Improvement of cardiomyocyte function by a novel pyrimidine-based CaMKII-inhibitor

Neef, Stefan and Steffens, Alexander and Pellicena, Patricia and Mustroph, Julian and Lebek, Simon and Ort, Katharina R. and Schulman, Howard and Maier, Lars S. (2018) Improvement of cardiomyocyte function by a novel pyrimidine-based CaMKII-inhibitor. JOURNAL OF MOLECULAR AND CELLULAR CARDIOLOGY, 115. pp. 73-81. ISSN 0022-2828, 1095-8584

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Abstract

Objective: Pathologically increased activity of Ca2+/calmodulin-dependent protein kinase II (CaMKII) and the associated Ca2+-leak from the sarcoplasmic reticulum are recognized to be important novel pharmacotherapeutic targets in heart failure and cardiac arrhythmias. However, CaMKII-inhibitory compounds for therapeutic use are still lacking. We now report on the cellular and molecular effects of a novel pyrimidine-based CaMKII inhibitor developed towards clinical use. Methods and results: Our findings demonstrate that AS105 is a high-affinity ATP-competitive CaMKII-inhibitor that by its mode of action is also effective against autophosphorylated CaMKII (in contrast to the commonly used allosteric CaMKII-inhibitor KN-93). In isolated atrial cardiomyocytes from human donors and ventricular myocytes from CaMKII delta(C)-overexpressing mice with heart failure, AS105 effectively reduced diastolic SR Ca2+ leak by 38% to 65% as measured by Ca2+-sparks or tetracaine-sensitive shift in [Ca2+](i). Consistent with this, we found that AS105 suppressed arrhythmogenic spontaneous cardiomyocyte Ca2+-release (by 53%). Also, the ability of the SR to accumulate Ca2+ was enhanced by AS105, as indicated by improved post-rest potentiation of Ca2+-transient amplitudes and increased SR Ca2+-content in the murine cells. Accordingly, these cells had improved systolic Ca2+-transient amplitudes and contractility during basal stimulation. Importantly, CaMKII inhibition did not compromise systolic fractional Ca2+-release, diastolic SR Ca2+-reuptake via SERCA2a or Ca2+-extrusion via NCX. Conclusion: AS105 is a novel, highly potent ATP-competitive CaMKII inhibitor. In vitro, it effectively reduced SR Ca2+-leak, thus improving SR Ca(2+-)accumulation and reducing cellular arrhythmogenic correlates, without negatively influencing excitation-contraction coupling. These findings further validate CaMKII as a key target in cardiovascular disease, implicated by genetic, allosteric inhibitors, and pseudo-substrate inhibitors.

Item Type: Article
Uncontrolled Keywords: CA2+/CALMODULIN-DEPENDENT PROTEIN-KINASE; RETICULUM CA2+ LEAK; DILATED CARDIOMYOPATHY; CARDIAC-HYPERTROPHY; HEART-FAILURE; PHOSPHORYLATION; MODEL; MECHANISMS; EXPRESSION; ISOFORM; CaMKII; Ca2+ handling; Heart failure
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Innere Medizin II
Depositing User: Dr. Gernot Deinzer
Date Deposited: 19 Mar 2020 07:08
Last Modified: 19 Mar 2020 07:08
URI: https://pred.uni-regensburg.de/id/eprint/15103

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