PP2 prevents isoproterenol stimulation of cardiac pacemaker activity

Jianying Huang1, Yen-Chang Lin, Stan Hileman

  • 1*Center for Cardiovascular and Respiratory Sciences, West Virginia University, Morgantown, WV; †Department of Physiology and Pharmacology, West Virginia University, Morgantown, WV; ‡Graduate Institute of Biotechnology, Chinese Culture University, Taiwan; §Mary Babb Randolph Cancer Center, West Virginia University, Morgantown, WV; ¶Department of Neurobiology and Anatomy, West Virginia University, Morgantown, WV; and ‖Heart Institute of Health Sciences Center, West Virginia University, Morgantown, WV. Dr Jianying Huang is now with the Department of Neurology, Yale University School of Medicine, New Haven, CT; Center for Neuroscience and Regeneration Research, Yale University School of Medicine, New Haven, CT; and Rehabilitation Research Center, Veterans Affairs Connecticut Healthcare System, West Haven, CT.

Insights

Src tyrosine kinase inhibitor PP2 prevents beta-adrenergic stimulation of cardiac pacemaker activity. This effect involves reduced HCN4 channel function and cell surface expression, impacting heart rate regulation.

Area of Science:

  • Cardiology
  • Molecular Biology
  • Pharmacology

Background:

  • Tyrosine kinase inhibitors (TKIs) used in cancer therapy pose risks for cardiac arrhythmias, such as prolonged QT interval.
  • Src tyrosine kinases play a role in regulating cardiac function.
  • Understanding the mechanisms behind TKI-induced cardiotoxicity is crucial for patient safety.

Purpose of the Study:

  • To investigate the effects of a selective Src tyrosine kinase inhibitor, PP2, on cardiac pacemaker activity.
  • To elucidate the role of HCN4 channels in mediating the effects of PP2 on heart rate.
  • To determine whether PP2's effects are dependent on cAMP signaling.

Main Methods:

  • Experiments were conducted on dissected rat sinus node and isolated sinus node myocytes.
  • The hyperpolarization-activated "funny" current (If) was measured in response to PP2 and isoproterenol.
  • Human embryonic kidney 293 cells overexpressing wild-type and mutant HCN4 channels were used to assess channel function.

Main Results:

  • PP2 inhibited and prevented isoproterenol-stimulated cardiac pacemaker activity in rat sinus node preparations.
  • In sinus node myocytes, PP2 suppressed the If current by negatively shifting its activation curve and decelerating kinetics.
  • PP2 decreased cell surface expression and tyrosine phosphorylation of HCN4 channel proteins, and its effects were partially mediated by a cAMP-independent pathway.

Conclusions:

  • PP2, a Src tyrosine kinase inhibitor, attenuates beta-adrenergic stimulation of cardiac pacemaker activity.
  • This effect is, at least partially, mediated by a cAMP-independent reduction in HCN4 channel activity and cell surface expression.
  • These findings highlight a potential mechanism for TKI-related cardiotoxicity and identify HCN4 channels as key targets.

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