Articles |
From the Department of Cardiology (A.M.S., Z.-K.Y., C.B.P.), University of Wales College of Medicine, Cardiff, UK; Laboratory of Cardiovascular Science (A.M.S., A.M., S.J.S., E.G.L.), Gerontology Research Center/National Institute on Aging, National Institutes of Health, Baltimore, Md; Pulmonary Anesthesia Laboratory (A.M., J.L.R.), Johns Hopkins Medical Institutions, Baltimore, Md; Laboratory of Molecular Cardiology (G.C., J.R.S.), National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Md; Cardiovascular Section (E.B.L.), University of Pennsylvania School of Medicine, Philadelphia; and Department of Anesthesiology (A.M.), Lariboisiere Hospital, Paris, France.
Correspondence to Ajay M. Shah, MD MRCP, Department of Cardiology, University of Wales College of Medicine, Heath Park, Cardiff CF4 4XN, UK. E-mail shaham2{at}cf.ac.uk
Abstract Previous studies have shown that cardiac
endothelial cells release substances that influence
myocardial contraction. Since PO2 is an
important stimulus that modulates endothelial function,
we investigated the effects of acute moderate hypoxia and
reoxygenation on the release of cardioactive factors by
endothelial cells. Endothelial cells
cultured from several vascular beds were superfused with normoxic
(equilibrated with room air; PO2,
160
mm Hg) or hypoxic (PO2, 40 to 50 mm Hg)
physiological buffer solution, and the
superfusates were reequilibrated to a
PO2 of
160 mm Hg and then tested for
their effects on various myocardial assays. Endothelial
cell viability and buffer ionic composition were unaltered after the
superfusion procedures. The superfusates of hypoxic
endothelial cells induced rapid, potent, reversible
inhibition of isolated cardiac myocyte contraction without reducing
cytosolic Ca2+ transients. This activity was not lost after
heating (95°C) and was present in low molecular weight
(Mr, <500) superfusate fractions.
Hypoxic endothelial superfusate reduced
unloaded shortening velocity of human skinned soleus muscle fibers. It
markedly depressed in vitro actin motility over cardiac myosin and
reduced the rate of actin-activated cardiac myosin ATPase
activity but had no effect on corresponding smooth muscle myosin
assays. Reoxygenation of hypoxic
endothelial cells resulted in loss of this
inhibitory activity. These data indicate that cultured
endothelial cells respond to acute moderate
hypoxia by releasing an unidentified substance(s) that inhibits
myocardial crossbridge cycling, independent of Ca2+ or
other second messenger signaling pathways. Such a mechanism could have
important implications for the regulation of oxygen supply-demand
balance in the heart and be relevant to conditions such as myocardial
hibernation.
Key Words: cardiac contraction hypoxia endothelial cell hibernation myofilament
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