Protein Synthesis and Amlno Acid Transport in the Isolated Rabbit Right Ventricular Papillary Muscle EFFECT OF ISOMETRIC TENSION DEVELOPMENT By Myron B. Peterson and Michael Letch With the Technical Assistance of Alan G. Ferguson Downloaded from http://circres.ahajournals.org/ by guest on June 14, 2017 ABSTRACT To investigate the effects of isometric tension development on myocardial protein metabolism, 14C-phenylalanine incorporation into protein was studied in the isolated rabbit right ventricular papillary muscle. Amino acid incorporation was linear for 6 hours in resting muscles and was totally inhibited by ICHM cycloheximide and ICHM puromycin. Phenylalanine incorporation into total protein was unaltered by 90 minutes of isometric tension development at peak tension at stimulation rates of 30, 50, or 100/min. Significant increases were noted in muscles stimulated at 50 and 100/min for 180 minutes (P < 0.01). Electrical stimulation, in the absence of isometric tension development, was not responsible for this effect. Passive stretch also appeared to stimulate incorporation, although to a lesser degree than did active tension development. The specific activities of the intracellular phenylalanine pools were identical in control and stimulated muscles. Alpha-aminoisobutyric acid was used to evaluate the effect of tension development on myocardial amino acid transport. Enhanced transport was noted in muscles stimulated isometrically at 30, 50, or 100/min at peak tension. The increased transport ratios could not be solely attributed to active tension development since passive stretch resulted in comparable changes. This study indicates that both passive stretch and tension development are important in regulating myocardial protein synthesis. KEY WORDS passive stretch alpha-aminoisobutyric acid phenylalanine • The heart will hypertrophy when it is exposed to a sustained increase in mechanical work (1-3). This is a positive adaptation which permits the myocardium to meet increased work demands, albeit with a probable decrease in efficiency (4, 5). Alterations in protein and nucleic acid metabolism have been described in many investigations of From the Cardiovascular Division, Department of Medicine, Harvard Medical School, Peter Bent Brigham Hospital, Boston, Massachusetts 02115. This investigation was supported by U. S. Public Health Service Grants 11306, 2R01-HE09714, and 5T1HE5890-02 from the National Heart and Lung Institute. Dr. Lesch is an Established Investigator of the American Heart Association. Received December 6, 1971. Accepted for publication June 20, 1972. Circulation Rtnarcb, Vol. XXXI, Stplemitr 1972 mechanochemical coupling cardiac work hypertrophied and mechanically stressed myocardial tissue (2, 3). Enhancement of protein and nucleic acid synthesis, which appears to be responsible at the molecular level for the hypertrophic process detectable at the organ level, has been routinely found in myocardial tissue undergoing active hypertrophy. The inability to initiate (6) or to maintain (7) these particular changes in protein and nucleic acid metabolism in response to mechanical stress has been associated with the appearance of mechanical failure and suggests that these biochemical alterations are requisite for the maintenance of cardiac integrity. Laboratory study of the hypertrophic process in general and of the mechanical regulation of myocardial protein and nucleic 317 318 Downloaded from http://circres.ahajournals.org/ by guest on June 14, 2017 acid metabolism in particular has been hindered by the lack of a naturally occurring experimental model. Hypertrophy has been induced in vivo with surgical and pharmacological procedures which increase the work of the heart by raising systemic blood pressure or creating a high output state (8-10). Also, isolated perfused heart preparations have been subjected to flow or pressure loads in vitro, and the biochemical responses of the myocardium to these interventions have been evaluated (11). Although these techniques "stress" the heart, an adequate definition of the mechanical variables involved is not possible due to the complexity of intact heart preparations. In certain studies, isolated perfused guinea pig hearts have been used to investigate both the mechanical stimuli initiating myocardial hypertrophy and the exact nature of the induced