Separation between vasodilation and positive inotropism by assessment of myocardial energetics in patients with dilated cardiomyopathy

Author(s):  
Ch. Holubarsch ◽  
G. Hasenfuss ◽  
M. Allgeier ◽  
H. W. Heiss ◽  
Hj. Just
1989 ◽  
Vol 84 (1) ◽  
pp. 257-265
Author(s):  
Ch. Holubarsch ◽  
G. Hasenfuss ◽  
M. Allgeier ◽  
H. W. Heiss ◽  
Hj. Just

2020 ◽  
Author(s):  
Elizabeth D. Luczak ◽  
Yuejin Wu ◽  
Jonathan M. Granger ◽  
Mei-ling A. Joiner ◽  
Nicholas R. Wilson ◽  
...  

AbstractDespite the clear association between myocardial injury, heart failure and depressed myocardial energetics, little is known about upstream signals responsible for remodeling myocardial metabolism after pathological stress. We found increased mitochondrial calmodulin kinase II (CaMKII) activation and left ventricular dilation in mice one week after myocardial infarction (MI) surgery. In contrast, mice with genetic mitochondrial CaMKII inhibition were protected from left ventricular dilation and dysfunction after MI. Mice with myocardial and mitochondrial CaMKII over-expression (mtCaMKII) had severe dilated cardiomyopathy and decreased ATP that caused elevated cytoplasmic resting (diastolic) Ca2+ concentration and reduced mechanical performance. We mapped a metabolic pathway that allowed us to rescue disease phenotypes in mtCaMKII mice, providing new insights into physiological and pathological metabolic consequences of CaMKII signaling in mitochondria. Our findings suggest myocardial dilation, a disease phenotype lacking specific therapies, can be prevented by targeted replacement of mitochondrial creatine kinase, or mitochondrial-targeted CaMKII inhibition.


1989 ◽  
Vol 14 (Supplement) ◽  
pp. S75
Author(s):  
Gerd Hasenfuss ◽  
Christian Holubarsch ◽  
H. Wolfgang Heiss ◽  
Thomas Meinertz ◽  
Thomas Hofmann ◽  
...  

1989 ◽  
Vol 14 (Supplement) ◽  
pp. S36
Author(s):  
Gerd Hasenfuss ◽  
Christian Holubarsch ◽  
H. Wolfgang Heiss ◽  
Martin Allgeier ◽  
Hanjorg Just

1989 ◽  
Vol 14 ◽  
pp. S36 ◽  
Author(s):  
Gerd Hasenfuss ◽  
Christian Holubarsch ◽  
H. Wolfgang Heiss ◽  
Martin Allgeier ◽  
Hanjorg Just

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