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Am J Physiol Heart Circ Physiol 281: H2490-H2499, 2001;
0363-6135/01 $5.00
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Vol. 281, Issue 6, H2490-H2499, December 2001

Myocardial distribution and regulation of GRK and beta -arrestin isoforms in congestive heart failure in rats

Leif Erik Vinge1,2, Erik Øie1,2, Yvonne Andersson1,2, Haakon K. Grøgaard1, Geir Ø. Andersen2,3, and Håvard Attramadal1,2

1 Institute for Surgical Research, 2 MerckSharp & Dohme Cardiovascular Research Center, and 3 Department of Pharmacology, Rikshospitalet University Hospital, University of Oslo, N-0027 Oslo, Norway


    ABSTRACT
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Myocardial G protein-coupled receptor kinase 2 (GRK2) has been shown to be involved in the pathophysiology of congestive heart failure (CHF). However, the cellular distribution of this isoform, as well as the other isoforms of the GRK-arrestin system, has not been studied in myocardial tissue. Thus myocardial expression and cellular distribution of the different GRK and arrestin isoforms were investigated in a rat model of CHF. Rats subjected to ligation of the left coronary artery or sham operation were euthanized 2, 7, or 42 days after the surgical procedure. Myocardial GRK2, GRK5, beta -arrestin-1, and beta -arrestin-2 mRNA levels, but not that of GRK3, were induced in the failing hearts. Consistently, Western blot analysis of tissue extracts from the nonischemic region of the left ventricle revealed 3.0-, 2.6-, and 1.5-fold elevations of GRK2, GRK5, and beta -arrestin-1, respectively, 7 days after induction of myocardial infarction compared with the sham-operated rats (P < 0.05). Immunohistochemical analysis of myocardial tissue sections and Western blot analysis of isolated cells revealed localization of GRK2 and beta -arrestin-1 predominantly in endothelial cells. Conversely, GRK3 was confined to cardiac myocytes. GRK5 immunostaining appeared to be homogeneously distributed in the cellular elements of the myocardium. In conclusion, myocardial mRNA and protein levels of GRK2, GRK5, and beta -arrestin-1 are induced in postinfarction failure in rats. The immunohistochemical analysis suggests that GRK2 and beta -arrestin-1 may act as primary regulators of endothelial function. Conversely, the cellular distribution of GRK3 and GRK5 implicates these isoforms as putative regulators of cardiac myocyte function.

gene expression; immunohistochemistry; G protein-coupled receptor kinase


    INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

THE G PROTEIN-COUPLED RECEPTOR KINASE (GRK)-arrestin system is considered to play a pivotal role in desensitization and downregulation of G protein-coupled receptors (GPCRs). Desensitization of beta -adrenergic receptors is an important contributor to the reduced myocardial contractility associated with congestive heart failure (CHF). Furthermore, substantial data now implicate GRK2 in the pathophysiological mechanisms of CHF. First, myocardial GRK2 is upregulated in several experimental models of CHF as well as in patients with severe CHF (12, 19, 22, 23). Second, transgenic animal models with cardiac myocyte-specific overexpression of GRK2 or GRK2-CT, a competitive inhibitor of GRK2, demonstrate decreased or increased isoproterenol-stimulated myocardial contractility, respectively (11). Recent evidence also indicates that inhibition of GRK2 activity may impair adverse cardiac remodeling in dilated cardiomyopathy and CHF (19). However, the pathophysiologically relevant substrate of GRK2 in CHF still remains unresolved because the substrate specificity of GRK2 for GPCRs in the cardiovascular system is only partially known. Myocardial levels of GRK5 mRNA and protein content have also been reported to be upregulated in some models of experimental CHF (3, 17). However, several aspects concerning the time course and the site of regulation of the different GRK isoforms after induction of myocardial infarction (MI) remain to be investigated. Furthermore, the cellular distribution of the different GRK isoforms in myocardial tissue is not known. The latter issue may provide new insights into the functional roles of the different GRK isoforms in myocardial tissue. Even less is known about myocardial regulation and distribution of the nonvisual arrestin isoforms, beta -arrestin-1 and beta -arrestin-2, in CHF. Indeed, studies on Drosophila mutants defective in retinal arrestin function indicate that arrestin receptor binding may be the rate-limiting step in receptor desensitization and inactivation (18). Thus, hypothetically, regulation of myocardial arrestin may be a nodal point in the receptor desensitization and uncoupling associated with CHF. Therefore, the aims of the present study were to investigate the myocardial mRNA levels and protein contents of GRK and arrestin isoforms after induction of postinfarction failure in rats. Furthermore, to elucidate the preferential sites of action of the various GRK and beta -arrestin isoforms, the cellular distribution of these regulators was investigated by immunohistochemical analysis. The latter issue has not yet been investigated and is of crucial importance in providing insights into the functional roles of the different GRK and arrestin isoforms in myocardial tissue.


