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An In Vivo Estrogen Deficiency Mouse Model for Screening Exogenous Estrogen Treatments of Cardiovascular Dysfunction After Menopause
Published on: August 13, 2019
Oestrogen confers cardioprotection by suppressing Ca2+/calmodulin-dependent protein kinase II
1Department of Physiology, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong, China.
Background And Purpose:
Oestrogen confers cardioprotection by down-regulating the beta(1)-adrenoceptor and suppressing the expression and activity of protein kinase A. We hypothesized that oestrogen may also protect the heart by suppressing Ca(2+)/calmodulin-dependent protein kinase II (CaMKII), another signalling messenger activated by the beta(1)-adrenoceptor, that enhances apoptosis.
Experimental Approach:
We first determined the expression of CaMKII in the heart from sham and ovariectomized rats with and without oestrogen replacement. We then determined the effects of CaMKII inhibition (KN93, 2.5 micromolxL(-1)) in the presence or absence of 10(-7) molxL(-1) isoprenaline, a non-selective beta-adrenoceptor agonist. We also determined the percentage apoptosis in myocytes from rats in each group with or without beta-adrenoceptor stimulation.
Key Results:
Both CaMKIIdelta and phosphorylated CaMKII were up-regulated in the hearts from ovariectomized rats, and they were restored to normal by oestrogen replacement. The infarct size and lactate dehydrogenase release were significantly greater after ovariectomy. Similarly, cardiac contractility, the amplitude of the electrically induced intracellular Ca(2+) transient and the number of apoptotic cells were also greater in ovariectomized rats upon ischaemia/reperfusion in the presence or absence of isoprenaline. Most importantly, the responses to ischaemic insult in ovariectomized rats were reversed not only by oestrogen replacement, but by blockade of CaMKII with KN93.
Conclusions And Implications:
Oestrogen confers cardioprotection at least partly by suppressing CaMKIIdelta. This effect of oestrogen on CaMKII is independent of the beta-adrenoceptor and occurs in addition to down-regulation of the receptor.
Insights
Oestrogen protects the heart by suppressing Ca(2+)/calmodulin-dependent protein kinase II (CaMKII). This mechanism is independent of beta-adrenoceptors and reduces cardiac apoptosis and damage during ischaemia/reperfusion.
Area of Science:
- Cardiovascular physiology
- Endocrinology
- Molecular cardiology
Background:
- Oestrogen (estrogen) provides cardioprotection, partly by down-regulating beta(1)-adrenoceptors and suppressing protein kinase A.
- Ca(2+)/calmodulin-dependent protein kinase II (CaMKII) is a signaling molecule activated by beta(1)-adrenoceptors that promotes apoptosis.
Purpose of the Study:
- To investigate whether oestrogen protects the heart by suppressing CaMKII.
- To determine the role of CaMKII in oestrogen-mediated cardioprotection during ischaemia/reperfusion.
Main Methods:
- Assessed CaMKII expression and activity in rat hearts with and without ovariectomy and oestrogen replacement.
- Examined the effects of CaMKII inhibition (KN93) and beta-adrenoceptor stimulation (isoprenaline) on cardiac function and apoptosis.
- Quantified infarct size, lactate dehydrogenase release, and myocyte apoptosis.
Main Results:
- Ovariectomy increased CaMKIIdelta and phosphorylated CaMKII, which was reversed by oestrogen.
- Ovariectomized rats exhibited greater infarct size, LDH release, impaired contractility, and increased apoptosis upon ischaemia/reperfusion.
- Oestrogen replacement and CaMKII blockade (KN93) both reversed the detrimental effects of ischaemia/reperfusion in ovariectomized rats.
Conclusions:
- Oestrogen confers cardioprotection, at least partly by suppressing CaMKIIdelta.
- This oestrogen effect on CaMKII is independent of beta-adrenoceptor signaling.
- Targeting CaMKII represents a potential therapeutic strategy for oestrogen-deficient states.
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