How Does the Ca<sup>2+</sup>-paradox Injury Induce Contracture in the Heart?—A Combined Study of the Intracellular Ca<sup>2+</sup> Dynamics and Cell Structures in Perfused Rat Hearts—

DOI Web Site 参考文献13件 オープンアクセス
  • Mani Hiroki
    Department of Pathology and Cell Regulation, Kyoto Prefectural University of Medicine, Graduate School of Medical Science Department of Molecular Genetics and Laboratory Medicine, Kyoto Prefectural University of Medicine, Graduate School of Medical Science
  • Tanaka Hideo
    Department of Pathology and Cell Regulation, Kyoto Prefectural University of Medicine, Graduate School of Medical Science
  • Adachi Tetsuya
    Department of Pathology and Cell Regulation, Kyoto Prefectural University of Medicine, Graduate School of Medical Science
  • Ikegawa Masaya
    Department of Genomic Medical Sciences, Kyoto Prefectural University of Medicine, Graduate School of Medical Science
  • Dai Ping
    Department of Pathology and Cell Regulation, Kyoto Prefectural University of Medicine, Graduate School of Medical Science
  • Fujita Naohisa
    Department of Molecular Genetics and Laboratory Medicine, Kyoto Prefectural University of Medicine, Graduate School of Medical Science
  • Takamatsu Tetsuro
    Department of Pathology and Cell Regulation, Kyoto Prefectural University of Medicine, Graduate School of Medical Science

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The calcium (Ca2+)-paradox injury of the heart, induced by restoration of extracellular Ca2+ after its short-term depletion, is known to provoke cardiomyocyte contracture. However, undetermined is how the Ca2+-paradox provokes such a distinctive presentation of myocytes in the heart. To address this, we imaged sequential intracellular Ca2+ dynamics and concomitant structures of the subepicardial ventricular myocytes in fluo3-loaded, Langendorff-perfused rat hearts produced by the Ca2+ paradox. Under rapid-scanning confocal microscopy, repletion of Ca2+ following its depletion produced high-frequency Ca2+ waves in individual myocytes with asynchronous localized contractions, resulting in contracture within 10 min. Such alterations of myocytes were attenuated by 5-mM NiCl2, but not by verapamil, SEA0400, or combination of ryanodine and thapsigargin, indicating a contribution of non-specific transmembrane Ca2+ influx in the injury. However, saponin-induced membrane permeabilization of Ca2+ showed no apparent contracture despite the emergence of high-frequency Ca2+ waves, indicating an essential role of myocyte-myocyte and myocyte-extracellular matrix (ECM) mechanical connections in the Ca2+ paradox. In immunohistochemistry Ca2+ depletion produced separation of the intercalated disc that expresses cadherin and dissipation of β-dystroglycan located along the sarcolemma. Taken together, along with the trans-sarcolemmal Ca2+ influx, disruption of cell-cell and cell-ECM connections is essential for contracture in the Ca2+-paradox injury.

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