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Biodynamics Laboratory, University of Wisconsin, Madison, Wisconsin 53706
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ABSTRACT |
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Myocardial function is enhanced by
endurance exercise training, but the cellular mechanisms underlying
this improved function remain unclear. Exercise training increases the
sensitivity of rat cardiac myocytes to activation by Ca2+,
and this Ca2+ sensitivity has been shown to be highly
dependent on sarcomere length. We tested the hypothesis that exercise
training increases this length dependence in cardiac myocytes. Female
Sprague-Dawley rats were divided into sedentary control (C) and
exercise-trained (T) groups. The T rats underwent 11 wk of progressive
treadmill exercise. Heart weight increased by 14% in T compared with C
rats, and plantaris muscle citrate synthase activity showed a 39%
increase with training. Steady-state tension was determined in
permeabilized myocytes by using solutions of various Ca2+
concentration (pCa), and tension-pCa curves were generated at two
different sarcomere lengths for each myocyte (1.9 and 2.3 µm). We
found an increased sarcomere length dependence of both maximal tension
and pCa50 (the Ca2+ concentration giving 50%
of maximal tension) in T compared with C myocytes. The
pCa50 between the long and short sarcomere length was
0.084 ± 0.023 (mean ± SD) in myocytes from C hearts
compared with 0.132 ± 0.014 in myocytes from T hearts
(n = 50 myocytes per group). The
maximal tension was
5.11 ± 1.42 kN/m2 in C myocytes and 9.01 ± 1.28 in T myocytes. We conclude that exercise training increases the length
dependence of maximal and submaximal tension in cardiac myocytes, and
this change may underlie, at least in part, training-induced
enhancement of myocardial function.
cardiac myocytes; calcium sensitivity; endurance training; sarcomere length
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INTRODUCTION |
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CHRONIC ENDURANCE EXERCISE training has been shown to enhance the functional capacity of the heart as evidenced by greater maximal cardiac output and greater maximal and submaximal stroke volume (5, 9, 20, 35, 36). Stroke volume is subject to a number of influences, including end-diastolic volume, intrinsic contractile function of the myocardium, and the afterload placed on the heart. There is a substantial body of evidence suggesting that endurance exercise training has significant effects on end-diastolic volume (7, 17, 25, 36) and afterload (20), but there are also a number of studies that have demonstrated a training-induced enhancement of the intrinsic contractile function of the myocardium. These include studies of ventricular function in the intact heart (5, 14, 20) as well as studies of the contractile performance of myocardial muscle preparations or single cardiac cells (10, 28, 30, 31, 40, 41, 43). A number of studies have attempted isolate the cellular and/or molecular mechanism(s) for an enhancement of contractile function (6, 23, 33, 34, 40, 41, 43), but the results of these studies have yet to provide a clear picture of the effect of exercise training on various subcellular processes (reviewed in Ref. 29). Thus there is the need for further determination of cellular mechanisms for training-induced improvements in contractile function.
Our laboratory has previously shown (10) that exercise training has a direct effect on the contractile apparatus. We observed that exercise training increased the Ca2+ sensitivity of tension in rat skinned cardiac myocytes, resulting in greater tension at submaximal Ca2+ levels in myocytes from trained animals than in control myocytes at the same Ca2+ concentration ([Ca2+]). The cellular or molecular basis for this increased Ca2+ sensitivity has not been determined, although there are a number of molecular factors that are known to affect Ca2+ sensitivity in the myocardium, including regulatory protein isoform changes and phosphorylation of contractile proteins (3, 39, 45, 46). In addition to these factors, it is known that Ca2+ sensitivity of tension in cardiac muscle is highly sensitive to changes in muscle length or sarcomere length, much more so than skeletal muscle (4, 11, 18, 22, 26, 27). As muscle cell length or sarcomere length is increased, the sensitivity of the contractile element to activation by Ca2+ has been shown to be increased. It is thought that this length dependence of Ca2+ sensitivity is an underlying mechanism of the Frank-Starling relationship, which describes the increase in stroke volume with increased end-diastolic volume. We hypothesized that our previously reported increase in Ca2+ sensitivity as a result of exercise training was due to a training-induced enhancement of the length dependence of this parameter. An earlier study (28) reported that exercise training resulted in a change in the length-tension relationship in rat papillary muscle such that, for a given increase in muscle length, tetanic tension increased more in muscles from trained hearts compared with muscle from control muscle. A more recent study on intact myocytes (31) found a similar effect of training on maximal tension. The effects of training on the relationship between length and submaximal tension has not been determined, but evidence indicates that in vivo much of the myocardial twitch contraction occurs at submaximal [Ca2+] (12). Thus information regarding the activation of force at submaximal [Ca2+] is crucial to understanding adaptation at the cellular level. In addition, there are a number of subcellular processes involved in force regulation that are affected by changes in muscle or sarcomere length (1, 2). Therefore, the purpose of this study was twofold: 1) to determine whether the previously observed effect of exercise training on the length sensitivity of maximal tension (28, 31) was present at the cellular/myofilament level even after removal of extracellular and other elastic elements and 2) to determine the effect of exercise training on the length dependence of Ca2+ sensitivity in cardiac myocytes. To study these questions, we used single "skinned" cardiac myocytes from which the membranes were removed to isolate the myofilaments from extracellular and other subcellular components. We measured maximal tension and the Ca2+ sensitivity of submaximal tension in the same myocyte at different sarcomere lengths to observe any shift in length dependence of tension properties.
