Protein kinase/phosphatase balance mediates the effects of increased late sodium current on ventricular calcium cycling

Eiringhaus, Joerg and Herting, Jonas and Schatter, Felix and Nikolaev, Viacheslav O. and Sprenger, Julia and Wang, Yansong and Koehn, Maja and Zabel, Markus and El-Armouche, Ali and Hasenfuss, Gerd and Sossalla, Samuel and Fischer, Thomas H. (2019) Protein kinase/phosphatase balance mediates the effects of increased late sodium current on ventricular calcium cycling. BASIC RESEARCH IN CARDIOLOGY, 114 (2): 13. ISSN 0300-8428, 1435-1803

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Abstract

Increased late sodium current (late I-Na) is an important arrhythmogenic trigger in cardiac disease. It prolongs cardiac action potential and leads to an increased SR Ca2+ leak. This study investigates the contribution of Ca2+/Calmodulin-dependent kinase II (CaMKII), protein kinase A (PKA) and conversely acting protein phosphatases 1 and 2A (PP1, PP2A) to this subcellular crosstalk. Augmentation of late I-Na (ATX-II) in murine cardiomyocytes led to an increase of diastolic Ca2+ spark frequency and amplitudes of Ca2+ transients but did not affect SR Ca2+ load. Interestingly, inhibition of both, CaMKII and PKA, attenuated the late I-Na-dependent induction of the SR Ca2+ leak. PKA inhibition additionally reduced the amplitudes of systolic Ca2+ transients. FRET-measurements revealed increased levels of cAMP upon late I-Na augmentation, which could be prevented by simultaneous inhibition of Na+/Ca2+-exchanger (NCX) suggesting that PKA is activated by Ca2+-dependent cAMP-production. Whereas inhibition of PP2A showed no effect on late I-Na-dependent alterations of Ca2+ cycling, additional inhibition of PP1 further increased the SR Ca2+ leak. In line with this, selective activation of PP1 yielded a strong reduction of the late I-Na-induced SR Ca2+ leak and did not affect systolic Ca2+ release. This study indicates that phosphatase/kinase-balance is perturbed upon increased Na+ influx leading to disruption of ventricular Ca2+ cycling via CaMKII- and PKA-dependent pathways. Importantly, an activation of PP1 at RyR2 may represent a promising new toehold to counteract pathologically increased kinase activity.

Item Type: Article
Uncontrolled Keywords: LATE I-NA; RETICULUM CA2+ LEAK; KINASE-II; HEART; CAMKII; PHOSPHATASE-1; CONTRACTILITY; RANOLAZINE; MYOCARDIUM; MECHANISM; Late sodium current; SR calcium leak; Calcium cycling; CaMKII; PKA; PP1; PP2A
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Innere Medizin II
Depositing User: Dr. Gernot Deinzer
Date Deposited: 16 Apr 2020 12:29
Last Modified: 16 Apr 2020 12:29
URI: https://pred.uni-regensburg.de/id/eprint/27497

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