biochemical responses. These investigations showed that (a) augmented volume or pressure loads enhanced ventricular protein synthesis (11), (b) synthesis of contractile proteins, compared to that of myoglobin and collagen, was preferentially stimulated (12), and (c) an increase in nuclear ribonucleic acid polymerase activity preceded the observed alterations in protein synthesis (13). Coronary flow rates were adequately controlled in these studies, although alterations in coronary perfusion pressure and transmyocardial wall stress could not be. In contrast, in isolated rat hearts no difference was observed in the rate of amino acid incorporation into the contractile proteins of hearts obtained from rats subjected to subdiaphragmatic aortic constriction 24-48 hours before perfusion (14). However, the hearts from control and experimental rats were perfused under identical loading conditions in these studies. In a similar preparation, Florini and Dankberg (15) did not detect an early stimulation of contractile protein synthesis. If these experimental preparations all impose a mechanical stress on the heart, it is clear that the response of the protein synthetic mechanism is not the same in all cases. This could be due to species differences or to disappearance of the bio- PETERSON, LESCH chemical effect as soon as the mechanical stimulus is removed. The latter seems unlikely because Moroz (16) demonstrated enhanced cell free-protein synthesis in a system obtained from rabbit hearts 24-48 hours after creation of aortic stenosis. Species differences appear not to be a factor since Posner and Fanburg (8,17) observed hypertrophy and induced alterations in ribonucleic acid metabolism in rat hearts following 24 hours of aortic constriction. In an attempt to more precisely examine the relationship of mechanical stress to myocardial protein metabolism, we used the isolated rabbit right ventricular papillary muscle preparation. Standard myographic techniques can be applied to this preparation, and easily defined mechanical loads can be imposed. In initial studies (18), we described the influence of passive stretch on amino acid transport in the isolated papillary muscle. In the present study, we investigated the effect of repeated isometric contraction on myocardial protein synthesis (amino acid incorporation) and amino acid transport. Methods New Zealand white rabbits (2.0-2.5 kg) were kept and fed as previously described (18). The rabbits were killed by a sharp blow to the head, the hearts were rapidly removed, and the right ventricular papillary muscles were dissected free. The cross-sectional area of these muscles varied from 0.2 to 0.7 mm2, with an average of 0.4 mm2. The base of the muscle was mounted in a springloaded clamp and the tendon attached directly to a force transducer by a short length of 4.0 surgical silk (19, 20). Force transducers were mounted vertically above the muscles on supports which could be accurately adjusted in 0.1-mm increments. The muscles were electrically stimulated at rates of 30, 50, or 100/min with field stimuli (4 msec) at voltages 10-20% above threshold. Each bath contained 4.0 ml of Krebs bicarbonate buffer oxygenated with 95* O2-5% CO 2 at a temperature of 34°C (18). Isometric tension development was continuously recorded on a Hewlett-Packard oscillographic recorder. Only rabbit hearts that contained two suitable papillary muscles were used to evaluate the response of the protein synthetic mechanism to mechanical interventions in these studies, since preliminary experiments with random muscles yielded inconsistent data because of biological Circulation Rtsircb, Vol. XXXI, Sepumbtr 1972 319 ISOMETRIC TENSION AND MYOCARDIAL PROTEIN SYNTHESIS variability (21). The metabolic dependencies of protein synthesis in the isolated papillary muscle were determined by incubating the muscles in 5ml micro-Fernbach flasks placed in a Dubnoff metabolic shaker, as reported earlier (18). EXPERIMENTAL PROTOCOL Downloaded from http://circres.ahajournals.org/ by guest on June 14, 2017 Each muscle was incubated for 30 minutes prior to study. Zero-tension control muscles were maintained at zero tension and all others at low tensions during this time. The initial buffer was replaced with buffer containing hexose-free inulin (7.5 mg/ml), the stimulation rate was set (30, 50, or 100/min), and the