Key result
Adenosine and phorbol 12-myristate 13-acetate caused a 30% reduction of PIP2 in ventricles, whereas electrical stimulation and hypertonic solutions increased PIP2 levels.
Cardiac PIP2 levels are dynamically regulated by DAG-dependent mechanisms, electrical stimulation, and membrane tension, rather than Gq/PLC-dependent pathways.
Animal ventricle data on PIP2 regulation are hypothesis-generating; leaves open translation to human cardiac electrophysiology or therapy.
Phosphatidylinositol 4,5-bisphosphate (PIP2) affects profoundly several cardiac ion channels and transporters, and studies of PIP2-sensitive currents in excised patches suggest that PIP2 can be synthesized and broken down within 30 s. To test when, and if, total phosphatidylinositol 4-phosphate (PIP) and PIP(2) levels actually change in intact heart, we used a new, nonradioactive HPLC method to quantify anionic phospholipids. Total PIP and PIP2 levels (10-30 micromol/kg wet weight) do not change, or even increase, with activation of Galpha(q)/phospholipase C (PLC)-dependent pathways by carbachol (50 microM), phenylephrine (50 microM), and endothelin-1 (0.3 microM). Adenosine (0.2 mM) and phorbol 12-myristate 13-acetate (1microM) both cause 30% reduction of PIP2 in ventricles, suggesting that diacylglycerol (DAG)-dependent mechanisms negatively regulate cardiac PIP2. PIP2, but not PIP, increases reversibly by 30% during electrical stimulation (2 Hz for 5 min) in guinea pig left atria; the increase is blocked by nickel (2 mM). Both PIP and PIP2 increase within 3 min in hypertonic solutions, roughly in proportion to osmolarity, and similar effects occur in multiple cell lines. Inhibitors of several volume-sensitive signaling mechanisms do not affect these responses, suggesting that PIP2 metabolism might be sensitive to membrane tension, per se.
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Nasuhoglu et al. (2002) studied this question. Cardioactive hormones and physiological interventions (adenosine, PMA, electrical stimulation, hypertonic solutions) was evaluated on Total PIP and PIP2 levels. Adenosine and phorbol 12-myristate 13-acetate caused a 30% reduction of PIP2 in ventricles, whereas electrical stimulation and hypertonic solutions increased PIP2 levels.
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