title: Myocardial creatine kinase kinetics and isoform expression in hearts with severe LV hypertrophy.
abstract: Left ventricular (LV) hypertrophy (LVH) results in a fetal shift in myocardial creatine kinase (CK) expression. Because CK plays an important role in intracellular energy production, transport, and utilization, this study was performed to characterize changes in CK expression and CK flux in severe pressure-overload LVH. Ascending aortic banding in 8-wk-old dogs resulted in LVH with a 92% increase in relative LV mass. In LVH hearts, CK-M isoform mRNA was decreased by 40% (P = 0.05) and protein was decreased by 50% (P < 0.01), whereas mitochondrial CK protein was decreased by 22% (P < 0.05). CK-B isoform mRNA was undetectable in normal hearts but was prominently expressed in LVH (P < 0.01); CK-B protein was increased by more than 10-fold in LVH (P < 0.01). Despite these changes, total CK activity was normal in LVH. Myocardial CK flux was examined using (31)P magnetic resonance spectroscopy magnetization transfer. The CK forward rate constant was similar in normal and LVH hearts at baseline and did not change in either group during dobutamine treatment. In hearts with LVH, the CK forward flux rate was reduced by approximately 60% (P < 0.05) and decreased further during dobutamine. Thus, although pressure-overload LVH caused alterations of expression of both CK mRNA and protein levels, LV performance and oxygen consumption in response to dobutamine were normal. However, myocardial free ADP was increased in LVH hearts. This finding suggests that the CK alterations result in a need for higher ADP levels to maintain ATP synthesis in the hypertrophied heart.
authors.affiliation: Cardiovascular Division, Department of Medicine, University of Minnesota Medical School, Minneapolis, Minnesota 55455, USA.
authors.forename: Y
authors.initials: Y
authors.lastname: Ye
authors.forename: C
authors.initials: C
authors.lastname: Wang
authors.forename: J
authors.initials: J
authors.lastname: Zhang
authors.forename: Y K
authors.initials: YK
authors.lastname: Cho
authors.forename: G
authors.initials: G
authors.lastname: Gong
authors.forename: Y
authors.initials: Y
authors.lastname: Murakami
authors.forename: R J
authors.initials: RJ
authors.lastname: Bache
mesh_terms: D000818:Animals; D001835:Body Weight; D003326:Coronary Circulation; D003402:Creatine Kinase / Q000378:metabolism*; D004285:Dogs; D006439:Hemodynamics; D017379:Hypertrophy, Left Ventricular / Q000201:enzymology* / Q000473:pathology / Q000503:physiopathology; D007527:Isoenzymes / Q000378:metabolism*; D007700:Kinetics; D009682:Magnetic Resonance Spectroscopy; D009206:Myocardium / Q000201:enzymology* / Q000378:metabolism / Q000473:pathology; D009929:Organ Size; D010101:Oxygen Consumption; D012720:Severity of Illness Index
chemical_list: D007527:Isoenzymes; D003402:Creatine Kinase