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METHODS |
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Exercise training protocol. Female Sprague-Dawley rats were randomly divided into a control group (n = 8) and a training group (n = 8). The animals were housed in individual cages on a 12:12-h light-dark cycle and had access to food and water ad libitum. The training consisted of an 11-wk treadmill training protocol that had been shown previously to increase maximal oxygen uptake and increase cardiac performance at the whole heart (14), myocardial (40, 41), and single-cell level (10). The rats were trained on a rodent treadmill starting at 15 min/day at a speed of 10 m/min and at a 10% grade. The intensity and duration of the training sessions were progressively increased until at week 6 the animals were running at 26 m/min, up a 20% grade for 1 h/day. This intensity and duration were then maintained though the final 5 wk. This protocol received approval from the University of Wisconsin-Madison Animal Use and Care Committee.
Cardiac myocyte preparation.
For contractile measurements, single myocyte-sized preparations were
obtained by mechanical disruption of ventricular tissue as described
previously (10). The animals were anesthetized by
inhalation of methoxyflurane, and the hearts were quickly excised and
weighed. The heart was placed in ice-cold Ca2+-free
relaxing solution; trimmed of atria, connective tissue, and vascular
tissue; and cut into three sections. These sections were quick-frozen
in liquid nitrogen and stored at
80°C until used to prepare
myocytes for contractile measurements. On the day of an experiment, one
heart section was placed into ~30 ml of ice-cold relaxing solution,
minced with scissors, and further disrupted in a Waring blender. The
resulting suspension of cells and cell fragments was centrifuged, and
the pellet was then resuspended in cold relaxing solution plus 1%
Triton X-100 for 7 min. The resulting skinned myocytes were resuspended
in 8-10 ml of relaxing solution and kept on ice throughout the
days of the experiments. All contractile experiments were performed
within 48 h of cell preparation. Cells were discarded after the
second day.
Experimental apparatus. The experimental apparatus has been described previously (10). Skinned cardiac myocyte preparations were attached between a capacitance-gauge transducer (model 403, Aurora Scientific) and a direct-current torque motor (model 308, Aurora Scientific) by placing the ends of the preparation into stainless steel troughs. The ends were then secured to the troughs by overlaying a ~0.5 mm length of 4-0 monofilament suture over each end and then tying the suture to the trough by use of a loop of 10-0 monofilament suture.
The experimental preparation was viewed by using an inverted microscope (Olympus IX50) with a ×20 objective and fitted with a ×15 black-and-white photoeyepiece (Sony CCD-IRIS). A video image of the myocyte was displayed on a monitor, and sarcomere length was measured by using a micrometer against this image (Fig. 1). Length changes during contractile measurements were driven by voltage commands from a personal computer via a 16-bit digital-to-analog converter. Force and length signals were digitized at 1 kHz by using a 16-bit analog-to-digital converter and were displayed and stored on a personal computer using custom software in LABVIEW for Windows (National Instruments). The experimental chamber contained three wells into which the myocyte could be moved to change bathing solutions. The experimental apparatus was cooled to 15°C by using a Peltier device (Cambion, Cambridge, MA) and a circulating water bath.
