Key result
CaMKIIδ knockout in mice with severe pressure-overload-induced heart failure did not suppress HF, reduced cardiac reserve to β-adrenergic regulation, and deteriorated diastolic function.
Why the study?
Does CaMKII inhibition improve cardiac function and Ca(2+) handling in pressure-overload heart failure mice?
Does CaMKII inhibition improve cardiac function and Ca(2+) handling in pressure-overload heart failure mice?
Genetic inhibition of CaMKIIδ in a mouse model of pressure-overload heart failure worsens diastolic function and β-adrenergic reserve, challenging the proposed strategy of CaMKII inhibition for heart failure.
CaMKIIδ inhibition may worsen diastolic function and β-adrenergic reserve in pressure-overload HF; challenges this therapeutic strategy and leaves open effects in other models.
Calmodulin-dependent protein kinase II (CaMKII) has been proposed to be a therapeutic target for heart failure (HF). However, the cardiac effect of chronic CaMKII inhibition in HF has not been well understood. We have tested alterations of Ca(2+) handling, excitation-contraction coupling, and in vivo β-adrenergic regulation in pressure-overload HF mice with CaMKIIδ knockout (KO). HF was produced in wild-type (WT) and KO mice 1 wk after severe thoracic aortic banding (sTAB) with a continuous left ventricle (LV) dilation and reduction of ejection fraction for up to 3 wk postbanding. Cardiac hypertrophy was similar between WT HF and KO HF mice. However, KO HF mice manifested exacerbation of diastolic function and reduction in cardiac reserve to β-adrenergic stimulation. Compared with WT HF, L-type calcium channel current (I(Ca)) density in KO HF LV was decreased without changes in I(Ca) activation and inactivation kinetics, whereas I(Ca) recovery from inactivation was accelerated and Ca(2+)-dependent I(Ca) facilitation, a positive staircase blunted in WT HF, was recovered. However, I(Ca) response to isoproterenol was reduced. KO HF myocytes manifested dramatic decrease in sarcoplasmic reticulum (SR) Ca(2+) leak and slowed cytostolic Ca(2+) concentration decline. Sarcomere shortening was increased, but relaxation was slowed. In addition, an increase in myofilament sensitivity to Ca(2+) and the slow skeletal muscle troponin I-to-cardiac troponin I ratio and interstitial fibrosis and a decrease in Na/Ca exchange function and myocyte apoptosis were observed in KO HF LV. CaMKIIδ KO cannot suppress severe pressure-overload-induced HF. Although cellular contractility is improved, it reduces in vivo cardiac reserve to β-adrenergic regulation and deteriorates diastolic function. Our findings challenge the strategy of CaMKII inhibition in HF.
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Cheng et al. (2012) studied Heart failure. CaMKIIδ knockout vs. Wild-type (WT) HF mice was evaluated on Alterations of Ca(2+) handling, excitation-contraction coupling, and in vivo β-adrenergic regulation. CaMKIIδ knockout in mice with severe pressure-overload-induced heart failure did not suppress HF, reduced cardiac reserve to β-adrenergic regulation, and deteriorated diastolic function.
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