Influence of isoproterenol and ouabain on excitation-contraction coupling, cross-bridge function, and energetics in failing human myocardium

Gerd Hasenfuss, Louis A. Mulieri, Paul D. Allen, H. Just, N. R. Alpert

Research output: Contribution to journalArticle

42 Scopus citations

Abstract

Background: In patients with heart failure, long-term treatment with catecholamines and phosphodiesterase inhibitors, both of which increase cyclic AMP levels, may be associated with increased mortality, whereas mortality may not be increased with glycoside treatment. Differences in clinical benefit between cyclic AMP-dependent inotropic agents and cardiac glycosides may be related to differences of these drugs on calcium cycling and myocardial energetics. Methods and Results: Isometric heat and force measurements were used to investigate the effects of isoproterenol and ouabain on myocardial performance, cross-bridge function, excitation contraction coupling, and energetics in myocardium from end-stage failing human hearts. Isoproterenol (1 μmol/L) increased peak twitch tension by 55% and decreased time to peak tension and relaxation time by 30% and 26%, respectively (P<.005). Ouabain (0.38±0.11 μmol/L) increased peak twitch tension and relaxation time by 41% and 20%, respectively, and decreased time to peak tension by 12% (P<.05). With isoproterenol, the amount of excitation- contraction coupling-related heat evolution (tension-dependent heat) increased by 246% (P<.05) and the economy of excitation-contraction coupling decreased by 61% (P<.05). Ouabain increased tension-independent heat by only 61% (P<.05) and did not significantly influence economy of excitation- contraction coupling. The effects of isoproterenol on excitation-contraction coupling resulted in a 21% (P<.005) decrease of overall contraction economy, which was not significantly changed with ouabain. Neither isoproterenol nor ouabain influenced energetics of cross-bridge cycling or recovery metabolism. Conclusions: Major differences between the effects of isoproterenol and ouabain in failing human myocardium are related to calcium cycling with secondary effects on myocardial energetics.

Original languageEnglish (US)
Pages (from-to)3155-3160
Number of pages6
JournalCirculation
Volume94
Issue number12
StatePublished - 1996
Externally publishedYes

Keywords

  • calcium
  • catecholamines
  • heart failure
  • inotropic agents
  • myocardium

ASJC Scopus subject areas

  • Physiology
  • Cardiology and Cardiovascular Medicine

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    Hasenfuss, G., Mulieri, L. A., Allen, P. D., Just, H., & Alpert, N. R. (1996). Influence of isoproterenol and ouabain on excitation-contraction coupling, cross-bridge function, and energetics in failing human myocardium. Circulation, 94(12), 3155-3160.