Why the study?
Does Epac activation prevent IL-6-induced cardiac myocyte dysfunction in cultured rat cardiac myocytes?
Does Epac activation prevent IL-6-induced cardiac myocyte dysfunction in cultured rat cardiac myocytes?
Epac activation protects cardiac myocytes against IL-6-induced dysfunction by inhibiting the Jak-STAT pathway via SOCS3 and downregulating iNOS, suggesting a novel therapeutic target for septic cardiomyopathy.
Epac activation counters IL-6 myocyte effects in vitro; leaves open therapeutic translation to septic cardiomyopathy.
Pro-inflammatory cytokines are released in septic shock and impair cardiac function via the Jak-STAT pathway. It is well known that sympathetic and thus catecholamine signaling is activated thereafter to compensate for cardiac dysfunction. The mechanism of such compensation by catecholamine signaling has been traditionally understood to be cyclic AMP-dependent protein kinase (PKA)-mediated enforcement of cardiac contractility. We hypothesized that the exchange protein activated by cAMP (Epac), a newly identified target of cAMP signaling that functions independently of PKA, also plays a key role in this mechanism. In cultured cardiac myocytes, activation of Epac attenuated the inhibitory effect of interleukin-6 on the increase of intracellular Ca 2+ concentration and contractility in response to isoproterenol, most likely through inhibition of the Jak-STAT pathway via SOCS3, with subsequent changes in inducible nitric oxide synthase expression. These findings suggest a new role of catecholamine signaling in compensating for cardiac dysfunction in heart failure. Epac and its downstream pathway may be a novel target for treating cardiac dysfunction in endotoxemia.
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Jin et al. (2016) studied this question.
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