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Circulation Research. 1995;76:734-741

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(Circulation Research. 1995;76:734-741.)
© 1995 American Heart Association, Inc.


Articles

Protein Kinase A Does Not Alter Economy of Force Maintenance in Skinned Rat Cardiac Trabeculae

Pieter P. de Tombe, G.J.M. Stienen

From the Section on Cardiology (P.P. de T.), Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, NC, and the Institute for Cardiovascular Research (G.J.M.S.), Department of Physiology, Free University of Amsterdam (Netherlands).

Correspondence to Pieter P. de Tombe, PhD, Section on Cardiology, Department of Internal Medicine, Bowman Gray School of Medicine, Wake Forest University, Medical Center Blvd, Winston-Salem, NC 27157-1045. E-mail pdetombe@sarc.card.wfu.edu.


*    Abstract
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*Abstract
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down arrowMaterials and Methods
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Abstract Recent mechanical, biochemical, and energetic experiments have suggested that catecholamines may increase the cycling rate of cross-bridges independent of changes in intracellular calcium. An increased rate of cross-bridge cycling is expected to result in decreased economy of force maintenance. The present study tested this hypothesis directly by measuring the rate of ATP consumption in skinned cardiac trabeculae as a function of steady state force. Rat cardiac trabeculae were skinned with Triton X-100. Resting sarcomere length was measured by laser diffraction, and ATP consumption was assessed by an enzyme-coupled optical technique. Force-[Ca2+] relations were fit to a modified Hill equation. Force dependency of the rate of ATP consumption was analyzed by multiple linear regression analysis. ß-Adrenergic stimulation was mimicked by incubation of the skinned muscle preparation with the catalytic subunit of protein kinase A (PKA). Treatment with PKA (3 µg/mL, 40 minutes) induced a significant (65±23%, P=.01) increase in [Ca2+] required for half-maximal steady state force, whereas the steepness of the force-[Ca2+] relation was not affected. The rate of ATP consumption was linearly correlated with steady state force, regardless of PKA treatment status (P<.001). However, neither the slope nor the intercept was affected by PKA treatment. Hence, PKA treatment did not affect either the maximum rate of ATP consumption or the economy of force maintenance. These results suggest that ß-adrenergic stimulation does not alter the rate-limiting step of cross-bridge cycling during isometric contraction in myocardium.


Key Words: myofibrillar proteins • actomyosin ATPase activity • cross-bridges • ß-adrenergic stimulation


*    Introduction
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up arrowAbstract
*Introduction
down arrowMaterials and Methods
down arrowResults
down arrowDiscussion
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Stimulation of ß-adrenergic receptors by catecholamines has a profound effect on myocardial function, such as increased peak force development, decreased time to peak force, and enhanced rate of force relaxation.1 ß-Adrenergic stimulation causes activation of a cAMP-dependent protein kinase that catalyzes phosphorylation of several key proteins that are intimately involved in calcium handling by the cardiac myocyte.2 3 Thus, phosphorylation of sarcolemmal calcium channels leads to an enhanced flux of calcium ions into the cell during the plateau phase of the action potential,4 phosphorylation of phospholamban leads to an enhanced rate of calcium uptake by the sarcoplasmic reticulum,3 5 and phosphorylation of troponin I leads to reduced affinity of the contractile proteins to calcium.3 6 7 Therefore, it has been suggested that the inotropic effects of ß-adrenergic stimulation are due, to a large extent, to alterations in calcium handling by the cardiac myocyte.8 9 10

Recent studies of both mechanical11 12 13 14 and biochemical15 16 properties of isolated myocardium, however, have suggested that part of the inotropic effects of ß-adrenergic stimulation may be due to a direct effect on the cardiac cross-bridge cycle that is independent of the effects of ß-adrenergic stimulation on calcium handling. This proposition is challenged by other investigators17 18 19 who found no direct effect of ß-adrenergic stimulation on the mechanical properties of isolated myocardium. In addition, it has been reported that the application of isoproterenol results in a reduced economy of force generation in studies using myothermal measurements on isolated papillary muscles.20 21 This observation also suggests that ß-adrenergic stimulation causes an increase in the cycling rate of cross-bridges.21 However, interpretation of myothermal experiments in isolated myocardium is complicated by uncertainties in the partitioning of total energy consumption between that used for excitation-contraction coupling (ie, calcium handling) and that used for the contractile process (ie, cross-bridge cycling).22 These uncertainties are of particular concern in studies on the effects of ß-adrenergic stimulation, since marked alterations in calcium handling are known to occur under these conditions.8 9 10 Because of these uncertainties, it is unclear at present whether ß-adrenergic stimulation alters the economy of the contractile process in myocardium.

