Long-term endothelin a receptor blockade inhibits electrical remodeling in cardiomyopathic hamsters

The endothelin (ET) system is activated in failing hearts. Congestive heart failure frequently is associated with ventricular arrhythmias, which may result from electrical remodeling such as changes of ionic current density and heterogeneous action potential prolongation. We examined the effects of...

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Veröffentlicht in:Circulation (New York, N.Y.) N.Y.), 2002-07, Vol.106 (5), p.613-619
Hauptverfasser: MATSUMOTO, Yasunori, AIHARA, Hajime, YAMAUCHI-KOHNO, Rikako, REIEN, Yoshie, OGURA, Takehiko, YABANA, Hideo, MASUDA, Yoshiaki, SATO, Toshiaki, KOMURO, Issei, NAKAYA, Haruaki
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container_issue 5
container_start_page 613
container_title Circulation (New York, N.Y.)
container_volume 106
creator MATSUMOTO, Yasunori
AIHARA, Hajime
YAMAUCHI-KOHNO, Rikako
REIEN, Yoshie
OGURA, Takehiko
YABANA, Hideo
MASUDA, Yoshiaki
SATO, Toshiaki
KOMURO, Issei
NAKAYA, Haruaki
description The endothelin (ET) system is activated in failing hearts. Congestive heart failure frequently is associated with ventricular arrhythmias, which may result from electrical remodeling such as changes of ionic current density and heterogeneous action potential prolongation. We examined the effects of long-term ET(A) receptor blockade on the electrophysiological properties of ventricular cells, the surface ECG, and the survival in BIO 14.6 cardiomyopathic hamsters. Membrane currents and action potentials were recorded from left ventricular cells isolated from normal F1beta hamsters and cardiomyopathic BIO 14.6 hamsters untreated and chronically treated with TA-0201, an ET(A) receptor antagonist. In ventricular cells of untreated BIO 14.6 hamsters, the action potential duration was prolonged and the densities of the L-type Ca2+ current (I(Ca,L)), the transient outward current (I(to)), the delayed rectifier K+ current (I(K)), and the inward rectifier K+ current (I(K1)) were decreased compared with those of F1beta hamsters. Long-term treatment with the ET(A) receptor antagonist significantly attenuated action potential duration prolongation and reduction of I(to), I(K), and I(Ca,L) in BIO 14.6 ventricular cells. Long-term ET(A) receptor blockade prevented the QT prolongation and ventricular arrhythmias and improved the survival rate in the cardiomyopathic hamsters. Long-term treatment with an ET(A) antagonist inhibits electrical remodeling such as downregulation of K+ and Ca2+ currents, action potential prolongation, and the increased QT interval and thereby suppresses ventricular arrhythmias in cardiomyopathic hearts. ET(A) receptor blockade may provide a new strategy for the prevention of ventricular arrhythmias associated with heart failure.