    MATERIALS AND METHODS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Animal preparation and study protocol. Rats (Wistar, males approx  250 g body wt) were subjected to ligation of the left coronary artery as previously described (14, 16). The procedure generally resulted in transmural infarction of the left ventricular (LV) free wall comprising 40-50% of the ventricular circumference (as assessed by perimetry of LV tissue sections). Except for ligation of the coronary artery, sham-operated rats underwent a similar procedure. Assessment of hemodynamic function and tissue sampling procedures were performed as previously described (13, 14). The animal experiments and housing were in accordance with institutional guidelines and national legislation conforming to the European Convention for The Protection of Vertebrate Animals Used for Experimental and Other Scientific Purposes of 18 March 1986.

In rats subjected to MI, only those with LV end-diastolic pressures (LVEDP) above 15 mmHg were regarded to have heart failure and included in the study. The rats were allocated to six groups: rats subjected to MI or sham operation, euthanized after 2, 7, and 42 days (n = 7 in the CHF groups; n = 5 in the sham groups). To obtain myocardial tissues for immunohistochemistry, additional rats were allocated into two groups: 1) rats subjected to MI, euthanized after 7 days (n = 2) and 2) sham-operated rats, euthanized at the same time point (n = 2).

Because of limitations in the number of wells in the PAGE system, the animals of the CHF groups were randomized, and six rats from each group were selected for further ribonuclease protection assay (RPA) analysis.

Isolation of cardiac myocytes and fibroblasts and maintenance of cell cultures. Cardiac myocytes were isolated from the hearts of adult Wistar rats by Ca2+-free retrograde perfusion and enzymatic digestion using trypsin (60 U/ml) and collagenase (90 U/ml) as described previously (6, 24). Ca2+ was reintroduced in successive steps to 0.5 mmol/l. The cardiac myocytes were then purified by repeated centrifugation (45 g) and subsequently sedimented by gravity through a solution containing 1% BSA. This cell population contained >95% elongated cardiac myocytes.

Rat cardiac fibroblasts were isolated from the supernatants removed during purification of the cardiac myocytes. After additional low-speed centrifugation to remove cardiac myocytes contaminating the supernatant, this nonmyocyte fraction was plated onto noncoated cell culture dishes (100 mm). The cells were maintained and propagated in Dulbecco's modified Eagle's medium (Life Technologies; Gaithersburg, MD) supplemented with 10% fetal calf serum (Bio Whitaker) and 40 µg/ml garamycin in a humidified atmosphere at 37°C. The cells were split at confluence and used after three passages. The homogeneity of this primary culture was assessed by immunocytochemistry using a monoclonal anti-mouse vimentin antibody (Zymed Laboratories) as a fibroblast marker and a anti-rat von Willebrand factor antibody as an endothelial cell marker. At the third passage, >99% of the cells stained positive for vimentin and <1% displayed immunoreactivity against von Willebrand factor.

Rat microvascular endothelial cells (American Type Culture Collection No. CRL-2222) were maintained in minimal essential medium (Life Technologies) supplemented with 5% fetal calf serum, 30 µg/ml heparin, and 40 µg/ml garamycin in a humidified atmosphere at 37°C.

Isolation of total RNA, Northern blot analysis, and RPA. Total RNA from rat myocardial tissues was prepared by acid-phenol-chloroform extraction in the presence of chaotropic salts and subsequently precipitated with ethanol as previously described (14). Northern blot analysis was performed as previously described (13) using 30 µg of total RNA per sample and a rat atrial natriuretic peptide (ANP) cDNA probe.

The RPA was performed as previously described (13, 14). The cDNA sequenses used as templates for synthesis of the riboprobes are provided in Table 1. Best fit analysis of the nucleotide sequences of the GRK2 riboprobe and the corresponding GRK3 cDNA revealed 47.6% identity. Similarly, best fit analysis of the nucleotide sequences of the GRK3 riboprobe and the corresponding GRK2 cDNA revealed 42.2% identity. The profound divergence of the nucleotide sequences of GRK2 and GRK3 in the region employed for riboprobe synthesis does not allow for cross-reactivity in the RPA.

