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March 29, 2010Basic Research in Cardiology87 citationsOpen Access

Novel insights into the mechanisms mediating the local antihypertrophic effects of cardiac atrial natriuretic peptide: role of cGMP-dependent protein kinase and RGS2

MKMichael KlaiberMKMartin KruseKVKatharina Völker

Key Result

ANP selectively inhibits the cardiomyocyte calcium and hypertrophic responses to Angiotensin II, but not to beta-adrenergic stimulation, via a GC-A/cGMP/PKG I-dependent modulation of RGS2.

Structured PICO

P
Population
Experimental study using isolated adult murine ventricular myocytes and genetic mouse models to investigate the intracellular signaling pathways mediating the local antihypertrophic effects of ANP.
I
Intervention
Atrial natriuretic peptide (ANP) 100 nM in vitro; Angiotensin II (Ang II) 10 nM in vitro or 250 ng/kg BW/min in vivo; Isoproterenol (ISO) 100 nM in vitro or 40 mg/kg BW/day in vivo.
C
Comparator
Vehicle treatment or wild-type control littermates.
O
Outcome
Modulation of Ca2+ handling (L-type Ca2+ currents and Ca2+ transients) in cardiomyocytes and cardiac hypertrophy (LV weight-to-body weight ratio and myocyte diameter) in intact hearts.surrogate

ANP directly antagonizes the Ca2+-dependent hypertrophic growth response to Ang II, but not beta-adrenergic stimulation, via a PKG I and RGS2-dependent pathway.

Limitations

  • In vivo relevance of PKG I findings is limited by the systemic phenotype (hypotension, anemia) of the PKG I rescue mice.
  • Lack of phospho-specific antibodies for RGS2 prevented direct analysis of RGS2 phosphorylation in native tissues.

Abstract

Cardiac atrial natriuretic peptide (ANP) locally counteracts cardiac hypertrophy via the guanylyl cyclase-A (GC-A) receptor and cGMP production, but the downstream signalling pathways are unknown. Here, we examined the influence of ANP on beta-adrenergic versus Angiotensin II (Ang II)-dependent (G(s) vs. G(alphaq) mediated) modulation of Ca(2+) (i)-handling in cardiomyocytes and of hypertrophy in intact hearts. L-type Ca(2+) currents and Ca(2+) (i) transients in adult isolated murine ventricular myocytes were studied by voltage-clamp recordings and fluorescence microscopy. ANP suppressed Ang II-stimulated Ca(2+) currents and transients, but had no effect on isoproterenol stimulation. Ang II suppression by ANP was abolished in cardiomyocytes of mice deficient in GC-A, in cyclic GMP-dependent protein kinase I (PKG I) or in the regulator of G protein signalling (RGS) 2, a target of PKG I. Cardiac hypertrophy in response to exogenous Ang II was significantly exacerbated in mice with conditional, cardiomyocyte-restricted GC-A deletion (CM GC-A KO). This was concomitant to increased activation of the Ca(2+)/calmodulin-dependent prohypertrophic signal transducer CaMKII. In contrast, beta-adrenoreceptor-induced hypertrophy was not enhanced in CM GC-A KO mice. Lastly, while the stimulatory effects of Ang II on Ca(2+)-handling were absent in myocytes of mice deficient in TRPC3/TRPC6, the effects of isoproterenol were unchanged. Our data demonstrate a direct myocardial role for ANP/GC-A/cGMP to antagonize the Ca(2+) (i)-dependent hypertrophic growth response to Ang II, but not to beta-adrenergic stimulation. The selectivity of this interaction is determined by PKG I and RGS2-dependent modulation of Ang II/AT(1) signalling. Furthermore, they strengthen published observations in neonatal cardiomyocytes showing that TRPC3/TRPC6 channels are essential for Ang II, but not for beta-adrenergic Ca(2+) (i)-stimulation in adult myocytes.

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Cite This Study

Klaiber et al. (2010) studied Cardiac hypertrophy. Atrial Natriuretic Peptide (ANP) vs. Vehicle / Baseline was evaluated on Ca2+ transients and L-type Ca2+ currents in response to Angiotensin II vs Isoproterenol. ANP selectively inhibits the cardiomyocyte calcium and hypertrophic responses to Angiotensin II, but not to beta-adrenergic stimulation, via a GC-A/cGMP/PKG I-dependent modulation of RGS2.

synapsesocial.com/papers/6a2224f201f4dd1671e2280dhttps://doi.org/10.1007/s00395-010-0098-z
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