(Circulation. 1997;95:2318-2324.)
© 1997 American Heart Association, Inc.
Articles |
From the Second Department of Internal Medicine, University of Tokyo (H.I., Y.H.) and the Research Institute of the National Cardiovascular Center, Osaka (K.K., H.M.), Japan.
Correspondence to Hiroshi Ikenouchi, MD, The Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, 113 Tokyo, Japan. E-mail ikenouchi-2im{at}h.u-tokyo.ac.jp
Background Adrenomedullin (AM) is a potent vasodilator peptide. AM-induced vasodilatation is mediated by an increase of NO as well as cAMP. Both AM and binding sites for this peptide have been found in cardiac tissue, indicating the possible existence of an autocrine or paracrine system of AM in the heart.
Methods and Results Myocytes were isolated by use of retrograde coronary perfusion with physiological solution containing collagenase and hyaluronidase from adult rabbit ventricles. Contraction of cardiac myocytes was traced with a video motion detector, and [Ca2+]i was measured with indo 1 at 37°C. The ICa was measured with a whole-cell patch clamp at 23°C. AM and calcitonin generelated peptide (CGRP), another member of the same peptide family, showed a concentration-dependent negative inotropic effect (10-7 mol/L AM: contraction amplitude, 64±7% of control; [Ca2+]i, 52±5% of control; n=10; 10-6 mol/L CGRP: contraction amplitude, 64±25%; [Ca2+]i, 70±3%; n=5; mean±SD). ICa was decreased to 60±39% by superfusion with AM after the cessation of NG-monomethyl-L-arginine (L-NMMA), an NO synthase inhibitor. Pretreatment with L-NMMA (10 µmol/L) abolished the negative inotropic effect of AM, whereas switching from AM+L-NMMA to AM+L-arginine (1 mmol/L) restored it. Superfusion with 8-bromo-cGMP also showed a negative inotropic effect. AM significantly increased the intracellular content of cGMP, a second messenger of NO, but not that of cAMP. AM (10 nmol/L) blunted the effect of 1 µmol/L forskolin.
Conclusions AM has a negative inotropic effect and decreased both [Ca2+]i and ICa, with these effects being at least partly mediated via the L-arginineNO pathway in adult rabbit ventricular myocytes.
Key Words: adrenomedullin myocytes contractility calcium nitric oxide
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