Therefore, in the present study, we directly measured the rate of ATP consumption in chemically permeabilized (ie, skinned) isolated rat cardiac trabeculae by means of an enzyme-coupled optical technique. Adopting this approach allowed us to circumvent many of the problems that hamper myothermal measurements on intact isolated myocardium. This is because the skinning procedure removes virtually all membranous structures from the isolated muscle preparation, thus leaving the contractile proteins as the only source of energy consumption (ie, conversion of ATP into ADP). Hence, in this preparation the amount of ATP hydrolyzed can be correlated directly to the amount of force that is developed, thereby allowing for an unambiguous determination of the economy of force maintenance. To mimic ß-adrenergic stimulation, skinned trabeculae were exposed to the catalytic subunit of protein kinase A (PKA). This form of the protein kinase does not require cAMP for activity and catalyzes phosphorylation of the same subunits of the contractile proteins as observed with ß-adrenergic receptor stimulation in intact myocardium.3 14 18

In the present study, we found a significant reduction in the sensitivity of the contractile system to calcium ions after PKA treatment, consistent with previously reported studies.7 14 18 However, in contrast to previous myothermal studies,20 21 we found no effect of PKA treatment on the economy of force maintenance. Therefore, our results suggest that ß-adrenergic stimulation does not affect the rate-limiting step of cross-bridge cycling during isometric contraction in myocardium.


*    Materials and Methods
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up arrowAbstract
up arrowIntroduction
*Materials and Methods
down arrowResults
down arrowDiscussion
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Preparation
Rats, 250 to 350 g in weight and of either sex, were anesthetized with pentobarbital (50 mg/kg IP), and the hearts were rapidly excised. All procedures that were used in the present study were in accordance with institutional guidelines regarding care and use of laboratory animals. After excision, the heart was immediately perfused with a Tyrode's solution containing 20 mmol/L 2,3-butanedione monoxime (BDM) and placed in a dissection dish beneath a binocular microscope equipped with an ocular micrometer ({approx}10-µm resolution). Treatment with BDM has been shown to protect myocardium from cell contracture and muscle damage during dissection.23 Thin, unbranched, and uniform trabeculae were carefully dissected from the free wall of the right ventricle. The preparations were 1.78±0.08 mm in length, 199±13 µm in width, and 162±11 µm in thickness (mean±SEM, n=10; measured at 2.2- to 2.3-µm sarcomere length). After dissection, the trabeculae were transferred to a dish containing cold standard relaxing solution to which 1% (vol/vol) Triton X-100 was added in order to chemically permeabilize the preparation. The composition of this standard relaxing solution was as follows (mmol/L): Na2ATP 7.3, MgCl2 10.6, EGTA 20, phosphocreatine 10, and N,N-bis[2 hydroxyethyl]-2-aminoethanesulfonic acid (BES) 100, pH 7.1, adjusted with KOH; ionic strength, 200 mmol/L (adjusted with KCl). The preparations were left in this solution for 2 hours to allow solubilization of virtually all membranous structures. Next, a skinned trabecula was attached to aluminum T clips24 and mounted in the experimental setup.

Treatment of intact myocardium with BDM may affect the phosphorylation status of myofilament proteins.25 However, preliminary experiments showed no effect of BDM pretreatment on the force-[Ca2+] relation of chemically permeabilized cardiac trabeculae (G.J.M. Stienen, unpublished data, 1994). Furthermore, it has been previously shown that the addition of inhibitors of the sarcoplasmic reticulum calcium ATPase (such as cyclopiazonic acid) does not significantly affect the rate of ATP consumption at full contractile activation.26 Hence, it appears that this potentially confounding enzyme activity is removed by the 2-hour skinning procedure. To suppress any residual mitochondrial ATPase or ATP synthase activity, both sodium azide (5 mmol/L) and oligomycin B (10 µmol/L) were added to all solutions.

Experimental Apparatus
The skinned trabecula was attached to a displacement generator (Ling Dynamic Systems 101) on one end and to a force transducer element (AE 801, SensoNor) on the other end (see Fig 1Down). The natural frequency of the force transducer was {approx}2 kHz. The muscle preparation could be transferred manually between several baths to expose the trabecula to the various solutions that were used in the present study (see Table 1Down). The bath that was used for the ATPase assay had quartz windows to allow transmission of near-UV light (340 nm) for the measurement of NADH absorbance (see below). The volume of this bath was 30 µL and was continuously stirred by motor-driven vibration of a membrane positioned at the bottom of the bath (see Fig 1Down). The baths were milled in aluminum blocks (anodized) and mounted on top of an aluminum base, through which water was circulated to allow temperature control of all solutions (20±1°C). The force and displacement generator position (ie, muscle length) signals were filtered at 1 kHz (corner frequency; slope, -12 dB per octave). The NADH absorbance signal was filtered at 2.5 Hz (corner frequency; slope, -12 dB per octave). The data were recorded on a chart recorder and sampled via an A/D convertor on computer disk (M280, Olivetti). Samples were collected at a rate of five per second for 5 minutes. In addition, force and muscle length signals were also collected at a higher sample rate (1 kHz for 0.5 seconds) during a rapid release step, which we applied to the muscle at the end of a contraction to accurately measure the zero force level in the ATPase assay bath. Sarcomere length of the preparation was measured in relaxing solution by means of a He-Ne laser (model 1125, Uniphase).



