Right and left ventricular myocytes originate from different cellular progenitors; however, it is unknown whether these cells differ in their response to endotoxemia. We hypothesized that 1) the percentage of endotoxemic functional depression within the right ventricle (RV) would be smaller than that of the left ventricle; and 2) that better RV function would correlate with lower levels of right ventricular TNF production. Adult Sprague-Dawley rats were divided into right and left control and endotoxin groups. Controls received vehicle, while endotoxin groups received LPS at 20 mg/kg ip. Hearts were excised either 2 or 6 h after injection. Hearts excised at 2 h were assayed for TNF, IL-6, TNF receptor 1 (TNFR1), TNFR2, and via ELISA, while hearts excised at 6 h were assayed via the Langendorff model. The percentage of cardiac functional depression, exhibited as developed pressure, contractility, and rate of relaxation (expressed as a percentage of control) was significantly smaller in right ventricles compared with left ventricles following endotoxin exposure. Tissue levels of TNF were significantly elevated in both right and left ventricles 2 h after endotoxin exposure, and right ventricular endotoxin groups expressed higher levels of TNF compared with their left ventricular counterparts. No significant differences in IL-6, TNFR1, or TNFR2 levels were noted between endotoxin-exposed ventricles. This is the first study to demonstrate that right and left ventricular function differs after endotoxin exposure.sepsis; cardiac; IL-6; cardiovascular collapse SEPSIS, VIEWED AS AN EXTENSIVE version of the acute inflammatory response, has led to increased rates of morbidity and mortality despite advances in clinical and critical care medicine. In the United States, there are over a half-million cases of sepsis annually, with a death rate of 35-65% (20). Polymicrobial sepsis and organ dysfunction are associated with immunosuppression, a predominance of proinflammatory cytokines, including TNF-␣ and IL-6, as well as a profound loss of lymphocytes via apoptosis (3, 4, 7-9, 19, 25). In addition, various toxins are released from bacteria during sepsis, which serve to further promote cytokine release, vasodilation, oxidative damage, and subsequent cardiovascular collapse (13,17,23,27).Previous studies from our group have demonstrated that endotoxin induces left ventricular contractile dysfunction, and that certain chemical reagents, including p38 MAPK inhibitors and heat shock protein, can reduce this dysfunction (22, 29). Furthermore, endotoxin preconditioning has been shown to protect cardiac tissue, and it appears that estrogen and the MAPK pathways play a role in this mechanism (2,15,24,30).Right heart failure, however, is distinctly different from left heart failure and remains an understudied but important component of cardiovascular collapse (26). Recent studies have suggested that the heart forms from two distinctly different progenitor cell populations, known as "heart fields." The primary heart field contributes to t...