                              
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Table 1.   Overview of the different riboprobes

Western blot analysis. The tissue or cell samples were homogenized, denatured, and separated by 10% SDS-PAGE. The gels were subsequently electroblotted onto nitrocellulose filter membranes. For immunoblot analysis of GRK2 and beta -arrestin-1, the membranes were blocked with 2.5% nonfat dry milk (Carnation; Nestle, CA) and 2.5% BSA in Tris-buffered saline-Tween 20 [50 mmol/l Tris · HCl (pH 8.0), 100 mmol/l NaCl, and 0.1% Tween 20] for 1 h at room temperature (RT). The GRK2 blots were probed with a polyclonal anti-GRK2 antibody (Santa Cruz Biotechnology) in blocking solution at a concentration of 0.67 µg/ml (4°C overnight). The anti-beta -arrestin-1 immunserum was prepared by immunization against a GST-beta -arrestin-1 fusion protein in rabbits (4) and used at a dilution of 1:1,500 in blocking buffer (4°C overnight). For immunoblot analysis of GRK5, the filters were initially blocked in PBS with 5% nonfat dry milk (4°C overnight) and further incubated with a polyclonal anti-GRK5 antibody (Santa Cruz Biotechnology) using 0.1 µg/ml in blocking solution containing 0.05% Tween 20 (1 h at RT). The blots were subsequently incubated with a horseradish peroxidase-conjugated anti-rabbit IgG (dilution of 1:3,000) for 20 min at RT and visualized using the enhanced chemiluminescence (ECL) detection system (Amersham Pharmacia Biotech, Buckinghamshire, UK).

Immunohistochemistry. Immunohistochemical analysis was performed using 7-µm myocardial sections as previously described (14). The antibodies used were either purified rabbit polyclonal anti-GRK2, anti-GRK3, or anti-GRK5 IgG (2 µg/ml; Santa Cruz Biotechnology) or rabbit polyclonal anti-beta -arrestin-1 antiserum (dilution of 1:1,000) (4). A commercially available avidin-biotin-peroxidase system (Vectastain Elite kit, Vector Laboratories; Burlingame, CA) was used according to the manufacturer's instructions to amplify the signals. To test the specificity of the immunostaining and to provide negative controls, the different anti-GRK antibodies were preincubated with their respective antigenic peptides to neutralize the antibodies before immunostaining. Nonimmune normal rabbit serum was used as a negative control for the anti-beta -arrestin-1 antiserum.

Immunoprecipitation. Cell samples were homogenized in homogenization buffer [25 mmol/l Tris · HCl (pH 7.5), 5 mmol/l EDTA, 5 mmol/l EGTA, 20 µg/ml aprotinin, 10 µg/ml leupeptin, and 0.2 mmol/l phenylmethylsulfonyl fluoride (PMSF)] and centrifuged at 800 g for 5 min. The supernatant was solubilized by adding an equal volume of 2× RIPA buffer [50 mmol/l Tris · HCl (pH 7.5), 5 mmol/l EDTA, 5 mmol/l EGTA, 300 mmol/l NaCl, 4% Triton X-100, 2% Nonidet P-40, 0.2% SDS, 20 µg/ml aprotinin, 10 µg/ml leupeptin, and 0.1 mmol/l PMSF] with subsequent incubation at 4°C for 30 min and cleared by centrifugation (20,000 g for 10 min). GRK2 and GRK3 were immunoprecipitated from the extracts using anti-GRK2 (0.5 µg/ml) or anti-GRK3 (0.5 µg/ml) antibodies (Santa Cruz Biotechnology) and protein A agarose. The immunoprecipitated proteins were separated by 10% SDS-PAGE and subjected to immunoblot analysis using a monoclonal anti-GRK2/GRK3 antibody (Upstate Biotech) according to the manufacturer's instructions.

Statistical analysis. All data are presented as means ± SE. Between-treatment group variations were assessed by a two-tailed unpaired t-test. P values <= 0.05 were considered to be statistically significant.


    RESULTS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Hemodynamic measurements. Table 2 shows LVEDP and LV systolic pressure (LVSP) of sham-operated and CHF rats at various time points after the surgical procedures. The hemodynamic measurements demonstrate LV dysfunction in the CHF groups with LVSP significantly decreased and LVEDP significantly increased compared with sham-operated animals (P < 0.05).

