In the excised Langendorff-perfused rat whole-heart preparation, a linear relation between left ventricular myocardial oxygen consumption per beat (Vo
2) and systolic pressure-volume area (PVA, a total mechanical energy per beat) is obtained from a curved end-systolic pressure-volume relation as in the blood-perfused preparation. The ordinate Vo
2 intercept of the Vo
2-PVA relation is composed of Vo
2 for total Ca
2+ handling in the excitation-contraction coupling and basal metabolism. The Vo
2 for total Ca
2+ handling is mainly consumed by sarcoplasmic reticulum (SR) Ca
2+-ATPase. The aim of the present study was to investigate, in terms of left ventricular mechanoenergetics, how an inhibition of SR Ca
2+-ATPase by cyclopiazonic acid (CPA; 4 μmol/l) affects Ca
2+ handling mechanisms in the excised Langendorff-perfused rat whole-heart preparation. The short-term (for 3 to 6 min after onset of the infusion) CPA infusion decreased Vo
2 proportionally to the decrease in PVA. The long-term (for 9 to 12 min after the short-term CPA infusion) CPA infusion gradually increased Vo
2 almost to the control level with an increase in PVA. The increases in both Vo
2 and PVA during this infusion were completely abolished by a Na
+/Ca
2+ exchanger inhibitor, 3′9,4′9-dichlorobenzamil, indicating the contribution of Na
+/Ca
2+ exchanger to the increases in Vo
2 and PVA. The O
2 cost of left ventricular contractility during the long-term CPA infusion was significantly higher than during the short-term CPA infusion. All these results suggest the possibility of the contribution of greater energy–wasting Ca
2+ extrusion processes (such as Na
+/K
+-ATPase coupled to the Na
+/Ca
2+ exchanger; its stoichiometry is 1 ATP : 1 Ca
2+) to the larger oxygen cost of left ventricular contractility.
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