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Figure 1. Experimental apparatus used to measure the rate of ATP consumption in a skinned cardiac trabecula. A skinned trabecula was attached to a force transducer (F) and linear motor (ML). The fluid in the bath was continuously stirred by a motor-driven membrane mounted in the bottom of the bath (mixer). Near-UV light (340 nm) was projected through the bath just underneath the trabecula, split via a beam splitter (BS, 50/50), and detected at 340 nm (sensitive to [NADH]) and 400 nm (insensitive to [NADH]). An analog divider and logarithmic amplifier (DIV & LOG) produced a signal proportional to the amount of ATP consumed in the bath solution (ie, proportional to the amount of ADP produced). The system was calibrated by injection of a known amount of ADP into the bath solution by means of a stepper motor-controlled syringe (ADP).


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Table 1. Ionic Composition of the Solutions

Measurement of ATPase Activity
The ATPase activity of the skinned trabecula was measured on-line by means of an enzyme-coupled assay as described in detail previously.26 27 28 29 Briefly, formation of ADP by the trabecula was stoichiometrically coupled first to the synthesis of pyruvate and ATP from phospho(enol)pyruvate (PEP), a reaction that is catalyzed by the enzyme pyruvate kinase, and subsequently to the synthesis of lactate, a reaction that is catalyzed by the enzyme lactate dehydrogenase (LDH) and during which NADH is oxidized to NAD+. The breakdown of NADH was determined photometrically by measuring the absorbance of 340-nm near-UV light obtained from a 75-W xenon lamp (XBO75, Osram) that was projected through the bath just beneath the preparation (see Fig 1Up). The transmitted light was passed through a beam splitter (78150, Oriel) and then projected onto two UV-enhanced photo diodes (UV 100, United Detector Technology) via 340- and 400-nm interference filters, respectively (models 35-2989 and 35-3201, Ealing Electro-optics). The ratio of light intensity at 340 nm, which is sensitive to the NADH concentration in the bath, and the light intensity at 400 nm, which serves as a reference signal, was obtained by means of an analog divider. The output of the divider was applied to the input of a logarithmic amplifier to obtain a voltage that was linear proportional to the NADH concentration in the bath.

The first time derivative of this signal, which is proportional to the rate of ATP consumption in the assay bath, was determined off-line by linear regression of the sampled data using custom-designed software. A small decline in the absorbance signal in the absence of the muscle fiber in the bath, caused by an ATPase contamination in the LDH enzyme preparation and by photo bleaching of NADH, was subtracted off-line from the absorbance data throughout the recording period. After each recording in the assay bath, the NADH absorbance signal was calibrated by multiple injections of 0.50 nmol ADP (0.050 µL of 10 mmol/L ADP solution) by use of a stepper motor-controlled calibration pipette. When this method was used, the standard error of the first time derivative of the NADH absorbance signal, determined during a period of 20 seconds, corresponded to {approx} 0.1 pmol/s. Since the isometric ATPase activity during contractions at saturating [Ca2+] levels typically amounted to 25 pmol/s, this translates to a signal-to-noise ratio of {approx}250 under these conditions. During contractions at submaximal activation, where the ATPase activity of the skinned trabecula was lower, a signal-to-noise ratio of at least 25 was achieved by appropriately increasing the time the preparation was activated so as to allow linear regression to be performed over a longer time period.

Solutions
Three bathing solutions were used: a relaxing solution, a preactivating solution with low calcium-buffering capacity, and an activating solution. The composition of these solutions is shown in Table 1Up. In addition, all solutions contained 0.9 mmol/L NADH, 100 mmol/L BES, 5 mmol/L sodium azide, 10 mmol/L PEP, 4 mg/mL pyruvate kinase (500 U/mg), 0.24 mg/mL LDH (870 U/mg), 10 µmol/L oligomycin B, 0.2 mmol/L P1,P5-di(adenosine-5')pentaphosphate (A2P5), and 100 µmol/L leupeptin. The ionic strength of the solutions was kept at 200 mmol/L by adding the appropriate amount of potassium propionate (KProp). The pH was adjusted to 7.1 at 20°C with KOH. The compositions were calculated by using the methods described by Fabiato and Fabiato.30 The free Mg2+ and MgATP concentrations were calculated at 1 and 5 mmol/L, respectively. To achieve a range of free [Ca2+], activating and relaxing solutions were appropriately mixed, with an apparent stability constant of the Ca2+-EGTA complex of 106.58 assumed. All chemicals were of the highest purity available (Sigma Chemical Co).

