Department of Cardiology, Xuzhou Central Hospital, Xuzhou, China.
Xuzhou Institute of Cardiovascular Disease, Xuzhou Central Hospital, Xuzhou, China.
Elife. 2022 Jun 22;11:e74519. doi: 10.7554/eLife.74519.
Previous studies, including our own, have demonstrated that transient receptor potential vanilloid 4 (TRPV4) is expressed in hearts and implicated in cardiac remodeling and dysfunction. However, the effects of TRPV4 on pressure overload-induced cardiac hypertrophy remain unclear. In this study, we found that TRPV4 expression was significantly increased in mouse hypertrophic hearts, human failing hearts, and neurohormone-induced hypertrophic cardiomyocytes. Deletion of TRPV4 attenuated transverse aortic constriction (TAC)-induced cardiac hypertrophy, cardiac dysfunction, fibrosis, inflammation, and the activation of NFκB - NOD - like receptor pyrin domain-containing protein 3 (NLRP3) in mice. Furthermore, the TRPV4 antagonist GSK2193874 (GSK3874) inhibited cardiac remodeling and dysfunction induced by TAC. In vitro, pretreatment with GSK3874 reduced the neurohormone-induced cardiomyocyte hypertrophy and intracellular Ca concentration elevation. The specific TRPV4 agonist GSK1016790A (GSK790A) triggered Ca influx and evoked the phosphorylation of Ca/calmodulin-dependent protein kinase II (CaMKII). But these effects were abolished by removing extracellular Ca or GSK3874. More importantly, TAC or neurohormone stimulation-induced CaMKII phosphorylation was significantly blocked by TRPV4 inhibition. Finally, we show that CaMKII inhibition significantly prevented the phosphorylation of NFκB induced by GSK790A. Our results suggest that TRPV4 activation contributes to pressure overload-induced cardiac hypertrophy and dysfunction. This effect is associated with upregulated Ca/CaMKII mediated activation of NFκB-NLRP3. Thus, TRPV4 may represent a potential therapeutic drug target for cardiac hypertrophy and dysfunction after pressure overload.
先前的研究,包括我们自己的研究,已经表明瞬时受体电位香草酸 4(TRPV4)在心脏中表达,并与心脏重构和功能障碍有关。然而,TRPV4 对压力超负荷引起的心肌肥厚的影响尚不清楚。在这项研究中,我们发现 TRPV4 的表达在小鼠肥厚心脏、人类衰竭心脏和神经激素诱导的肥厚心肌细胞中显著增加。TRPV4 的缺失减弱了主动脉缩窄(TAC)诱导的心脏肥厚、心脏功能障碍、纤维化、炎症和 NFκB-NOD-样受体含吡喃结构域蛋白 3(NLRP3)的激活。此外,TRPV4 拮抗剂 GSK2193874(GSK3874)抑制了 TAC 诱导的心脏重构和功能障碍。在体外,GSK3874 的预处理降低了神经激素诱导的心肌细胞肥大和细胞内 Ca 浓度升高。特异性 TRPV4 激动剂 GSK1016790A(GSK790A)触发 Ca 内流并引发钙/钙调蛋白依赖性蛋白激酶 II(CaMKII)的磷酸化。但这些效应被去除细胞外 Ca 或 GSK3874 所消除。更重要的是,TRPV4 的抑制显著阻断了 TAC 或神经激素刺激诱导的 CaMKII 磷酸化。最后,我们表明 CaMKII 的抑制显著阻止了 GSK790A 诱导的 NFκB 的磷酸化。我们的结果表明 TRPV4 的激活有助于压力超负荷引起的心脏肥大和功能障碍。这种效应与上调的 Ca/CaMKII 介导的 NFκB-NLRP3 的激活有关。因此,TRPV4 可能代表压力超负荷后心脏肥大和功能障碍的潜在治疗药物靶点。