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Originally published In Press as doi:10.1074/jbc.M305964200 on August 4, 2003

J. Biol. Chem., Vol. 278, Issue 41, 40343-40351, October 10, 2003
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Akt-mediated Cardiomyocyte Survival Pathways Are Compromised by G{alpha}q-induced Phosphoinositide 4,5-Bisphosphate Depletion*

Amy L. Howes {ddagger}, Jane F. Arthur §, Tong Zhang, Shigeki Miyamoto, John W. Adams ¶, Gerald W. Dorn II ||, Elizabeth A. Woodcock § and Joan Heller Brown **

From the Department of Pharmacology, University of California, San Diego, La Jolla, California 92093, Arena Pharmaceuticals, San Diego, California 92121, §Cellular Biochemistry Laboratory, Baker Heart Research Institute, Melbourne, Victoria, Australia, and ||Department of Internal Medicine, Division of Cardiology, University of Cincinnati Medical Center, Cincinnati, Ohio 45267

Expression of the wild type {alpha} subunit of Gq (GqWT) in cardiomyocytes induces hypertrophy, whereas a constitutively active G{alpha}q subunit (GqQ209L) induces apoptosis. Akt phosphorylation increases with GqWT expression but is markedly attenuated in cardiomyocytes expressing GqQ209L or in those expressing GqWT and treated with agonist. A membrane-targeted Akt rescues GqQ209L-expressing cardiomyocytes from apoptotic cell death. In contrast, leukemia inhibitory factor fails to activate Akt or promote cell survival in these cells. Association of Akt and PDK-1 with the membrane is also diminished in GqQ209L-expressing cardiomyocytes. Phosphatidylinositol 3,4,5-trisphosphate (PIP3), the primary regulator of Akt, increases significantly in GqWT-expressing cells but not in cardiomyocytes expressing GqQ209L. Levels of phosphatidylinositol 4,5-bisphosphate (PIP2), the immediate precursor of PIP3, are also markedly lower in GqQ209L-expressing compared to control cells. Expression of a GqQ209L mutant that has diminished capacity to activate phospholipase C does not decrease PIP2 or Akt or induce apoptosis. In transgenic mice with cardiac G{alpha}q overexpression, heart failure and increased cardiomyocyte apoptosis develop during the peripartal period. Akt phosphorylation and PIP2 levels decrease concomitantly. Our findings suggest that an Akt-mediated cell survival pathway is compromised by the diminished availability of PIP2 elicited by pathological levels of Gq activity.


Received for publication, June 6, 2003 , and in revised form, July 29, 2003.

* This work was supported in part by NHLBI Grants HL28143 and HL46345 (to J. H. B.) and HL59888 (to G. W. D.) from the National Institutes of Health and by the Australian National Health and Medical Research Council (to E. A. W.). Some of this work was performed under the auspices of an international exchange program between the NHLBI, National Institutes of Health, and the Baker Research Institute (granted to J. H. B. and E. A. W.). The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

{ddagger} Supported by a National Institutes of Health Pharmacology Training Grant GM-07752 and currently an American Heart Association Predoctoral Fellow.

** To whom correspondence should be addressed: Dept. of Pharmacology, University of California, San Diego, 9500 Gilman Dr., Mail Code 0636, La Jolla, CA 92093. Tel.: 858-534-2595; Fax: 858-534-4337; E-mail: jhbrown{at}ucsd.edu.


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