Key result
Angiotensin II increased L-type calcium channel alpha1C subunit expression via a protein kinase C-, reactive oxygen species-, and CREB-dependent pathway, which was blocked by losartan and simvastatin.
Angiotensin II increases L-type calcium channel expression in atrial myocytes through a ROS and CREB-dependent pathway, providing a molecular mechanism for atrial fibrillation remodeling that can be attenuated by losartan and simvastatin.
Provides mechanistic insight into AF remodeling in animals; leaves open clinical translation in humans.
Angiotensin II (Ang II) is involved in the pathogenesis of atrial fibrillation (AF). L-type calcium channel (LCC) expression is altered in AF remodeling. We investigated whether Ang II modulates LCC current through transcriptional regulation, by using murine atrial HL-1 cells, which have a spontaneous calcium transient, and an in vivo rat model. Ang II increased LCC alpha1C subunit mRNA and protein levels and LCC current density, which resulted in an augmented calcium transient in atrial myocytes. An approximately 2-kb promoter region of LCC alpha1C subunit gene was cloned to the pGL3 luciferase vector. Ang II significantly increased promoter activity in a concentration- and time-dependent manner. Truncation and mutational analysis of the LCC alpha1C subunit gene promoter showed that cAMP response element (CRE) (-1853 to -1845) was an important cis element in Ang II-induced LCC alpha1C subunit gene expression. Transfection of dominant-negative CRE binding protein (CREB) (pCMV-CREBS133A) abolished the Ang II effect. Ang II (1 micromol/L, 2 hours) induced serine 133 phosphorylation of CREB and binding of CREB to CRE and increased LCC alpha1C subunit gene promoter activity through a protein kinase C/NADPH oxidase/reactive oxygen species pathway, which was blocked by the Ang II type 1 receptor blocker losartan and the antioxidant simvastatin. In the rat model, Ang II infusion increased LCC alpha1C subunit expression and serine 133 phosphorylation of CREB, which were attenuated by oral losartan and simvastatin. In summary, Ang II induced LCC alpha1C subunit expression via a protein kinase C-, reactive oxygen species-, and CREB-dependent pathway and was blocked by losartan and simvastatin.
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Tsai et al. (2007) studied Atrial fibrillation. Angiotensin II was evaluated on LCC alpha1C subunit expression and promoter activity. Angiotensin II increased L-type calcium channel alpha1C subunit expression via a protein kinase C-, reactive oxygen species-, and CREB-dependent pathway, which was blocked by losartan and simvastatin.
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