                              
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Table 2.   Hemodynamic measurements in sham-operated and CHF rats

Myocardial expression of ANP mRNA in CHF. Northern blot analysis of failing nonischemic LV tissue displayed 4.9-, 11.1-, and 12.6-fold elevations of ANP mRNA levels at 2, 7, and 42 days after MI (P < 0.05; data not shown), respectively, compared with sham-operated rats, consistent with a heart failure phenotype at all time points studied.

Regulation of myocardial GRK2, GRK3, and GRK5 mRNA levels in CHF. As shown in Fig. 1B, myocardial GRK2 mRNA levels in the LV of CHF rats were elevated compared with sham-operated rats throughout the study period (1.3- and 1.2-fold elevations at 2 and 7 days after MI, respectively, P < 0.05). Although the GRK2 mRNA levels declined from day 2 to day 42 after the surgical procedure in both CHF rats as well as sham-operated rats, the levels remained higher in the CHF rats compared with the sham-operated rats. Analysis of RNA from right ventricular (RV) tissue samples demonstrated 1.7-, 1.7-, and 1.6-fold elevations of GRK2 mRNA levels at 2, 7, and 42 days after MI, respectively, compared with sham-operated rats (P < 0.05; data not shown). Transient elevations of GRK2 mRNA expression could also be seen in the ischemic region, with peak values of expression 7 days after induction of MI (data not shown). Myocardial GRK3 mRNA (Fig. 1C), on the other hand, did not display evidence of regulation in the nonischemic region of the LV during the timespan of the study. Myocardial GRK5 mRNA displayed a distinctive pattern of regulation after induction of ischemic heart failure different from the other GRK isoforms. Myocardial GRK5 mRNA levels in the nonischemic region of the LV (Fig. 1D) were slightly elevated at days 2 and 7 and continued to increase at day 42 after induction of MI. Forty-two days after induction of MI, the GRK5 mRNA levels in the nonischemic region of the LV were 1.9-fold above the levels in sham-operated rats (P < 0.05). Similar results were obtained from RV tissue samples (data not shown)


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Fig. 1.   Ribonuclease protection assay (RPA) demonstrating myocardial G protein-coupled receptor kinase (GRK)2, GRK3, GRK5, and glyceraldehyde-3-phosphate dehydrogenase (GAPDH) mRNA levels in the left ventricle (LV) of sham-operated rats (S) and congestive heart failure (CHF) rats [nonischemic (NI) myocardial tissue]. Total RNA (20 µg) from each sample was analyzed in each lane. Positive controls probing 20 µg of total RNA from cerebral tissue were also included. A: autoradiograph exposed to high-resolution storage phosphor screen and analyzed by phosphorimaging. B-D: densitometric analysis of the autoradiograph in A. Densitometric analysis of the bands was obtained with the Image-Master software package (Pharmacia Biotechnology). The data are ratios of GRK2, GRK3, and GRK5 mRNA levels relative to GAPDH mRNA to normalize for variations in RNA loading. Values are means ± SE; n = 5 sham-operated rats () and 6 CHF rats (black-lozenge ). Data are representative of 3 independent assays. *P < 0.05, dagger P < 0.01.

Myocardial expression of beta -arrestin-1 and beta -arrestin-2 mRNA in CHF. Myocardial beta -arrestin-1 mRNA levels in the nonischemic region of the LV displayed a time course similar to that of GRK2 mRNA after induction of MI (Fig. 2B). Although beta -arrestin-1 mRNA levels declined from day 2 to day 42 in both the CHF rats as well as in the sham-operated rats, the levels in the CHF rats were elevated compared with the sham-operated rats (1.5- and 1.6-fold above the sham-operated rats at days 2 and 42, respectively, P < 0.05). Similar elevations of beta -arrestin-1 mRNA levels were observed in the RV (data not shown). Myocardial beta -arrestin-2 mRNA levels were increased in both the LV (Fig. 2C) and RV (data not shown) 2 days after MI (1.9-fold, P < 0.05 in the LV) and declined toward the levels in sham-operated rats at days 7 and 42.


