Key result
Apical cardiomyocytes show greater contractile response to β2AR stimulation than basal cells, driven by reduced caveolae.
Regional differences in cardiomyocyte membrane organization and cAMP compartmentation explain the anatomical variation in contractile response to β2AR stimulation, providing a potential mechanistic basis for Takotsubo cardiomyopathy.
Cardiomyocytes from the apex but not the base of the heart increase their contractility in response to β 2 -adrenoceptor (β 2 AR) stimulation, which may underlie the development of Takotsubo cardiomyopathy. However, both cell types produce comparable cytosolic amounts of the second messenger cAMP. We investigated this discrepancy using nanoscale imaging techniques and found that, structurally, basal cardiomyocytes have more organized membranes (higher T-tubular and caveolar densities). Local membrane microdomain responses measured in isolated basal cardiomyocytes or in whole hearts revealed significantly smaller and more short-lived β 2 AR/cAMP signals. Inhibition of PDE4, caveolar disruption by removing cholesterol or genetic deletion of Cav3 eliminated differences in local cAMP production and equilibrated the contractile response to β 2 AR. We conclude that basal cells possess tighter control of cAMP because of a higher degree of signaling microdomain organization. This provides varying levels of nanostructural control for cAMP-mediated functional effects that orchestrate macroscopic, regional physiological differences within the heart.
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Wright et al. (2018) studied Takotsubo cardiomyopathy / Regional myocardial β2AR-cAMP responsiveness. β2-adrenoceptor stimulation (Isoproterenol + CGP20712A) in apical cardiomyocytes vs. β2-adrenoceptor stimulation in basal cardiomyocytes was evaluated on Cell shortening and localized β2AR-cAMP responsiveness in apical vs. basal cardiomyocytes (p=<0.001). Apical cardiomyocytes exhibited significantly greater cell shortening and relaxation velocity than basal cells after β2AR stimulation (p<0.001) due to lower caveolar density and PDE4 compartmentation.
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