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Integrative Physiology |
Negatively Regulates Systolic and Diastolic Function in Pathological Hypertrophy
From the Departments of Internal Medicine/Cardiology (H.S.H., Y.M., A.O., A.S., M.G.Y., K.C.H., G.W.D.), Institute of Molecular Pharmacology and Biophysics (I.B., A.S.), and Internal Medicine/Pulmonary (S.B.L.), University of Cincinnati Medical Center, Cincinnati, Ohio.
Correspondence to G.W. Dorn II, Division of Cardiology, University of Cincinnati Medical Center, 231 Albert B. Sabin Way, Cincinnati, OH 45267-0542. E-mail dorngw{at}ucmail.uc.edu
The protein kinase C (PKC) family is implicated in cardiac hypertrophy, contractile failure, and ß-adrenergic receptor (ßAR) dysfunction. Herein, we describe the effects of gain- and loss-of-PKC
function using transgenic expression of conventional PKC isoform translocation modifiers. In contrast to previously studied PKC isoforms, activation of PKC
failed to induce cardiac hypertrophy, but instead caused ßAR insensitivity and ventricular dysfunction. PKC
inhibition had opposite effects. Because PKC
is upregulated in human and experimental cardiac hypertrophy and failure, its effects were also assessed in the context of the G
q overexpression model (in which PKC
is transcriptionally upregulated). Normalization (inhibition) of PKC
activity in G
q hearts improved systolic and diastolic function, whereas further activation of PKC
caused a lethal restrictive cardiomyopathy with marked interstitial fibrosis. These results define pathological roles for PKC
as a negative regulator of ventricular systolic and diastolic function.
Key Words: systolic and diastolic heart failure protein kinase C interstitial fibrosis restrictive cardiomyopathy
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