Hypertension, Vol 23, 710-716, Copyright © 1994 by American Heart Association
RJ Schiebinger, Y Li and EJ Cragoe Jr
In this study we examined the mechanism whereby atrial natriuretic peptide
secretion is increased when the frequency of contraction is raised from 2
to 5 Hz. We tested the hypothesis that calcium plays a significant role in
the frequency-stimulated response. Using superfused rat left atria, we
found that lowering the superfusate calcium concentration from 1.8 to 0.2
mmol/L abolished the frequency-stimulated atrial natriuretic peptide
secretory response. Superfusion with ryanodine (1 mumol/L), an inhibitor of
sarcoplasmic reticulum calcium release, resulted in a minimal inhibitory
effect. Superfusion with 50 mumol/L nitrendipine or 10 mumol/L diltiazem
inhibited the frequency- stimulated response by 46% to 48%. The lack of
total inhibition suggested that an additional mechanism of calcium influx
was involved, namely, inward calcium movement carried by Na(+)-Ca2+
exchange. As intracellular sodium has been reported to rise with an
increase in beat frequency, a fall in the sodium gradient would favor
inward calcium movement by Na(+)-Ca2+ exchange. Because we could not
directly assess the role of Na(+)-Ca2+ exchange in this experimental
paradigm, we examined the effect of lowering the transmembrane sodium
gradient on atrial natriuretic peptide secretion by superfusion with the
sodium channel activator veratridine or the sodium ionophore monensin.
Superfusion with 1 mumol/L veratridine increased atrial natriuretic peptide
secretion by 2.3-fold, and 1, 5, and 10 mumol/L monensin increased
secretion by 1.1-, 2.1-, and 15.7-fold, respectively. In addition, we
examined the possibility that the reported rise in intracellular sodium
associated with increased beat frequency was due to enhanced Na(+)-H+
antiporter activity.(ABSTRACT TRUNCATED AT 250 WORDS)
ARTICLES
Calcium dependency of frequency-stimulated atrial natriuretic peptide secretion
Department of Internal Medicine, Wayne State University, Detroit, Mich.
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