A B S T R A C T Cardiac stress produced by hypertension or excess volume loading results in different types of hypertrophy. Elevated left ventricular pressure rapidly results in increased myocardial protein synthesis in vivo and in vitro, but such rapid alterations are not consistently seen in volume loading. The difference in response is difficult to clarify since it is not possible to effect alterations in left ventricular pressure or perfusion without profoundly affecting coronary perfusion. The present study describes cardiac protein synthesis in the right ventricle of the young guinea pig heart in vitro by utilizing a perfusion model in which the right ventricle could be stressed by elevations of pressure or volume loading in the presence of constant and restricted coronary perfusion. With coronary flow maintained at 4 ml/min per heart equivalent to 25 ml/min/g dry wt, an increase in right ventricular pressure from normal levels of 3 mm Hg to 11 mm Hg resulted in a 60% increase of myocardial incorporation of [14C]
INTRODUCTIONCardiac stress produced by experimental hypertension or excess volume loading eventually results in hypertrophy (1-3) though the mechanisms and types of hypertrophy may be different in each stress, e.g., concentric hypertrophy with little increase in ventricular volume is described in hypertension or valvular stenosis while hypertrophy with dilatation is most often seen in valvular insufficiency or volume stress (4, 5). Acute aortic hypertension or volume loading is also accompanied by increased coronary flow which has been shown to enhance protein synthesis (6-8), and few data are available on the effects of such loading in the face of controlled or restricted coronary perfusion.The present report presents data obtained with an in vitro perfusion modal which was designed to separate pressure and volume stresses in the right ventricle from alterations in coronary perfusion and which permits study of protein synthesis in this ventricle in the presence of controlled as well as restricted coronary flow. Two patterns are indicated with this model of the young guinea pig heart. First, protein synthesis is stimulated by acute pressure stress but not by acute volume loading. Second, with maximum stresses right ventricular protein synthesis returns to control levels. A preliminary description of this model was previously reported (9). METHODS Received for publication 8 October 1973 and in revised Young male guinea pigs, 260-320 g, approximately 4-6 wk form 16 September 1974.after weaning, were used in all the studies. The diet beforeThe Journal of Clinical Investigation Volume 55 January 1975 -1-11 1 the operation and anesthesia were as described previously (6, 7). After anesthesia, the chest cage was opened and the proximal aorta cannulated and perfused with oxygenated Krebs-Henseleit solution containing amino acids in concentrations previously described (6, 10). The pulmonary artery was then cannulated with a no. 240 nondistensible polyethylene catheter which was gently passed through the p...