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Circulation. 1999;99:384-391

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(Circulation. 1999;99:384-391.)
© 1999 American Heart Association, Inc.


Clinical Investigation and Reports

Increased Protein Kinase C Activity and Expression of Ca2+-Sensitive Isoforms in the Failing Human Heart

Nancy Bowling, BA; Richard A. Walsh, MD; Guojie Song, MD, PhD; Thomas Estridge, MS; George E. Sandusky, PhD, DVM; Rebecca L. Fouts, BA; Karen Mintze; Todd Pickard, BS; Robert Roden, MS; Michael R. Bristow, MD, PhD; Hani N. Sabbah, PhD; Jacques L. Mizrahi, PhD; Gianni Gromo, MD; George L. King, MD; Chris J. Vlahos, PhD

From Cardiovascular Research (N.B., T.E., T.P., J.L.M., G.G., C.J.V.) and Research Technologies and Product Development (G.E.S., R.L.F., K.M.), Eli Lilly and Co, Indianapolis, Ind; Division of Cardiology (R.A.W., G.S.), University of Cincinnati College of Medicine, Ohio; Division of Cardiology (R.R., M.R.B.), University of Colorado Health Sciences Center, Denver; Cardiovascular Research (H.N.S.), Henry Ford Hospital, Detroit, Mich; and Joslin Diabetes Center (G.L.K.), Harvard Medical School, Boston, Mass.

Correspondence to Chris J. Vlahos, PhD, Cardiovascular Research, Eli Lilly and Co, Indianapolis, IN 46285-0520. E-mail Vlahos_Chris_J{at}Lilly.Com

Background—Increased expression of Ca2+-sensitive protein kinase C (PKC) isoforms may be important markers of heart failure. Our aim was to determine the relative expression of PKC-ß1, -ß2, and -{alpha} in failed and nonfailed myocardium.

Methods and Results—Explanted hearts of patients in whom dilated cardiomyopathy or ischemic cardiomyopathy was diagnosed were examined for PKC isoform content by Western blot, immunohistochemistry, enzymatic activity, and in situ hybridization and compared with nonfailed left ventricle. Quantitative immunoblotting revealed significant increases of >40% in PKC-ß1 (P<0.05) and -ß2 (P<0.04) membrane expression in failed hearts compared with nonfailed; PKC-{alpha} expression was significantly elevated by 70% in membrane fractions (P<0.03). PKC-{epsilon} expression was not significantly changed. In failed left ventricle, PKC-ß1 and -ß2 immunostaining was intense throughout myocytes, compared with slight, scattered staining in nonfailed myocytes. PKC-{alpha} immunostaining was also more evident in cardiomyocytes from failed hearts with staining primarily localized to intercalated disks. In situ hybridization revealed increased PKC-ß1 and -ß2 mRNA expression in cardiomyocytes of failed heart tissue. PKC activity was significantly increased in membrane fractions from failed hearts compared with nonfailed (1021±189 versus 261±89 pmol · mg-1 · min-1, P<0.01). LY333531, a selective PKC-ß inhibitor, significantly decreased PKC activity in membrane fractions from failed hearts by 209 pmol · min-1 · mg-1 (versus 42.5 pmol · min-1 · mg-1 in nonfailed, P<0.04), indicating a greater contribution of PKC-ß to total PKC activity in failed hearts.

Conclusions—In failed human heart, PKC-ß1 and -ß2 expression and contribution to total PKC activity are significantly increased. This may signal a role for Ca2+-sensitive PKC isoforms in cardiac mechanisms involved in heart failure.


