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Updated: May 1, 2026

Isolation and Physiological Analysis of Mouse Cardiomyocytes
Published on: September 7, 2014
Functional role of phosphodiesterase 3 in cardiomyocyte apoptosis: implication in heart failure
Bo Ding1, Jun-Ichi Abe1, Heng Wei1
1Center for Cardiovascular Research, University of Rochester School of Medicine and Dentistry, Aab Institute of Biomedical Science, Rochester, NY (B.D., J.A., H.W., Q.H., B.C. Berk, C.Y.); Case Western Reserve University, Cleveland, Ohio (R.A.W.); University of Medicine and Dentistry of New Jersey, Newark (C.A.M., J.S.); University of Pittsburgh, Pittsburgh, Pa (A.Z.); and Center for Cellular and Molecular Cardiology, University of Rochester, Rochester, NY (B.C. Blaxall).
Background:
Myocyte apoptosis plays an important role in pathological cardiac remodeling and the progression of heart failure. cAMP signaling is crucial in the regulation of myocyte apoptosis and cardiac remodeling. Multiple cAMP-hydrolyzing phosphodiesterases (PDEs), such as PDE3 and PDE4, coexist in cardiomyocytes and elicit differential temporal/spatial regulation of cAMP signaling. However, the role of PDE3 and PDE4 in the regulation of cardiomyocyte apoptosis remains unclear. Although chronic treatment with PDE3 inhibitors increases mortality in patients with heart failure, the contribution of PDE3 expression/activity in heart failure is not well known.
Methods And Results:
In this study we report that PDE3A expression and activity were significantly reduced in human failing hearts as well as mouse hearts with chronic pressure overload. In primary cultured cardiomyocytes, chronic inhibition of PDE3 but not PDE4 activity by pharmacological agents or adenovirus-delivered antisense PDE3A promoted cardiomyocyte apoptosis. Both angiotensin II (Ang II) and the beta-adrenergic receptor agonist isoproterenol selectively induced a sustained downregulation of PDE3A expression and induced cardiomyocyte apoptosis. Restoring PDE3A via adenovirus-delivered expression of wild-type PDE3A1 completely blocked Ang II- and isoproterenol-induced cardiomyocyte apoptosis, suggesting the critical role of PDE3A reduction in cardiomyocyte apoptosis. Moreover, we defined a crucial role for inducible cAMP early repressor expression in PDE3A reduction-mediated cardiomyocyte apoptosis.
Conclusions:
Our results suggest that PDE3A reduction and consequent inducible cAMP early repressor induction are critical events in Ang II- and isoproterenol-induced cardiomyocyte apoptosis and may contribute to the development of heart failure. Drugs that maintain PDE3A function may represent an attractive therapeutic approach to treat heart failure.
Insights
Reduced phosphodiesterase 3A (PDE3A) expression promotes heart failure by increasing cardiomyocyte apoptosis. Maintaining PDE3A function may offer a new therapeutic strategy for heart failure patients.
Area of Science:
- Cardiology
- Molecular Biology
- Biochemistry
Background:
- Myocyte apoptosis is a key factor in pathological cardiac remodeling and heart failure progression.
- Cyclic adenosine monophosphate (cAMP) signaling regulates myocyte apoptosis and cardiac remodeling.
- The roles of phosphodiesterases (PDEs), specifically PDE3 and PDE4, in cardiomyocyte apoptosis are not fully understood.
Purpose of the Study:
- To investigate the role of PDE3 and PDE4 in regulating cardiomyocyte apoptosis.
- To determine the contribution of PDE3 expression and activity in heart failure.
- To explore the therapeutic potential of targeting PDE3A in heart failure.
Main Methods:
- Quantitative analysis of PDE3A expression and activity in human and mouse failing hearts.
- In vitro studies using primary cultured cardiomyocytes treated with pharmacological inhibitors and gene delivery methods (adenovirus).
- Assessment of apoptosis induction by angiotensin II (Ang II) and isoproterenol, and the effect of PDE3A restoration.
Main Results:
- PDE3A expression and activity were significantly reduced in failing hearts.
- Inhibition of PDE3, but not PDE4, promoted cardiomyocyte apoptosis.
- Angiotensin II and isoproterenol downregulated PDE3A expression, inducing apoptosis, which was blocked by restoring PDE3A.
- Inducible cAMP early repressor expression was identified as crucial in PDE3A reduction-mediated apoptosis.
Conclusions:
- Reduced PDE3A expression and induced cAMP early repressor are critical in Ang II- and isoproterenol-induced cardiomyocyte apoptosis.
- These events may contribute to the development of heart failure.
- Maintaining PDE3A function presents a potential therapeutic strategy for heart failure.
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