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Suppression of Pro-fibrotic Signaling Potentiates Factor-mediated Reprogramming of Mouse Embryonic Fibroblasts into Induced Cardiomyocytes
Published on: June 3, 2018
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.
Abstract:
Beta-adrenergic signaling plays an important role in the natural history of dilated cardiomyopathies. Chronic activation of beta-adrenergic receptors (beta1-AR and beta2-AR) during periods of cardiac stress ultimately harms the failing heart by mechanisms that include alterations in gene expression. Here, we show that stimulation of beta-ARs with isoproterenol in neonate rat ventricular myocytes causes a "fetal" response in the relative activities of the human cardiac fetal and/or adult gene promoters that includes repression of the human and rat alpha-myosin heavy chain (alpha-MyHC) promoters with simultaneous activation of the human atrial natriuretic peptide (ANP) and rat beta-MyHC promoters. We also show that the promoter changes correlate with changes in endogenous gene expression as measured by mRNA expression. Furthermore, we show that these changes are specifically mediated by the beta1-AR, but not the beta2-AR, and are independent of alpha1-AR stimulation. We also demonstrate that the fetal gene response is independent of cAMP and protein kinase A, whereas inhibition of Ca2+/calmodulin-dependent protein kinase (CaMK) pathway blocks isoproterenol-mediated fetal gene program induction. Finally, we show that induction of the fetal program is dependent on activation of the L-type Ca2+ channel. We conclude that in neonatal rat cardiac myocytes, agonist-occupied beta1-AR mobilizes Ca2+ stores to activate fetal gene induction through cAMP independent pathways that involve CaMK.
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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