Experimental Protocol
The protocol consisted of two series of measurements: a first series under control conditions (pre-PKA) and a second series after exposure of the trabecula to the catalytic subunit of PKA (post-PKA).

During each series of measurements, the trabecula was incubated in the relaxing solution for 4 minutes, in the preactivating solution for 3 minutes, in the activating solution for {approx}2 minutes, and from there back into the relaxing solution. Before the first activation-relaxation cycle, sarcomere length in the preparation, as measured in relaxing solution, was adjusted to 2.2 to 2.3 µm. Then, after a first activation at saturating [Ca2+] ({approx}50 µmol/L free [Ca2+], pCa 4.3), sarcomere length was readjusted to 2.2 to 2.3 µm. It was found that after this readjustment, resting sarcomere length remained stable throughout the experiment. Next, a second activation was performed at the saturating [Ca2+], which served as a first force and ATP consumption rate reference. The next five to six contractures were carried out at a range of intermediate [Ca2+] that also included the relaxing solution (pCa 9). These measurements were then followed by a final control contracture at saturating [Ca2+]. In each contracture, after active force had become stable and after sufficient data were collected to allow reliable calculation of the rate of ATP consumption, the trabecula was quickly ({approx}2 milliseconds) released by {approx}25% muscle length; this release caused an immediate drop in force to the zero level. During this time, force and muscle length signals were sampled at a faster rate to allow accurate off-line determination of the zero force level. This approach was used to allow a correction for small variations in the baseline of the force signal caused by variations in the amount of fluid in the ATPase assay bath. Only after the preparation was fully relaxed by returning it back into the relaxation solution was muscle length returned to the original length before the release (see also Fig 2Down), allowing for a measurement of passive force that was subtracted from total force during the contraction in order to obtain the active developed force.



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Figure 2. Recordings obtained during a typical contraction-relaxation cycle of a skinned trabecula. Left, NADH absorbance (top tracing), muscle length (middle tracing), and force (bottom tracing). Sample rate was 5 Hz. Right, Muscle length (top tracing) and force (bottom tracing) recorded at 1 kHz during a quick release, induced at a time indicated by the asterisk in the left panel. Dashed line indicates force baseline. A skinned trabecula was transferred to the ATP assay bath containing 50 µmol/L free [Ca2+] between the times indicated by the up and down arrows. Calibration is indicated by the solid bars. The trabecula was 1.2 mm in length with a 200-µm diameter.

After the pre-PKA series, the trabecula was incubated for 40 minutes in standard relaxing solution, to which was added 3 µg/mL catalytic subunit of PKA (prepared from porcine heart, Sigma) and 6 mmol/L dithiothreitol.14 18 In two trabeculae, we used 100 µg/mL PKA instead of 3 µg/mL PKA; results from these two trabeculae were similar to those in which we used 3 µg/mL PKA. Hence, it appeared that the effect of 3 µg/mL PKA treatment for 40 minutes was already saturated. After the treatment with PKA, the trabecula was incubated for an additional 15 minutes in standard relaxing solution without added PKA or dithiothreitol. We found no changes in resting sarcomere length after PKA treatment; readjustment of muscle length, therefore, was not required at this stage of the experiment. After PKA treatment, a second experimental series (post-PKA) of force and ATPase measurements was performed by using the above-described protocol.

Data Processing and Statistical Analysis
Sigmoidal force-[Ca2+] relations were fit by a nonlinear fit procedure31 to a modified Hill equation:

(1)
where F is steady state force, Fmax is the maximum saturated value F can attain, EC50 is the concentration of [Ca2+] at which F is 50% of Fmax and represents a compound affinity constant, and H represents the slope of the force-[Ca2+] relation (the Hill coefficient). During the course of the experiment, steady state force deteriorated to some extent in all muscle preparations, as judged by the control contractures at saturating [Ca2+] that bracketed each series of measurements; this phenomenon has been observed previously.28 32 The amount of this decline was small; the average deterioration was 9.6±1.9% and 7.5±3.3% in the pre-PKA and post-PKA series, respectively. Nevertheless, this phenomenon could obscure the effect of PKA treatment on the EC50 or Fmax parameter. Therefore, the steady state force data were "corrected" in each individual trabecula by assuming that the deterioration was a contraction-related phenomenon, ie, that a similar amount of deterioration occurred with each contraction. Furthermore, to allow direct comparison of the Fmax data between the pre- and post-PKA series, this correction procedure was performed by using as reference the final control contracture in the pre-PKA series (ie, the intermediate force values were corrected downward in this series) and the first control contracture in the post-PKA series (ie, the intermediate force values were corrected upward in this series). The fit parameters that resulted from the nonlinear fit to Equation 1Up for the pre- and post-PKA series were next subjected to paired Student's t test; ie, the fit parameters were treated statistically as if they were obtained by direct measurement.33 In addition, for the purpose of displaying the data that were obtained from all trabeculae, steady state force data were normalized to steady state force measured during the final control contracture of the pre-PKA series.

