Background We have shown on the levels of the sarcomere and the cardio
cyte that a persistent increase in microtubule density accounts to a r
emarkable degree for the contractile dysfunction seen in pressure-over
load right ventricular hypertrophy. In the present study, we have aske
d whether these linked phenotypic and contractile abnormalities are an
immediate and direct effect of load input into the cardiocyte or inst
ead a concomitant of hypertrophic growth in response to pressure overl
oading. Methods and Results The feline right ventricle was pressure-ov
erloaded by pulmonary artery banding. The quantity of microtubules was
estimated from immunoblots and immunofluorescent micrographs, and the
ir mechanical effects were assessed by measuring sarcomere motion duri
ng microtubule depolymerization. The biogenesis of microtubules was es
timated from Northern and Western blot analyses of tubulin mRNAs and p
roteins. These measurements were made in control cats and in operated
cats during and after the completion of right ventricular hypertrophy;
the left ventricle from each heart served as a normally loaded same-a
nimal control. We have shown that the alterations in microtubule densi
ty and sarcomere mechanics are not an immediate consequence of pressur
e overloading but instead appear in parallel with the load-induced inc
rease in cardiac mass. Of potential mechanistic importance, both these
changes and increases in tubulin poly A(+) mRNA and protein coexist i
ndefinitely after a new, higher steady state of right ventricular mass
is reached. Conclusions Because we find persistent increases both in
microtubules and in their biosynthetic precursors in pressure-hypertro
phied myocardium, the mechanisms for this cytoskeletal abnormality mus
t be sought through studies of the control both of microtubule stabili
ty and of tubulin synthesis.