In this study, we examined the effect of sepsis on the electrical prop
erties of isolated ventricular myocytes. Sepsis was induced by cecal l
igation and puncture (CLP). The control rats were sham-operated. Membr
ane potentials and ionic currents in isolated cardiac myocytes were me
asured by the tight-seal, whole-cell patch-clamp technique. The result
s show that the resting membrane potentials of heart cells were signif
icantly lower in the septic group (18 hr post-CLP) than those in the c
ontrol group. However, there was no significant difference in action p
otential duration of 50% and 90% repolarization between the two groups
of cells. In voltage-clamp experiments, isoproterenol (10 nM), a beta
-adrenergic agonist, caused an increase in L-type calcium current (I-C
a,I-L) in a similar magnitude in myocytes isolated from the control an
d septic rats. Furthermore, isoproterenol failed to modify the time co
nstants for I-Ca,I-L inactivation and the overall shape of current-vol
tage relationship for both groups of cells. These results indicate tha
t formation of a GR seal and subsequent tight-seal whole-cell recordin
g with patch-clamp technique can be performed in heart cells derived f
rom CLP-induced septic rats, and that septic rat heart is capable of r
esponding effectively to beta-adrenergic stimulation. (C) 1993 Wiley-L
iss, Inc.