To assess the impact of PKA treatment on the economy of force maintenance, the rate of ATP consumption as a function of developed force was analyzed by multiple linear regression34 using the following as a model:

(2)
where ATPase is the rate of ATP consumption, expressed as pmol/(secondsxmm3 fiber volume); F is steady state force, expressed as mN/mm2; pka is a dummy variable coding for pre-PKA series data (pka=0) and post-PKA series data (pka=1), respectively; and {alpha}, ß, {gamma}, and {delta} are regression coefficients. In addition, Equation 2Up was extended with additional dummy variables to allow for interexperiment variation for both the {alpha} and ß parameters.34 Note that a significant coefficient ß in Equation 2Up would indicate a significant correlation between F and ATPase irrespective of PKA treatment status, whereas a significant coefficient {delta} would indicate an effect of PKA treatment on the coefficient ß (ie, economy of force maintenance). For the purpose of this analysis, steady state force was not corrected for the slight deterioration during the experiment as was described above, since steady state force and the rate of ATP consumption decreased proportionally during the course of the experiments. To ensure that this approach did not bias the analysis of the data, we also performed the statistical tests by using the corrected steady state force data; both methods of analysis resulted in similar levels of statistical significance, and the choice of analysis did not alter our conclusions. For the purpose of displaying the data that were obtained from all trabeculae, steady state force and the rate of ATP consumption were first normalized to their respective values measured at the final control contracture during the pre-PKA series; subsequently, data for the normalized rate of ATP consumption were collected in 10% wide normalized steady state force bins.

Commercially available software was used for all statistical analyses (SYSTAT). Data are presented as mean±SEM; a value of P<.05 was considered significant.


*    Results
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up arrowMaterials and Methods
*Results
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Fig 2Up shows original recordings obtained during a typical contraction-relaxation cycle of a skinned trabecula. The left panels show NADH absorbance (top tracing), muscle length (middle tracing), and force (bottom tracing) recorded at the slower sample rate (5 Hz). After transfer of the muscle preparation to the activating solution (indicated by the upward arrow), force rapidly increased to a steady state with a concomitant accelerating decrease of NADH absorbance. The decline of NADH absorbance became linear during the later phase of the contracture when force was constant, a result that indicates that the rate of ATP consumption was also constant at that time. A period of steady state force and constant rate of ATP consumption was observed in every contracture and in all trabeculae; off-line measurements of these parameters were confined to this time period. Just before transfer of the muscle preparation back to the relaxing solution, at a time indicated by the asterisk in Fig 2Up, muscle length was rapidly reduced to quickly slacken the muscle preparation to allow accurate determination of the zero force level in the ATP assay bath. The method is illustrated in greater detail in the right panels of Fig 2Up, which show muscle length (top tracing) and force (bottom tracing) sampled at a faster rate (1000 Hz) during the time of the quick release. After a rapid decline, force remained at the baseline level while the muscle shortened to take up the slack induced by the rapid release.

After transfer of the trabecula back to the relaxing solution (down arrow), recording of NADH absorbance in the ATP assay bath was continued for some time to allow a determination of the background decrease in NADH absorbance that is due to contaminant ATPase activity and photo bleaching. As is evident from the data shown in Fig 2Up, the decline in this background signal was small. This was the case in all experiments performed. Nevertheless, for accurate calculation of the rate of ATP consumption during the contracture, all NADH absorbance data were corrected for this background decline (see also "Materials and Methods"). After assessment of the background decline, the NADH absorbance signal was calibrated by rapid injection of 0.5 nmol ADP into the ATP assay bath. As evident from the data shown in Fig 2Up, this caused a rapid decline in NADH absorbance to a new steady state within <3 seconds, indicating that the bath was sufficiently stirred to ensure a state of rapid equilibrium throughout the ATP assay bath at all times.

