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MLK3 通过独立的机制介导 PKG1α 对心脏功能的影响并控制血压。

MLK3 mediates impact of PKG1α on cardiac function and controls blood pressure through separate mechanisms.

机构信息

Molecular Cardiology Research Institute and.

Graduate School of Biomedical Sciences, Tufts University, Boston, Massachusetts, USA.

出版信息

JCI Insight. 2021 Sep 22;6(18):e149075. doi: 10.1172/jci.insight.149075.

Abstract

cGMP-dependent protein kinase 1α (PKG1α) promotes left ventricle (LV) compensation after pressure overload. PKG1-activating drugs improve heart failure (HF) outcomes but are limited by vasodilation-induced hypotension. Signaling molecules that mediate PKG1α cardiac therapeutic effects but do not promote PKG1α-induced hypotension could therefore represent improved therapeutic targets. We investigated roles of mixed lineage kinase 3 (MLK3) in mediating PKG1α effects on LV function after pressure overload and in regulating BP. In a transaortic constriction HF model, PKG activation with sildenafil preserved LV function in MLK3+/+ but not MLK3-/- littermates. MLK3 coimmunoprecipitated with PKG1α. MLK3-PKG1α cointeraction decreased in failing LVs. PKG1α phosphorylated MLK3 on Thr277/Ser281 sites required for kinase activation. MLK3-/- mice displayed hypertension and increased arterial stiffness, though PKG stimulation with sildenafil or the soluble guanylate cyclase (sGC) stimulator BAY41-2272 still reduced BP in MLK3-/- mice. MLK3 kinase inhibition with URMC-099 did not affect BP but induced LV dysfunction in mice. These data reveal MLK3 as a PKG1α substrate mediating PKG1α preservation of LV function but not acute PKG1α BP effects. Mechanistically, MLK3 kinase-dependent effects preserved LV function, whereas MLK3 kinase-independent signaling regulated BP. These findings suggest augmenting MLK3 kinase activity could preserve LV function in HF but avoid hypotension from PKG1α activation.

摘要

环鸟苷酸依赖性蛋白激酶 1α(PKG1α)可促进左心室(LV)在压力超负荷后的代偿。激活蛋白激酶 G1(PKG1)的药物可改善心力衰竭(HF)的预后,但由于血管扩张引起的低血压而受到限制。因此,介导 PKG1α 心脏治疗效果但不引起 PKG1α 诱导性低血压的信号分子可以作为改善的治疗靶点。我们研究了混合谱系激酶 3(MLK3)在介导 PKG1α 对压力超负荷后 LV 功能的影响以及调节血压中的作用。在主动脉缩窄 HF 模型中,西地那非激活 PKG 可在 MLK3+/+ 但不在 MLK3-/-同窝仔鼠中保存 LV 功能。MLK3 与 PKG1α 共免疫沉淀。衰竭的 LV 中 MLK3-PKG1α 共相互作用减少。PKG1α 在 Thr277/Ser281 位点上磷酸化 MLK3,该位点对于激酶激活是必需的。MLK3-/- 小鼠表现出高血压和增加的动脉僵硬,尽管用西地那非或可溶性鸟苷酸环化酶(sGC)激动剂 BAY41-2272 刺激 PKG1α 仍可降低 MLK3-/- 小鼠的血压。用 URMC-099 抑制 MLK3 激酶不会影响血压,但会导致小鼠 LV 功能障碍。这些数据表明 MLK3 是 PKG1α 的底物,介导 PKG1α 保存 LV 功能,但不影响急性 PKG1α 血压效应。从机制上讲,MLK3 激酶依赖性效应可保存 LV 功能,而 MLK3 激酶非依赖性信号调节血压。这些发现表明,增强 MLK3 激酶活性可在 HF 中保存 LV 功能,但避免 PKG1α 激活引起的低血压。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b305/8492323/515329463052/jciinsight-6-149075-g001.jpg

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