length-tension curve was defined. The experiment was initiated by the addition of the appropriate 14C-labeled amino acid (alpha-aminoisobutyric acid, leucine, or phenylalanine). The individual muscles were removed from the baths, rinsed with 5 ml of distilled H2O, blotted, and frozen between blocks of dry ice to terminate the incubation. If determinations of wet weight were made, the samples were weighed before freezing. Each muscle was then Iyophilized to a constant weight, which was recorded as dry weight. AMINO ACID INCORPORATION Either uniformly labeled 14C-Z-phenylalanine or uniformly labeled 14C-J-leucine (New England Nuclear Corporation) was added to the medium to a final concentration of 80 fjM unless otherwise stated. Total radioactivity in the medium exceeded the total radioactivity incorporated into muscle protein by a factor of 400 and ranged in concentration from 3 X 10° to 6 X 106 dpm/ml medium. Nineteen naturally occurring amino acids other than the tracer were each present in final concentrations of 100 ^IM unless otherwise stated. At the termination of the incubation period, muscles were treated as described above. After lyophilization, the dry muscle was homogenized in 0.4 ml of 0 . 8 5 M NaOH containing unlabeled phenylalanine or leucine (1 mg/ml), and the volume of the homogenate was adjusted to 1.0 ml with 0 . 0 5 M NaOH. Carrier protein solution (0.3 ml) and 50% trichloroacetic acid (TCA) (0.12 ml) were added to 0.3 ml of the muscle homogenate, and the mixture was allowed to precipitate at 4°C for 1 hour. The precipitate was collected by centrifugation and washed according to the method of Siekevitz (22). The TCA solutions used in the protein washing procedure contained unlabeled phenylalanine or leucine (1 mg/ml). Purified protein was solubilized in 0.5 ml of Soluene (Packard) and quantitatively transferred to a liquid scintillation vial before adding 10 ml of scintillation fluid (1 liter of toluene, 10 g of PPO, 0.5 g of dimethyl-POPOP). Quench standards were prepared with factoryCtrcaUiion Rtsesrcb, Vol. XXXI, Stpltmbtr 1972 calibrated I4C-toluene (New England Nuclear Corporation), and efficiency was determined by the Channels ratio method (23). Appropriate control studies demonstrated the adequacy of the protein washing procedure. Labeled amino acids added to a basic homogenate of unlabeled muscle could be quantitatively recovered in the wash fractions with no activity remaining in the protein pellet. Protein isolated from muscles incubated with 14 C-phenylalanine was solubilized and treated with dinitrofluorobenzene (24). Less than 5% of the incorporated radioactivity was found in an Nterminal position regardless of incubation time (1-6 hours). These data indicate that the nonspecific absorption of tracer was minimal and that incorporation could be equated with peptide bond formation. The protein content of a 0.5-ml sample of the initial muscle homogenate was determined by the method of Lowry et al. (25). Dry weight and protein content of muscles were linearly related (Fig. 1), and percent dry weight remained constant. Therefore, since amino acid incorporation varied linearly with muscle dry weight (Fig. 2), identical comparative results were obtained when incorporation rates were expressed as dpm/mg protein, dpm/mg wet weight, or dpm/mg dry weight (Fig. 3). CARRIER PROTEIN PREPARATION A carrier protein solution was prepared by homogenizing rabbit ventricular muscle in four volumes of 0.9% NaCl containing unlabeled phenylalanine or leucine (1 mg/ml) and centrifuging the homogenate at 14,000 g for 20 minutes. The supernatant solution was decanted and centrifuged at 100,000 g for 90 minutes. too 700 MO - • WO 400 . 300 . 700 100 . . . ' ; . " : ' • • • ' - i ICO i WO i M0 i 400 i »0 DIY i *OO i i i no no wo i i i tooo noo 1300 W[ IOHI „, FIGURE 1 Protein content of 46 individual papillary muscles plotted as a function of muscle dry weight. 320 PETERSON, LESCH Protein concentration in the supernatant fluid from the final centrifugation was adjusted to 2 mg/ml, and the solution was stored at 4°C until it was used. , . J9.»«IO'i - 0 . 7 . 10" , . 