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(Stroke. 2006;37:1875.)
© 2006 American Heart Association, Inc.
Original Contributions |
From the Division of Pharmaceutical Sciences and Center for Cardiovascular Research and Alternative Medicine, University of Wyoming, Laramie.
Correspondence to Dr Jun Ren, Professor, Division of Pharmaceutical Sciences, University of Wyoming, Laramie, WY 82071. E-mail jren{at}uwyo.edu
Background and Purpose The sequelae of intracerebral hemorrhage involve multiple organ damage including electrocardiographic alteration, although the mechanism(s) behind myocardial dysfunction is unknown. The aim of this study was to examine the impact of intracerebral hemorrhage on cardiomyocyte contractile function, intracellular Ca2+ handling, Ca2+ cycling proteins, I kappa B beta protein (I
B) phosphorylation, hypoxia-inducible factor 1
(HIF-1
), and nitrosative damage within 48 hours of injury.
Methods Mechanical and intracellular Ca2+ properties were evaluated including peak shortening (PS), maximal velocity of shortening/relengthening (±dL/dt), time-to-PS (TPS), time-to-90% relengthening (TR90), fura-2 fluorescence intensity (FFI), and intracellular Ca2+ decay.
Results Myocytes from intracerebral hemorrhage rats exhibited depressed PS, ±dL/dt, prolonged TPS and TR90, as well as declined baseline FFI and slowed intracellular Ca2+ decay between 12 and 24 hours after injury. Most of these aberrations returned to normal levels 48 hours after hemorrhage with the exception of dL/dt and TR90. Myocytes from 24-hour posthemorrhage rats exhibited a stepper negative staircase in PS with increased stimulus frequency. Cardiac expression of sarco(endo)plasmic reticulum Ca2+-ATPase 2a and phospholamban was enhanced, whereas that of Na+-Ca2+ exchanger and voltage-dependent K+ channel was decreased. I
B phosphorylation, HIF-1
, inducible NO synthase, and 3-nitrotyrosine were enhanced 12 hours after injury.
Conclusions These data demonstrated that intracerebral hemorrhage initiates cardiomyocyte contractile and intracellular Ca2+ dysregulation possibly related to altered expression of Ca2+ cycling proteins, nitrosative damage, and myocardial phosphorylation of I
B.
Key Words: calcium cardiac myocytes contraction intracerebral hemorrhage
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