doi_str_mv 10.1161/01.CIR.0000023526.45800.8E
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Congestive heart failure frequently is associated with ventricular arrhythmias, which may result from electrical remodeling such as changes of ionic current density and heterogeneous action potential prolongation. We examined the effects of long-term ET(A) receptor blockade on the electrophysiological properties of ventricular cells, the surface ECG, and the survival in BIO 14.6 cardiomyopathic hamsters. Membrane currents and action potentials were recorded from left ventricular cells isolated from normal F1beta hamsters and cardiomyopathic BIO 14.6 hamsters untreated and chronically treated with TA-0201, an ET(A) receptor antagonist. In ventricular cells of untreated BIO 14.6 hamsters, the action potential duration was prolonged and the densities of the L-type Ca2+ current (I(Ca,L)), the transient outward current (I(to)), the delayed rectifier K+ current (I(K)), and the inward rectifier K+ current (I(K1)) were decreased compared with those of F1beta hamsters. Long-term treatment with the ET(A) receptor antagonist significantly attenuated action potential duration prolongation and reduction of I(to), I(K), and I(Ca,L) in BIO 14.6 ventricular cells. Long-term ET(A) receptor blockade prevented the QT prolongation and ventricular arrhythmias and improved the survival rate in the cardiomyopathic hamsters. Long-term treatment with an ET(A) antagonist inhibits electrical remodeling such as downregulation of K+ and Ca2+ currents, action potential prolongation, and the increased QT interval and thereby suppresses ventricular arrhythmias in cardiomyopathic hearts. ET(A) receptor blockade may provide a new strategy for the prevention of ventricular arrhythmias associated with heart failure.</description><identifier>ISSN: 0009-7322</identifier><identifier>EISSN: 1524-4539</identifier><identifier>DOI: 10.1161/01.CIR.0000023526.45800.8E</identifier><identifier>PMID: 12147545</identifier><identifier>CODEN: CIRCAZ</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams &amp; Wilkins</publisher><subject>Action Potentials - drug effects ; Action Potentials - physiology ; Animals ; Antiarythmic agents ; Biological and medical sciences ; Calcium - metabolism ; Calcium Channels, L-Type - metabolism ; Cardiomyopathies - drug therapy ; Cardiomyopathies - physiopathology ; Cardiovascular system ; Chronic Disease ; Cricetinae ; Disease Models, Animal ; Electrocardiography - drug effects ; Electrophysiologic Techniques, Cardiac ; Endothelin Receptor Antagonists ; Heart Conduction System - drug effects ; Heart Conduction System - physiopathology ; Heart Ventricles - cytology ; Heart Ventricles - drug effects ; Heart Ventricles - physiopathology ; Male ; Medical sciences ; Myocardium - cytology ; Patch-Clamp Techniques ; Pharmacology. 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Congestive heart failure frequently is associated with ventricular arrhythmias, which may result from electrical remodeling such as changes of ionic current density and heterogeneous action potential prolongation. We examined the effects of long-term ET(A) receptor blockade on the electrophysiological properties of ventricular cells, the surface ECG, and the survival in BIO 14.6 cardiomyopathic hamsters. Membrane currents and action potentials were recorded from left ventricular cells isolated from normal F1beta hamsters and cardiomyopathic BIO 14.6 hamsters untreated and chronically treated with TA-0201, an ET(A) receptor antagonist. In ventricular cells of untreated BIO 14.6 hamsters, the action potential duration was prolonged and the densities of the L-type Ca2+ current (I(Ca,L)), the transient outward current (I(to)), the delayed rectifier K+ current (I(K)), and the inward rectifier K+ current (I(K1)) were decreased compared with those of F1beta hamsters. Long-term treatment with the ET(A) receptor antagonist significantly attenuated action potential duration prolongation and reduction of I(to), I(K), and I(Ca,L) in BIO 14.6 ventricular cells. Long-term ET(A) receptor blockade prevented the QT prolongation and ventricular arrhythmias and improved the survival rate in the cardiomyopathic hamsters. Long-term treatment with an ET(A) antagonist inhibits electrical remodeling such as downregulation of K+ and Ca2+ currents, action potential prolongation, and the increased QT interval and thereby suppresses ventricular arrhythmias in cardiomyopathic hearts. 