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(Circulation. 2003;108:2147.)
© 2003 American Heart Association, Inc.
Basic Science Reports |
Deficient Mice Are Protected From Isoproterenol-Induced Heart Failure
From the Departments of Physiology and Medicine (G.Y.O., D.G., P.H.B.) and Medical Biophysics and Immunology (U.E., R.S., I.K., T.W., J.M.P.), University Health Network , University of Toronto, Ontario, Canada; Department of Functional Genomics (M.A.C.), Amgen Inc, Thousand Oaks, Calif; Institute of Molecular Biotechnology of the Austrian Academy of Sciences (U.E., R.S., I.K., T.W., J.M.P.), Vienna, Austria; Department of Pharmacology (T.S., J.-I.S.), The Tokyo Metropolitan Institute of Medical Science, Japan; PRESTO (T.S., J.-I.S.), Japan Science and Technology Corporation (T.S., J.-I.S.), Tokyo, Japan; and Department of Pharmacology (V.O.R., S.F.S.), College of Physicians and Surgeons, Columbia University, New York, NY.
Correspondence to J.M. Penninger, University Health Network, University of Toronto, 620 University Ave, Toronto, Ontario M5G 2C1, Canada. E-mail jpenning{at}uhnres.utoronto.ca
Received December 12, 2002; de novo received April 28, 2003; revision received June 3, 2003; accepted June 17, 2003.
Background We have recently shown that genetic inactivation of phosphoinositide 3-kinase
(PI3K
), the isoform linked to G-proteincoupled receptors, results in increased cardiac contractility with no effect on basal cell size. Signaling via the G-proteincoupled ß-adrenergic receptors has been implicated in cardiac hypertrophy and heart failure, suggesting that PI3K
might play a role in the pathogenesis of heart disease.
Methods and Results To determine the role for PI3K
in hypertrophy induced by G-proteincoupled receptors and cardiomyopathy, we infused isoproterenol, a ß-adrenergic receptor agonist, into PI3K
-deficient mice. Compared with controls, isoproterenol infusion in PI3K
-deficient mice resulted in an attenuated cardiac hypertrophic response and markedly reduced interstitial fibrosis. Intriguingly, chronic ß-adrenergic receptor stimulation triggered impaired heart functions in wild-type mice, whereas PI3K
-deficient mice retained their increased heart function and did not develop heart failure. The lack of PI3K
attenuated the activation of Akt/protein kinase B and extracellular signal-regulated kinase 1/2 signaling pathways in cardiac myocytes in response to isoproterenol. ß1- and ß2-adrenergic receptor densities were decreased by similar amounts in PI3K
-deficient and control mice, suggesting that PI3K
isoform plays no role in the downregulation of ß-adrenergic receptors after chronic ß-adrenergic stimulation.
Conclusions Our data show that PI3K
is critical for the induction of hypertrophy, fibrosis, and cardiac dysfunction function in response to ß-adrenergic receptor stimulation in vivo. Thus, PI3K
may represent a novel therapeutic target for the treatment of decreased cardiac function in heart failure.
Key Words: heart failure signal transduction hypertrophy
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