Impairment of Excitation-Contraction Coupling in Right Ventricular Hypertrophied Muscle with Fibrosis Induced by Pulmonary Artery Banding

PLoS One. 2017 Jan 9;12(1):e0169564. doi: 10.1371/journal.pone.0169564. eCollection 2017.

Abstract

Interstitial myocardial fibrosis is one of the factors responsible for dysfunction of the heart. However, how interstitial fibrosis affects cardiac function and excitation-contraction coupling (E-C coupling) has not yet been clarified. We developed an animal model of right ventricular (RV) hypertrophy with fibrosis by pulmonary artery (PA) banding in rats. Two, four, and six weeks after the PA-banding operation, the tension and intracellular Ca2+ concentration of RV papillary muscles were simultaneously measured (n = 33). The PA-banding rats were clearly divided into two groups by the presence or absence of apparent interstitial fibrosis in the papillary muscles: F+ or F- group, respectively. The papillary muscle diameter and size of myocytes were almost identical between F+ and F-, although the RV free wall weight was heavier in F+ than in F-. F+ papillary muscles exhibited higher stiffness, lower active tension, and lower Ca2+ responsiveness compared with Sham and F- papillary muscles. In addition, we found that the time to peak Ca2+ had the highest correlation coefficient to percent of fibrosis among other parameters, such as RV weight and active tension of papillary muscles. The phosphorylation level of troponin I in F+ was significantly higher than that in Sham and F-, which supports the idea of lower Ca2+ responsiveness in F+. We also found that connexin 43 in F+ was sparse and disorganized in the intercalated disk area where interstitial fibrosis strongly developed. In the present study, the RV papillary muscles obtained from the PA-banding rats enabled us to directly investigate the relationship between fibrosis and cardiac dysfunction, the impairment of E-C coupling in particular. Our results suggest that interstitial fibrosis worsens cardiac function due to 1) the decrease in Ca2+ responsiveness and 2) the asynchronous activation of each cardiac myocyte in the fibrotic preparation due to sparse cell-to-cell communication.

MeSH terms

  • Aequorin / metabolism
  • Animals
  • Biomarkers
  • Calcium / metabolism
  • Connexin 43 / genetics
  • Connexin 43 / metabolism
  • Excitation Contraction Coupling*
  • Fibrosis
  • Gene Expression
  • Heart Failure / pathology
  • Heart Failure / physiopathology
  • Hypertrophy, Right Ventricular / genetics
  • Hypertrophy, Right Ventricular / metabolism
  • Hypertrophy, Right Ventricular / pathology*
  • Hypertrophy, Right Ventricular / physiopathology*
  • Male
  • Membrane Potentials
  • Papillary Muscles / pathology
  • Papillary Muscles / physiopathology
  • Phosphorylation
  • Pulmonary Artery / physiopathology*
  • Rats
  • Troponin I / metabolism

Substances

  • Biomarkers
  • Connexin 43
  • Troponin I
  • Aequorin
  • Calcium

Grants and funding

This work was supported by grants from the Ministry of Education, Culture, Sports, Science and Technology of Japan https://kaken.nii.ac.jp/d/r/80338889.en.html. (25136719 and 15K08190 to YK, 26670096 to SM). The Vehicle Racing Commemorative Foundation (Y.K., S.M.). The Jikei University Graduate Research Fund (S.M.). The MEXT-Supported Program for the Strategic Research Foundation at Private Universities (S.M.). Grant-in-Aid for JSPS Fellows Number 25-5481 (D.S.).