Background: Left ventricular (LV) diastolic dysfunction is the earliest diagnostic indicator of diabetic cardiomyopathy in the clinic. Impaired relaxation is frequently attributed to LV fibrosis. Our aim was to investigate in vivo cross-bridge dynamics in diabetic hearts prior to the onset of fibrosis. Methods: Our small angle X-ray scattering approach was used to investigate cross-bridge dynamics and myosin head proximity to actin in the open-chest beating rat heart 3 weeks after inducing diabetes with streptozotocin simultaneous with LV pressure-volume recordings. The ratio of the intensity of myosin only reflections to myosin-actin reflections was used to determine myosin head proximity to actin (mass transfer), cross-bridge attachments and interfilament spacing during baseline conditions and dobutamine stimulation to increase contractility. Results: We found that diastolic diffraction intensity ratio was significantly elevated by diabetes, relative to control rat hearts (<3.5), and increased with depth within the LV wall (3.5–6.0). Elevated diastolic intensity ratio was strongly correlated with suppression of LV dP/dt minimum. Increased diastolic separation of myosin-actin filaments in diabetic hearts was reduced by dobutamine, but the increase in systolic cross-bridge attachments was reduced relative to controls (sub-epicardium 61 to 64% diabetic v. 77 to 95% control). Interfilament spacing and likely sarcomere length did not differ between groups. Conclusions: In the setting of type-I diabetes myosin heads were found to be displaced from actin filaments in the fibres of beating heart muscle. Increased diastolic separation of actin-myosin filaments was not related to estimated sarcomere length, but directly related to impaired relaxation of the LV.
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