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-agonists in SERCA1a-expressing
hearts ex vivo and in vivo
1 Department of Physiology and Cell Biology, Ohio State University College of Medicine and Public Health, Columbus 43210; and Departments of 2 Molecular and Cellular Physiology and 3 Pharmacology and Cell Biophysics, University of Cincinnati College of Medicine, Cincinnati, Ohio 45267
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ABSTRACT |
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H965, 2002; 10.1152/ajpheart.00078.2002.
In this study we
evaluated the contractile characteristics of sarco(endo)plasmic reticulum Ca2+-ATPase (SERCA)1a-expressing hearts ex vivo
and in vivo and in particular their response to
-adrenergic
stimulation. Analysis of isolated, work-performing hearts revealed that
transgenic (TG) hearts develop much higher maximal rates of contraction
and relaxation than wild-type (WT) hearts. Addition of isoproterenol
only moderately increased the maximal rate of relaxation (+20%) but
did not increase contractility or decrease relaxation time in TG
hearts. Perfusion with varied buffer Ca2+ concentrations
indicated an altered dose response to Ca2+. In vivo TG
hearts displayed fairly higher maximal rates of contraction (+ 25%)
but unchanged relaxation parameters and a blunted but significant
response to dobutamine. Our study also shows that the phospholamban
(PLB) level was decreased (
40%) and its phosphorylation status
modified in TG hearts. This study clearly demonstrates that increases
in SERCA protein level alter the
-adrenergic response and affect the
phosphorylation of PLB. Interestingly, the overall cardiac function in
the live animal is only slightly enhanced, suggesting that
(neuro)hormonal regulations may play an important role in controlling
in vivo heart function.
transgenic mice; contractility; sarco(endo)plasmic reticulum calcium adenosinetriphosphatase; phospholamban
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INTRODUCTION |
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SEVERAL STUDIES HAVE SHOWN that sarco(endo)plasmic reticulum Ca2+-ATPase (SERCA) activity is decreased in animal models of cardiac hypertrophy and failure as well as in human heart failure (11). This decrease in sarcoplasmic reticulum (SR) Ca2+ transport function was thought to contribute to abnormalities in Ca2+ handling and contractile dysfunction in failing hearts (14). Adenoviral gene transfer of SERCA is currently being explored as a new therapeutic approach for the treatment of heart failure (7, 26-29).
Recent studies have shown that the fast-twitch skeletal muscle isoform SERCA1 has a higher Ca2+ uptake activity than the cardiac isoform SERCA2a because of a higher Ca2+ turnover rate when expressed in cardiac myocytes (34). To test whether SERCA1a can functionally substitute for SERCA2a and increase cardiac contractility, we have developed a transgenic (TG) mouse model expressing SERCA1a in the heart (16, 19, 23). In this model, SERCA1a expression resulted in a 2.5-fold increase in total SERCA pump protein level, but the expression of the endogenous SERCA2a isoform was reduced to ~50% in TG hearts. As a consequence 20% of the total number of SERCA pumps in TG hearts were type 2a whereas the majority of 80% were type 1a pumps. The contractility of isolated TG hearts was clearly increased despite the reduced expression of SERCA2a (23). SERCA1a pump expression was well tolerated without any signs of hypertrophy or other pathophysiological changes in the heart (19). Together these data demonstrate that SERCA1a can functionally substitute for SERCA2a in the heart.
However, not much is known about how SERCA1a expression affects
the cardiac response to neurohormonal stimulation (
-agonists) and
the phosphorylation status of phospholamban (PLB). The phosphorylation of PLB and subsequent activation of SERCA pump activity are considered to be key events in the signal transduction of
-agonists, leading to
increased contractility and faster relaxation of the heart (4,
20, 32). Therefore, the major goal of this study was to
understand how SERCA1a expression modifies the ability of the heart to
respond to
-adrenergic stimulation ex vivo and in vivo. In
particular, we wanted to clarify three important issues: 1) How do isolated, perfused SERCA1a (TG) hearts respond to
-adrenergic stimulation? 2) How does cardiac function in the isolated
heart differ from function in vivo? 3) What is the role of
PLB in this model?