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Fig. 2.   A: RPA demonstrating myocardial beta -arrestin-1, beta -arrestin-2, and GAPDH mRNA levels in the LV of sham-operated rats and CHF rats (nonischemic myocardial tissue). B and C: densitometric analysis of the autoradiograph in A. Values are means ± SE; n = 5 sham-operated rats () and 6 CHF rats (black-lozenge ). Data are representative of 3 independent assays. *P < 0.05, dagger P < 0.01.

Western blot analysis of myocardial GRK2, GRK5, and beta -arrestin-1 levels in CHF. Figure 3, A, C, and E, shows photographs of Western blot analysis of myocardial GRK2, GRK5, and beta -arrestin-1, respectively. The results of subsequent densitometric analysis of the immunoreactive (IR) bands are shown in Fig. 3, B, D, and F, demonstrating 3.0-, 2.6-, and 1.6-fold upregulation of myocardial GRK2, GRK5, and beta -arrestin-1 levels, respectively, in the nonischemic LV 7 days after MI compared with the levels observed in the corresponding sham-operated groups (P < 0.05). GRK2-IR and GRK5-IR migrated similar to the immunoreactive bands in extracts from Sf9 cells infected with recombinant baculovirus encoding GRK2 or GRK5, respectively. beta -Arrestin-1-IR migrated similar to the immunoreactive band in extracts from COS-7 cells transfected with a recombinant plasmid encoding beta -arrestin-1. We were not able to detect beta -arrestin-2-IR in myocardial tissue extracts, although beta -arrestin-2-IR could readily be detected in transfected COS-7 cells.


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Fig. 3.   Photographs demonstrating Western blot analysis of myocardial GRK2 (A), GRK5 (C), and beta -arrestin-1 (E) in the LV of sham-operated rats (Sham) and in the nonischemic region of the LV of CHF rats (CHF) 7 days after the surgical procedure. Homogenates containing 100 µg protein were loaded in each lane. Sf9 cells overexpressing GRK2 and homogenate from cerebellum (100 µg protein) served as positive controls for GRK2. Sf9 cells overexpressing GRK5 served as positive control for GRK5. COS-1 cells transfected with beta -arrestin-1 and homogenate from cerebellum (100 µg protein) served as positive control for beta -arrestin-1. B, D, and F: results from densitometric analysis of the bands in A, C, and E, respectively. IR, immunoreactivity; OD, optical density. Values are means ± SE of each group for sham-operated and CHF rats (n = 5, 5, and 4 for GRK2, beta -arrestin-1, and GRK5, respectively). Data are representative of 3 independent assays. *P < 0.05 and Dagger P < 0.001 vs. sham.

Cellular distribution of GRK isoforms and beta -arrestin-1 in myocardial tissue. Immunohistochemical analysis of myocardial tissue sections of sham-operated rats revealed the presence of immunoreactivities toward GRK2, beta -arrestin-1, GRK5, and GRK3 (Figs. 4, B, F, and J, and 5B, respectively). The distribution of the cellular immunostaining of the different GRK isoforms and beta -arrestin-1 revealed different patterns. GRK2-IR and beta -arrestin-1-IR were predominantly seen in vascular endothelial cells, and only very weak GRK2-IR could be observed in the cardiac myocytes. On the other hand, myocardial GRK3-IR could only be observed in the cardiac myocytes, whereas fairly strong GRK5-IR could be seen in several cellular elements, including cardiac myocytes and vascular endothelial cells. In CHF rats 7 days after MI, strong anti-GRK2 and anti-beta -arrestin-1 immunostaining were observed in the ischemic region (Fig. 4, D and H, respectively), predominantly confined to vascular endothelial cells. Although GRK5-IR could readily be detected in several cellular elements, immunostaining of the cardiac myocytes was very distinct. Interestingly, anti-GRK5-IR of the cardiac myocytes contiguous to the granulation tissue appeared substantially increased compared with distally located cardiac myocytes (Fig. 4L). Tissue sections of hearts incubated with peptide-neutralized antibodies or nonimmune rabbit serum (beta -arrestin-1) did not demonstrate immunostaining of any of the cellular elements of the myocardial tissue, demonstrating specificity of the antibodies (Figs. 4, A, E, and I, and 5A for GRK2, beta -arrestin-1, GRK5, and GRK3, respectively). We also performed immunohistochemical analysis of GRK2-IR in sections from human and porcine myocardial tissue. Indeed, a similar distribution was found in these species (data not shown).


