Key result
Glucose starvation selectively upregulates protective renin-b in cardiac cells via cAMP/PKA signaling.
Demonstrates the existence of a separate, differentially regulated renin system in cardiac cells where stress (glucose starvation) selectively induces the protective renin-b isoform.
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Hypothesis-generating for cardiac renin-b as a stress protectant; leaves open cAMP/PKA targeting in human cardiomyopathy.
Two different renin isoforms are expressed in extrarenal tissues. The classical renin-a has been associated with detrimental effects, whereas renin-b exerts protective effects during glucose starvation. Glucose starvation selectively increased renin-b mRNA levels. 8Br-cAMP increased renin-a mRNA levels independently of glucose as well as of renin-b in glucose-starved cells. Adenylyl cyclase (AC) stimulation by forskolin increased expression of both renin transcripts, while AC inhibition by SQ22536 produced the opposite effect. PKA inhibition by KT5720 reduced the mRNA levels of both renin transcripts glucose-independently. Forskolin reversed the effect of KT5720 on renin mRNA levels. A23187-mediated increase in [Ca2+]i increased renin-b mRNA levels in glucose-starved cells. Ca2+ chelator BAPTA decreased renin-a mRNA expression in control cells and renin-b levels glucose-independently. Forskolin reversed the BAPTA-mediated decreases in renin-a but not renin-b expression. While the regulation of renin transcript levels by cAMP and PKA resembled known regulation in the kidney, the effect of intracellular free Ca2+ levels were opposite. This supports the existence of a separate renin system in cardiac cells.
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Lutze et al. (2026) studied Cardiac H9c2 cells (in vitro model). cAMP/PKA/Ca2+ pathway modulators and glucose starvation vs. Control conditions (standard medium) was evaluated on mRNA levels of renin-a and renin-b. In cardiac H9c2 cells, the cAMP/PKA pathway regulates both renin-a and renin-b transcription, while glucose starvation selectively upregulates protective renin-b.
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