This study reports a number of important observations on SERCA1a TG
hearts. 1) In isolated heart preparations SERCA1a hearts showed a drastic increase in cardiac contractility. 2)
Importantly, the
-adrenergic response is minimal in TG hearts,
whereas contractility remains at a high level. 3) Functional
analysis in vivo shows that TG hearts exhibit a modest increase in the
maximal rates of contraction (+dP/dt), with no significant
change in the maximal rates of relaxation (
dP/dt).
4) The
-adrenergic response is blunted in TG hearts in
vivo. 5) Our studies additionally reveal decreased
expression and phosphorylation of PLB. Together these studies suggest
that cardiac function in vivo may be subjected to modulation by
additional parameters including the (neuro)hormonal system and have
the ability to partially mask the effects of TG perturbations.
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METHODS |
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TG mice. The generation of SERCA1a TG mice was described previously (23). All experiments were performed with line no. 38. Eleven- to fifteen-week-old mice of either sex were used for all experiments. High expression of SERCA1a in the heart of TG mice was confirmed with SERCA1a-specific antibodies (data not shown). All animal procedures followed were in accordance with institutional guidelines.
Isolated heart perfusions ("work-performing hearts").
The experimental conditions for the work-performing mouse heart
preparations were described previously (36). Briefly, the hearts were attached by the aorta to a 20-gauge cannula and temporarily retrogradely perfused with oxygenized modified Krebs-Henseleit solution
(KHS). For the measurement of intraventricular pressure a polyethylene
(PE)-50 catheter was inserted into the apex of the left ventricle. The
pulmonary vein was connected to a second cannula, and antegrade
perfusion was initiated with a basal workload of 250 mmHg · ml · min
1 (5 ml/min venous return
and 50 mmHg mean aortic pressure). Hearts were allowed to equilibrate
for 30 min before isoproterenol (Iso) was infused or extracellular
calcium concentration ([Ca2+]o) was changed.
Myocardial oxygen consumption was calculated by the formula
M
O2 = [PO2 (arterial perfusate)
PO2 (coronary sinus effluent)] × [coronary
flow (ml/min) × (0.0239/760) × 1,000]/heart wet weight (g).
In vivo catheterization.
The experiments were done as described previously (22).
Mice were anesthetized (ketamine-thiobutabarbital) and placed on a
thermally controlled surgical table. A tracheotomy (PE-90) was performed to protect the airway. The right femoral artery was cannulated with custom-fashioned PE tubing and connected to a pressure
transducer to measure blood pressure. The right femoral vein was
cannulated and connected to a microinjection pump for the infusion of
the
-agonist dobutamine (Dob). To assess myocardial performance, a
1.4-Fr Millar Mikro-Tip transducer was carefully introduced into the
left ventricle via the right carotid artery. After the animals were
allowed to stabilize for 20-30 min, increasing doses of Dob were
administered as a constant infusion over a range of 1-32
ng · min
1 · g body wt
1.
Each dose was administered for 3 min, and the animals were allowed to
recover between doses. After completion of the dose-response protocol
and restabilization of heart function, a bolus dose of propranolol
(Prop; 100 ng/g body wt) was administered to evaluate baseline cardiac
function in the absence of endogenous
-adrenergic activity.
Quantitation of
-receptors.
The total receptor density was determined essentially as previously
described (8). Briefly, an enriched membrane fraction derived from whole heart homogenates via two centrifugation steps was
used for radioligand binding with 125I-labeled
cyanopindolol. Membranes were incubated with a saturating concentration
of this ligand in the absence (total binding) or presence (nonspecific
binding) of 1 µM alprenolol. Binding reactions were terminated by
dilution and rapid filtration.
Quantitative immunoblotting analysis. To study PLB phosphorylation, wild-type (WT; n = 8) and TG (n = 8) hearts were perfused with the isolated, work-performing heart setup. One set of hearts (4 WT and 4 TG) was freeze-clamped after 30 min without Iso, and the other set was treated with Iso (40 nmol/l) for 5 min after 25 min.
