K. Sadamatsu et al., Sarcoplasmic reticulum Ca2+ regulatory protein gene expression in human right atrium under hemodynamic overload, HEART VESS, 14(5), 1999, pp. 208-215
Sarcoplasmic reticulum (SR) Ca2+ adenosine triphosphatase (ATPase) mRNA exp
ression is reduced in the failing human myocardium. However, it is not know
n whether SR Ca2+-regulatory protein gene expression is altered in human my
ocardial tissue subjected to pressure overload or volume overload. We sough
t to determine whether SR Ca2+-regulatory protein gene expression is altere
d in human atrial tissue subjected to mechanical overload. We obtained righ
t atrial myocardial tissue (about 250 mg) at open-heart surgery from three
groups of patients: no hemodynamic overload to the right atrium (control gr
oup; 12 patients), atrial septal defect (ASD group; 8 patients), and tricus
pid regurgitation (TR group; 7 patients). We measured the myocyte size, the
area of interstitial fibrosis, SR Ca2+-ATPase, and ryanodine receptor mRNA
abundance. The isolated cardiocyte area and the percent area of interstiti
al fibrosis were in the order TR > ASD > control (P < 0.05). The SR Ca2+-AT
Pase mRNA level in TR was significantly decreased (P = 0.004) compared with
the control, whereas in the ASD group it did not differ significantly from
control. There were no significant differences in ryanodine receptor mRNA
levels among the three groups. SR Ca2+-ATPase gene expression was downregul
ated in human atrial tissue with TR but not in ASD, which might have result
ed from the differences in the degree and/or the type of hemodynamic overlo
ad to the myocardium.