Abstract
Conflicting data on the inotropic effect of insulin are present in the literature suggesting a positive inotropic property or no inotropic effect or even a negative influence. To clarify the reason for these diverging findings, dose-response curves of insulin have been performed in isolated working rat and guinea pig hearts perfused with Krebs-Henseleit buffer containing 0.9, 1.25, 2.5, and 5 mM Ca2+ at 37 °C. At 1.25 mM [Ca2+], insulin (8 to 16 IU) regularly improved the inotropic state. LVdP/dtmax increased significantly from 1,900 to 2,300 mm Hg/s (+21 %) in guinea pig hearts and from 3,197 to 4,345 mm Hg/s (+36 %) in rat hearts. LVEDP did not change significantly. Myocardial oxygen consumption increased parallel with contractility. Heart rate was not influenced in either species. Coronary flow increased by 16.5 % in guinea pig hearts, but decreased in rat hearts by 13.6 % (p < 0.05 each). With 0.9 mM [Ca2+] the positive inotropic effect of insulin did not further augment. At 2.5 mM [Ca2+] insulin exhibited in both species no significant change of LVdP/dtmax but very high insulin doses depressed the heart. At 5 mM [Ca2+] insulin depressed the heart significantly already at lower concentrations. At 31 °C and 1.25 mM [Ca2+] the positive inotropic insulin effect was preserved. We conclude that the positive inotropic insulin effect in rat and guinea pig hearts depends on the extracellular [Ca2+], i.e., is maximal around 1.25 mM [Ca2+] and is reduced or absent at higher [Ca2+] or may even become negative.
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Received: 3 September 2001/Returned for 1. revision: 24 September 2001/1. Revision received: 20 December 2001/Returned for 2. revision: 2 January 2002/2. Revision received: 21 January 2002/Accepted: 23 January 2002
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Schmidt, H., Koch, M. Influence of perfusate calcium concentration on the inotropic insulin effect in isolated guinea pig and rat hearts. Basic Res Cardiol 97, 305–311 (2002). https://doi.org/10.1007/s00395-002-0350-2
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DOI: https://doi.org/10.1007/s00395-002-0350-2