Division of Cardiology, School of Medicine, University of Colorado Denver, Health Sciences Center Campus, Aurora, Colorado 80045, USA.
J Card Fail. 2011 Jul;17(7):592-600. doi: 10.1016/j.cardfail.2011.03.006. Epub 2011 Apr 22.
Chronic activation of β(1)-adrenergic receptor (β(1)-AR) signaling can have deleterious effects on the heart, and animal models overexpressing β(1)-ARs develop a dilated cardiomyopathy and heart failure. In the classic β-AR pathway, receptor occupancy by an agonist results in increased cyclic adenosine monophosphate (cAMP) levels and activation of protein kinase A (PKA). However, the role of PKA-dependent signaling in the development and progression of cardiomyopathies and heart failure is controversial, because β-AR signal transduction is generally desensitized in the failing heart and PKA activity is not increased.
Neonatal rat ventricular myocytes were acutely (15 minutes) or chronically (48 hours) treated with isoproterenol, and phosphorylation of protein kinase D (PKD) and histone deacetylase 5 (HDAC5) was measured. Acute β(1)-AR stimulation or expression of constitutively active (CA) PKA reduced α(1)-adrenergic-mediated phosphorylation of HDAC5 and PKD by activation of a phosphatase. Overexpression of CA-PKA also reduced α(1)-adrenergic-mediated increased expression of contractile protein fetal isoforms and promoted repression of adult isoforms, but had no effect on α(1)-adrenergic-mediated cellular hypertrophy.
These data indicate that the PKA-dependent arm of β-AR signaling can be antihypertrophic and presumably beneficial, through dephosphorylation of PKD and HDAC5 and reduction of hypertrophic fetal isoform gene expression.
β(1)-肾上腺素能受体(β(1)-AR)信号的慢性激活会对心脏造成有害影响,并且过度表达β(1)-AR 的动物模型会发展为扩张型心肌病和心力衰竭。在经典的β-AR 途径中,激动剂与受体的占据会导致环腺苷酸(cAMP)水平升高并激活蛋白激酶 A(PKA)。然而,PKA 依赖性信号在心肌病和心力衰竭的发生和进展中的作用存在争议,因为在衰竭的心脏中β-AR 信号转导通常脱敏,并且 PKA 活性没有增加。
急性(15 分钟)或慢性(48 小时)用异丙肾上腺素处理新生大鼠心室肌细胞,并测量蛋白激酶 D(PKD)和组蛋白去乙酰化酶 5(HDAC5)的磷酸化。急性β(1)-AR 刺激或组成激活(CA)PKA 的表达通过激活磷酸酶减少了α(1)-肾上腺素能介导的 HDAC5 和 PKD 的磷酸化。CA-PKA 的过表达还减少了α(1)-肾上腺素能介导的收缩蛋白胎儿同工型的表达增加,并促进了成人同工型的抑制,但对α(1)-肾上腺素能介导的细胞肥大没有影响。
这些数据表明,β-AR 信号的 PKA 依赖性臂可以通过去磷酸化 PKD 和 HDAC5 以及减少肥大的胎儿同工型基因表达而具有抗肥大作用,并且可能是有益的。