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Cardiac fibroblasts express the cAMP-adenosine pathway
R K Dubey1, D G Gillespie, Z Mi
1Department of Medicine, Center for Clinical Pharmacology, University of Pittsburgh Medical Center, PA 15213-2582, USA. dubey@novell2.dept-med.pitt.edu
Hypertension (Dallas, Tex. : 1979)
|September 16, 2000
Summary
The extracellular cAMP-adenosine pathway limits cardiac fibroblast growth by converting cyclic AMP (cAMP) to adenosine. Augmenting this pathway may treat heart disease and pathological cardiac remodeling.
Area of Science:
- Cardiovascular Biology
- Cell Signaling
- Biochemistry
Background:
- The extracellular cAMP-adenosine pathway involves local adenosine production from extracellular cyclic adenosine monophosphate (cAMP).
- Cardiac fibroblasts play a role in cardiac remodeling, a process implicated in heart disease.
Purpose of the Study:
- To investigate whether the extracellular cAMP-adenosine pathway influences cardiac fibroblast proliferation.
- To explore the potential of targeting this pathway for therapeutic interventions in heart disease.
Main Methods:
- Ventricular cardiac fibroblasts were cultured in 3D matrices.
- Extracellular levels of cAMP metabolites were measured after exogenous cAMP administration.
- Cell growth was assessed via DNA and protein synthesis assays and cell counts.
- Adenosine receptor antagonists and enzyme inhibitors were used to probe pathway mechanisms.
Main Results:
- Exogenous cAMP increased extracellular AMP, adenosine, and inosine in a dose- and time-dependent manner.
- cAMP-induced increases in metabolites were attenuated by phosphodiesterase and ecto-5'-nucleotidase inhibitors.
- Exogenous cAMP significantly inhibited cardiac fibroblast DNA, protein synthesis, and proliferation.
- Inhibition of fibroblast growth by cAMP was mediated through A(2) adenosine receptors and enhanced by inhibiting adenosine metabolism.
Conclusions:
- The extracellular cAMP-adenosine pathway is functional in cardiac fibroblasts and exerts an inhibitory effect on cell growth.
- Pharmacological enhancement of this pathway presents a potential therapeutic strategy to mitigate pathological cardiac remodeling in heart disease.