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1 Division of Cardiovascular Medicine, University of Virginia Health Center, Charlottesville, Virginia, USA; Division of Cardiovascular Research Center, University of Virginia Health Center, Charlottesville, Virginia, USA
2 Massachusetts General Hospital, Boston, Massachusetts, USA
3 Division of Cardiovascular Medicine, University of Virginia Health Center, Charlottesville, Virginia, USA
4 Transgenic Biology, Penn State University, University Park, Pennsylvania, USA
5 Division of Cardiovascular Research Center, University of Virginia Health Center, Charlottesville, Virginia, USA; Department of Molecular Physiology and Biological Physics, University of Virginia, Charlottesville, Virginia, USA
6 Division of Cardiovascular Research Center, University of Virginia Health Center, Charlottesville, Virginia, USA; Department of Radiology, University of Virginia, Charlottesville, Virginia, USA; Department of Biomedical Engineering, University of Virginia, Charlottesville, Virginia, USA
7 Krannert Institute of Cardiology, Indiana University School of Medicine, Indianapolis, Indiana, USA
8 Division of Cardiovascular Medicine, University of Virginia Health Center, Charlottesville, Virginia, USA; Division of Cardiovascular Research Center, University of Virginia Health Center, Charlottesville, Virginia, USA; Department of Molecular Physiology and Biological Physics, University of Virginia, Charlottesville, Virginia, USA
* To whom correspondence should be addressed. E-mail: alt8t{at}virginia.edu.
Phospholemman (FXYD1), a 72 amino acid transmembrane protein abundantly expressed in heart and skeletal muscle, is a major substrate for phosphorylation in the
cardiomyocyte sarcolemma. Biochemical, cellular, and electrophysiological studies have suggested a number of possible roles for this protein, including ion channel modulator, taurinerelease channel, Na+:Ca2+ exchanger modulator, and Na,K-ATPase-associated subunit. We have
generated a phospholemman-deficient mouse. The adult null mice exhibited increased cardiac mass, larger cardiomyocytes, and ejection fractions that were 9% higher by magnetic resonance imaging, compared to wild type animals. Notably, this occurred in the absence of hypertension. Total Na,K-ATPase activity was 50% lower in the phospholemman-deficient hearts. Expression
(per unit of membrane protein) of total Na,K-ATPase was only slightly diminished, but expression of the minor
2 isoform, which has been specifically implicated in the control of contractility, was reduced by 60%. The absence of phospholemman thus results in a complex
response including a surprisingly large reduction in intrinsic Na,K-ATPase activity, changes in
Na, K-ATPase isoform expression, increase in ejection fraction, and increase in cardiac mass. We hypothesize that a primary effect of phospholemman is to modulate the Na,K-ATPase, and that its reduced activity initiates compensatory responses.
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