Mechanical unloading improves intracellular Ca2+ regulation in rats with doxorubicin-induced cardiomyopathy Original Research Article

Objectives We sought to assess whether mechanical unloading has beneficial effects on cardiomyocytes from doxorubicin-induced cardiomyopathy in rats. Background Mechanical unloading by a left ventricular assist device (LVAD) improves the cardiac function of terminal heart failure in humans. However, previous animal studies have failed to demonstrate beneficial effects of mechanical unloading in the myocardium. Methods The effects of mechanical unloading by heterotopic abdominal heart transplantation were evaluated in the myocardium from doxorubicin-treated rats by analyzing the intracellular free calcium level ([Ca2+]i) and the levels of intracellular Ca2+-regulatory proteins. Results In doxorubicin-treated rats, the duration of cell shortening and [Ca2+]i transients in cardiomyocytes was prolonged (432 ± 28.2% of control in 50% relaxation time; 184 ± 10.5% of control in [Ca2+]i 50% decay time). Such prolonged time courses significantly recovered after mechanical unloading (114 ± 10.4% of control in 50% relaxation time; 114 ± 5.8% of control in 50% decay time). These effects were accompanied by an increase in sarcoplasmic reticulum Ca2+ ATPase (SERCA2a) protein levels (0.97 ± 0.05 in unloaded hearts vs. 0.41± 0.09 in non-unloaded hearts). The levels of other intracellular Ca2+-regulatory proteins (phospholamban and ryanodine receptor) were not altered after mechanical unloading in doxorubicin-treated hearts. These parameters in unloaded hearts without doxorubicin treatment were similar to normal hearts. Conclusions Mechanical unloading increases functional sarcoplasmic reticulum Ca2+ ATPase and improves [Ca2+]i handling and contractility in rats with doxorubicin-induced cardiomyopathy. These beneficial effects of mechanical unloading were not observed in normal hearts.