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Solutions.
Relaxing and activating solutions for skinned myocyte preparations
contain 7 mM EGTA, 1 mM free Mg2+, 20 mM imidazole, 4 mM
ATP, 14.5 mM creatine phosphate, pH 7.0 (at 15°C); various free
[Ca2+] between 10
9 and
10
4.5 M (maximally activating solution); and sufficient
KCl to adjust ionic strength to 180 mM. The final concentrations of
each metal, ligand, and metal-ligand complex are determined from the
computer program of Fabiato (13).
Tension-pCa relationships.
Tension was measured as a function of pCa (
log [Ca2+])
in the pCa range of 9.0-4.5 as previously described (10).
Tension was measured first in pCa 4.5 solution and then in randomly
ordered submaximal pCa solutions. Every third activation was made in
pCa 4.5 to assess any decline in myocyte performance. For each
activation, steady tension was allowed to develop, at which point the
cell was slacked by 20% of its initial length and transferred to pCa 9.0 solution. Total tension was calculated as the difference between steady-state tension and the tension baseline immediately after the
preparation was slacked (Fig. 2). Active
tension was determined by subtracting passive tension in pCa 9.0 from
total tension. Maximal tension (in pCa 4.5 solution) was determined and
normalized for the cross-sectional area of the cell. Cross-sectional
area was calculated from the diameter of the cell by assuming a
circular cross section. Tension at each pCa was expressed as a
percentage of maximal tension for that preparation. Data were analyzed
by least squares regression using the Hill equation as described previously (10). Analysis using the Hill equation yielded
values for the pCa50 (the pCa giving half-maximal tension),
which was used as an index of Ca2+ sensitivity of tension.
To determine the length dependence of tension properties, tension-pCa
measurements were carried out two times for each cell: once with the
myocyte preparation set to a sarcomere length of 1.9 µm and again
with the sarcomere length set to 2.3 µm. These sarcomere lengths were
chosen because they likely represent the working range of sarcomere
lengths in the intact myocardium (32) and because these
sarcomere lengths have been used previously in studies of length
dependence of tension (4, 26, 27). Sarcomere lengths were
monitored during activation, and if sarcomere length shortened
significantly during activation or if the sarcomere pattern became
disorganized, the preparation was discarded. The order of sarcomere
length settings was randomized. The experimenter was also blinded as to
whether a given cell was from a trained or control animal.
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Citrate synthase.
Plantaris muscles were removed after excision of the heart, trimmed of
connective tissue, quick-frozen in liquid nitrogen, and stored at
80°C. The plantaris muscles were thawed and homogenized in
potassium phosphate buffer (pH 7.4) and assayed for citrate synthase
activity at 25°C as previously described (37).
Statistical analysis.
Comparisons between data from trained and control groups were made by
using a one-way ANOVA with post hoc analysis, with P < 0.05 used to indicate a significant difference. Figure
3 was constructed by comparing pooled
tension data from each of the myocytes in the trained and control
groups at each of the two sarcomere lengths (1.9 and 2.3 µm).
However, to determine between-group differences in the length
dependence of maximal and submaximal tension, the difference in maximal
tension (
max tension) and in pCa50
(
pCa50) accompanying the change in sarcomere length was
determined for each cell individually. These data were pooled for a
minimum of six cells from each animal, producing a mean
max tension
and a mean
pCa50 for each animal (see Table 3). These
were then pooled to produce a mean
max tension and a mean
pCa50 for the trained (n = 8) and
control (n = 8) groups. Trained and control data were
compared by using a Student's t-test. A level of
P < 0.05 was used to indicate significance.
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RESULTS |
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The treadmill training program used in this study elicited typical
training effects in the rats as shown in Table
1. There was no significant difference in
body weight between trained and control rats either before or after the
11-wk treadmill training program. However, training did elicit a 14%
increase in absolute heart weight and a 14.4% increase in the heart
weight-to-body weight ratio. In addition, the plantaris muscles taken
from the trained animals showed a 39% higher citrate synthase activity compared with control plantaris muscle.
