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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Am+J+Physiol+Heart+Circ+Physiol
2015 ; 309
(10
): H1720-30
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N-acetylcysteine reverses diastolic dysfunction and hypertrophy in familial
hypertrophic cardiomyopathy
#MMPMID26432840
Am J Physiol Heart Circ Physiol
2015[Nov]; 309
(10
): H1720-30
PMID26432840
show ga
S-glutathionylation of cardiac myosin-binding protein C (cMyBP-C) induces Ca(2+)
sensitization and a slowing of cross-bridge kinetics as a result of increased
oxidative signaling. Although there is evidence for a role of oxidative stress in
disorders associated with hypertrophic cardiomyopathy (HCM), this mechanism is
not well understood. We investigated whether oxidative myofilament modifications
may be in part responsible for diastolic dysfunction in HCM. We administered
N-acetylcysteine (NAC) for 30 days to 1-mo-old wild-type mice and to transgenic
mice expressing a mutant tropomyosin (Tm-E180G) and nontransgenic littermates.
Tm-E180G hearts demonstrate a phenotype similar to human HCM. After NAC
administration, the morphology and diastolic function of Tm-E180G mice was not
significantly different from controls, indicating that NAC had reversed baseline
diastolic dysfunction and hypertrophy in our model. NAC administration also
increased sarco(endo)plasmic reticulum Ca(2+) ATPase protein expression, reduced
extracellular signal-related kinase 1/2 phosphorylation, and normalized
phosphorylation of phospholamban, as assessed by Western blot.
Detergent-extracted fiber bundles from NAC-administered Tm-E180G mice showed
nearly nontransgenic (NTG) myofilament Ca(2+) sensitivity. Additionally, we found
that NAC increased tension cost and rate of cross-bridge reattachment. Tm-E180G
myofilaments were found to have a significant increase in S-glutathionylation of
cMyBP-C, which was returned to NTG levels upon NAC administration. Taken
together, our results indicate that oxidative myofilament modifications are an
important mediator in diastolic function, and by relieving this modification we
were able to reverse established diastolic dysfunction and hypertrophy in HCM.