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(Circulation. 2004;109:2976-2979.)
© 2004 American Heart Association, Inc.
Brief Rapid Communications |
From the National Cardiovascular Center Research Institute, Osaka, Japan (J.T.P., M.S., N.T., H.T., N.N., D.O.S., H.I.-U., H.M., K.K., H.S.); S-I Medico-Tech Co Ltd, Kashiwara, Osaka, Japan (H.I.); Muroran Institute of Technology, Muroran, Japan (R.A.); and SPring-8/JASRI, Sayo, Hyogo, Japan (N.Y.).
Correspondence to Dr James T. Pearson, Cardiac Physiology, National Cardiovascular Center Research Institute, 5-7-1 Fujishirodai, Suita, Osaka 565-8565 Japan. E-mail jpearson{at}ri.ncvc.go.jp
Received March 1, 2004; de novo received March 31, 2004; revision received May 6, 2004; accepted May 6, 2004.
| Abstract |
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Methods and Results The left ventricular free wall of spontaneously beating rat hearts (heart rate, 290 to 404 bpm) was directly exposed to brief high-flux, low-emittance x-ray beams provided at SPring-8. Myosin mass transfer to actin filaments was determined as the decrease in reflection intensity ratio (intensity of 1,0 plane over the 1,1 plane) between end-diastole and end-systole. The distance between 1,0 reflections was converted to a lattice spacing between myosin filaments. We found that mass transfer (mean, 1.71±0.09 SEM, n=13 hearts) preceded significant increases in lattice spacing (2 to 5 nm) during systole in nonischemic pericardium. Left coronary occlusion eliminated increases in lattice spacing and severely reduced mass transfer (P<0.01) in the ischemic region.
Conclusions Our results suggest that x-ray diffraction techniques permit real-time in situ analysis of regional crossbridge dynamics at molecular and fiber levels that might also facilitate investigations of ventricular output regulation by the Frank-Starling mechanism.
Key Words: ischemia myocardial contraction myosin radiography
| Introduction |
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X-ray diffraction patterns of cardiac muscle produce 2 equatorial-position reflections from the lattice-like arrangement of its protein elements.2 Mass transfer of myosin heads to actin during contraction is inferred from a decrease in the integrated 1,0 reflection intensity (I1,0, lattice plane containing only thick myosin filaments) and an increase in 1,1 reflection intensity (I1,1, plane with thick myosin and thin actin filaments).7 The myocardial intensity ratio (defined as I1,0/I1,1) is minimal in the rigor state and maximal in a quiescent state.1,2,6,8
Furthermore, the distance between 1,0 reflection peaks (d1,0 spacing) represents the myosin lattice spacing, which is inversely related to sarcomere length in isolated fibers5 as static myocytes maintain a constant cell volume. Whether decreases in myofilament spacing contribute to increasing Ca2+ sensitivity and increased probability of crossbridge formation at longer sarcomere lengths has been actively debated.9 However, it is still not known if lattice spacing is regulated to maintain constant lattice volume (ie, if lattice cross-sectional area decreases with increasing sarcomere length, then interfilament spacing must decrease) during dynamic contractions in vivo.
Recently, it was shown that the intensity ratio derived from x-ray diffraction patterns of isolated whole hearts decreased during isovolumic contractions with a similar time course throughout the LV,6 implying that crossbridge cycling in fibers of different myocardial layers is similar despite differences in fiber orientation and rate of shortening. However, it was not possible to follow dynamic lattice spacing changes. In the present study, we used a fine-focused x-ray beam to record diffraction patterns of a localized region of the LV of ejecting rat hearts in situ and then determined crossbridge cycling and myosin lattice spacing.
| Methods |
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X-Ray Diffraction With Collimated Synchrotron Radiation
Measurements were conducted at the 40XU beamline of SPring-8.6 A collimated quasimonochromatic beam (wavelength, 0.08 nm) with a beam flux of
1012 photons per second (15 keV; ring current, 60 to 100 mA) and dimensions 0.2 x 0.2 mm was focused at an oblique tangent to the myocardium (
3 m from the detector). The ventilator was stopped at end-expiration to reduce heart movements during measurements (
2.1 seconds). Images were digitally recorded at a 15-ms sampling interval with the use of an image intensifier and a fast CCD camera,6 simultaneous with pressure-volume analog signals (1000-Hz sampling frequency). The beam passed through the apical myocardium between the ends of the descending branch of the left coronary artery (LAD) and the posterior interventricular vein. Final burning of the recorded region (higher energy levels) confirmed that the beam only exposed fibers in the epicardium and part of the intermediate layer (histological inspection).