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Fig. 4.   Representative photomicrographs of immunohistochemical analysis showing localization of GRK2-IR, beta -arrestin-1-IR, and GRK5-IR in myocardial tissue of a sham-operated rat (B, F, and J) and a CHF rat 7 days after myocardial infarction (MI; C, G, and K). GRK2-IR and beta -arrestin-1-IR were predominantly seen in vascular endothelium (arrowheads), and strong immunostaining was observed in endothelial cells of myocardial tissue from both sham-operated rats (B and F, respectively) and the nonischemic (C and G, respectively) and ischemic (D and H, respectively) myocardium of CHF rats. In contrast, fairly strong GRK5-IR was observed in both cardiac myocytes and vascular endothelial cells of myocardial tissue from sham-operated rats (J) and from nonischemic failing myocardium (K). Increased anti-GRK5 immunostaining could be seen in cardiac myocytes contiguous to the ischemic zone (L). A and I: control sections stained with antibody preabsorbed with its antigen, GRK2 (A) and GRK5 (I). E: control section stained with nonimmune serum. Magnification in A-C, E-G, and I-K: ×250; magnification in D, H, and L: ×500.



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Fig. 5.   Representative photomicrographs of immunohistochemical analysis showing localization of GRK3-IR in myocardial tissue of a sham-operated rat (B) and a CHF rat 7 days post-MI (C). GRK3-IR was predominantly seen in cardiac myocytes, whereas no immunostaining could be detected in myocardial vessels (arrowheads). A: control section stained with antibody preabsorbed with its antigen. D: GRK3-IR in the ischemic transition zone of a CHF rat 7 days post-MI. Cardiac myocytes display robust immunoreactivity. However, very little GRK3-IR can be discerned in the granulation tissue. Arrowhead, endothelium devoid of GRK3-IR.

Contents of GRK isoforms and beta -arrestin-1 in isolated cells and cell lines. To strengthen the immunohistochemical observation of the distinct cellular distribution of GRK2 and beta -arrestin-1, we performed immunoprecipitation and Western blot analysis of extracts from isolated rat cardiac myocytes, rat microvascular endothelial cells, and primary cultures of rat cardiac fibroblasts. Transfected COS-7 cells expressing high levels of GRK2 or GRK3 were subjected to similar analysis to assess the specificity of the polyclonal anti-GRK2 and anti-GRK3 antibodies. As shown in Fig. 6, A and B, the anti-GRK2 and anti-GRK3 antibodies displayed a fairly high degree of specificity. Furthermore, as shown in Fig. 6C, immunoprecipitation and Western blot analysis of extracts from rat cardiac myocytes, rat microvascular endothelial cells, and rat cardiac fibroblasts demonstrated substantially higher anti-GRK2-IR and anti-beta -arrestin-1-IR in endothelial cells compared with cardiac myocytes. However, both GRK2 and beta -arrestin-1 could be detected in cardiac myocytes, albeit at a much lower level. Anti-GRK2-IR and anti-beta -arrestin-1-IR could also be detected in cardiac fibroblasts. We have previously performed experiments assessing the levels of GRK2, GRK3, GRK5, and beta -arrestin-1 in extracts from human aortic endothelial cells (HAEC) compared with extracts from rat cardiac myocytes. In these experiments, we found prevailing expression of GRK2 and beta -arrestin-1 in endothelial cells (data not shown). In addition, we found that GRK3 was present in cardiac myocytes. However, no detectable anti-GRK3-IR could be discerned in HAEC. GRK5, on the other hand, could readily be detected in both cardiac myocytes and HAEC (data not shown).


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Fig. 6.   Extracts from COS-7 cells (10 µg protein) transfected with a plasmid encoding GRK2 (A) or GRK3 (B) immunoprecipitated (IP) with a polyclonal anti-GRK2 antibody or a polyclonal anti-GRK3 antibody. C: extracts (150 µg protein) from rat microvascular endothelial cells, rat cardiac myocytes, and rat cardiac fibroblasts were immunoprecipitated with a polyclonal antibody against GRK2. The immunoprecipitated proteins were detected by immunoblotting using an anti-GRK2/3 monoclonal antibody. For Western blot analysis of beta -arrestin-1, 50 µg of protein extract from rat microvascular endothelial cells, rat cardiac myocytes, and rat cardiac fibroblasts were used.


