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Ouabain-induced hypertrophy in cultured cardiac myocytes is accompanied by changes in expression of several late

L Huang1, H Li, Z Xie

  • 1Department of Pharmacology, Medical College of Ohio, Toledo 43699-0008, USA.

Insights

Ouabain, a cardiac drug, triggers heart cell growth and gene changes by partially blocking Na/K-ATPase. This process involves increased calcium influx and specific protein kinases, affecting both early and late gene responses.

Area of Science:

  • Cardiology
  • Molecular Biology
  • Cellular Physiology

Background:

  • Digitalis drugs, like ouabain, partially inhibit cardiac Na/K-ATPase, initiating positive inotropy.
  • Previous studies showed ouabain induces early response genes and hypertrophy in rat cardiac myocytes at non-toxic concentrations.

Purpose of the Study:

  • To investigate whether ouabain affects the expression of late response genes in cardiac myocytes.
  • To compare ouabain's effects on late response genes with those of other hypertrophic stimuli.

Main Methods:

  • Exposure of rat cardiac myocytes to non-toxic ouabain concentrations (5-100 microM).
  • Measurement of mRNA levels for skeletal alpha-actin, atrial natriuretic factor, myosin light chain 2, and transforming growth factor beta.
  • Analysis of the role of extracellular calcium influx, protein kinase C, Ca(2+)-calmodulin kinases, and protein kinase A in gene induction.

Main Results:

  • Ouabain increased mRNAs of skeletal alpha-actin, atrial natriuretic factor, myosin light chain 2, and transforming growth factor beta.
  • Skeletal alpha-actin expression was more sensitive to ouabain than atrial natriuretic factor.
  • Ouabain's effects on skeletal alpha-actin gene expression were transcriptional, dependent on increased extracellular Ca2+ influx, and involved Protein kinase C and Ca(2+)-calmodulin kinases.

Conclusions:

  • Ouabain, at non-toxic concentrations, induces cardiac late response genes similarly to other hypertrophic stimuli.
  • Increased net influx of extracellular Ca2+ and subsequent activation of protein kinase-dependent pathways mediate ouabain's effects on cardiac gene expression and growth.

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