Hearts were homogenized in buffer containing (in mmol/l) 10 Tris, 1 dithiothreitol, and 50 NaF with 0.25% NP-40 and protease inhibitors. Proteins were separated by SDS polyacrylamide gel electrophoresis, transferred to a nitrocellulose membrane, and probed with a monoclonal anti-PLB antibody (Affinity Bioreagents, Golden, CO) or polyclonal anti-phosphorylated PLB-Ser16 or Thr17 antibody (Cyclacel, Dundee, UK). Binding of the primary antibody was detected by peroxidase-conjugated secondary antibodies (Kirkegaard & Perry Laboratories, Gaithersburg, MD) and visualized with the SuperSignal substrate kit (Pierce, Rockford, IL).Statistical analysis.
Results are expressed as means ± SE. Significance was estimated
by Student's t-test for paired and unpaired observations
and one-way repeated-measures ANOVA followed by a Bonferroni
t-test for comparison of a pair of points as appropriate
(SPSS for Windows 11.0). P
0.05 was considered significant.
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RESULTS |
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Loss of response to Iso in isolated SERCA1a TG hearts.
-Adrenergic regulation is a major signaling mechanism in the control
of cardiac function.
-Adrenergic stimulation is associated with an
increase in contractility and a decrease in relaxation time. An
important step in the signal transduction is the activation of the
SR-Ca2+ uptake function because of PLB phosphorylation and
consequent activation of SERCA pump activity. Therefore, changes in
SERCA protein expression level and PLB-to-SERCA ratio could modify the
-adrenergic response.
-agonist Iso (0.08-40 nmol/l in the presence of 2 mmol/l [Ca2+]o). Stimulation with Iso
increased the heart rate similarly in both groups (Fig.
1). In WT hearts (n = 5)
the maximal rates of contraction (+dP/dt; 4,305 ± 111 to 6,702 ± 220 mmHg/s) and relaxation (
dP/dt;
3,695 ± 119 to 6,491 ± 247 mmHg/s) increased and the time
to peak pressure (TPP; 37.1 ± 0.9 to 28.8 ± 0.8 ms) and the time to 50% relaxation (RT1/2; 28.0 ± 0.4 to 18.8 ± 0.2 ms) decreased in response to Iso, as expected, whereas in
isolated TG hearts (n = 5) Iso did not increase
+dP/dt (7,083 ± 205 to 6,538 ± 172 mmHg/s) or
decrease TPP (30.3 ± 0.5 to 29.7 ± 0.8 ms) or
RT1/2 (20.6 ± 1.0 to 18.1 ± 0.8 ms). Only a
moderate increase in
dP/dt (+20%;
5,584 ± 273 to
6,705 ± 99) and a decrease in the diastolic pressure
(
11.2 ± 1.0 to
22.3 ± 0.7) were observed. Remarkably,
the baseline unstimulated contractile parameters of isolated TG hearts
were comparable to those of WT hearts that were maximally stimulated
with Iso. The high baseline contractility of TG hearts was reflected in
M
O2 under baseline conditions. WT
hearts extracted 145 ± 10 µl
O2 · min
1 · g
1
(n = 10), whereas TG hearts used 205 ± 11 µl
O2 · min
1 · g
1
(n = 10).
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Altered dose response to
[Ca2+]o in isolated SERCA1a
TG hearts.
To determine how SERCA1a TG hearts respond to changes in
[Ca2+]o, [Ca2+]o
was increased from 2 to 2.5 mmol/l (Table
1). The contractile parameters of TG
hearts remained unchanged (+dP/dt, P = 0.098; RT1/2, P = 0.809), whereas WT hearts
showed an increase in contractility (+dP/dt;
0.001) and a
decrease in relaxation time (RT1/2; P
0.001).
To gain a more complete picture of the dose response to
[Ca2+]o, cardiac function was also analyzed
at 1.5 and 0.8 mmol/l [Ca2+]o. At 0.8 mmol/l
[Ca2+]o, only the TG hearts were able to
function, whereas the WT hearts failed to perform the basal workload.
