Constitutive Cardiac Overexpression of Sarcoplasmic/Endoplasmic Reticulum Ca 2+-ATPase Delays Myocardial Failure after Myocardial Infarction in Rats at a Cost of Increased Acute Arrhythmias

Ying Chen, Brigitte Escoubet, Fabrice Prunier, Julien Amour, Warner S. Simonides, Benoît Vivien, Christophe Lenoir, Michèle Heimburger, Christine Choqueux, Barnabas Gellen, Bruno Riou, Jean Baptiste Michel, Wolfgang M. Franz, Jean Jacques Mercadier*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background - Heart failure often complicates myocardial infarction (MI), and sarcoplasmic/endoplasmic reticulum Ca 2+-ATPase (SERCA2a) is underexpressed in the failing myocardium. We examined the effect of preexisting cardiac SERCA2a protein overexpression on rat survival and left ventricular (LV) remodeling after MI. Methods and Results - Baseline myocardial SERCA2a expression was 37% higher in transgenic (TG) rats than in their wild-type (WT) controls, consistent with enhanced myocardial function. The mortality rate of TG rats during the 24 hours after surgical MI was higher than that of WT rats (71% versus 35%, P<0.001), associated with a higher frequency of ventricular arrhythmias, and was normalized by lidocaine treatment. The increased acute-phase mortality in TG rats was not accompanied by increased 6-month mortality. Function of the noninfarcted myocardium, as assessed by tissue Doppler imaging, was higher in TG rats than in WT rats for up to 1 month after MI, a beneficial effect no longer observed at 3 months. LV remodeling and global function were similar in TG and WT rats. No difference in papillary muscle function was found at 6 months. Conclusions - Constitutive cardiac SERCA2a overexpression has a transient beneficial effect on remote myocardium function in rat MI, with no improvement in LV global function or prevention of LV remodeling and failure. This benefit is associated with a higher risk of acute mortality, which is prevented by lidocaine treatment.

Original languageEnglish
Pages (from-to)1898-1903
Number of pages6
JournalCirculation
Volume109
Issue number15
DOIs
Publication statusPublished - 20 Apr 2004

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