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Drug treatments</subject><subject>Potassium Channels, Inwardly Rectifying - metabolism</subject><subject>Pyrimidines - therapeutic use</subject><subject>Receptor, Endothelin A</subject><subject>Sulfonamides - therapeutic use</subject><subject>Survival Rate</subject><subject>Time</subject><issn>0009-7322</issn><issn>1524-4539</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkE2LFDEQhoMo7uzqX5BG0Fu3-ex0vMkwugsDgug5VCeVnWh3Z0x6DvvvzbgDU5dQvM9bgYeQ94x2jPXsE2Xd9uFHR8_DheJ9J9VAaTfsXpANU1y2UgnzkmxqblotOL8ht6X8rmsvtHpNbhhnUiupNsTt0_LYrpjnBhef1gNOcWmgyejwuKbcjFNyf8BjE5dDHONaGpzQrTk6mCo1J39uPNa4cZB9TPNTOsJ6iK45wFzq5fKGvAowFXx7ee_Ir6-7n9v7dv_928P2y751isq15RhASsEMjGhCr-kAAXB0wTFlTGAeDRottAbjsafgw9A75wfuKYWaizvy8fnuMae_JyyrnWNxOE2wYDoVq5mRg-Z9BT8_gy6nUjIGe8xxhvxkGbVnxZYyWxXbq2L7X7EddrX87vLLaZzRX6sXpxX4cAGgVEkhw-JiuXJiEH0lxT9-4IfO</recordid><startdate>20020730</startdate><enddate>20020730</enddate><creator>MATSUMOTO, Yasunori</creator><creator>AIHARA, Hajime</creator><creator>YAMAUCHI-KOHNO, Rikako</creator><creator>REIEN, Yoshie</creator><creator>OGURA, Takehiko</creator><creator>YABANA, Hideo</creator><creator>MASUDA, Yoshiaki</creator><creator>SATO, Toshiaki</creator><creator>KOMURO, Issei</creator><creator>NAKAYA, Haruaki</creator><general>Lippincott Williams &amp; Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20020730</creationdate><title>Long-term endothelin a receptor blockade inhibits electrical remodeling in cardiomyopathic hamsters</title><author>MATSUMOTO, Yasunori ; AIHARA, Hajime ; YAMAUCHI-KOHNO, Rikako ; REIEN, Yoshie ; OGURA, Takehiko ; YABANA, Hideo ; MASUDA, Yoshiaki ; SATO, Toshiaki ; KOMURO, Issei ; NAKAYA, Haruaki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c504t-2efa44319abe9f6708afaebcfc1599f1de9e97377a9de60adf86ccd82d00a9f13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Action Potentials - drug effects</topic><topic>Action Potentials - physiology</topic><topic>Animals</topic><topic>Antiarythmic agents</topic><topic>Biological and medical sciences</topic><topic>Calcium - metabolism</topic><topic>Calcium Channels, L-Type - metabolism</topic><topic>Cardiomyopathies - drug therapy</topic><topic>Cardiomyopathies - physiopathology</topic><topic>Cardiovascular system</topic><topic>Chronic Disease</topic><topic>Cricetinae</topic><topic>Disease Models, Animal</topic><topic>Electrocardiography - drug effects</topic><topic>Electrophysiologic Techniques, Cardiac</topic><topic>Endothelin Receptor Antagonists</topic><topic>Heart Conduction System - drug effects</topic><topic>Heart Conduction System - physiopathology</topic><topic>Heart Ventricles - cytology</topic><topic>Heart Ventricles - drug effects</topic><topic>Heart Ventricles - physiopathology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Myocardium - cytology</topic><topic>Patch-Clamp Techniques</topic><topic>Pharmacology. Drug treatments</topic><topic>Potassium Channels, Inwardly Rectifying - metabolism</topic><topic>Pyrimidines - therapeutic use</topic><topic>Receptor, Endothelin A</topic><topic>Sulfonamides - therapeutic use</topic><topic>Survival Rate</topic><topic>Time</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MATSUMOTO, Yasunori</creatorcontrib><creatorcontrib>AIHARA, Hajime</creatorcontrib><creatorcontrib>YAMAUCHI-KOHNO, Rikako</creatorcontrib><creatorcontrib>REIEN, Yoshie</creatorcontrib><creatorcontrib>OGURA, Takehiko</creatorcontrib><creatorcontrib>YABANA, Hideo</creatorcontrib><creatorcontrib>MASUDA, Yoshiaki</creatorcontrib><creatorcontrib>SATO, Toshiaki</creatorcontrib><creatorcontrib>KOMURO, Issei</creatorcontrib><creatorcontrib>NAKAYA, Haruaki</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Circulation (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MATSUMOTO, Yasunori</au><au>AIHARA, Hajime</au><au>YAMAUCHI-KOHNO, Rikako</au><au>REIEN, Yoshie</au><au>OGURA, Takehiko</au><au>YABANA, Hideo</au><au>MASUDA, Yoshiaki</au><au>SATO, Toshiaki</au><au>KOMURO, Issei</au><au>NAKAYA, Haruaki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long-term endothelin a receptor blockade inhibits electrical remodeling in cardiomyopathic hamsters</atitle><jtitle>Circulation (New York, N.Y.)