    DISCUSSION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Although CHF is associated with elevated levels of myocardial GRK2 (1, 19, 22), lack of information on the cellular distribution of GRK2, as well as of the other members of this receptor kinase family, has largely precluded investigators from drawing conclusions regarding their sites of action in myocardial tissue and therefore the role of these kinases in cardiac physiology and pathophysiology. The present report provides novel information on the cellular distribution and sites of action of the different GRK isoforms in myocardial tissue. Furthermore, the temporal profile of GRK regulation during the time span of infarct healing and development of myocardial dysfunction was investigated. As shown in the present study, induction of myocardial GRK2 and GRK5 mRNA after MI displayed different temporal patterns. Myocardial GRK2 mRNA levels increased early after induction of MI coincidentally with the development of cardiac dysfunction and myocardial hypertrophy. Consistent with this finding, a report (2) on regulation of myocardial GRK2 levels in spontaneously hypertensive rats demonstrated that elevation of GRK2 preceded the development of heart failure, suggesting that GRK2 may be a precipitating factor in the transition from hypertension-induced cardiac hypertrophy to heart failure. On the other hand, as shown in the present study, myocardial GRK5 mRNA levels are induced at a later stage subsequent to development of LV dysfunction and dilatation of the LV cavity. Thus myocardial GRK2 and GRK5 may be involved at different steps of the pathophysiological mechanisms of CHF and myocardial remodeling. Although induction of GRK2 expression appears to be a consistent finding in different experimental models of CHF, species-related differences in regulation of myocardial GRK5 expression in CHF appear to exist (17). Such species-related differences may limit our conclusions as to the involvement of GRK5 in the pathophysiology of CHF.

The specificities of the GRK isoforms towards different GPCRs are still not well characterized. The most extensively studied isoform is GRK2, or beta -adrenergic receptor kinase 1 (beta ARK1). Although this kinase was originally termed according to its first known substrate, the beta 2-adrenergic receptor, it was later shown to catalyze phosphorylation of several GPCRs in vitro (7, 8, 15). Even though the specific cellular localization of the different GRK isoforms in myocardial tissue strongly indicates that the various isoforms participate in regulation of different receptor systems, such confined cellular distribution per se does not provide cues as to which receptor systems are subject to regulation. However, specificity in cellular distribution suggests that the different isoforms participate in regulation of different cellular functions. The predominant localization of GRK2 in rat endothelial cells indicates that this isoform participates in regulation of vascular endothelial function. This conclusion is corroborated by several additional findings in this study. First, similar cellular distribution with predominant anti-GRK2 immunostaining of endothelial cells was found in sections of human and porcine myocardial tissue samples. Second, Western blot analysis of extracts from the isolated myocardial cells and cell lines demonstrated highest expression levels of GRK2 in the endothelial cells. Third, transient induction of GRK2 mRNA in the ischemic area with peak levels of expression coinciding with neovascularization in the granulation tissue was found. However, we also demonstrated anti-GRK2-IR in extracts from isolated rat cardiac myocytes, albeit at a much lower expression level. Therefore, our data do not contradict the findings by other authors but rather indicate a hitherto unknown role for the GRK2 isoform in regulation of endothelial function. On the other hand, GRK3 was predominantly expressed in cardiac myocytes, indicating that this isoform may be a putative regulator of cardiac myocyte function. However, the GRK3 content in myocardial tissue appeared to be minute, because only a weak band representing anti-GRK3-IR could be detected in cardiac myocytes after immunoprecipitation and immunoblot analysis. It should be emphasized that GRK3-IR could not be detected in HAEC, an observation strongly supported by a recent report (21) in which expression of the GRK3 isoform could not be detected by immunoblotting or by RT-PCR in several different endothelial cell lines. On the other hand, as shown in the present study, GRK5 was fairly abundant in cardiac myocytes, implicating GRK5 as another putative regulator of cardiac myocyte function. However, GRK5-IR was more homogeneously distributed in myocardial tissue, suggesting this isoform to be involved in regulation of diverse cell types in myocardial tissue. In this respect, GRK5-IR could also be demonstrated in smooth muscle cells. This finding is also consistent with previous studies demonstrating that GRK5 participates in the desensitization of angiotensin II type 1 receptors (10, 15) on smooth muscle cells. Data from cardiac-specific overexpression of GRK2 and GRK5 using the alpha -myosin heavy chain promoter indicate that both receptor kinases may participate in the regulation of myocardial contractility in vivo (11, 20). Myocardial overexpression of GRK3, on the other hand, did not alter signaling through beta -adrenergic receptors, nor did it affect hemodynamic function in response to beta -adrenergic agonists (9). As shown in the present study, induction of myocardial GRK5 in CHF indicates that this isoform may mediate the attenuation of myocardial contractility in response to beta -adrenergic receptor agonists generally observed in CHF. Indeed, GRK5 has been shown to be a potent regulator of myocardial beta -adrenergic receptor signaling (20). Previous reports of cardiac myocyte-specific overexpression of beta ARK1-CT, i.e., the COOH-terminal region of GRK2 conferring competitive inhibition of GRK2, have indicated that endogenous GRK2 activities in cardiac myocytes may be involved in the diminished sensitivity to beta -adrenergic agonists associated with CHF (19). However, beta ARK1-CT may also interfere with signaling through GPCR by tying up Gbeta gamma subunits in the cardiac myocytes. Thus the beneficial effects of cardiac myocyte-specific overexpression of beta ARK1-CT in experimental models of CHF, attenuating the progression of dilated cardiomyopathy, may also be due to altered signaling through other GPCR systems not yet defined.

