Hj. Berger et al., ACTIVATED COMPLEMENT DIRECTLY MODIFIES THE PERFORMANCE OF ISOLATED HEART-MUSCLE CELLS FROM GUINEA-PIG AND RAT, The American journal of physiology, 265(1), 1993, pp. 80000267-80000272
The complement system has been implicated in the pathogenesis of cardi
ovascular disorders including ischemia and atherosclerosis. Selective
deposition of C5b-9, the membrane attack complex of complement, has be
en histochemically documented in human myocardium early after reperfus
ion of ischemic areas and in infarcted zones. However, functional sequ
elae of the C5b-9 complex binding to myocardial cells have not been id
entified. Insertion of C5b-9 complexes into the membrane of other cell
types can generate transient changes in membrane permeability in the
absence of cell lysis. We demonstrate in beating isolated adult guinea
pig and rat cardiac myocytes that human derived C5b-9 can transiently
augment in a dose-dependent manner both basal cytosolic calcium conce
ntration and calcium transients, resulting in a temporary increase in
contractility. If similar changes occur in human heart cells in vivo,
they could significantly affect myocardial performance and contribute
to functional abnormalities seen in ischemia and other pathological co
nditions associated with complement activation.