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抑制腺苷酸环化酶8可防止Orai1通道上调,从而改善心肌梗死后的心脏功能。

Inhibition of adenylyl cyclase 8 prevents the upregulation of Orai1 channel, which improves cardiac function after myocardial infarction.

作者信息

Falcón Débora, Calderón-Sánchez Eva M, Mayoral-González Isabel, Martín-Bórnez Marta, Dominguez-Rodriguez Alejandro, Gutiérrez-Carretero Encarnación, Ordóñez-Fernández Antonio, Rosado Juan Antonio, Smani Tarik

机构信息

Group of Cardiovascular Pathophysiology, Institute of Biomedicine of Seville, University Hospital of Virgen del Rocio/University of Seville/CSIC, 41013 Seville, Spain; Department of Medical Physiology and Biophysics, Faculty of Medicine, University of Seville, 41009 Seville, Spain.

Group of Cardiovascular Pathophysiology, Institute of Biomedicine of Seville, University Hospital of Virgen del Rocio/University of Seville/CSIC, 41013 Seville, Spain; Department of Medical Physiology and Biophysics, Faculty of Medicine, University of Seville, 41009 Seville, Spain.

出版信息

Mol Ther. 2024 Mar 6;32(3):646-662. doi: 10.1016/j.ymthe.2024.01.026. Epub 2024 Jan 29.

Abstract

The upregulation of Orai1 and subsequent store-operated Ca entry (SOCE) has been associated with adverse cardiac remodeling and heart failure (HF). However, the mechanism underlying Orai1 upregulation and its role in myocardial infarction remains unclear. Our study investigated the role of Orai1 in activating adenylyl cyclase 8 (AC8) and cyclic AMP (cAMP) response element-binding protein (CREB), as well as its contribution to cardiac dysfunction induced by ischemia and reperfusion (I/R). We found that I/R evoked an increase in the expression of Orai1 and AC8 in rats' hearts, resulting in a substantial rise in diastolic Ca concentration ([Ca]), and reduced ventricular contractions. The expression of Orai1 and AC8 was also increased in ventricular biopsies of post-ischemic HF patients. Mechanistically, we demonstrate that I/R activation of Orai1 stimulated AC8, which produced cAMP and phosphorylated CREB. Subsequently, p-CREB activated the ORAI1 promoter, resulting in Orai1 upregulation and SOCE exacerbation. Intramyocardial administration of AAV9 carrying AC8 short hairpin RNA decreased the expression of AC8, Orai1 and CREB, which restored diastolic [Ca] and improved cardiac contraction. Therefore, our data suggests that the axis composed by Orai1/AC8/CREB plays a critical role in I/R-induced cardiac dysfunction, representing a potential new therapeutic target to limit the progression of the disease toward HF.

摘要

Orai1的上调及随后的钙库操纵性钙内流(SOCE)与不良心脏重塑和心力衰竭(HF)有关。然而,Orai1上调的机制及其在心肌梗死中的作用仍不清楚。我们的研究调查了Orai1在激活腺苷酸环化酶8(AC8)和环磷酸腺苷(cAMP)反应元件结合蛋白(CREB)中的作用,以及其对缺血再灌注(I/R)诱导的心脏功能障碍的影响。我们发现,I/R可引起大鼠心脏中Orai1和AC8表达增加,导致舒张期钙浓度([Ca])大幅升高,并降低心室收缩。在缺血性HF患者的心室活检中,Orai1和AC8的表达也增加。从机制上讲,我们证明I/R激活Orai1可刺激AC8,后者产生cAMP并使CREB磷酸化。随后,p-CREB激活ORAI1启动子,导致Orai1上调和SOCE加剧。心肌内注射携带AC8短发夹RNA的腺相关病毒9(AAV9)可降低AC8、Orai1和CREB的表达,恢复舒张期[Ca]并改善心脏收缩。因此,我们的数据表明,由Orai1/AC8/CREB组成的轴在I/R诱导的心脏功能障碍中起关键作用,代表了限制疾病向HF进展的潜在新治疗靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4ba/10928147/77fe2477c66d/fx1.jpg

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