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Am J Physiol Heart Circ Physiol 294: H205-H212, 2008. First published October 26, 2007; doi:10.1152/ajpheart.00829.2007
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Expression of a Gi-coupled receptor in the heart causes impaired Ca2+ handling, myofilament injury, and dilated cardiomyopathy

Diana T. McCloskey, Sally Turcato, Guan-Ying Wang, Lynne Turnbull, Bo-Qing Zhu, Thomas Bambino, Anita P. Nguyen, David H. Lovett, Robert A. Nissenson, Joel S. Karliner, and Anthony J. Baker

Departments of Radiology and Medicine, University of California, and the Veterans Affairs Medical Center, San Francisco, California

Submitted 16 July 2007 ; accepted in final form 19 October 2007

Increased signaling by Gi-coupled receptors has been implicated in dilated cardiomyopathy. To investigate the mechanisms, we used transgenic mice that develop dilated cardiomyopathy after conditional expression of a cardiac-targeted Gi-coupled receptor (Ro1). Activation of Gi signaling by the Ro1 agonist spiradoline caused decreased cellular cAMP levels and bradycardia in Langendorff-perfused hearts. However, acute termination of Ro1 signaling with the antagonist nor-binaltorphimine did not reverse the Ro1-induced contractile dysfunction, indicating that Ro1 cardiomyopathy was not due to acute effects of receptor signaling. Early after initiation of Ro1 expression, there was a 40% reduction in the abundance of the sarcoplasmic reticulum Ca2+-ATPase (P < 0.05); thereafter, there was progressive impairment of both Ca2+ handling and force development assessed with ventricular trabeculae. Six weeks after initiation of Ro1 expression, systolic Ca2+ concentration was reduced to 0.61 ± 0.08 vs. 0.91 ± 0.07 µM for control (n = 6–8; P < 0.05), diastolic Ca2+ concentration was elevated to 0.41 ± 0.07 vs. 0.23 ± 0.06 µM for control (n = 6–8; P < 0.01), and the decline phase of the Ca2+ transient (time from peak to 50% decline) was slowed to 0.25 ± 0.02 s vs. 0.13 ± 0.02 s for control (n = 6–8; P < 0.01). Early after initiation of Ro1 expression, there was a ninefold elevation of matrix metalloproteinase-2 (P < 0.01), which is known to cause myofilament injury. Consistent with this, 6 wk after initiation of Ro1 expression, Ca2+-saturated myofilament force in skinned trabeculae was reduced to 21 ± 2 vs. 38 ± 0.1 mN/mm2 for controls (n = 3; P < 0.01). Furthermore, electron micrographs revealed extensive myofilament damage. These findings may have implications for some forms of human heart failure in which increased activity of Gi-coupled receptors leads to impaired Ca2+ handling and myofilament injury, contributing to impaired ventricular pump function and heart failure.

matrix metalloproteinase-2; sarco(endo)plasmic reticulum Ca2+-ATPase; contraction; {kappa}-opioid receptor; conditional expression



Address for reprint requests and other correspondence: A. J. Baker, Univ. of California, San Francisco, VA Medical Center, Cardiology Division (111C), 4150 Clement St., San Francisco, CA 94121 (e-mail: anthony.baker{at}ucsf.edu)







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