Fig 3Down shows the relation between steady state force and free [Ca2+] in the bathing solution. The data obtained during the pre-PKA series are indicated by open circles; the post-PKA data are indicated by solid circles. The top panel shows data obtained from the representative muscle preparation (compare with Fig 2Up), and the bottom panel shows the average data obtained in all muscle preparations. The solid lines indicate the best fit of the force-[Ca2+] coordinates to a modified Hill equation. The average fit parameters obtained in all 10 trabeculae are shown in Table 2Down. Consistent with previous reports,7 14 18 treatment with PKA in skinned myocardium induced a rightward shift in the force-[Ca2+] relation. PKA treatment resulted in a 65±23% increase in the EC50 parameter, indicating that PKA treatment induced a significant reduction in the sensitivity of the muscle preparation to calcium ions. However, neither maximum steady state force at saturating [Ca2+] nor the slope of the force-[Ca2+] relation (as indexed by the Hill coefficient) was significantly affected by PKA treatment. Passive force in the relaxing solution was 4.2±0.54 and 4.3±0.52 mN/mm2, respectively (P=.9).



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Figure 3. Graphs showing effect of protein kinase A (PKA) treatment on force-[Ca2+] relation in skinned trabeculae. Top, Force-[Ca2+] relations of the same trabecula shown in Fig 2Up. Bottom, Average normalized force-[Ca2+] relations in 10 trabeculae. {circ} indicates pre-PKA series; {bullet}, post-PKA series. Data were fit to a modified Hill equation as indicated by the solid lines. Average fit parameters are shown in Table 2Up. PKA treatment resulted in a reduced sensitivity to calcium ions and a reduced maximum steady state force.


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Table 2. Average Hill Fit Parameters

Fig 4Down shows the relation between the rate of ATP consumption by the skinned muscle preparation and the level of steady state force. The data obtained during the pre-PKA series are indicated by open circles; the post-PKA data are indicated by solid circles. The top panel shows data obtained from the representative muscle preparation; the bottom panel shows the pooled normalized data obtained in all muscle preparations collected in bins. Although there was a significant and linear relation between the rate of ATP consumption and steady state force, this relation was not affected by PKA treatment. This was also observed in the pooled normalized data (Fig 4Down, bottom panel), where it is seen that the data from the pre-PKA and post-PKA series cluster close to a common regression line. Multiple linear regression analysis using the non-normalized data from all muscle preparations confirmed this conclusion. The regression coefficients obtained by this analysis are presented in Table 3Down. Steady state force significantly affected the rate of ATP consumption regardless of the PKA treatment status (coefficient ß), whereas treatment with PKA resulted in only a small upward elevation of the relation (coefficient {gamma}) and a small decrease in the slope of the relation (coefficient {delta}), neither of which was significant. Finally, the standard error of the slope of the relation between steady state force and rate of ATP consumption was 1.8% in the pre-PKA series and 2.5% in the post-PKA series. Thus, although PKA treatment in skinned myocardium significantly affected the force-[Ca2+] relation, it did not affect the economy of force maintenance.



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Figure 4. Graphs showing effect of protein kinase A (PKA) treatment on economy of force maintenance in skinned cardiac trabeculae. Top, Force-rate of ATP consumption relations in the same trabecula shown in Fig 2Up. Bottom, Average pooled force rate of ATP consumption relations in 10 trabeculae. Data were pooled in 10% wide steady state force bins. {circ} indicates pre-PKA series; {bullet}, post-PKA series. Data were fit by linear regression as indicated by the solid lines. PKA did not affect the relation between steady state force and the rate of ATP consumption. This was confirmed by multiple linear regression analysis (shown in Table 3Up).


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Table 3. Multiple Linear Regression Analysis Coefficients


*    Discussion
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up arrowIntroduction
up arrowMaterials and Methods
up arrowResults
*Discussion
down arrowReferences
 
On average, maximum steady state force at saturating [Ca2+] was 52.8 mN/mm2 in the pre-PKA series (Table 2Up). This amount of steady state force, considering the range of sarcomere lengths used in the present study (2.2 to 2.3 µm), is comparable to that found in previous studies using skinned isolated rat myocardium.26 28 32 The average rate of ATP consumption accompanying this level of steady state force was 0.41 mmol/(secondsxL fiber volume) (Table 3Up). When a myosin head concentration of 0.15 mmol/L is assumed,35 this would amount to an ATP hydrolysis rate of 2.7 s-1 per cross-bridge. This value is comparable to previous reports using rat26 28 36 and guinea pig35 myocardium but slightly higher than that found in pig myocardium.37

