In vivo alpha-adrenergic responses and troponin I phosphorylation: anesthesia interactions

J Appl Physiol (1985). 2005 Apr;98(4):1163-70. doi: 10.1152/japplphysiol.00959.2004. Epub 2004 Dec 3.

Abstract

The mechanisms by which alpha-adrenergic stimulation of the heart in vivo can cause contractile dysfunction are not well understood. We hypothesized that alpha-adrenergic-mediated contractile dysfunction is mediated through protein kinase C phosphorylation of troponin I, which in in vitro experiments has been shown to reduce actomyosin Mg-ATPase activity. We studied pressure-volume loops in transgenic mice expressing mutant troponin I lacking protein kinase C phosphorylation sites and hypothesized altered responses to phenylephrine. As anesthesia agents can produce markedly different effects on contractility, we studied two agents: avertin and alpha-chloralose-urethane. With alpha-chloralose-urethane, at baseline, there were no contractile abnormalities in the troponin I mutants. Phenylephrine produced a 50% reduction in end-systolic elastance in wild-type controls, although a 9% increase in troponin I mutants (P <0.05). Avertin was associated with reduced contractility compared with alpha-chloralose-urethane. Avertin anesthesia, at baseline, produced a reduction in end-systolic elastance by 31% in the troponin I mutants compared with wild-type (P <0.05), and this resulted in further marked systolic and diastolic dysfunction with phenylephrine in the troponin I mutants. Dobutamine produced no significant difference in the contractile phenotype of the transgenic mice with either anesthetic regimen. In conclusion, these data (alpha-chloralose-urethane) demonstrate that alpha-adrenergic-mediated force reduction is mediated through troponin I protein kinase C phosphorylation. beta-Adrenergic responses are not mediated through this pathway. Altering the myofilament force-calcium relationship may result in in vivo increased sensitivity to negative inotropy. Thus choice of a negative inotropic anesthetic agent (avertin) with phenylephrine can lead to profound contractile dysfunction.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Anesthetics / administration & dosage
  • Animals
  • Chloralose / administration & dosage*
  • Ethanol / administration & dosage*
  • Ethanol / analogs & derivatives*
  • Mice
  • Mice, Transgenic / physiology
  • Myocardial Contraction / drug effects
  • Myocardial Contraction / physiology
  • Phosphorylation
  • Protein Kinase C / metabolism*
  • Receptors, Adrenergic, alpha / metabolism*
  • Troponin I / deficiency*
  • Ventricular Function, Left / drug effects
  • Ventricular Function, Left / physiology*

Substances

  • Anesthetics
  • Receptors, Adrenergic, alpha
  • Troponin I
  • tribromoethanol
  • Chloralose
  • Ethanol
  • Protein Kinase C