+dP/dt and
dP/dt were clearly increased in TG
hearts at all [Ca2+]o tested (0.8, 1.5, 2.0, 2.5 mmol/l; see also Fig. 2). Together these data strongly suggest that in TG hearts the dose response to
[Ca2+]o is shifted leftward with a maximum at
2 mmol/l [Ca2+]o at physiological heart
rates.
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Changes in heart function in SERCA1a TG mice in vivo.
To determine how contractile function in isolated, work-performing
hearts compares with that in in vivo hearts, we assessed the
-adrenergic response additionally in the living animal with Dob
(Fig. 3). Basally, TG hearts showed
higher maximal +dP/dt [7,960 ± 557 in WT
(n = 7) vs. 10,503 ± 587 mmHg/s in TG
(n = 8)] but unchanged
dP/dt (8,127 ± 475 in WT vs. 8,624 ± 422 mmHg/s in TG) compared with WT
hearts. Heart rate (397 ± 20 beats/min in WT vs. 335 ± 31 beats/min in TG) and mean arterial pressure under control conditions
(73.3 ± 2.9 mmHg in WT vs. 70.5 ± 5.2 mmHg in TG) were
unaltered between groups. In the living animals both WT and TG hearts
responded significantly to Dob infusion with increases in
+dP/dt (at 32 ng · min
1 · g
body wt
1 to 19,481 ± 1,356 mmHg/s in WT and
17,805 ± 1,253 mmHg/s in TG) and
dP/dt (maximal
effect at 8 ng · min
1 · g body
wt
1 to 12,576 ± 670 mmHg/s in WT and 10,667 ± 527 mmHg/s in TG). The highest maximal +dP/dt values reached
during stimulation with Dob were similar in WT and TG hearts, but the
WT hearts developed higher maximal
dP/dt than the TG
hearts. The highest maximal +dP/dt and
dP/dt in
response to Dob, when expressed as a percentage of basal values, were
reduced in TG hearts (maximal effect: +dP/dt, +144% in WT
and +70% in TG;
dP/dt, +55% in WT and +24% in TG).
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-adrenergic
activity, the
-blocker Prop was given as a bolus dose after
completion of the Dob dose-response protocol. Prop did not affect
+dP/dt or
dP/dt in either WT or TG
[+dP/dt: (recontrol) 8,080 ± 572 mmHg/s vs. (+Prop)
8,124 ± 540 mmHg/s in WT and 10,955 ± 1,075 mmHg/s vs.
10,733 ± 832 mmHg/s in TG;
dP/dt: 8,978 ± 522 mmHg/s vs. 8,769 ± 429 mmHg/s in WT and 9,110 ± 478 mmHg/s vs. 9,182 ± 548 mmHg/s in TG], demonstrating the absence of a tonic sympathetic drive in these mice. The effectiveness of the
-blockade was verified by a second perfusion with Dob (32 ng · min
1 · g body wt
1).
During this subsequent perfusion Dob did not increase +dP/dt or
dP/dt above recontrol values in WT and TG.
Moreover, dP/dt40 (rate of contraction at
intraventricular pressure of 40 mmHg), an index that attempts to
correct for the preload dependence of +dP/dt
(31), and the relaxation time constant
, unlike
dP/dt not dependent on afterload, were calculated (Fig. 4). In comparison, the results with
loading-dependent parameters (Fig. 3) versus loading-independent
parameters (Fig. 4) are very similar.
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No change in
-receptor density.
To determine whether the blunted response to
-adrenergic stimulation
is, at least in part, due to a decrease in
-receptor expression we
performed 125I-cyanopindolol binding studies with
membrane-enriched fractions. There was no change in
-receptor
expression in TG compared with WT mice [27.6 ± 2.6 fmol/mg
protein in WT vs. 29.2 ± 4.3 fmol/mg protein in TG (both
n = 4)].
SERCA1a hearts show a decrease in PLB protein and lower PLB phosphorylation at Thr17. SERCA1a is not a natural partner of PLB. However, it was shown that SERCA1a interacts with PLB in vitro (35) and in vivo when PLB is ectopically expressed in fast-twitch skeletal muscle, where SERCA1a is naturally found (33).