Little is known about the regulation of myocardial arrestin isoforms in CHF. However, GRK and arrestin are considered to be coactors in a system aimed at modifying signaling through GPCRs. Thus concerted regulation of both GRK and arrestin isoforms would conceivably enhance the effect on the targeted receptor. In the present study, we provide novel data demonstrating that myocardial beta -arrestin-1 is also substantially induced both at the mRNA and protein levels after induction of CHF. A recent report (5) of gene targeting of beta -arrestin-1 in mice provided evidence of enhanced sensitivity to beta -adrenergic agonist-stimulated increases in ejection fraction, indicating that beta -arrestin-1 participates in the regulation of beta -adrenergic receptor-mediated cardiac responses. The present study demonstrates that beta -arrestin-1 is predominantly localized to vascular endothelial cells. However, beta -arrestin-1-IR could also be detected in other cellular constituents of myocardial tissue, including cardiac myocytes. The increased sensitivity to beta -adrenergic agonist-stimulated enhancements in the LV ejection fraction observed in the beta -arrestin-1 knockout mice could conceivably be due to impaired desensitization of beta -adrenergic receptors in either the vasculature or in cardiac myocytes.

The concerted induction of myocardial GRK and arrestin isoforms during CHF indicates that these receptor activity-modifying systems operate in the pathophysiology of CHF. However, the precise role of beta -arrestin in the pathophysiology of CHF is not known because the consequences of transgenic modulation of myocardial beta -arrestin levels in CHF have not been investigated. On the other hand, evidence from visual signaling experiments in Drosophila indicates that arrestin may be a rate-limiting factor in adaptation or desensitization of rhodopsin signaling (18). Thus modulation of nonvisual arrestin isoforms may be a crucial point of regulation of several GPCRs.

In conclusion, the present study demonstrates that the different GRK and beta -arrestin isoforms expressed in myocardial tissue display different cellular localization. Whereas GRK2 was predominantly confined to vascular endothelial cells, GRK3 was primarily localized to cardiac myocytes. Fairly strong GRK5 immunostaining could be identified both in cardiac myocytes and in endothelial cells. Myocardial GRK2, GRK5, and beta -arrestin-1 mRNA levels, as well as protein levels, were induced in heart failure in rats. The concerted induction of both GRK and beta -arrestin-1 in the nonischemic LV indicates that this receptor activity-modifying system is activated and may be involved in the pathophysiology of CHF. Furthermore, the distinct distribution of the different GRK isoforms in myocardial tissue calls for diverse roles of the GRK isoforms in cardiac cellular biology and pathophysiology.


    ACKNOWLEDGEMENTS

We thank Dr. Dag Sørensen, Chief Veterinarian, Rikshospitalet University Hospital, for expert assistance with the animal experiments.


    FOOTNOTES

This study was supported by grants from the National Research Council, the Norwegian Council on Cardiovascular Diseases, the Medinnova Research Fund, and the Dr. Alexander Malthes Foundation.

Address for reprint requests and other correspondence: H. Attramadal, Institute for Surgical Research, Rm. A3.1013, Rikshospitalet, N-0027 Oslo, Norway (E-mail: havard.attramadal{at}klinmed.uio.no).

The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

Received 11 August 2000; accepted in final form 22 August 2001.


    REFERENCES
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
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Am J Physiol Heart Circ Physiol 281(6):H2490-H2499
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