Negative Inotropic Effect of Rapamycin on Isolated Human Cardiomyocytes

Rapamycin is an increasingly important immunosuppressive drug and reduces restenosis after coronary stenting, but its effects on cardiac contractility are largely unknown. We investigated the acute inotropic effects of rapamycin on isolated human cardiomyocytes. Cardiomyocytes were enzymatically iso...

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Veröffentlicht in:Journal of international medical research 2008-07, Vol.36 (4), p.810-814
Hauptverfasser: Möllmann, H, Nef, HM, Kahlert, P, Kostin, S, Möllmann, S, Weber, M, Troidl, C, Hamm, CW, Holubarsch, CJF, Elsässer, A
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container_issue 4
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container_title Journal of international medical research
container_volume 36
creator Möllmann, H
Nef, HM
Kahlert, P
Kostin, S
Möllmann, S
Weber, M
Troidl, C
Hamm, CW
Holubarsch, CJF
Elsässer, A
description Rapamycin is an increasingly important immunosuppressive drug and reduces restenosis after coronary stenting, but its effects on cardiac contractility are largely unknown. We investigated the acute inotropic effects of rapamycin on isolated human cardiomyocytes. Cardiomyocytes were enzymatically isolated from right atrial appendages obtained during routine coronary artery bypass surgery. Cell morphology was examined by confocal microscopy. Cell contraction was recorded after electrical stimulation. Rapamycin elicited a concentration-dependent decrease in fractional cell shortening ranging from 14.3 ± 2.6% at 10−8 M rapamycin to 26.4 ± 4.2% at 10−5 M. Rapamycin also caused a concentration-dependent decrease in diastolic cell length. Contractile performance of isolated cardiomyocytes was well preserved, as evidenced by the profound positive inotropic effects of high extracellular calcium concentration and the β-adrenoreceptor agonist isoproterenol. The acute negative inotropic effect of rapamycin on human cardiomyocytes might be due to altered calcium homeostasis through the binding of rapamycin to FKBP12.6 and its regulatory function on the ryanodine receptor, with increased calcium leakage from the sarcoplasmic reticulum.
doi_str_mv 10.1177/147323000803600424
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source Sage Journals GOLD Open Access 2024
subjects Calcium - metabolism
Cell Shape
Cells, Cultured
Dose-Response Relationship, Drug
Humans
Immunosuppressive Agents - pharmacology
Myocardial Contraction - drug effects
Myocardial Contraction - physiology
Myocytes, Cardiac - cytology
Myocytes, Cardiac - drug effects
Myocytes, Cardiac - metabolism
Sirolimus - pharmacology
title Negative Inotropic Effect of Rapamycin on Isolated Human Cardiomyocytes
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