Acute Ischemia Treatment
Heart baseline recordings were established, permanent ligation of the proximal LAD was performed, and recordings were repeated 5 to 10 minutes later.
Intensity Ratio Calculations and Analyses
Integrated intensity of I1,0 and I1,1 was determined from the areas under the reflection peaks after background subtraction.6 Intensity ratio (I1,0/I1,1) was used rather than absolute reflection intensities of I1,0 and I1,1,, which are influenced by changes in the quantity of fibers sampled during contractions.3 Myosin mass transfer index was defined as the difference in intensity ratio between ED and end systole (ES).
| Results |
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Intensity ratio averaged 2.80±0.11 (SEM, n=13 hearts) at ED, and the average myosin mass transfer index was 1.71±0.09. In all hearts, the decrease in intensity ratio during crossbridge formation was completed before the full extent of the d1,0 spacing change (2 to 5 nm between hearts, Figure 2a). Furthermore, at any given LVV, the d1,0 spacing during systole was 1 to 2 nm larger than diastole (Figure 2b).
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Mass Transfer and Lattice Spacing During Regional Ischemia
LAD occlusion reduced the intensity ratio change and prevented normal lattice spacing increase, consistent with reduced contractility of the ischemic region (Figure 1, c and d). Occlusion significantly increased intensity ratios at both ED (P<0.05) and ES (P<0.001) in the same LV region (n=6, Figure 2c). Although mean heart rate was not depressed (341±16 bpm, 4% increase) and there was only a small decrease in mean LV ES pressure (26.9±5.8 mm Hg SEM), regional ischemia severely depressed the mass transfer index (55% of baseline).
| Discussion |
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In Situ Changes in Myofilament Spacing
We showed that significant lattice expansion occurs during contraction and that the relation between d1,0 spacing and intensity ratio is not linear but a loop in nonischemic hearts (black line, Figure 2a). The d1,0 spacing changes during contraction (2 to 5 nm) were larger than the 1-nm difference in d1,0 spacing reported between the epicardium and endocardium (at diastole).6 Therefore, the larger d1,0 spacing change found in ejecting hearts cannot be explained by shifts in the fiber layers exposed to the beam. The loop formed by these indexes might contain valuable information about how crossbridge axial and radial forces alter the dynamics of lattice spacing changes. Crossbridge projections from the myosin backbone produce radial force perpendicular to that of axial force in the filament direction.12 Release of isometric tension in intact skeletal myofibers during sarcomere shortening causes a brief and rapid lattice spacing increase, in excess of that predicted by fiber shortening in itself.12,13 We therefore conclude that lattice volume is not constant in the dynamic state because myosin lattice spacing is significantly larger (1 to 2 nm) during contraction than ventricular filling at the same LVV (d1,0 spacing during systole greater than diastole, Figure 2b). Crossbridge formation probably causes a brief lattice expansion in ejecting hearts mediated by radial forces.
Sensitivity of In Situ Indexes to Regional Ischemia
The relevance of our new findings is that although the intensity ratio of beating hearts in diastole was similar to that of relaxed papillary muscles, there is a very different response of the myocardium in beating hearts to ischemia in terms of crossbridge dynamics and lattice space changes. Higher intensity ratios and more variable intensity ratio changes during systole (Figure 1, c and d) occurred as the result of lower absolute I1,1 in systole and a lack of consistent increase in I1,1 when I1,0 decreased (data not shown). Thus, permanent regional ischemia severely attenuated mass transfer in the epicardium (Figure 2c). Furthermore, ischemia induced increases in ED intensity ratio in vivo, whereas other studies report maximal decreases in the intensity ratio under anoxic perfusion (isolated arrested hearts)8 or rigor.1,2 An increase in intensity ratio might be related to metabolite accumulation or pronounced passive stretching, because fiber shortening in infarcted regions progressively decreases until fibers eventually become passively stretched (bulging) by fiber shortening in the nonischemic region.14 In support of the bulging possibility, we found that d1,0 spacing no longer increases between ED and ES after occlusion.
The cellular basis of the Frank-Starling law of the heart involves increases in contractility caused by length-dependent increases in Ca2+ sensitivity associated with increased ventricular filling.9 However, it is still debated whether increased crossbridge activation results from increased probability of crossbridge formation with decreasing lattice spacing associated with fiber stretching (see review in Reference 9). In a future publication, we will examine how LV volume loading influences mass transfer in relation to myofilament spacing and length-dependent activation of contraction in situ.
| Acknowledgments |
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| References |
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