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Circulation Research. 2009
Published online before print June 25, 2009, doi: 10.1161/CIRCRESAHA.109.195313
A more recent version of this article appeared on July 17, 2009
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Submitted on February 5, 2009
Revised on June 8, 2009
Accepted on June 12, 2009

Protein Kinase C{alpha}, but Not PKC{beta} or PKC{gamma}, Regulates Contractility and Heart Failure Susceptibility. Implications for Ruboxistaurin As a Novel Therapeutic Approach

Qinghang Liu ; Xiongwen Chen ; Scott M. MacDonnell ; Evangelia G. Kranias ; John N. Lorenz ; Michael Leitges ; Steven R. Houser ; and Jeffery D. Molkentin *

From the Departments of Pediatrics (Q.L., J.D.M.), Pharmacology (E.G.K.), and Systems Biology (J.N.L.); Cincinnati Children's Hospital Medical Center (Q.L., J.D.M.); and The Howard Hughes Medical Institute (J.D.M.), University of Cincinnati, Ohio; Biotechnology Centre of Oslo (M.L.), University of Oslo, Norway; and Department of Physiology (S.M.M., X.C., S.R.H.), Temple University School of Medicine, Philadelphia, Pa.

* To whom correspondence should be addressed. E-mail: jeff.molkentin{at}cchmc.org.

Protein kinase (PK)C{alpha}, PKC{beta}, and PKC{gamma} comprise the conventional PKC isoform subfamily, which is thought to regulate cardiac disease responsiveness. Indeed, mice lacking the gene for PKC{alpha} show enhanced cardiac contractility and reduced susceptibility to heart failure. Recent data also suggest that inhibition of conventional PKC isoforms with Ro-32-0432 or Ro-31-8220 enhances heart function and antagonize failure, although the isoform responsible for these effects is unknown. Here, we investigated mice lacking PKC{alpha}, PKC{beta}, and PKC{gamma} for effects on cardiac contractility and heart failure susceptibility. PKC{alpha}-/- mice, but not PKC{beta}{gamma}-/- mice, showed increased cardiac contractility, myocyte cellular contractility, Ca2+ transients, and sarcoplasmic reticulum Ca2+ load. PKC{alpha}-/- mice were less susceptible to heart failure following long-term pressure-overload stimulation or 4 weeks after myocardial infarction injury, whereas PKC{beta}{gamma}-/- mice showed more severe failure. Infusion of ruboxistaurin (LY333531), an orally available PKC{alpha}/{beta}/{gamma} inhibitor, increased cardiac contractility in wild-type and PKC{beta}{gamma}-/- mice, but not in PKC{alpha}-/- mice. More importantly, ruboxistaurin prevented death in wild-type mice throughout 10 weeks of pressure-overload stimulation, reduced ventricular dilation, enhanced ventricular performance, reduced fibrosis, and reduced pulmonary edema comparable to or better than metoprolol treatment. Ruboxistaurin was also administered to PKC{beta}{gamma}-/- mice subjected to pressure overload, resulting in less death and heart failure, implicating PKC{alpha} as the primary target of this drug in mitigating heart disease. As an aside, PKC{alpha}{beta}{gamma}-/- triple-null mice showed no defect in cardiac hypertrophy following pressure-overload stimulation. In conclusion, PKC{alpha} functions distinctly from PKC{beta} and PKC{gamma} in regulating cardiac contractility and heart failure, and broad-acting PKC inhibitors such as ruboxistaurin could represent a novel therapeutic approach in treating human heart failure.


Key words: heart failure • contractility • PKC • signaling • cardiomyopathy




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