PMID- 8227345 OWN - NLM STAT- MEDLINE DCOM- 19931210 LR - 20220317 IS - 0021-9738 (Print) IS - 0021-9738 (Linking) VI - 92 IP - 5 DP - 1993 Nov TI - Cellular basis for the negative inotropic effects of tumor necrosis factor-alpha in the adult mammalian heart. PG - 2303-12 AB - To define the mechanism(s) responsible for the negative inotropic effects of tumor necrosis factor-alpha (TNF alpha) in the adult heart, we examined the functional effects of TNF alpha in the intact left ventricle and the isolated adult cardiac myocyte. Studies in both the ventricle and the isolated adult cardiac myocyte showed that TNF alpha exerted a concentration- and time-dependent negative inotropic effect that was fully reversible upon removal of this cytokine. Further, treatment with a neutralizing anti-TNF alpha antibody prevented the negative inotropic effects of TNF alpha in isolated myocytes. A cellular basis for the above findings was provided by studies which showed that treatment with TNF alpha resulted in decreased levels of peak intracellular calcium during the systolic contraction sequence; moreover, these findings did not appear to be secondary to alterations in the electrophysiological properties of the cardiac myocyte. Further studies showed that increased levels of nitric oxide, de novo protein synthesis, and metabolites of the arachidonic acid pathway were unlikely to be responsible for the TNF alpha-induced abnormalities in contractile function. Thus, these studies constitute the initial demonstration that the negative inotropic effects of TNF alpha are the direct result of alterations in intracellular calcium homeostasis in the adult cardiac myocyte. FAU - Yokoyama, T AU - Yokoyama T AD - Department of Medicine, Veterans Affairs Medical Center, Houston, Texas 77030. FAU - Vaca, L AU - Vaca L FAU - Rossen, R D AU - Rossen RD FAU - Durante, W AU - Durante W FAU - Hazarika, P AU - Hazarika P FAU - Mann, D L AU - Mann DL LA - eng GR - HL-41408/HL/NHLBI NIH HHS/United States GR - HL-42550/HL/NHLBI NIH HHS/United States GR - K08HL-02010/HL/NHLBI NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - J Clin Invest JT - The Journal of clinical investigation JID - 7802877 RN - 0 (Tumor Necrosis Factor-alpha) RN - SY7Q814VUP (Calcium) SB - IM MH - Animals MH - Blood Pressure/drug effects MH - Calcium/*metabolism MH - Cats MH - Cell Separation MH - Cell Survival MH - Electrophysiology MH - Heart Ventricles/*drug effects MH - Homeostasis/drug effects MH - Myocardial Contraction/*drug effects MH - Myocardium/cytology MH - Tumor Necrosis Factor-alpha/*pharmacology PMC - PMC288411 EDAT- 1993/11/01 00:00 MHDA- 1993/11/01 00:01 PMCR- 1993/11/01 CRDT- 1993/11/01 00:00 PHST- 1993/11/01 00:00 [pubmed] PHST- 1993/11/01 00:01 [medline] PHST- 1993/11/01 00:00 [entrez] PHST- 1993/11/01 00:00 [pmc-release] AID - 10.1172/JCI116834 [doi] PST - ppublish SO - J Clin Invest. 1993 Nov;92(5):2303-12. doi: 10.1172/JCI116834.