Role of creatine kinase in cardiac excitation‐contraction coupling: studies in creatine kinase‐deficient mice

B Crozatier, T Badoual, E Boehm… - The FASEB …, 2002 - Wiley Online Library
B Crozatier, T Badoual, E Boehm, PV Ennezat, T Guenoun, J Su, V Veksler, LUC Hittinger…
The FASEB journal, 2002Wiley Online Library
To understand the role of creatine kinase (CK) in cardiac excitation‐contraction coupling, CK‐
deficient mice (CK–/–) were studied in vitro and in vivo. In skinned fibers, the kinetics of
caffeine‐induced release of Ca2+ was markedly slowed in CK–/–mice with a partial
restoration when glycolytic substrates were added. These abnormalities were almost
compensated for at the cellular level: the responses of Ca2+ transient and cell shortening to
an increased pacing rate from 1 Hz to 4 Hz were normal with a normal post‐rest potentiation …
To understand the role of creatine kinase (CK) in cardiac excitation‐contraction coupling, CK‐deficient mice (CK–/–) were studied in vitro and in vivo. In skinned fibers, the kinetics of caffeine‐induced release of Ca2+ was markedly slowed in CK–/– mice with a partial restoration when glycolytic substrates were added. These abnormalities were almost compensated for at the cellular level: the responses of Ca2+ transient and cell shortening to an increased pacing rate from 1 Hz to 4 Hz were normal with a normal post‐rest potentiation of shortening. However, the post‐rest potentiation of the Ca2+ transient was absent and the cellular contractile response to isoprenaline was decreased in CK–/– mice. In vivo, echocardiographically determined cardiac function was normal at rest but the response to isoprenaline was blunted in CK–/– mice. Previously described compensatory pathways (glycolytic pathway and closer sarcoplasmic reticulum‐mitochondria interactions) allow a quasi‐normal SR function in isolated cells and a normal basal in vivo ventricular function, but are not sufficient to cope with a large and rapid increase in energy demand produced by β‐adrenergic stimulation. This shows the specific role of CK in excitation‐contraction coupling in cardiac muscle that cannot be compensated for by other pathways.
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