Key Words: cardiomyopathy • heart failure • hypertrophy • myocytes • signal transduction




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Regulation of membrane-associated iPLA2 activity by a novel PKC isoform in ventricular myocytes
Am J Physiol Cell Physiol, December 1, 2002; 283(6): C1621 - C1626.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
J. Melendez, S. Welch, E. Schaefer, C. S. Moravec, S. Avraham, H. Avraham, and M. A. Sussman
Activation of pyk2/Related Focal Adhesion Tyrosine Kinase and Focal Adhesion Kinase in Cardiac Remodeling
J. Biol. Chem., November 15, 2002; 277(47): 45203 - 45210.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
H. S. Hahn, M. G. Yussman, T. Toyokawa, Y. Marreez, T. J. Barrett, K. C. Hilty, H. Osinska, J. Robbins, and G. W. Dorn II
Ischemic Protection and Myofibrillar Cardiomyopathy: Dose-Dependent Effects of In Vivo {delta}PKC Inhibition
Circ. Res., October 18, 2002; 91(8): 741 - 748.
[Abstract] [Full Text] [PDF]


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DiabetesHome page
K. J. Way, K. Isshiki, K. Suzuma, T. Yokota, D. Zvagelsky, F. J. Schoen, G. E. Sandusky, P. A. Pechous, C. J. Vlahos, H. Wakasaki, et al.
Expression of Connective Tissue Growth Factor Is Increased in Injured Myocardium Associated With Protein Kinase C {beta}2 Activation and Diabetes
Diabetes, September 1, 2002; 51(9): 2709 - 2718.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
W. G. Pyle, M. P. Sumandea, R. J. Solaro, and P. P. De Tombe
Troponin I serines 43/45 and regulation of cardiac myofilament function
Am J Physiol Heart Circ Physiol, September 1, 2002; 283(3): H1215 - H1224.
[Abstract] [Full Text] [PDF]


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CirculationHome page
P. Rafiee, Y. Shi, X. Kong, K. A. Pritchard Jr, J. S. Tweddell, S. B. Litwin, K. Mussatto, R. D. Jaquiss, J. Su, and J. E. Baker
Activation of Protein Kinases in Chronically Hypoxic Infant Human and Rabbit Hearts: Role in Cardioprotection
Circulation, July 9, 2002; 106(2): 239 - 245.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
D. E. Montgomery, B. M. Wolska, W. G. Pyle, B. B. Roman, J. C. Dowell, P. M. Buttrick, A. P. Koretsky, P. Del Nido, and R. J. Solaro
alpha -Adrenergic response and myofilament activity in mouse hearts lacking PKC phosphorylation sites on cardiac TnI
Am J Physiol Heart Circ Physiol, June 1, 2002; 282(6): H2397 - H2405.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
X. P. Yi, A. M. Gerdes, and F. Li
Myocyte Redistribution of GRK2 and GRK5 in Hypertensive, Heart-Failure-Prone Rats
Hypertension, June 1, 2002; 39(6): 1058 - 1063.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
Y. Takeishi, Q. Huang, J.-i. Abe, W. Che, J.-D. Lee, H. Kawakatsu, B. D Hoit, Bradford.C Berk, and R. A Walsh
Activation of mitogen-activated protein kinases and p90 ribosomal S6 kinase in failing human hearts with dilated cardiomyopathy
Cardiovasc Res, January 1, 2002; 53(1): 131 - 137.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
J. M. Pass, J. Gao, W. K. Jones, W. B. Wead, X. Wu, J. Zhang, C. P. Baines, R. Bolli, Y.-T. Zheng, I. G. Joshua, et al.
Enhanced PKCbeta II translocation and PKCbeta II-RACK1 interactions in PKCepsilon -induced heart failure: a role for RACK1
Am J Physiol Heart Circ Physiol, December 1, 2001; 281(6): H2500 - H2510.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
K. L. Schreiber, L. Paquet, B. G. Allen, and H. Rindt
Protein kinase C isoform expression and activity in the mouse heart
Am J Physiol Heart Circ Physiol, November 1, 2001; 281(5): H2062 - H2071.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
T. Noguchi, Z. Chen, S. P. Bell, L. Nyland, and M. M. LeWinter
Activation of PKC decreases myocardial O2 consumption and increases contractile efficiency in rats
Am J Physiol Heart Circ Physiol, November 1, 2001; 281(5): H2191 - H2197.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
L. Chen, H. Hahn, G. Wu, C.-H. Chen, T. Liron, D. Schechtman, G. Cavallaro, L. Banci, Y. Guo, R. Bolli, et al.
Opposing cardioprotective actions and parallel hypertrophic effects of delta PKC and varepsilon PKC
PNAS, September 5, 2001; (2001) 191369098.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Cell Physiol.Home page
L. Huang, B. M. Wolska, D. E. Montgomery, E. M. Burkart, P. M. Buttrick, and R. J. Solaro
Increased contractility and altered Ca2+ transients of mouse heart myocytes conditionally expressing PKC{beta}
Am J Physiol Cell Physiol, May 1, 2001; 280(5): C1114 - C1120.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
B. B. Roman, D. L. Geenen, M. Leitges, and P. M. Buttrick
PKC-{beta} is not necessary for cardiac hypertrophy
Am J Physiol Heart Circ Physiol, May 1, 2001; 280(5): H2264 - H2270.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
S. Ghosh, N. B. Standen, and M. Galinanes
Failure to precondition pathological human myocardium
J. Am. Coll. Cardiol., March 1, 2001; 37(3): 711 - 718.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
D. E. Montgomery, M. Chandra, Q.-Q. Huang, J.-P. Jin, and R. J. Solaro
Transgenic incorporation of skeletal TnT into cardiac myofilaments blunts PKC-mediated depression of force
Am J Physiol Heart Circ Physiol, March 1, 2001; 280(3): H1011 - H1018.
[Abstract] [Full Text] [PDF]