0 90 - 8 » \ I" O 10 5 Downloaded from http://circres.ahajournals.org/ by guest on June 14, 2017 DKY WIIOHI ;-(] FIGURE 2 Total incorporation of uniformly labeled 1*C-lphenylalanine into myocardial protein in 20 individual muscles as a function of muscle dry weight. Incubation time was 1 hour. o O u Z TIME IHOUIS] FIGURE 3 Incorporation of uniformly labeled 1*C-\-phenylalanine into total myocardial protein as a function of time. The broken line represents incubation with all amino acids except phenylalanine added to a final concentration of 100/JM each. The solid line represents incubation with only labeled phenylalanine at a final concentration of 80 /UH. All values represent means ± SE obtained from eight to ten individual muscles. DETERMINATION OF INTRACELLULAR PHENYLALANINE Multiple muscles from an experimental group of rabbits were pooled and homogenized in 0.5 ml of distilled water. Crystalline sulfosalicylic acid was added to a final concentration of 5 g/100 ml, and the suspension was centrifuged. The concentration of free amino acids and the radioactivity of the individual amino acids in the supernatant fraction were determined with a Technicon amino acid analyzer (26) equipped with a streamsplitting device.1 The radioactivity in the supernatant fraction was quantitatively recovered (9935) in the phenylalanine fraction, indicating that no significant metabolic conversion of the tracer phenylalanine had occurred. INTRACELLULAR RADIOACTIVITY A precise determination of the specific activity of the intracellular tracer amino acid pool could not be repeatedly obtained in individual muscles due to the small amount of tissue available (average muscle wet weight was 2-5 mg) and to the use of carrier amino acid in the protein washing procedure. However, if the ratio of intracellular fluid space to extracellular fluid space and the concentration of the tracer amino acid in the incubation medium remain constant, the radioactivity soluble in cold washes of TCA should be a valid index of the specific activity of the intracellular pool since metabolic interconversion of phenylalanine was negligible in rabbit papillary muscles. These two conditions were met in all experiments employing phenylalanine as the tracer amino acid. More than 95% of the unincorporated radioactivity was recovered in the cold TCA washes. These were pooled and aliquots counted in 20 ml of scintillation fluid (700 ml of toluene, 300 ml of absolute ethanol, 4 g of PPO, 100 mg of POPOP). Radioactivity soluble in TCA was expressed as dpm/mg wet weight of muscle and assumed to reflect intracellular phenylalanine concentration. This value was recorded as TCA radioactivity. MUSCLE PROTEIN FRACTIONATION A modification of the procedure of Helander (27) was used to separate the muscle proteins and to determine the ratio of tracer incorporation in the "myofibrillar-connective tissue" protein fraction to that in the "sarcoplasmic" protein fraction. In this manner, alterations in the pattern, as opposed to the overall rate, of protein x Dr. Ellen Kang, Children's Hospital, Boston, Mass., kindly performed the amino acid analyses. Circulation Riitarcb, Vol. XXXI, September 1972 321 ISOMETRIC TENSION AND MYOCARDIAL PROTEIN SYNTHESIS Downloaded from http://circres.ahajournals.org/ by guest on June 14, 2017 synthesis were studied. Immediately after incubation, the muscles were homogenized in 0.3 ml of buffer (0.1M KC1, 5 mM histidine, pH 7.4) and extracted at 2°C for 90 minutes. The homogenate was centrifuged at 1,000 g for 20 minutes, and the pellet was washed twice with 0.15 ml of homogenizing buffer. The washes were combined with the original supernatant fraction, and 0.3 ml of carrier protein solution was added. An appropriate volume of 50% TCA was added to a final concentration of 104, and the precipitate containing the sarcoplasmic proteins was collected, washed, and counted as described. The 1,000g pellet, consisting of the myofibrillar-connective tissue proteins of the muscle, was suspended in 0.3 ml of KC1 buffer. Carrier protein and 50* TCA were added, and the protein pellet was washed and counted. DETERMINATIONS OF ALPHA-AMINOISOBUTYRIC ACID DISTRIBUTION RATIOS Muscle wet weight, dry weight, inulin space (extracellular fluid space), and the ratio of intracellular 14C-alpha-aminoisobutyric acid (14CAIB) to extracellular 14C-AIB were measured as previously described (18) with the following modifications. (1) Muscle weights were determined to the nearest 0.001 mg with a Mettler M-5 microbalance. (2) Unlabeled AIB, in a concentration of 1 rng/ml, was added to all TCA solutions used for