A beta1-adrenergic receptor CaM kinase II-dependent pathway mediates cardiac myocyte fetal gene induction

Carmen C Sucharov1, Peter D Mariner, Karin R Nunley

  • 1University of Colorado Cardiovascular Institute, Campus Box B130, UCHSC, Denver, CO 80262, USA.

Insights

Chronic beta-adrenergic receptor activation in heart failure triggers a detrimental fetal gene program. This response is specifically mediated by beta1-AR, involving Ca2+/calmodulin-dependent protein kinase (CaMK) and L-type Ca2+ channels, not cAMP.

Area of Science:

  • Cardiovascular Biology
  • Molecular Cardiology
  • Cardiac Pharmacology

Background:

  • Beta-adrenergic signaling is crucial in dilated cardiomyopathies.
  • Chronic beta-receptor activation during cardiac stress negatively impacts the failing heart via gene expression changes.

Purpose of the Study:

  • To investigate the specific beta-adrenergic receptor (beta-AR) subtypes and signaling pathways mediating the fetal gene response in neonatal rat ventricular myocytes.
  • To elucidate the role of cAMP, protein kinase A, Ca2+/calmodulin-dependent protein kinase (CaMK), and L-type Ca2+ channels in this process.

Main Methods:

  • Stimulation of neonatal rat ventricular myocytes with isoproterenol to activate beta-ARs.
  • Analysis of human cardiac fetal and adult gene promoter activities (alpha-myosin heavy chain [alpha-MyHC], atrial natriuretic peptide [ANP], beta-MyHC).
  • Measurement of endogenous gene expression via mRNA levels; investigation of signaling pathway involvement (cAMP, PKA, CaMK, L-type Ca2+ channels).

Main Results:

  • Isoproterenol induced a fetal gene program, repressing alpha-MyHC and activating ANP and beta-MyHC promoters, correlating with mRNA expression changes.
  • The response was specifically mediated by beta1-AR, independent of beta2-AR and alpha1-AR stimulation.
  • The fetal gene response was independent of cAMP and protein kinase A but blocked by CaMK inhibition and dependent on L-type Ca2+ channel activation.

Conclusions:

  • In neonatal rat cardiac myocytes, beta1-AR activation induces a fetal gene program through cAMP-independent pathways involving CaMK.
  • Mobilization of Ca2+ stores and activation of L-type Ca2+ channels are critical for this beta1-AR-mediated fetal gene induction.

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