Am. J. Respir. Crit. Care Med.,
Volume 160, Number 4, October 1999, 1196-1204
Sequential Changes in Autonomic Regulation of Cardiac
Myocytes after In Vivo Endotoxin Injection in Rat
NAJAH
ABI-GERGES,
BENOIT
TAVERNIER,
ALEXANDRE
MEBAZAA,
VALÉRIE
FAIVRE,
XAVIER
PAQUERON,
DIDIER
PAYEN,
RODOLPHE
FISCHMEISTER,
and
PIERRE-FRANÇOIS
MÉRY
INSERM U-446, Laboratoire de Cardiologie Cellulaire et Moléculaire, Université Paris-Sud, Faculté de Pharmacie, Châtenay-Malabry;
Département d'Anesthésie-Réanimation Chirurgicale 2, Hôpital Claude Huriez, CHU-Lille, Lille; and Département
d'Anesthésie-Réanimation, Hôpital Lariboisière, AP-HP, IFR Circulation-Lariboisière, Paris, France
We report that in vivo injection of endotoxin (EDTX, 6 mg · kg
1) induces cardiovascular alterations
in rats that closely mimic the clinical situation, as assessed by in vivo hemodynamic measurements in
anesthetized and conscious, chronically instrumented animals. The patch-clamp technique was used
to characterize the L-type calcium current (ICa) and its autonomic regulation in isolated cardiac myocytes. The density of ICa progressively decreased at 12 and 36 h after EDTX injection. However, the
dihydropyridine (±)Bay K 8644 (100 nM) enhanced ICa to levels similar to those in control and EDTX-treated myocytes. In addition, the net stimulatory effect of a
-adrenergic agonist (isoproterenol) on
ICa was increased 12 h after EDTX injection. This change in the
-adrenergic effect declined 24 h
later. The potentiation in the
-adrenergic stimulation of ICa was mimicked by L858051 (10 µM), a direct activator of adenylyl cyclase, but not by IBMX (200 µM), a phosphodiesterase inhibitor. Besides,
the antiadrenergic effect of acetylcholine on ICa was unchanged 12 h after EDTX injection, but increased 36 h after EDTX injection. These results support the hypothesis that time-dependent changes in
the adenylyl cyclase pathway in cardiac myocytes may contribute, via the autonomic regulation of
ICa, to the severity of myocardial dysfunction during sepsis.