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CirculationHome page
S. Haq, G. Choukroun, H. Lim, K. M. Tymitz, F. del Monte, J. Gwathmey, L. Grazette, A. Michael, R. Hajjar, T. Force, et al.
Differential Activation of Signal Transduction Pathways in Human Hearts With Hypertrophy Versus Advanced Heart Failure
Circulation, February 6, 2001; 103(5): 670 - 677.
[Abstract] [Full Text] [PDF]


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CirculationHome page
J. N. Muth, I. Bodi, W. Lewis, G. Varadi, and A. Schwartz
A Ca2+-Dependent Transgenic Model of Cardiac Hypertrophy : A Role for Protein Kinase C{{alpha}}
Circulation, January 2, 2001; 103(1): 140 - 147.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
Y. G. Wang, W. J. Benedict, J. Huser, A. M. Samarel, L. A. Blatter, and S. L. Lipsius
Brief rapid pacing depresses contractile function via Ca2+/PKC-dependent signaling in cat ventricular myocytes
Am J Physiol Heart Circ Physiol, January 1, 2001; 280(1): H90 - H98.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
L. C. Hool
Hypoxia Increases the Sensitivity of the L-Type Ca2+ Current to {beta}-Adrenergic Receptor Stimulation via a C2 Region-Containing Protein Kinase C Isoform
Circ. Res., December 8, 2000; 87(12): 1164 - 1171.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
H.-G. Shin, J. V. Barnett, P. Chang, S. Reddy, D. C. Drinkwater, R. N. Pierson, R. G. Wiley, and K. T. Murray
Molecular heterogeneity of protein kinase C expression in human ventricle
Cardiovasc Res, November 1, 2000; 48(2): 285 - 299.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
H. Yokoyama, S. Gunasegaram, S. E. Harding, and M. Avkiran
Sarcolemmal Na+/H+ exchanger activity and expression in human ventricular myocardium
J. Am. Coll. Cardiol., August 1, 2000; 36(2): 534 - 540.
[Abstract] [Full Text] [PDF]


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Vasc MedHome page
M. Meier and G. L King
Protein kinase C activation and its pharmacological inhibition in vascular disease
Vascular Medicine, August 1, 2000; 5(3): 173 - 185.
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Am. J. Physiol. Heart Circ. Physiol.Home page
Y. Pi and J. W. Walker
Diacylglycerol and fatty acids synergistically increase cardiomyocyte contraction via activation of PKC
Am J Physiol Heart Circ Physiol, July 1, 2000; 279(1): H26 - H34.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
Y. Takeishi, P. Ping, R. Bolli, D. L. Kirkpatrick, B. D. Hoit, and R. A. Walsh
Transgenic Overexpression of Constitutively Active Protein Kinase C {epsilon} Causes Concentric Cardiac Hypertrophy
Circ. Res., June 23, 2000; 86(12): 1218 - 1223.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
K. Naruse and G. L. King
Protein Kinase C and Myocardial Biology and Function
Circ. Res., June 9, 2000; 86(11): 1104 - 1106.
[Full Text] [PDF]