</jtitle><addtitle>Circulation</addtitle><date>2002-07-30</date><risdate>2002</risdate><volume>106</volume><issue>5</issue><spage>613</spage><epage>619</epage><pages>613-619</pages><issn>0009-7322</issn><eissn>1524-4539</eissn><coden>CIRCAZ</coden><abstract>The endothelin (ET) system is activated in failing hearts. Congestive heart failure frequently is associated with ventricular arrhythmias, which may result from electrical remodeling such as changes of ionic current density and heterogeneous action potential prolongation. We examined the effects of long-term ET(A) receptor blockade on the electrophysiological properties of ventricular cells, the surface ECG, and the survival in BIO 14.6 cardiomyopathic hamsters. Membrane currents and action potentials were recorded from left ventricular cells isolated from normal F1beta hamsters and cardiomyopathic BIO 14.6 hamsters untreated and chronically treated with TA-0201, an ET(A) receptor antagonist. In ventricular cells of untreated BIO 14.6 hamsters, the action potential duration was prolonged and the densities of the L-type Ca2+ current (I(Ca,L)), the transient outward current (I(to)), the delayed rectifier K+ current (I(K)), and the inward rectifier K+ current (I(K1)) were decreased compared with those of F1beta hamsters. Long-term treatment with the ET(A) receptor antagonist significantly attenuated action potential duration prolongation and reduction of I(to), I(K), and I(Ca,L) in BIO 14.6 ventricular cells. Long-term ET(A) receptor blockade prevented the QT prolongation and ventricular arrhythmias and improved the survival rate in the cardiomyopathic hamsters. Long-term treatment with an ET(A) antagonist inhibits electrical remodeling such as downregulation of K+ and Ca2+ currents, action potential prolongation, and the increased QT interval and thereby suppresses ventricular arrhythmias in cardiomyopathic hearts. ET(A) receptor blockade may provide a new strategy for the prevention of ventricular arrhythmias associated with heart failure.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams &amp; Wilkins</pub><pmid>12147545</pmid><doi>10.1161/01.CIR.0000023526.45800.8E</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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ispartof Circulation (New York, N.Y.), 2002-07, Vol.106 (5), p.613-619
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source MEDLINE; American Heart Association Journals; Journals@Ovid Complete; EZB-FREE-00999 freely available EZB journals
subjects Action Potentials - drug effects
Action Potentials - physiology
Animals
Antiarythmic agents
Biological and medical sciences
Calcium - metabolism
Calcium Channels, L-Type - metabolism
Cardiomyopathies - drug therapy
Cardiomyopathies - physiopathology
Cardiovascular system
Chronic Disease
Cricetinae
Disease Models, Animal
Electrocardiography - drug effects
Electrophysiologic Techniques, Cardiac
Endothelin Receptor Antagonists
Heart Conduction System - drug effects
Heart Conduction System - physiopathology
Heart Ventricles - cytology
Heart Ventricles - drug effects
Heart Ventricles - physiopathology
Male
Medical sciences
Myocardium - cytology
Patch-Clamp Techniques
Pharmacology. Drug treatments
Potassium Channels, Inwardly Rectifying - metabolism
Pyrimidines - therapeutic use
Receptor, Endothelin A
Sulfonamides - therapeutic use
Survival Rate
Time
title Long-term endothelin a receptor blockade inhibits electrical remodeling in cardiomyopathic hamsters
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