg/min, P < 0.05), and exhibited a blunted response with both isoproterenol (1mM; 106 ± 19 vs 203 ± 26 pmol cyclic AMP/mg/min, P < 0.05) and forskolin (100 μM; 209 ± 35 vs 378 ± 58 pmol cyclic AMP/mg/min, P < 0.05). Finally, myofibrillar content within SVT myocytes was significantly reduced from controls (43 ± 7 vs 63 ± 4%, P < 0.05). In summary, the cellular basis for the depressed myocyte contractile response to β stimulation with tachycardia induced SVT are probably due to several factors which include: decreased expression of β-receptors, alterations in β-receptor transduction, reduced adenylate cyclase activity, and decreased myocyte contractile protein content.
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