PLB exists as a monomer and a pentamer with the pentameric state as the predominant state in cardiac tissue (10, 18). The pentamer can be converted into monomer when protein samples are boiled. Total PLB expression level was analyzed with boiled (data not shown) and nonboiled samples from perfused hearts. Our studies revealed a decrease of ~40% in TG hearts (Fig. 5, A and D). In nonboiled samples the amount of monomer was below our detection limit in both groups.
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14%; Fig.
5E). Stimulation with Iso (40 nM, 5 min) did not increase PLB Thr17 phosphorylation in TG hearts, whereas it
increased Thr17 phosphorylation in WT hearts by more than
fivefold. PLB Thr17 phosphorylation in TG hearts was lower
than in WT hearts basally (by ~56%) and after stimulation with Iso
(by >90%) (Fig. 5, C and F). These data
indicate that cardiac SERCA1a expression results, in addition to the
decrease in expression of the endogenous SERCA2a, in decreased PLB
expression and reduced phosphorylation at the Thr17 site.
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DISCUSSION |
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SERCA1a TG hearts show blunted response to
-adrenergic
stimulation.
An important finding of this study is that the
-adrenergic response
is drastically reduced in isolated TG hearts. As expected,
-agonists
had positive chronotropic, inotropic, and lusitropic effects in WT
hearts whereas in TG hearts the chronotropic effect was fully
maintained but most other contractile parameters remained unchanged.
The only exception was that Iso moderately increased maximal
dP/dt (+20%).
-agonists in isolated hearts could be due to
a change in the PLB-to-SERCA ratio (
40% PLB/+150% SERCA), i.e.,
most of the SERCA pumps are not regulated by PLB and further deinhibition of the PLB-regulated SERCA pumps has no more impact on
cardiac function. On the other hand, the TG hearts may already have
reached maximum contractility under baseline conditions, which cannot
be further increased by the effects of Iso stimulation on SR
Ca2+ uptake and release. The second idea is supported by
two observations. First, the contractility of WT hearts never surpassed
the contractility of TG hearts even when stimulated with high doses of
Iso. Second, stimulation with >2 mmol/l
[Ca2+]o ([Ca2+]o at
which the Iso response was performed) fails to increase cardiac
contractility in TG hearts. A third possibility is that the
-adrenoceptor expression is decreased in TG mice and accounts for
the lack of response, but 125I-cyanopindolol binding
studies revealed an unchanged level of receptors. A loss of
-adrenergic response was also seen in PLB-null mice
(25), in which the response of
-agonists was partly
restored when the hearts were unloaded from Ca2+ at very
low [Ca2+]o (30).
Response to [Ca2+]o is altered at physiological heart rates. The data derived from the perfusion of the isolated hearts with varied [Ca2+]o suggest that the dose response to [Ca2+]o is shifted leftward in TG hearts, which in turn means a lower EC50 of [Ca2+]o at physiological heart rates (~5 Hz). Studies in isolated trabeculae from SERCA2a TG mice (1.5-fold SERCA expression) found no difference in the dose response to [Ca2+]o when stimulated at 0.5 Hz (12). Ca2+ transients and twitch force increased almost simultaneously as [Ca2+]o increased. Thus the functional effects of increased SERCA expression appear to manifest at higher stimulation rates.
Our studies revealed that when [Ca2+]o was decreased to 0.8 mmol/l, only the TG hearts were able to function and perform the basal workload whereas the WT hearts failed. Interestingly, TG hearts at 0.8 mmol/l [Ca2+]o develop maximal +dP/dt and
dP/dt comparable to those of
WT hearts at 2 mmol/l [Ca2+]o. This concurs
with our earlier finding (19) that the L-type Ca2+ channel current is decreased in TG hearts by ~50%.