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Figure 1 shows a typical myocyte preparation mounted in the
experimental apparatus and set to the two different sarcomere lengths
used in the experiment. Table 2 shows
characteristics for the myocytes from the trained and control groups at
the two different sarcomere lengths. These data give the pooled values for all myocytes studied in each group (n = 50 per
group) irrespective of which animal the myocytes were from.
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Figure 2A shows raw tension data at different [Ca2+] (expressed as pCa) and at the two different sarcomere lengths. Tension at each pCa was measured as the difference between tension just before the slack step minus tension just after the step. Figure 2B shows tension-pCa curves at the two different sarcomere lengths in representative myocytes from trained and control animals. These curves illustrate the leftward shift in the tension pCa curves observed when the myocyte preparation is stretched from a shorter to a longer sarcomere length.
We used two different methods to calculate the effect of training on
the length dependence of maximal tension, pCa50, and the
Hill coefficient. The first is shown in Fig. 3, which shows composite
tension-pCa curves from control (A) and trained
(B) myocyte preparations. Figure 3 was constructed by
plotting, for each pCa value, the mean of the pooled tension values
from each myocyte from control or trained animals (n = 50 each) for that pCa solution at each sarcomere length. Tension was
always expressed as a fraction of the maximum tension for that cell. As
Fig. 3 shows, the effect of changing sarcomere length was much greater in myocytes from trained hearts compared with control. Although increasing sarcomere length from 1.9 to 2.3 µm induced a leftward shift in the tension-pCa relationship (i.e., increased the tension at
any given pCa), this effect was much greater in the myocytes from
trained hearts. The pCa50 is a convenient measure of
Ca2+ sensitivity. The pCa50 for the
control myocytes was 5.56 at sarcomere length of 1.9 µm and 5.65 at
sarcomere length of 2.3 µm for a
pCa50 of 0.09. For
myocytes from trained hearts, the pCa50 was 5.59 at
sarcomere length of 1.9 µm and 5.72 at sarcomere length of 2.3 µm
for a
pCa50 of 0.13. The Hill coefficient, which is a
measure of the degree of cooperativity in tension development, was 3.43 and 3.75 in control myocytes and 3.42 and 3.68 in trained myocytes, at
short and long lengths, respectively.
It has been suggested (8, 18) that this method, i.e.,
calculation of pCa50 and n from averaged tension
values, leads to an underestimation of values of the Hill coefficient.
Therefore we also measured maximal tension, pCa50 values,
and n values for each myocyte at each of the two different
sarcomere lengths as well as the difference (
) in these values
between the two sarcomere lengths. These data were pooled with the data
from the other myocytes for that animal to calculate means for each
animal. Finally, the mean values for each animal were pooled into
control group means and trained group means for each category. These
data are all given in Table 3. We found
that, for pCa50, there was not a significant difference
between trained and control groups at the shorter sarcomere length, but
that mean pCa50 was significantly (P < 0.05) higher in the trained group compared with control at the longer
sarcomere length. Maximal tension was not significantly different
between trained and control at either sarcomere length. Exercise
training increased the length dependence of both maximal tension and
the Ca2+ sensitivity of submaximal tension because both
max tension and
pCa50 were significantly higher in
the trained group compared with control. There was no effect of
training or sarcomere length on the Hill coefficient.
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DISCUSSION |
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Effects of exercise on length dependence of tension. The primary finding of this study is the effect of exercise training to increase the sarcomere length dependence of contractile properties such as maximal tension and Ca2+ sensitivity of submaximal tension in cardiac myocytes. We found that when myocytes were stretched from a sarcomere length of 1.9-2.3 µm (a sarcomere length range that likely encompasses the working range of the myocardium; Ref. 32), both maximal tension and the Ca2+ sensitivity of submaximal tension were increased, but they were increased to a significantly greater extent in myocytes isolated from trained hearts compared with control.
In an earlier study, Molé (28) had observed a steeper length-tension relationship in the papillary muscles from the hearts of exercised trained rats. This myocardial muscle preparation contains elastic elements both in series and in parallel with the contractile element. A recent study that used force measurements in intact, electrically stimulated myocytes also found that exercise training induced an increase in the slope of the relationship between sarcomere length and maximal force (31). Because it is known that changes in muscle length have effects on intracellular [Ca2+] during a myocardial twitch (2), it is unclear from these earlier studies whether a training-induced increase in the length-tension relationship was due to adaptation at the level of the contractile element or other cellular or extracellular components. The results of the present study using skinned myocytes suggest that a training-induced increase in length dependence of maximal tension is a property of the contractile element itself.