separating the insoluble proteins from the soluble extract which contained the 14C-AIB. (3) The base stability of purified inulin varied, with up to 15% of each preparation becoming base labile with time. Since the appearance of base instability was not a direct function of storage time or conditions, a basic hydrolysis blank was routinely run on the inulin preparation used in each experiment, and appropriate corrections were made in the calculations of inulin space. not vary significantly over the 6-hour incubation period. WATER CONTENT AND EXTRACELLULAR FLUID SPACE The percent dry weight of control muscles, as determined in this laboratory, was 24* (18). Regardless of the rate of stimulation, or the duration of incubation, no significant variation from this value was noted in any muscle group in the present study. The extracellular fluid space, expressed as percent of wet weight, did not vary from control values of 25% in any muscle group (18). BASIC CHARACTERISTICS OF AMINO ACID INCORPORATION IN THE ISOLATED PAPILLARY MUSCLE PREPARATION 14 The incorporation of C-phenylalanine into myocardial protein was linear for 6 hours in muscles incubated at zero tension in the Dubnoff apparatus (Fig. 3). Linearity and rate of incorporation were identical in muscles incubated with supplemental amino acids (100 fAM.) in the medium and in control muscles incubated with only tracer present (Fig. 3). Incorporation did not change when the concentration of each supplemental amino acid in the medium was varied between 0 and 500 /IM while phenylalanine concentration was constant. Similarly, the ratio of tracer incorporation in myofibrillar-connective tissue protein to that in sarcoplasmic protein was •---• JO' W HIN . - - - • 100' 0 IH STATISTICAL ANALYSIS Data were analyzed using Student's f-test (28). I 1 Results MECHANICAL PROPERTIES OF THE ISOLATED PAPILLARY MUSCLE Peak isometric tension development was stable for up to 6 hours in muscles stimulated at 50 and 100/min, but decreased by 50% in those stimulated at 30/min (Fig. 4). Maximum developed tension ranged from 2 to 9 g/mm2 in muscles stimulated at 30 and 50/min and from 2 to 4 g/mm 2 in muscles stimulated at 100/min. The peak of the active length-tension curve was obtained at resting tensions between 0.5 and 1.5 g/mm2 and did OrcuUiion Rtiurcb, Vol. XXXI, Siputmttr 1972 - ... i tIMI I HOUtl FIGURE 4 Active tension development for representative muscle groups stimulated at 30, 50, or 100/min plotted as a function of time. AU values represent means ± SE obtained from six individual muscles. 322 PETERSON, LESCH also inhibited by puromycin and by cycloheximide (Table 1). Total inhibition of protein synthesis by 10~RM puromycin further documented the efficiency of the protein washing procedure. If any coprecipitation or nonspecific binding of the labeled amino acid had occurred, total inhibition of incorporation would not have been seen. constant at 0.65:0.35 regardless of the concentrations of amino acids in the medium. Leucine incorporation was significantly inhibited by puromycin at a concentration of lfr^M, although 10~*M was required for complete inhibition during 1 hour of incubation (Table 1). The incorporation of 14 Cphenylalanine into myocardial protein was TABLE 1 Effect of Inhibitors of Protein Synthesis on Amino Acid Incorporation into Papillary Muscle Protein Tracer amino acid Downloaded from http://circres.ahajournals.org/ by guest on June 14, 2017 M " C-In corporation (dpm/mg p rot tin) Inhibitor C-Leucine 10,500 ± 1,100 8,503 ± 570 4,100 ± 580 10 290 ± 10 10 =t Control muscles Puromycin (lO"8*!) Puromycin (10~*M) Puromycin (10~<M) Puromycin (10~ 3 M) "C-Phenylalanine 41,600 ± 1,700 60 350 ± 80 290 ± Control muscles Puromycin (10~'M) Cycloheximide (10~'M) Each value represent*) the mean ± SB of six individual determinations. Incubations were carried out for GO minutes under standard conditions described in Methods. TABLE 2 Effect of Isometric Tension Development on Amino Acid Incorporation into Papillary Muscle Protein w C- In corpora tion (dpm/mg protein) TCA radioactivity (dpm/mg wot wt) Change (%) Change (%T 90-Minule Incubation 30 stimulations/min C E 11,200 =t 1,030 13,800 ± 690 + 23 2,110 ± 90 2,300 ± 60 10,160 ± 12,150 ± 790 730 + 20 1,730 ± 60 1,940 ± 90 + 12 9,700 ± 11,900 ± 930 690 + 23 1,600 ± 1,730 =t 50 60 + 8 50 stimulations/min C E 100 