Treatment with PKA at 3 µg/mL for 40 minutes in relaxing solution resulted in a significant rightward shift of the force-[Ca2+] relation, such that the EC50 parameter of the fit to the modified Hill equation increased from 4.16 to 6.82 µmol/L. These values translate into a rightward shift of 0.22 pCa units (-log[Ca2+]), which is comparable to the shift found previously by Strang et al14 (0.18 pCa units) and Hofmann and Lange18 (0.16 pCa units) after exposure of single skinned rat cardiac myocytes for 40 minutes to 3 µg/mL PKA. In these studies, it was demonstrated that treatment with PKA resulted in substantial phosphorylation of the troponin I and C-protein subunits of the contractile proteins. Likewise, ß-adrenergic stimulation in intact myocardium has been shown to be correlated with phosphorylation of these same contractile protein subunits.3 Thus, it is reasonable to assume that treatment with PKA in skinned myocardium mimics the "downstream" effects of catecholamine ß-receptor stimulation on contractile protein function in myocardium. The great similarity between the present study in skinned cardiac trabeculae and the previous studies on skinned myocytes14 18 with regard to the effect of PKA exposure on the force-[Ca2+] relation strongly suggests that PKA exposure induced troponin I and C-protein phosphorylation in the present study as well. This conclusion is strengthened further by the observation that increasing the PKA concentration to 100 µg/mL did not result in a greater rightward shift of the force-[Ca2+] relation. Nevertheless, it should be noted that the extent of phosphorylation of the contractile proteins induced by PKA treatment in the present study may differ from that in intact myocardium after ß-adrenergic stimulation. Finally, which of the phosphorylation sites on the contractile proteins is responsible for the shift in the force-[Ca2+] relation, ie, troponin I or C-protein, will require further studies.

There was a linear relation between steady state force and rate of ATP consumption, which is consistent with previous observations.7 28 Despite its significant effect on the sensitivity of force generation of the muscle preparation to calcium ions, however, PKA exposure did not affect the relation between steady state force and rate of ATP consumption (Fig 4Up and Table 3Up). Thus, treatment with PKA did not appear to alter the maximum rate of ATP consumption nor the economy of force maintenance in the present study. Previous mechanical measurements have suggested a direct accelerating effect of ß-adrenergic stimulation on the cardiac actomyosin interaction. In isolated papillary muscle, ß-agonist stimulation resulted in a significant (23% to 49%) increase in the frequency of minimum stiffness during barium contracture.11 12 Likewise, Strang et al14 have demonstrated a 41% increase in the maximum velocity of shortening in single isolated rat myocytes after exposure to PKA, although this finding is the subject of debate.17 18 19 An increase in the rate of cross-bridge cycling is expected to increase the rate of ATP consumption for a given level of steady state force and thereby lead to a reduction in the economy of force maintenance.21 38 The results of the present study, however, provided no indication of an altered economy of isometric force maintenance after treatment with PKA. The standard error of the slope of the relation between steady state force and rate of ATP consumption was 1.8% in the pre-PKA series and 2.5% in the post-PKA series. Therefore, it is unlikely that we would have been unable to detect an effect of PKA treatment if it were as large as some of the mechanical measurements indicate.

How is it possible that the mechanical parameters of cardiac contraction are affected by PKA treatment but the energetic parameters are not? One solution to this conundrum may be found in the fact that the mechanical measurements inherently rely on changes in sarcomere length. That is, the measurement of dynamic stiffness only probes transitions between cross-bridge states that are either directly or indirectly dependent on crossbridge strain.39 Likewise, it is probable that the maximum velocity of shortening is determined by the rate of cross-bridge detachment under conditions of low strain.38 It is possible that phosphorylation of troponin I or C-protein alters the strain dependency of cross-bridge state transitions without affecting the intrinsic rates of cross-bridge kinetics. Since cross-bridge strain was constant during the isometric contractures that we examined, this may explain why we found no effect of contractile protein phosphorylation on the economy of force maintenance in the present study. This hypothesis would also be consistent with previous biochemical studies,15 16 which suggested an increase in ATPase activity after ß-adrenergic stimulation, since it is likely that cross-bridges in vitro resemble those cycling under conditions of low strain.

