691 Altered Performance of Rat Cardiac Muscle Follows Changes in Mechanical Stress during Relaxation ALLEN W. WIEGNER AND OSCAR H. L. BING SUMMARY We compared two sets of loading conditions for their effect on the mechanical performance of isolated rat trabecular muscle: (1) loading which approximated that of the intact ventricle; (2) nonphysiological afterloaded isotonic contractions. Improved performance, manifested by increased shortening and rate of shortening at constant load, was seen when lengthening occurred at light loads, as in the intact heart. In contrast, lengthening occurring at the same load against which shortening had taken place was followed by diminished performance. Viscous elements in series with the muscle could not account for this phenomenon. The results suggest the presence of an autoregulatory response of myocardium to mechanical stress during relaxation. Downloaded from http://circres.ahajournals.org/ by guest on July 31, 2017 During a normal cardiac cycle, the aortic valve closes following ventricular ejection, and intraventricular pressure declines. Subsequent ventricular filling occurs at low pressure, as ventricular wall fibers are extended to their precontraction length. In an isolated muscle preparation which is loaded to simulate this cycle of events, isometric relaxation precedes isotonic relaxation, that is, in a "physiologically sequenced contraction" (PSC), force is permitted to decline prior to muscle lengthening.1 Afterloaded isotonic contractions (AIC), apparently a holdover from studies of skeletal muscle,2 represent the lifting of a load and the subsequent reextension of the muscle by the same load during relaxation. With AICs, the isotonic relaxation phase precedes isometric relaxation; i.e., lengthening occurs before the decline of active force. Thus, AICs simulate the ventricular relaxation dynamics imposed by an incompetent semilunar valve, where ejected blood is allowed to return to the ventricle. This nonphysiological relaxation sequence has been used to date in many studies of the innate properties of cardiac muscle. In the present study we have compared these two modes of contraction in isolated muscle preparations, to evaluate the effects of load during relaxation on overall muscle performance. Methods Trabeculae carneae were dissected from the left ventricles of freshly decapitated rats and mounted vertically in a Plexiglas chamber containing Krebs-Henseleit solution3 From the Department of Electrical Engineering and Computer Science, Massachusetts Institute of Technology, Cambridge, Massachusetts, and Thorndike Memorial Laboratory, Harvard Medical School, Beth Israel Hospital, Boston, Massachusetts. Supported by Grant 1147 of the Greater Boston Chapter of the Massachusetts Heart Association, National Institutes of Health Grants HL 18338, HL 00072, and Training Grant CM 01555. Dr. Wiegner is the recipient of a fellowship from the Johnson & Johnson Associated Industries Fund. Dr. Bing is the recipient of a National Institutes of Health Career Development Award. Address for reprints: O. H. L. Bing, M.D., Cardiovascular Unit, Beth Israel Hospital, 330 Brookline Avenue, Boston, Massachusetts 02215 Received February 2, 1977; accepted for publication April 19, 1977. at 28°C, bubbled with a mixture of 95% O2 and 5% CO2. An electronic servosystem1'4 was used to control the force and/or length of the muscle preparation. Length was controlled by means of a low inertia DC motor (General Scanning model G100PD) with integral displacement transducer, while a semiconductor strain gauge transducer (DSC Incorporated model DSC-3) measured force. Servosystem feedback was adjusted to obtain step response times of 1 msec for a length step and 5 msec for a force step. System frequency response to a sinusoidal length command (0.1 mm peak to peak) was found to be flat within 1 dB from 0 to 500 Hz. Electrical compliance of the system was less than 1 //.m/g. The preparations were stimulated at a rate of 12/min by parallel platinum electrodes delivering 5-msec pulses at voltages 10% above threshold. The upper end of the muscle was held by a spring clip and connected by a length of 30-gauge stainless steel tubing to the motor lever arm above the chamber. The lower end of the muscle was held by a spring clip directly attached to the immersed force transducer. The physiologically sequenced contractions that occurred with this system consist of the following four phases: (1) isometric contraction: following stimulation, the muscle is held at constant length while contractile force increases; (2) isotonic shortening: when active force equals the afterload, force is held constant at that level and muscle shortening occurs; (3) isometric relaxation: the point of maximum shortening is detected and the muscle is held at its shortest attained length while force is allowed to decline to the preload level; (4) isotonic lengthening: with force held at preload level, the muscle returns to its original length. To perform afterloaded isotonic contractions, phases 3 and 4 are interchanged, such that lengthening occurs before the decline of active force. Following a 30-minute period of isotonic contractions at a preload of approximately 0.5 g/mm2, the muscles were stretched