Phospholamban gene ablation improves calcium transients but not cardiac function in a heart failure model

Andrzej M Janczewski1, Maliha Zahid, Bonnie H Lemster

  • 1Cardiovascular Institute, University of Pittsburgh, 200 Lothrop Street, 1744.1 BST, Pittsburgh, PA 15213, USA.

Insights

Ablating phospholamban did not improve heart failure in mice, despite enhancing cardiomyocyte function. This suggests other factors in heart failure prevent recovery even with improved calcium handling.

Area of Science:

  • Cardiology
  • Molecular Biology
  • Physiology

Background:

  • Diminished cardiomyocyte intracellular calcium (Ca(i)(2+)) transients impair cardiac function in heart failure.
  • This is observed in human and animal models, including the TNF1.6 mouse model with cardiac-specific tumor necrosis factor alpha (TNF alpha) overexpression.

Purpose of the Study:

  • To investigate if ablating phospholamban (PLB) expression improves cardiac function, limits remodeling, and enhances survival in the TNF1.6 heart failure mouse model.
  • Phospholamban ablation enhances sarcoplasmic reticulum (SR) Ca(2+) uptake and contractility by removing SR Ca(2+) pump inhibition.

Main Methods:

  • Breeding PLB knockout (PLBKO) mice with TNF1.6 mice to create TNF1.6/PLBKO (TKO) mice.
  • Assessing survival, cardiac function (echocardiography), cardiac remodeling (hypertrophy, dilation, fibrosis), and cardiomyocyte Ca(2+)(i) transients and contractile function.

Main Results:

  • PLB ablation did not improve survival, cardiac function, or limit cardiac remodeling in TNF1.6 mice.
  • However, isolated TKO cardiomyocytes showed markedly enhanced contractile function and Ca(2+)(i) transients (amplitude and kinetics).
  • Discordance may stem from continued collagen overexpression and decreased connexin 43 in response to chronic TNF alpha.

Conclusions:

  • Enhancing intrinsic cardiomyocyte Ca(2+)(i) cycling and contractile function alone may be insufficient to overcome parallel pathophysiologic processes in heart failure.
  • Further research is needed to address the complex mechanisms underlying heart failure progression.
Abstract