stimulations/min C E 180-Min-ule Incubation 30 stimulations/min C E 18,900 ± 1,920 25,900 ± 1,220 + 37 <0.02 2,110 ± 170 2,140 ± 40 + 1 17,100 =•= 1,300 26,000 =t 1,620 +.52 <0.01 1,780 ± 110 1,970 ± 80 + 10 20,500 ± 1,560 31,400 ± 1,260 +53 <0.01 1,770 ± 30 1,770 ± 30 + 0 50 stimulations/min C E 100 stimulations/mio C E Each value represents the mean ± SE of six individual determinations. C := control, E = experimental. A P value is listed only if a significant difference occurred. No stimulation, zero tension served as the control group. CircuUium RccMrcb, Vol. XXXI, Stpumbtr 1972 323 ISOMETRIC TENSION AND MYOCARDIAL PROTEIN SYNTHESIS tion of the 14C label in the individual amino acids of a distilled-water extract of the muscles was determined. Radioactivity was quantitatively recovered as phenylalanine in control muscles and in muscles stimulated at 100/min. The specific activity of the intracellular phenylalanine pool in the control and the stimulated muscles was calculated with equations similar to those previously reported (18). Intracellular phenylalanine specific activity was 7.0 X 107 and 7.1 X 107 dpm//n,mole in the control and the stimulated muscles (100/min for 3 hours), respectively. To rule out the possibility that the observed effects at 3 hours were due solely to the electrical stimulation of the muscle, phenylalanine incorporation in unstimulated and stimulated muscles mounted at zero tension for 3 hours was compared (Table 3). No significant difference in the rate of phenylalanine incorporation was noted between the flaccid stimulated muscles and the flaccid unstimulated muscles at any stimulation rate, although incorporation rates were approximately 20? higher in the stimulated muscles. To determine if passive stretch alone could explain the increased tracer incorporation EFFECT OF MECHANICAL INTERVENTIONS ON AMINO ACID INCORPORATION Downloaded from http://circres.ahajournals.org/ by guest on June 14, 2017 The effect of isometric tension development on amino acid incorporation is illustrated in Tables 2 and 3. At 90 minutes, the rate of 14Cphenylalanine incorporation into protein was not statistically different for muscles stimulated at 30, 50, or 100/min and controls, although incorporation was increased by about 2035 in all stimulated groups. Phenylalanine incorporation was enhanced by approximately 50& in the muscles stimulated at 50 or 100/min for 3 hours (P<0.01) and by 37% ( P < 0 . 0 2 ) in those stimulated at 30/min for the same period of time. Comparable results were obtained when these experiments were repeated using an alternative method of protein isolation (29). The radioactivity (dpm/mg wet weight) in the pooled cold TCA washes was not significantly different in any muscle group at 90 or 180 minutes. To validate the assumption that radioactivity soluble in TCA accurately reflected the specific activity of the intracellular phenylalanine pool, groups of muscles were incubated under standard conditions for 3 hours with 14 C-labeled phenylalanine, and the distribu- TABLE 3 Effect of Electrical- Stimulation and Passive Stretch on Amino Acid Incorporation into Papillary Muscle Protein "C-Incorpor«tion (dpm/mf protein) TCA r»dioactiTity (dpm/mg wot wt) Chinge (%) Chance (%) Stimulation al Zero Tension 30 stimulations/min C (5) E (5) 50 stimulations/min C (10) E (10) 100 stimulations/min C (11) rc ( i i ) 18,700 =•= 800 22,500 ± 2,100 + 20 21,000 ± 1,400 25,000 ± 1,300 19,900 ± 1,400 23,200 ± 1,400 1,640 ± 60 + 10 1,540 •* 1,770 ± 60 + 15 + 17 1,530 ± 1,600 =•= 30 50 + 4 1,800 ± 160 1,990 ± 80 + 11 1,660 ="- 50 + 1 90 Passive Stretch C E (6) (6) 19,000 ± 25,900 =t 740 740 + 36 <0.01 Each value represents the mean ± SE; numbers in parentheses represent individual determinations. C = control, E = experimental. A P value ia Listed only if a significant difference occurred. Passively stretched muscles were stimulated to define the peak of the active length-tension curve, stimulation was discontinued, and the muscles were maintained at the resulting resting tension for the entire incubation. Incubations were carried out for 180 minutes in all cases. Circulation Resemrcb, Vol. XXXI, Stpltmbtr 1972 324 PETERSON, LESCH Downloaded from http://circres.ahajournals.org/ by guest on June 14, 2017 noted in the muscles stimulated isometrically at peak tension for 3 hours, unstimulated muscles