Why the study?
Early adaptive cardiac hypertrophy is a compensatory process linked to Orai3 activity, but how inflammation regulates store-independent Orai3-calcium influx and its functional role remained uncharacterized.
Orai3 exerts a protective role in early adaptive cardiac hypertrophy by promoting hypertrophy and resistance to oxidative stress, driven by inflammation from CD11b/c cells.
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Inflammation activates Orai3 Ca influx in early adaptive hypertrophy; leaves open its role in maladaptive remodeling and therapeutic targeting.
Early adaptive cardiac hypertrophy (EACH) is initially a compensatory process to optimize pump function. We reported the emergence of Orai3 activity during EACH. This study aimed to characterize how inflammation regulates store-independent activation of Orai3-calcium influx and to evaluate the functional role of this influx. Isoproterenol infusion or abdominal aortic banding triggered EACH. TNFα or conditioned medium from cardiac CD11b/c cells activated either in vivo [isolated from rats displaying EACH], or in vitro [isolated from normal rats and activated with lipopolysaccharide], were added to adult cardiomyocytes before measuring calcium entry, cell hypertrophy and cell injury. Using intramyocardial injection of siRNA, Orai3 was in vivo knockdown during EACH to evaluate its protective activity in heart failure. Inflammatory CD11b/c cells trigger a store-independent calcium influx in hypertrophied cardiomyocytes, that is mimicked by TNFα. Pharmacological or molecular (siRNA) approaches demonstrate that this calcium influx, depends on TNFR 2 , is Orai3-driven, and elicits cardiomyocyte hypertrophy and resistance to oxidative stress. Neutralization of Orai3 inhibits protective GSK3β phosphorylation, impairs EACH and accelerates heart failure. Orai3 exerts a pathophysiological protective impact in EACH promoting hypertrophy and resistance to oxidative stress. We highlight inflammation arising from CD11b/c cells as a potential trigger of TNFR 2 - and Orai3-dependent signaling pathways.
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Keck et al. (2019) studied this question.
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