to the apices of their length-tension curves (Ln,ax) and allowed to equilibrate for 30 minutes while contracting with an afterload equal to 25% of peak isometric active force. Fifteen-minute periods of AICs CIRCULATION RESEARCH 692 RELAXATION A. Isometric - tsotonic VOL. 41, No. 5, NOVEMBER 1977 SEQUENCE 8. Isotonic - Isometric o Afterlood Increased • Relaxation Sequence Changed (PSC to AIC) 4 o o — o o g wt t o T 0 - Downloaded from http://circres.ahajournals.org/ by guest on July 31, 2017 FIGURE 1 Oscilloscope traces showing muscle length in millimeters (top) and muscle force in grams-weight (bottom). A, Trace 1 is a record of the first physiologically sequenced contraction (PSC) following a 15-minute period of afierloaded isotonic contractions (AIC). Trace 2 is a PSC recorded 15 minutes later which shows increased shortening and more rapid relaxation. B, Trace 3, recorded immediately after trace 2, is the first of a subsequent 15minute period of AICs. In trace 4, 15 minutes later, shortening has decreased and relaxation slowed. This cycle of events was repealable. were subsequently alternated with equal periods of PSCs. Afterload and resting length were held constant; only the relaxation sequence changed. The first and last contractions of each 15-minute period were recorded with a Tektronix model D15 storage oscilloscope and model C5 camera (Fig. 1). The entire cycle as shown in Figure 1 was performed twice with four muscles, three times with one muscle, and once with one muscle. Repeated cycles with a given muscle preparation were averaged to obtain the values for that muscle used in statistical analysis. Statistical significance was evaluated by Student's paired Mest. Results Table 1 summarizes the observed changes. After 15 minutes of PSCs, there was no change in the rate of force development (+dF/dt) during the isometric phase of the contraction. However, an increase (8%) in the maximum velocity of muscle shortening, combined with negligible change in the time to peak shortening, resulted in increased shortening (8%). Relaxation parameters showed the largest changes: isotonic lengthening proceeded 26% faster after 15 minutes of PSCs. It is evident from Figure 1 that the force-time product (FTP), or muscle force integrated over the course of a o -2 — ~" o o • | • -4 — -6 o • - -8 1 * 1 20 1 1 40 1 *l 60 1 1 1 80 1 100 120 INCREASE IN. FORCE-TIME PRODUCT FIGURE 2 The effect of a 15-minute increase in force-time product (FTP) on muscle shortening. Upon changing from PSCs to AICs, the increase in the FTP is followed by a decrease in the amount of shortening after 15 minutes (0). When the FTP is increased by simply increasing the afterload (O), after the initial step decrease in shortening, no consistent changes in shortening appear during the subsequent 15-minute period. The change in shortening (mean ± SEM,) for each group is indicated. twitch, of an AIC exceeds that of a PSC at the same afterload. One might suggest that viscous elements, either in series with the contractile element (CE), or at the damaged ends of the muscle where it is attached to the experimental apparatus, would be stretched by the increased FTP, resulting in a shorter CE. In this case the present effect could be a result of the CE operating at a shorter length during AICs. However, two arguments suggest that this is not the case. Following the onset of a period of AICs, a small decrease in preload is seen at constant resting length. This implies the existence of a small series viscous element which is stretched by the increased FTP. However, this fall in preload occurs within the first several twitches following the onset of AICs, while decreased shortening has a time constant of approximately 5 minutes, an order of magnitude greater. Thus, these early series viscous effects do not appear to be temporally correlated with the TABLE 1 Effect of Relaxation Sequence on Muscle Contraction Parameters PSC AIC Max. shortening velocity (muscle lengths/sec) Total shortening (% of Lmax) Time to peak shortening (msec) Duration of isometric relaxationt (msec) Max. lengthening velocity! (muscle lengths/sec) 1 1 1.04 at 10.1 it 190 at 95 it 1.92 at 0.03 0.4 2 6 0.09 1.12 10.9 189 78 2.42 ± ± ± ± ± 0.04 0.5 2 4 0.18 <0.01 <0.01 NS* <0.01 <0.01 Fifteen-minute periods of AICs were alternated with 15-minute periods of PSCs. The first and last contractions of each period were recorded. The AIC column lists parameter values after a 15-minute period of AICs, while the PSC column reflects a 15-minute period of equilibration with PSCs. Data are from six muscles, mean ± SEM. * NS = not significant. t Since isometric relaxation follows lengthening in AICs, relaxation parameters are determined from the PSCs which bracket a 15-minute period of AICs or PSCs. MECHANICAL STRESS DURING MYOCARDIAL RELAXATION/W/eg/jtv and Bing Downloaded from http://circres.ahajournals.org/ by guest on July 31, 2017 later changes. In an additional experiment, the afterload was altered at the onset of a period of AICs or PSCs to test the effect of FTP on twitch parameters. Figure 2 shows that changing the relaxation sequence from PSC to AIC increased the FTP and consistently decreased shortening by 4-5% in this series of muscles. Changes in FTP alone resulted