On the basis of this reduction it can be interpreted that considerably
less amount of "trigger" Ca2+ is needed in TG hearts to
develop the same contractility as in WT hearts. This could be a direct
consequence of the increased SR Ca2+ load. It has been
shown that intraluminal Ca2+ regulatory mechanisms cause a
potentiation of SR Ca2+ release in cardiac cells in
response to increases in SR Ca2+ load (1, 5,
24). It was reported that this relation is very steep at high SR
Ca2+ loads (31). The increased SR
Ca2+ load in TG hearts might enable them to maintain
sufficient function at low [Ca2+]o, whereas
the WT hearts cannot. Moreover, our data show that TG hearts tolerate
higher than physiological [Ca2+]o (2.5 mmol/l) without any signs of Ca2+ overload and failure.
SERCA1a hearts in vivo show moderately increased cardiac
contractility and blunted response to Dob.
In vivo baseline contractility in TG hearts was moderately
increased, whereas relaxation parameters, in contrast to the
observations in the isolated hearts, were unchanged. Overall, the
contractile parameters were enhanced to a lesser degree than in the ex
vivo experiments. This indicates the presence of in vivo compensatory mechanisms that "normalize" cardiac function in TG mice. The data obtained from isolated hearts show that the contractile parameters of
WT and TG converge in the presence of
-adrenergic stimulation. Thus
a tonic sympathetic drive could partly account for smaller differences
between the groups. Because
-blockade does not affect the basal
contractile parameters in both groups, this possibility can be excluded.
dP/dt, similar to what was observed in isolated myocytes and isolated papillary muscles (13). Similarly, PLB-null hearts were
hypercontractile and had a severely blunted response to stimulation
with
-agonists ex vivo as well as in vivo (21, 25).
Role of PLB in SERCA1a TG mice.
Our current studies with quantitative immunoblotting revealed that the
PLB expression level was actually decreased in TG hearts by ~40%.
Interestingly, this decrease is comparable to the decrease in SERCA2a
expression in this model, the natural in vivo partner of PLB
(23). Thus we could argue that the SERCA2a pump level can
affect the expression level of PLB to maintain a constant PLB-to-SERCA2a ratio. This idea is supported by our recent findings (15) in the SERCA2 (+/
) ablated mice, in which the
SERCA2a protein level is decreased by ~35%. As a secondary effect,
the PLB protein level in this model is reduced by about the same
amount. Thus the PLB-to-SERCA ratio remains unchanged
(15). Although this idea is not supported by findings in
failing hearts (3, 11), this mechanism might be functional
solely in nonfailing hearts.
) mice we found an increase in the phosphorylation
status of PLB. The phosphorylation at PLB Thr17 was
enhanced, and in accordance with this finding the activity of SR
associated CaM kinase was increased (15, 17). The opposite changes in PLB Thr17 phosphorylation in genetically
manipulated mice with increased SERCA expression (phosphorylation
decrease) and mice with decreased SERCA expression (phosphorylation
increase) allow us to speculate that changes in SR Ca2+
transport and SR Ca2+ load affect the activity or
translocation of SR-associated CaM kinase. This could be a general
mechanism regulating SR Ca2+ uptake independent of
-adrenergic stimulation. These data indicate a specific role for the
phosphorylation at PLB Thr17 that is not yet understood and
requires additional studies.
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ACKNOWLEDGEMENTS |
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The authors thank Gilbert Newman and Kari M. Brown for expert
technical assistance. We are grateful to Dr. Stephen B. Liggett for
allowing us to perform the
-adrenoceptor expression studies in his laboratory.
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FOOTNOTES |
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This work was supported by National Heart, Lung, and Blood Institute Grant HL-64140-02 and American Heart Association (AHA) Grant 9950570N. S. Huke was supported by postdoctoral fellowships from the Deutsche Forschungsgemeinschaft (HU 898/1-1) and the AHA (0120149B).
Address for reprint requests and other correspondence: M. Periasamy, Dept. of Physiology and Cell Biology, Ohio State Univ. College of Medicine and Public Health, 302 Hamilton Hall, 1645 Neil Ave, Columbus, OH 43210 (E-mail: periasamy.1{at}osu.edu).
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.
10.1152/ajpheart.00078.2002
Received 30 January 2002; accepted in final form 6 May 2002.
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