Inotropic effect of NCX inhibition depends on the relative activity of the reverse NCX assessed by a novel inhibitor ORM-10962 on canine ventricular myocytes

Na+/Ca2+ exchanger (NCX) is the main Ca2+ transporter in cardiac myocytes. Its inhibition could be expected to exert positive inotropic action by accumulation of cytosolic Ca2+ ([Ca2+]i). However, we have observed only a marginal positive inotropic effect upon selective inhibition of NCX, which was...

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Elmentve itt :
Bibliográfiai részletek
Szerzők: Oravecz Kinga
Kormos Anita
Gruber Andrea
Márton Zoltán
Kohajda Zsófia
Jost Norbert László
Tóth András
Papp Gyula
Nánási Péter Pál
Varró András
Acsai Károly
Nagy Norbert
Dokumentumtípus: Cikk
Megjelent: 2018
Sorozat:EUROPEAN JOURNAL OF PHARMACOLOGY 818
doi:10.1016/j.ejphar.2017.10.039

mtmt:3284767
Online Access:http://publicatio.bibl.u-szeged.hu/15838
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520 3 |a Na+/Ca2+ exchanger (NCX) is the main Ca2+ transporter in cardiac myocytes. Its inhibition could be expected to exert positive inotropic action by accumulation of cytosolic Ca2+ ([Ca2+]i). However, we have observed only a marginal positive inotropic effect upon selective inhibition of NCX, which was enhanced when forward activity was facilitated. Here we attempted to clarify the underlying mechanism of the limited inotropic action of selective NCX inhibition by a novel inhibitor ORM-10962 on canine ventricular myocytes. 1 microM ORM-10962 reduced the Ca2+ content of sarcoplasmic reticulum (SR) when the reverse NCX was favoured, while SR Ca2+ content was increased by ORM-10962 under conditions favouring the forward activity, like elevation of [Ca2+]i. L-type Ca2+ current (ICa) was not affected by 1 microM ORM-10962 in the absence of SR Ca2+ release, while ICa was suppressed by ORM-10962 during normal Ca2+ cycling. The apparent degree of forward NCX inhibition was dependent on the elevation of [Ca2+]i, suggesting that an increased driving force of forward NCX can also limit the accumulation of [Ca2+i]. We concluded that in healthy myocardium the possible positive inotropic potential of NCX inhibition is considerably weaker than it was expected earlier by theoretical assumptions. The underlying mechanism may involve the autoregulation of Ca2+ handling and/or the preserved inducibility of forward NCX by high [Ca2+]i. This limitation of selective NCX inhibition seen in undiseased myocardium requires further studies in failing heart, which may allow correct evaluation of the potential therapeutic value of selective NCX inhibitors in the treatment of heart failure. 
700 0 1 |a Kormos Anita  |e aut 
700 0 1 |a Gruber Andrea  |e aut 
700 0 1 |a Márton Zoltán  |e aut 
700 0 1 |a Kohajda Zsófia  |e aut 
700 0 1 |a Jost Norbert László  |e aut 
700 0 1 |a Tóth András  |e aut 
700 0 1 |a Papp Gyula  |e aut 
700 0 1 |a Nánási Péter Pál  |e aut 
700 0 1 |a Varró András  |e aut 
700 0 1 |a Acsai Károly  |e aut 
700 0 1 |a Nagy Norbert  |e aut 
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