SUMMARY The Ca2+ -activated myosin ATPase and the amino acid compositions of actin and myosin were determined for preparations from chronically failing dog hearts. Hypertrophy and congestive heart failure were produced by combined tricuspid valve insufficiency and pulmonary artery stenosis. Control, shamoperated, and noncardiac circulatory failure (inferior vena cava constriction) dogs also were studied. All hearts were divided into right ventricle, septum, and left ventricle and each sample was individually analyzed. Calcium-activated ATPase decreased in the failing hearts and showed a distinct gradient of depression from right to left ventricles. There were no changes in ATPase activity among the other groups. The amino acid composition of actin was the same regardless of origin. The amino acid composition of myosin was unaltered except that cystine/2 residues were markedly decreased in failing heart myosin. The same gradient of depression was present as was found for Ca 2 -activated myosin ATPase. This study suggests that protein metabolism is abnormal and that altered proteins are produced in hypertrophy and congestive heart failure. It appears that these changes do not affect all proteins, since actin was normal by the parameters studied. It is clear that the stressed ventricle is the most severely involved, but the entire heart is altered to some degree. Thus, we conclude that altered protein metabolism may be an important primary factor in the genesis of heart failure.ALTHOUGH the contracility of hypertrophied and failing myocardium is decreased 1 " 3 the mechanism responsible for this alteration of physiological function is unknown. Structural abnormalities 4 and altered contractile and regulatory protein function 5 ' 6 have been demonstrated in the hypertrophied and failing heart and postulated to be causally related to the decreased contractile function. In particular, substantial evidence documenting altered activity of various adenosine triphosphatase (ATPase) systems isolated from failing or hypertrophied hearts or both has accumulated and suggests that an abnormality of energy release is responsible for the mechanical dysfunction.Although differences in sarcolemmal, 7 ' 8 sarcoplasmic reticulum, 7 ' 9 actomyosin, myosin, and myofibrillar ATPases have been reported, 5 the basis for these alterations remains obscure. This study was designed to evaluate the Ca 2+ -activated myosin ATPase in purified myosin from the chronically failing canine heart and to determine whether changes could be correlated with an alteration in the amino acid composition of myosin. Actin, the other major contractile protein of the heart responsible for the generation of tension, was also isolated from the same tissue sample and the amino acid composition was determined.
MethodsAdult mongrel dogs of both sexes, weighing 15-30 kg, were kept and fed as previously described.7 Randomly selected dogs were trained to use a treadmill and were exercised for 2 weeks. Those with normal excise tolerance 10 were catheterized (right and ...