(Circulation. 2001;103:140.)
© 2001 American Heart Association, Inc.
Basic Science Reports |
From the Institute of Molecular Pharmacology and Biophysics (J.N.M., I.B., G.V., A.S.) and the Department of Cell Biology, Neurobiology, and Anatomy (J.N.M., G.V.), University of Cincinnati Medical Center, Cincinnati, Ohio; and the Department of Pathology (W.L.), Emory University, School of Medicine, Atlanta, Ga.
Correspondence to Arnold Schwartz, Institute of Molecular Pharmacology and Biophysics, University of Cincinnati Medical Center, 231 Bethesda Ave, Mail Location 0828, Cincinnati, OH 45267-0828. E-mail schwara{at}email.uc.edu
BackgroundCalcium imbalances have been implicated as an underlying mechanism of human cardiac dysfunction. The voltage-dependent calcium channel plays a critical role in calcium regulation in the heart. Thus, aberrant calcium signaling arising from this channel could initiate the calcium imbalances observed in heart failure. In the present study, we used a transgenic mouse with an increased number of L-type calcium channels to identify the role of an increased, sustained ingress of calcium as an initiator of hypertrophy.
Methods and
ResultsWhole-heart histology and
electrophysiology in isolated cardiomyocytes identified calcium-channel
overexpression in the hearts of transgenic mice. Calcium-channel
density was increased in 2-, 4-, and 8-month-old transgenic
cardiomyocytes. Ventricular fibrosis, damage, and remodeling became
more pronounced as the transgenic mice aged. Apoptosis was also present
in transgenic hearts at 8 months of age. Increased protein kinase C
activation was elevated before the development of hypertrophy and
failure.
ConclusionsTransgenic
mice developed hypertrophy and severe cardiomyopathy as a function of
age, thus confirming that changes in channel density are sufficient to
induce disease. The small, sustained increase in the ingress of
Ca2+ through the calcium channel elevated
protein kinase C
before the development of hypertrophy, suggesting
that protein kinase C
plays an important role in triggering
hypertrophy.
Key Words: calcium ion channels heart failure
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