which had been passively stretched to the resting tension corresponding to this peak tension were compared to resting controls at zero tension (Table 3). Incorporation was increased by 36$ (P<0.01) in the stretched muscles, but radioactivity in the TCA washes was not different Finally, muscle protein was fractionated to determine if any gross change in the labeling pattern had occurred in stimulated muscles. Both control muscles incubated for 3 hours at zero tension and those stimulated isometrically at 30, 50, or 100/min at peak tension incorporated 35$ of the tracer amino acid into sarcoplasmic protein and 65% into myofibrillarconnective tissue protein. ALPHA-AMINOISOBUTYRIC ACID TRANSPORT STUDIES As previously reported (18), mechanical intervention did not alter AIB transport after 1 hour of incubation. The data obtained for muscle groups stimulated at 30, 50, and 100/min for 3 hours are summarized in Table 4. A significant increase (P<0.01) in the intracellular-extracellular AIB distribution ratio was noted in unstimulated muscles passively stretched to resting tensions of 0.5-1.5 g/mm2. This range of resting tensions corresponded to that found in muscles stimulated at the peak of their active length-tension curves. Accumulation of AIB in unstimulated and stimulated muscles (30/min) mounted at zero tension was the same, but accumulation was significantly enhanced (P<0.01) in muscles stimulated at this rate at the peak of the length-tension curve. Muscles stimulated at 50/min and 100/min at the peak of the length-tension curve also demonstrated increased AIB uptake compared to control muscles. Discussion Although responses of myocardial protein and nucleic acid metabolism to mechanical stress have been reported in various systems, the precise mechanical factors responsible for the biochemical adaptations, the temporal pattern of the induced alterations, and the specific protein classes involved are unresolved. We used the isolated rabbit right ventricular papillary muscle to study these problems since the biochemical and mechanical stability of the preparation suggests its suitability for in vitro studies of myocardial mechanochemical coupling. In contrast to isolated perfused heart preparations, mechanical integrity of the isolated papillary muscle was maintained over a wide range of stimulation rates for up to 6 hours (Fig. 4). Percent dry weight and extracellular fluid space (inulin space) remained constant during this period, demonstrating that the muscles did not become progressively edematous with incubation. Amino acid incorporation in resting right ventricular papillary muscles was linear for 6 TABLE 4 Effect of Mechanical and Elecincal Interventions on Alpha-Aminoisobutyric Acid Distribution in Isolated Papillary Muscles Muscle group No stimulation, zero tension (31) 30 stimulations/min, zero tension (21) 30 stimulations/min, peak LT (38) 50 stimulations/min, peak LT (9) 100 stimulations/min, peak LT (9) No stimulation, passive stretch (30) IC-EC ratio 2.7 3.1 3.7 4.4 4.6 4.7 ± 0.2 ± 0.3 =•= 0.3 ± 0.4 ± 0.3 ± O.o <0.01 <0.01 <0.01 <0.01 Each value represents the mean ± SE; numbers in parentheses represent individual determinations. A P value is listed only if a significant difference occurred. No stimulation, zero tension served a3 the control group. Incubations were carried out for 180 minutes. LT = length-tension curve, IC = intracellular, EC = extracellular. Passive stretch was applied from 0.5-1.5 g/mm*. Circulation Rtiurcb, Vol. XXXI, Sfpumitr 1972 ISOMETRIC TENSION AND MYOCARDIAL PROTEIN SYNTHESIS Downloaded from http://circres.ahajournals.org/ by guest on June 14, 2017 hours in the absence of supplemental amino acids or exogenous insulin (Fig. 3), whereas tracer amino acid incorporation into cardiac protein was linear for only 1-2 hours in the isolated perfused rat heart (30, 31). Just as supravalvular aortic constriction in vivo imposes an undefined mechanical stress on the heart, precise mechanical loads cannot be imposed on the isolated perfused heart since volumes and pressures are not independently regulated. Furthermore, although coronary flow can be adjusted in such preparations, it is impossible to increase pressure loads without altering coronary perfusion pressures. The isolated papillary muscle can be exposed to defined mechanical stresses independent of the limitations