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Phosphoinositide 3-kinase γ protects against catecholamine-induced ventricular arrhythmia through protein kinase A-mediated regulation of distinct phosphodiesterases.
Circulation ; 126(17): 2073-83, 2012 Oct 23.
Article en En | MEDLINE | ID: mdl-23008439
BACKGROUND: Phosphoinositide 3-kinase γ (PI3Kγ) signaling engaged by ß-adrenergic receptors is pivotal in the regulation of myocardial contractility and remodeling. However, the role of PI3Kγ in catecholamine-induced arrhythmia is currently unknown. METHODS AND RESULTS: Mice lacking PI3Kγ (PI3Kγ(-/-)) showed runs of premature ventricular contractions on adrenergic stimulation that could be rescued by a selective ß(2)-adrenergic receptor blocker and developed sustained ventricular tachycardia after transverse aortic constriction. Consistently, fluorescence resonance energy transfer probes revealed abnormal cAMP accumulation after ß(2)-adrenergic receptor activation in PI3Kγ(-/-) cardiomyocytes that depended on the loss of the scaffold but not of the catalytic activity of PI3Kγ. Downstream from ß-adrenergic receptors, PI3Kγ was found to participate in multiprotein complexes linking protein kinase A to the activation of phosphodiesterase (PDE) 3A, PDE4A, and PDE4B but not of PDE4D. These PI3Kγ-regulated PDEs lowered cAMP and limited protein kinase A-mediated phosphorylation of L-type calcium channel (Ca(v)1.2) and phospholamban. In PI3Kγ(-/-) cardiomyocytes, Ca(v)1.2 and phospholamban were hyperphosphorylated, leading to increased Ca(2+) spark occurrence and amplitude on adrenergic stimulation. Furthermore, PI3Kγ(-/-) cardiomyocytes showed spontaneous Ca(2+) release events and developed arrhythmic calcium transients. CONCLUSIONS: PI3Kγ coordinates the coincident signaling of the major cardiac PDE3 and PDE4 isoforms, thus orchestrating a feedback loop that prevents calcium-dependent ventricular arrhythmia.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Catecolaminas / Taquicardia Ventricular / Proteínas Quinasas Dependientes de AMP Cíclico / Fosfodiesterasas de Nucleótidos Cíclicos Tipo 3 / Fosfodiesterasas de Nucleótidos Cíclicos Tipo 4 / Fosfatidilinositol 3-Quinasa Clase Ib Límite: Animals Idioma: En Revista: Circulation Año: 2012 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Catecolaminas / Taquicardia Ventricular / Proteínas Quinasas Dependientes de AMP Cíclico / Fosfodiesterasas de Nucleótidos Cíclicos Tipo 3 / Fosfodiesterasas de Nucleótidos Cíclicos Tipo 4 / Fosfatidilinositol 3-Quinasa Clase Ib Límite: Animals Idioma: En Revista: Circulation Año: 2012 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Estados Unidos