Changes in the cardiac beta-adrenergic system in the acute phase of the Trypanosoma cruzi myocardiopathy

LO PRESTI, M. SILVINA; BUSTAMANTE, JUAN MANUEL; RIVAROLA, H. WALTER; FERNANDEZ, ALICIA R; ENDERS, JULIO E; FRETES, RICARDO; LEVIN, GLORIA; PAGLINI-OLIVA, PATRICIA A.

INTERNATIONAL JOURNAL OF CARDIOLOGY

Elsevier

Año: 2006 vol. 111 p. 104 - 112

0167-5273

Background: It has been demonstrated that the beta-adrenergic signal transduction system is altered somewhere along it’s pathway in Trypanosoma cruzi infected hearts and we think that these alterations would differ according to the infection phase and the parasite strain. Their study would be important for the understanding of the disease’s pathophysiology. Methods: In the present work we studied important components of this system in mice hearts infected with T. cruzi, Tulahuen strain and with SGO-Z12 isolate, obtained from a patient of an endemic area, in the acute phase of the infection, determining: the plasma catecholamines levels, the beta-receptors density and affinity as well as their function, the cardiac concentration of cAMP and the cardiac contractility as the physiologic response to the initial stimulus. Results: Plasma catecholamines levels were diminished in both infected groups when compared to the uninfected one (P<0.01). The receptor’s affinity was also diminished (P<0.05) while their density was augmented only in the SGO-Z12 infected one (P<0.01). The cAMP levels were higher in both infected groups (P<0.01), the basal contractile force however increased only in the Tulahuen infected one (P<0.01) while the response to catecholamines remained unchanged. The hearts infected with the SGO Z12 isolate presented an inferior response to epinephrine (P<0.05) than the ventricles infected with the Tulahuen strain. Conclusions: This model represents an important approach to understand the biochemical, physiological and molecular changes in the cardiac beta-adrenergic signalling that clearly begin in the acute phase of Chagas’disease and reveal a clear differentiation in the alterations produced by different parasite strains.