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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.
Abstract:
Increasing evidence has demonstrated the potential risks of cardiac arrhythmias (such as prolonged QT interval) using tyrosine kinase inhibitors for cancer therapy. We report here that a widely used selective inhibitor of Src tyrosine kinases, PP2, can inhibit and prevent isoproterenol stimulation of cardiac pacemaker activity. In dissected rat sinus node, PP2 inhibited and prevented isoproterenol stimulation of spontaneous beating rate. In isolated sinus node myocytes, PP2 suppressed the hyperpolarization-activated "funny" current (If) by negatively shifting the activation curve and decelerating activation kinetics, associated with decreased cell surface expression and reduced tyrosine phosphorylation of hyperpolarization-activated cyclic nucleotide-modulated channel 4 (HCN4) channel proteins. In human embryonic kidney 293 cells overexpressing recombinant human HCN4 channels, PP2 reversed isoproterenol stimulation of HCN4 and inhibited HCN4-573x, a cAMP-insensitive human HCN4 mutant. Isoprotenrenol had little effects on HCN4-573x. These results demonstrated that inhibition of presumably tyrosine Src kinase activity in heart by PP2 decreased and prevented the potential β-adrenergic stimulation of cardiac pacemaker activity. These effects are mediated, at least partially, by a cAMP-independent attenuation of channel activity and cell surface expression of HCN4, the key channel protein that controls the heart rate.
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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