. Endothelin receptor blockade has an oxygen-saving effect in Dahl salt-sensitive rats with heart failure. Am J Physiol Heart Circ Physiol 285: H1428-H1434, 2003. First published June 5, 2003 10.1152/ ajpheart.00731.2002The effects of endothelin (ET) receptor blockade on energy utilization in heart failure (HF) are unknown. We administered ET type A (ET A), ET type B (ET B), and ETA/ETB antagonists to isolated hearts from Dahl salt-sensitive (DS) rats with HF and controls. Contractile efficiency was assessed as slope Ϫ1 of myocardial O2 consumption (V O2)-pressure-volume area relation. In HF, ETA and ETA/ETB but not ETB blockade decreased the contractility index (Emax) (Ϫ15 Ϯ 3% and Ϫ17 Ϯ 2%, P Ͻ 0.05), excitationcontraction (E-C) coupling V O2 (Ϫ39 Ϯ 4% and Ϫ37 Ϯ 5%, P Ͻ 0.01), and efficiency (Ϫ15 Ϯ 4% and Ϫ17 Ϯ 2%, P Ͻ 0.05). Despite decreased efficiency, ETA and ETA/ETB blockade decreased total V O2 (Ϫ24 Ϯ 3% and Ϫ22 Ϯ 2%, P Ͻ 0.05). Na ϩ /H ϩ exchanger inhibition decreased Emax and E-C coupling V O2 similar to ETA and ETA/ETB blockade, but did not alter efficiency. In HF, endogenous ET-1 maintains contractility at expense of increased V O2 through ETA receptor activation, likely mediated by Na ϩ /H ϩ exchange.oxygen consumption ACUTELY ADMINISTERED ENDOTHELIN (ET)-1 has positive inotropic effects in normal myocardium (22,27). In contrast, chronic ET-1 inhibition improves cardiac function and prognosis in animal models of heart failure (HF) (23,29,33). Recently, Takeuchi et al. (35) reported that in addition to positive inotropic effects acutely administered exogenous ET-1 increases left ventricular (LV) chemomechanical energy conversion efficiency through ET type A (ET A ) receptor activation in normal rats. The role of endogenous ET-1 in energy utilization in HF, where chronic activation is present, has not been assessed in vitro. Moreover, there are no reports comparing ET A and ET B receptors in this setting.To clarify these issues, we used the myocardial O 2 consumption (V O 2 )-pressure-volume area (PVA) framework to delineate effects of acute ET-1 blockade on mechanoenergetics in isolated, crystalloid-perfused hearts from Dahl salt-sensitive (DS) rats, which develop pressure and volume overload when fed a highsalt (HS) diet (4). The V O 2 -PVA relationship allows quantification of energy conversion efficiency of the contractile machinery (contractile efficiency) and energy use for excitation-contraction (E-C) coupling and basal metabolism (6, 34). We found that blockade of endogenous ET-1 in HF produces complex effects on V O 2 through ET A receptor inhibition. E-C coupling energy saving effects compensate for the energy-wasting effects on the contractile machinery, resulting in net reduction in energy consumption.
METHODS
Animal ModelAll protocols were reviewed and approved by the Institutional Animal Care and Use Committee of the University of Vermont.Sixty 6-wk-old male DS rats (Taconic Farms, Germantown, NY) were divided into groups receiving a HS (8% NaCl) or low-salt (LS) diet (0.3% NaCl). Com...