in random variations in shortening with a mean near zero. This implies that changes in FTP alone are not responsible for the effect described here. Improved performance associated with properly sequenced relaxation slightly resembles the effect of catecholamine administration, in that total shortening, velocity of shortening, and especially rate of relaxation are enhanced. However, time to peak shortening is not reduced and the effect is not abolished by /3-adrenergic blockade with 10~4 M propranolol, even though contractile force is decreased approximately 50% at that concentration . If this effect were mediated by changes in intracellular Ca2+, one might expect to find contractile changes which parallel the effect of an increased concentration of calcium in the bath. On the contrary, we find that increasing the bath calcium strongly increases +dF/dt and maximum shortening velocity, with little change in the isometric relaxation rate. Discussion We have found that altered muscle performance follows a change in mechanical stress during relaxation. Since this is an intrinsic alteration of myocardial performance at constant fiber length, it may represent a form of homeometric autoregulation. This term was introduced by Sarnoff et al.,5 who suggested two examples: the apparent positive inotropic effects resulting from increased heart rate (the Bowditch effect, or "Treppe") and increased afterload (the Anrep effect). Subsequent research has indicated that Treppe may be a consequence of intracellular ionic shifts with alteration in contraction rate.6 The Anrep effect has been related to coronary vessel flow redistribution following changes in aortic impedence and, as such, it would not be a true example of homeometric autoregulation.7 Although the present studies do not elucidate the basic mechanism responsible for the inotropic effect reported here, it may be of interest to consider the possible effect of stress during relaxation on the machinery of contraction. 693 In the sliding filament theory of muscle contraction, force is proportional to the number of attached "crossbridges," the sites of interaction of the actin and myosin filaments.8 In an AIC, lengthening takes place while the number of attached cross-bridges is large, whereas in a PSC, external lengthening occurs when fewer crossbridges remain attached. One might speculate that gradual conformational changes in the actomyosin complexes of the thick and thin filaments may result from forced dislocation of the cross-bridges by the afterload during an AIC and lead to altered muscle performance. Previous studies have shown that quick stretches and quick releases during the rising phase of the twitch alter the intensity and time course of a given contraction9-10 and that a change in performance seems to accompany large changes in afterload."-l2 The present study uses no stretches, releases, or changes in afterload, yet demonstrates that changes only in the load during relaxation can reversibly alter both contraction and relaxation dynamics of future twitches. References 1. Sulman DL, Bing OHL, Mark RG, Burns SK: Physiologic loading of isolated heart muscle. Biochem Biophys Res Commun 56: 947-951, 1974 2. Jewell BR, Wilkie DR: The mechanical properties of relaxing muscle. J Physiol 152: 30-47, 1960 3. Krebs HA, Henseleit K: Untersuchungen fiber die Harnstoffbildung im Tierkorper. Hoppe Seylers Z Physiol Chem 210: 33-66, 1932 4. Wiegner AW: A contraction sequence controller for isolated cardiac muscle experiments. Progress Report, Research Laboratory of Electronics, No. 115. Cambridge, Massachusetts Institute of Technology, 1975, pp 312-313 5. Sarnoff SJ, Mitchell JH, Gilmore JP, Remensnyder JP: Homeometric autoregulation in the heart. Circ Res 8: 1077-1091, 1960 6. Langer GA: Ion fluxes in cardiac contraction and excitation and their relation to myocardial contractility. Physiol Rev 48: 708-757, 1968 7. Monroe RG, Gamble WJ, LaFarge CG, Vatner SF: Homeometric autoregulation. In The Physiological Basis of Starling's Law of the Heart. Ciba Foundation Symposium 2A. ASP, Amsterdam, 1974, pp 257-271 8. Huxley AF, Simmons RM: Proposed mechanism of force generation in striated muscle. Nature 233: 533-538, 1971 9. Kaufmann RL, Bayer RM, Harnasch C: Autoregulation of contractility in the myocardial cell. Pfluegers Arch 332: 96-116, 1972 10. Bozler E: Mechanical control of the time-course of contraction of frog heart. J Gen Physiol 65: 329-344, 1975 11. Parmley WW, Brutsaert DL, Sonnenblick EH: Effects of altered loading on contractile events in isolated cat papillary muscle. Circ Res 24:521-532,1969 12. Donald TC, Peterson DM, Walker AA, Hefner, LL: Afterloadinduced homeometric autoregulation in isolated cardiac muscle. Am J Physiol 231 (Part 2): 545-550, 1976 Altered performance of rat cardiac muscle follows changes in mechanical stress during relaxation. A W Wiegner and O H Bing Downloaded from http://circres.ahajournals.org/ by guest on July 31, 2017 Circ Res. 1977;41:691-693 doi: 10.1161/01.RES.41.5.691 Circulation Research is published by the American Heart Association, 7272 Greenville Avenue, Dallas, TX 75231 Copyright © 1977 American Heart Association, Inc. All rights reserved. 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