Mechanical load has been shown to alter cardiac electrophysiology, but the underlying mechanisms are still not completely understood. Conduction slowing has been observed during increased ventricular load in the isolated heart and has been associated with changes in intercellular coupling and membrane capacitance. The goal of this work was to investigate the effect of increased ventricular pressure on cardiomyocyte membrane conformation and caveolar structure, and the role of these changes in conduction slowing associated with load. Murine hearts were isolated, retrogradely perfused, and pressure loaded through a cannula inserted into the left ventricular cavity. In the pressure loaded wild-type heart, electron microscopy revealed a tautening of excess membrane folds, fewer sub-sarcolemmal caveolae, and an apparent opening of the neck of sarcolemmal caveolae compared to the unloaded state. Optical mapping revealed a significant 15-18% slowing of conduction velocity with load in both the directions of fastest and slowest conduction (CVmax and CVmin, respectively). Hearts isolated from caveolin-3 deficient mice have no caveolae on the cardiomyocyte membranes, and control hearts treated with methyl-β-cyclodextrin (MβCD) have a diminished number of caveolar structures, as assessed by electron microscopy. These hearts lacked changes in sub-sarcolemmal caveolae and caveolar structure with pressure load, and conduction slowing was attenuated. Cardiomyocyte caveolar localization and conformation change with increased ventricular load, and this alteration appears to play an important role in load-induced conduction slowing, possibly by contributing to changes in effective membrane capacitance.
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