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Integrative Physiology |
From the Department of Pharmacology and Cell Biophysics (P.N., P.R., X.R., X.Z., J.Q., B.M., A.P., K.J., E.G.K.), University of Cincinnati College of Medicine, Ohio; Division of Molecular Cardiovascular Biology (S.S., J.R.), Cincinnati Childrens Hospital Research Foundation, Ohio; Cardiovascular Research Center (R.J.H.), Mount Sinai School of Medicine, New York, NY; and Foundation for Biomedical Research of the Academy of Athens (E.G.K.), Greece.
Correspondence to Evangelia G. Kranias, Department of Pharmacology and Cell Biophysics, University of Cincinnati College of Medicine, 231 Albert Sabin Way, Cincinnati, OH, 45267-0575. E-mail Litsa.Kranias{at}uc.edu
Ischemic heart disease, which remains the leading cause of morbidity and mortality in the Western world, is invariably characterized by impaired cardiac function and disturbed Ca2+ homeostasis. Because enhanced inhibitor-1 (I-1) activity has been suggested to preserve Ca2+ cycling, we sought to define whether increases in I-1 activity in the adult heart may ameliorate contractile dysfunction and cellular injury in the face of an ischemic insult. To this end, we generated an inducible transgenic mouse model that enabled temporally controlled expression of active I-1 (T35D). Active I-1 expression in the adult heart elicited significant enhancement of contractile function, associated with preferential phospholamban phosphorylation and enhanced sarcoplasmic reticulum Ca2+-transport. Further phosphoproteomic analysis revealed alterations in proteins associated with energy production and protein synthesis, possibly to support the increased metabolic demands of the hyperdynamic hearts. Importantly, on ischemia/reperfusion-induced injury, active I-1 expression augmented contractile function and recovery. Further examination revealed that the infarct region and apoptotic as well as necrotic injuries were significantly attenuated by enhanced I-1 activity. These cardioprotective effects were associated with suppression of the endoplasmic reticulum stress response. The present findings indicate that increased I-1 activity in the adult heart enhances Ca2+ cycling and improves mechanical recovery, as well as cell survival after an ischemic insult, suggesting that active I-1 may represent a potential therapeutic strategy in myocardial infarction.
Key Words: ischemia reperfusion protein phosphatase-1 inhibitor-1 phospholamban ER stress
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