It is interesting to note that although our laboratory (10) and others (43) have previously described an effect of exercise training to increase the Ca2+ sensitivity of tension in cardiac myocytes, Natali et al. (31) recently reported no effect of training on Ca2+ sensitivity in intact myocytes. The results of the present study demonstrate that training increases the sensitivity of this property to differences in sarcomere length. Thus the effect of training on the Ca2+ sensitivity of tension is highly sensitive to the sarcomere length at which the measurements are done. As a consequence of the increased sarcomere length dependence, we found that trained myocytes again exhibited greater Ca2+ sensitivity of tension compared with control when measured at long sarcomere lengths, but this difference was not evident when measured at the short sarcomere length. The results of Natali et al. demonstrating no effect of training on Ca2+ sensitivity were obtained with myocytes at a short sarcomere length.
Implications for ventricular function. There are a number of studies that have reported an increase in end-diastolic volume with endurance exercise training, and this increase is widely thought to underlie, at least in part, the training-induced increase in stroke volume (7, 17, 25, 35, 36). One possible mechanism for a training-induced increase in end-diastolic volume is increased myocardial compliance, an effect that has been suggested in some studies (25, 44) but not in others (17). Changes in myocardial compliance might be expected to result in changes in passive tension properties in cardiac myocytes. We found no effect of exercise training on the length dependence of passive (resting) tension, an effect that is also consistent with an earlier result in a multicellular preparation (28) as well as a more recent study in intact myocytes (31). The latter study also determined that exercise training had no effect on the differential expression of titin isoforms in myocardial tissue, a likely determinant of passive tension in the myocardium (16).
The results of the present study regarding the effects of sarcomere length changes on active tension do suggest that the trained heart may be more sensitive to changes in ventricular volume. Thus training-induced enhancement of myocardial contractile performance would be expected to be most prominent at longer muscle lengths (corresponding to greater ventricular volumes). Indeed, a number of studies in the intact heart have observed that the effects of training on myocardial function are more pronounced at higher filling pressures or ventricular volumes (5, 35). Levine et al. (25) found a steeper relationship between stroke volume and filling pressure in endurance-trained athletes, an effect that they attributed to increased compliance but one that is also consistent with an increased length dependence of active tension properties. In contrast, Fuller and Nutter (15) measured stroke work across a range of filling pressures and found no change in the slope of this relationship with training, but they also found no other evidence for enhanced contractility as a result of their training model.Comparison with previous studies of length dependence.
A strength of the approach used in this study was that tension
measurements were made at the different sarcomere lengths in the same
myocyte. This allowed the calculation of
max tension and
pCa50 values within a single myocyte rather than relying on comparisons of absolute values of tension or pCa50
across different myocytes. There is substantial variability in absolute
pCa50 values among different studies even under identical
conditions. For example, absolute pCa50 values for control
rat myocytes at sarcomere length ~2.3 and at 15°C have
recently been reported as 5.83 (10), 5.65 (27), 5.71 (38), and 5.77 (19).
Within the present study, pCa50 values at a single
sarcomere length had a large range. Because of this variability, it
seems unlikely that differences in the pCa50 values would
have been observed had we attempted to compare pCa50 values
from separate myocytes at different sarcomere lengths.
pCa50 values obtained in the present study are very
similar to
pCa50 values obtained in other studies of
sarcomere length dependence in skinned single myocytes. We observed a
pCa50 of 0.084 in control myocytes, which increased to
0.132 in trained myocytes. Previous reports of shifts in
pCa50 with similar changes in sarcomere length include 0.09 in rat myocytes (27) and 0.12 in mouse myocytes
(26). Measurements in skinned trabeculae preparations tend
to show greater shifts in pCa50 with values including 0.11 pCa (4), 0.21 (18), 0.31 (22),
and 0.14 (11). We found no effect of changing sarcomere
length on the Hill coefficient, consistent with previous reports
(11, 18, 22). We also found no effect of exercise training
on the Hill coefficient or its sensitivity to sarcomere length.