Our results of an unaltered economy of force maintenance following ß-adrenergic stimulation differ from previous reports using myothermal measurements on isolated, intact, and twitching papillary muscles.20 21 In those experiments, application of isoproterenol resulted in a reduced economy of force generation, which has been interpreted by these investigators to indicate an enhanced cross-bridge cycling rate. However, interpretation of myothermal experiments in isolated myocardium has been limited because of several factors. First, uncertainties exist in the partitioning of total energy consumption between that used for activation (calcium handling) and that used for the contractile process (ie, cross-bridge cycling).22 Second, developed force during a twitching contraction in intact myocardium is not constant. Hence, there is uncertainty with regard to the force parameter to which the rate of ATP consumption is correlated. Alpert and colleagues20 21 have used developed force integrated over time. However, it is well known that stimulation of ß-adrenergic receptors leads to a profound reduction of the duration of the twitch contraction.1 Although the mechanism underlying the reduction of twitch duration is unknown, it may be related in part to alterations in the kinetics of calcium binding to troponin C, a phenomenon that is unrelated to the cross-bridge cycling rate. A reduction in economy of developed force due to a reduction in force time integral, therefore, may not necessarily be the result of an increase in cross-bridge cycling rate. It should be noted that the present study on skinned trabeculae was performed at 20°C, whereas the myothermal measurements on intact isolated myocardium were made at a higher temperature.20 21 Hence, different steps in the cross-bridge cycle may be rate limiting at the different temperatures studied, and these different steps may exhibit a different sensitivity toward PKA-induced protein phosphorylation.

Sarcomere length of the preparations was measured in relaxing solution. During the contracture, however, sarcomere length is expected to be less because of internal shortening of the preparation at the expense of damaged ends contained within the aluminum T clips. Although we did not measure active sarcomere length in the present study, we estimate that the magnitude of internal shortening is {approx}0.05 to 0.1 µm (P.P. de Tombe, unpublished data, 1994, and References 26 and 2826 28 ). Therefore, at full activation actual sarcomere length would be between 2.1 and 2.25 µm (compared with 2.2 to 2.3 µm at rest). Nevertheless, during the steady state of the contracture, ie, during the time to which our measurements were confined, sarcomere length is still expected to have been constant, albeit at a slightly shorter length than estimated from the relaxed sarcomere length. The impact of this confounding factor was further minimized by assessing the effects of PKA treatment in each individual muscle preparation compared with data obtained before the exposure to PKA. In addition, neither sarcomere length nor passive force in relaxing solution was affected by PKA treatment, making a change in the properties of the end compliance unlikely. It has been shown that the compliance of the damaged end region of an isolated trabecula is highly nonlinear.40 Hence, the small differences in steady state force between the pre- and post-PKA series would not be expected to have significantly affected active sarcomere length. Finally, Kentish and Stienen26 have shown that the contribution of myocardium underneath the T clips to the total rate of ATP consumption is negligible. Apparently, this tissue has either been rendered noncontractile, or the aluminum T clip prevents efficient exchange of the bathing solution with the underlying tissue. Because of these considerations, we do not expect that our conclusions are affected by end compliance.

In conclusion, treatment of skinned rat myocardium with the catalytic subunit of PKA significantly reduced the sensitivity of the preparation to [Ca2+] for steady state force. Neither the maximum rate of ATP consumption nor the economy of force maintenance, however, was affected by this treatment. These results suggest that ß-adrenergic stimulation does not affect the rate-limiting step of cross-bridge cycling during isometric contraction in myocardium.


*    Acknowledgments
 
This study was supported in part by grants from the Whitaker Foundation for Biomedical Research (Dr de Tombe), the American Heart Association National Center (94-006380, Dr de Tombe), National Institutes of Health (HL-52322, Dr de Tombe), and the Netherlands Heart Foundation (Dr Stienen). We thank I.A. van Graas for excellent technical assistance.

Received December 9, 1994; accepted February 13, 1995.


*    References
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*References
 
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Effect of protein kinase A on calcium sensitivity of force and its sarcomere length dependence in human cardiomyocytes
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Comparison of putative cooperative mechanisms in cardiac muscle: length dependence and dynamic responses
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B. M. Wolska, R. S. Keller, C. C. Evans, K. A. Palmiter, R. M. Phillips, M. Muthuchamy, J. Oehlenschlager, D. F. Wieczorek, P. P. de Tombe, and R. J. Solaro
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P. P de Tombe
Altered contractile function in heart failure
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Protein kinase A does not alter unloaded velocity of sarcomere shortening in skinned rat cardiac trabeculae
Am J Physiol Heart Circ Physiol, November 1, 1997; 273(5): H2415 - H2422.
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Am. J. Physiol. Heart Circ. Physiol.Home page
T. Wannenburg, P. M. L. Janssen, D. Fan, and P. P. De Tombe
The Frank-Starling mechanism is not mediated by changes in rate of cross-bridge detachment
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Functional consequences of caspase activation in cardiac myocytes
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D. P. Dobesh, J. P. Konhilas, and P. P. de Tombe
Cooperative activation in cardiac muscle: impact of sarcomere length
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J. C. Kentish, D. T. McCloskey, J. Layland, S. Palmer, J. M. Leiden, A. F. Martin, and R. J. Solaro
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T. J. Herron, F. S. Korte, and K. S. McDonald
Power Output Is Increased After Phosphorylation of Myofibrillar Proteins in Rat Skinned Cardiac Myocytes
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