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Circ. Res.Home page
D. Mochly-Rosen, G. Wu, H. Hahn, H. Osinska, T. Liron, J. N. Lorenz, A. Yatani, J. Robbins, and G. W. Dorn II
Cardiotrophic Effects of Protein Kinase C {epsilon} : Analysis by In Vivo Modulation of PKC{epsilon} Translocation
Circ. Res., June 9, 2000; 86(11): 1173 - 1179.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
J. van der Velden, J.W. de Jong, V.J. Owen, P.B.J. Burton, and G.J.M. Stienen
Effect of protein kinase A on calcium sensitivity of force and its sarcomere length dependence in human cardiomyocytes
Cardiovasc Res, June 1, 2000; 46(3): 487 - 495.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
L. J. De Windt, H. W. Lim, S. Haq, T. Force, and J. D. Molkentin
Calcineurin Promotes Protein Kinase C and c-Jun NH2-terminal Kinase Activation in the Heart. CROSS-TALK BETWEEN CARDIAC HYPERTROPHIC SIGNALING PATHWAYS
J. Biol. Chem., April 28, 2000; 275(18): 13571 - 13579.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
S. J. Matkovich and E. A. Woodcock
Ca2+-activated but Not G Protein-mediated Inositol Phosphate Responses in Rat Neonatal Cardiomyocytes Involve Inositol 1,4,5-Trisphosphate Generation
J. Biol. Chem., April 6, 2000; 275(15): 10845 - 10850.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
T. Matsumoto, R. Ozono, T. Oshima, H. Matsuura, T. Sueda, G. Kajiyama, and M. Kambe
Type 2 angiotensin II receptor is downregulated in cardiomyocytes of patients with heart failure
Cardiovasc Res, April 1, 2000; 46(1): 73 - 81.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
Y. Takeishi, T. Jalili, B. D. Hoit, D. L. Kirkpatrick, L. E. Wagoner, W. T. Abraham, and R. A. Walsh
Alterations in Ca2+ cycling proteins and G{alpha}q signaling after left ventricular assist device support in failing human hearts
Cardiovasc Res, March 1, 2000; 45(4): 883 - 888.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
Q. He and M. C. LaPointe
Interleukin-1{beta} Regulates the Human Brain Natriuretic Peptide Promoter via Ca2+-Dependent Protein Kinase Pathways
Hypertension, January 1, 2000; 35(1): 292 - 296.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
T. Jalili, Y. Takeishi, G. Song, N. A. Ball, G. Howles, and R. A. Walsh
PKC translocation without changes in Galpha q and PLC-beta protein abundance in cardiac hypertrophy and failure
Am J Physiol Heart Circ Physiol, December 1, 1999; 277(6): H2298 - H2304.
[Abstract] [Full Text] [PDF]


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Am. J. Pathol.Home page
M. A. Sussman, S. Welch, N. Gude, P. R. Khoury, S. R. Daniels, D. Kirkpatrick, R. A. Walsh, R. L. Price, H. W. Lim, and J. D. Molkentin
Pathogenesis of Dilated Cardiomyopathy : Molecular, Structural, and Population Analyses inTropomodulin-Overexpressing Transgenic Mice
Am. J. Pathol., December 1, 1999; 155(6): 2101 - 2113.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
T. Jalili, Y. Takeishi, and R. A Walsh
Signal transduction during cardiac hypertrophy: the role of G{alpha}q, PLC {beta}I, and PKC
Cardiovasc Res, October 1, 1999; 44(1): 5 - 9.
[Full Text] [PDF]