The value of same-cell comparisons is even more clear in measurements
of maximal tension. Our measurements of maximal tension (normalized for
cross-sectional area) showed tremendous variability, probably owing to
error in the estimation of cross-sectional area on the basis of cell
width. Thus we found no significant difference in maximal tension
values between trained and control at either sarcomere length. However,
using within-cell measurements to assess the effect of altered
sarcomere length eliminates this source of variability, and we observed
a significant effect of training to increase the length dependence of
maximal tension, as measured by the
max tension values.
A disadvantage of the approach used in the present study is that it is
not possible to make tension measurements at a larger number of
sarcomere lengths. The large number of activations of the myocyte
necessary to characterize Ca2+ sensitivity at each
sarcomere length makes it unlikely that the cells would survive
measurements at additional sarcomere lengths. Thus it was not possible
to determine the slope of the relationship between sarcomere length and
maximal or submaximal tension properties or the effect of exercise
training on this slope. Kentish et al. (22) suggest that
the relationship between force and sarcomere length is curvilinear at
most [Ca2+], whereas a recent study by Dobesh et al.
(11) indicates that the relationship between
Ca2+ sensitivity and sarcomere length is highly linear.
Possible mechanisms of increased length dependence. The mechanism by which exercise training increases the length dependence of maximal and submaximal tension is not clear. Two separate mechanisms have been proposed to underlie the length dependence of Ca2+ sensitivity. Babu et al. (4) proposed that cardiac troponin C (TnC) has some intrinsic length-sensitive properties that confer increased length dependence of Ca2+ sensitivity compared with skeletal muscle. They observed that when native cardiac TnC was stripped from trabeculae and replaced by skeletal troponin C (sTnC), the length dependence of Ca2+ sensitivity was decreased, although this effect was not seen when cardiac TnC was replaced by skeletal TnC in a transgenic mouse model (26). This suggests that differences in Ca2+ sensitivity seen in the present study might result from differences in myofilament protein expression. Although there is no indication of plasticity in the expression of cardiac vs. skeletal TnC isoforms, shifts in the expression of other myofilament proteins may be possible. For example, a more recent study using diabetic rats with characteristic cardiac abnormalities showed a diminished length dependence of Ca2+ sensitivity along with a shift in troponin T isoform expression (3). Alternatively, McDonald and Moss (27) have proposed that lateral compression of the contractile proteins resulting from stretch is responsible for the increased Ca2+ sensitivity at long sarcomere lengths. They observed that osmotic compression of myocytes at short length could mimic the effects of stretching the myocytes to a longer sarcomere length. This suggested that the tension properties at long sarcomere length were due to compression of the myofilament lattice, although more recent results using direct measurements of lattice spacing (21) indicate that changes in Ca2+ sensitivity with osmotic compression cannot be accounted for by changes in lattice spacing. In any case, the results of McDonald and Moss suggest that there may be a mechanical component to the increased Ca2+ sensitivity at longer lengths. It is possible that exercise training could induce a change in the structural relationship between thick and thin filaments and result in enhanced cross-bridge interaction. Previous work in skeletal muscle has suggested that contractile protein spacing is subject to alteration as a result of altered muscle activity (42). Further work is necessary to determine the mechanisms of the training induced increase in the length dependence of Ca2+ sensitivity.
In conclusion, we have shown for the first time that the length dependence of both maximal tension and the Ca2+ sensitivity of submaximal tension is increased at the cellular level in the myocardium as a result of exercise training. This effect may underlie the training-induced enhancement of contractile function in the myocardium and may suggest that this enhancement is more substantial at higher cardiac volumes or longer muscle lengths. Our result suggests that this adaptation occurs at the level of the contractile element, but the mechanism for this adaptation remains unresolved.| |
ACKNOWLEDGEMENTS |
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This work was supported by National Heart, Lung, and Blood Institute Grant HL-61410 (to G. M. Diffee).
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FOOTNOTES |
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Address for reprint requests and other correspondence: G. M. Diffee, Biodynamics Laboratory, Univ. of Wisconsin, Dept. of Kinesiology, 2000 Observatory Dr., Madison, WI 53706 (gmdiffee{at}facstaff.wisc.edu).
The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
First published October 11, 2002;10.1152/japplphysiol.00565.2002
Received 27 June 2002; accepted in final form 2 October 2002.
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