noted with intact hearts, thus simplifying the task of identifying mechanical stimuli responsible for biochemical adaptations. The present study demonstrated that a statistically significant increase in 14C-phenylalanine incorporation into myocardial protein occurred in response to repetitive isometric tension development for 3 hours. Electrical stimulation alone was not responsible for the effect, since enhanced phenylalanine incorporation was not found in muscles mounted at zero tension and stimulated at 30, 50, or 100/min (Table 3). Total tension developed during the incubation period (tension/beat X stimulation rate X hours) appears to be directly related to enhanced amino acid incorporation. Muscles stimulated at 50/min developed twice the tension per beat (Fig. 4) of those stimulated at 100/min, yet they showed identical increases in incorporation, whereas muscles stimulated at 30/min developed less total tension and incorporated less amino acid (Table 2). To isometrically stimulate muscles at peak tension, it is necessary to apply and maintain, independent of active tension development, a degree of resting tension during the incubation. Even though passive tension was capable of inducing alterations in the rate of incorporation (Table 3), it appears that enhanced incorporation in muscles stimulated at 50 and 100/min cannot be solely ascribed to stretch since the mean percent increase in Circulation Risircb, Vol. XXXI, SepMmbtr 1972 325 incorporation was 36% in passively stretched muscles and 53!? in stimulated muscles. These data are most consistent with the hypothesis that both stretch and total tension development are operative in stimulating amino acid incorporation into myocardial protein, but an unequivocal separation of these two variables has not been obtained. Evidence from other laboratories implies that intracellular free amino acids partially regulate the rate of protein synthesis in mammalian cells (32, 33). Increased concentrations of free amino acids have been found in rapidly growing tissues, including heart and skeletal muscle, and it has been postulated that the rate of myocardial protein synthesis is closely related to the intracellular free amino acid concentration (10, 34). In view of these data, the effect of repetitive isometric tension development on amino acid transport was investigated with previously reported techniques (18). Transport of AIB was clearly enhanced in papillary muscles stimulated at the peak of the active length-tension curve. However, since passive stretch alone was capable of inducing the same quantitative response, it was not possible to correlate peak isometric tension development and enhanced AIB transport. Although passive stretch influenced AIB transport, this need not be true for all amino acids since different transport mechanisms for various amino acids have been described in striated muscle (35). Also, it has been reported that the transport mechanisms for AIB (A system of transport) and phenylalanine (L system of transport) are intrinsically different in heart (36) and that they respond differently to hypoxic insult (37). Our data are consistent with these reports in that enhanced phenylalanine incorporation into protein occurred independent of an effect on the transport mechanism, although AIB transport was clearly altered by similar mechanical interventions. It appears that mechanical factors are capable of altering the transport of certain amino acids, but it is not clear if these mechanical factors function as specific mediators of protein synthesis in this case. 326 PETERSON, LESCH References 1. Goss, R.J.; Hypertrophy versus hyperplasia. Science 153:1615-1620, 1966. 2. FANBURG, B.L.: Experimental cardiac hypertrophy. N Engl J Med 282:723-732, 1970. 3. ALFERT, N.A.: Cardiac Hypertrophy. New York, Academic Press, 1971. 4. SPANN, J.F., JH., BUCCINO, R.A., SONNENBLJCK, E.H., AND BRAUNWALD, E.: Contractile state of cardiac muscle obtained from cats with experimentally produced ventricular hypertrophy and heart failure. Circ Res 21:341-354, 1967. 5. BING, O.H.L., MATSUSHITA, S., FANBURC, B.L., Downloaded from http://circres.ahajournals.org/ by guest on June 14, 2017 AND LEVTNE, H.J.: Mechanical properties of rat cardiac muscle during experimental hypertrophy. Circ Res 28:234-245, 1971. 6. 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