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Originally published In Press as doi:10.1074/jbc.M801424200 on April 3, 2008

J. Biol. Chem., Vol. 283, Issue 24, 16505-16513, June 13, 2008
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Insulin Effects on Cardiac Na+/Ca2+ Exchanger Activity

ROLE OF THE CYTOPLASMIC REGULATORY LOOP*

María Celeste Villa-Abrille, Agnieszka Sidor, and Brian O'Rourke1

From the Division of Cardiology, Department of Medicine, The Johns Hopkins University, Baltimore, Maryland 21205

Insulin can alter myocardial contractility, in part through an effect on the cardiac sarcolemmal Na+/Ca2+ exchanger (NCX), but little is known about its mechanism of action. The large cytoplasmic domain (f-loop) of NCX is required for regulation by various intracellular factors, and we have shown previously that residues 562–679 are determinants of NCX inhibition by exchanger inhibitory peptide (XIP). Here we show that the same f-loop deletion eliminates the enhancement of NCX current by insulin, and we examine the signal pathways involved in the insulin response. NCX current (INCX) was measured in freshly isolated or cultured (up to 48 h) adult guinea pig myocytes and in myocytes expressing canine NCX1.1 with the 562–679 f-loop deletion (NCX-({Delta}562–679)) via adenoviral gene transfer. INCX was recorded by whole-cell patch clamp as the Ni2+-sensitive current at 37 °C with intracellular Ca2+ buffered. Insulin (1 µM) increased INCX (at +80 mV) by 110 and 83% in fresh and cultured myocytes, respectively, whereas in myocytes expressing NCX-({Delta}562–679) the response was eliminated (with 100 µM XIP included to suppress any native guinea pig INCX). The insulin effect on INCX was not inhibited by wortmannin, a nitric-oxide synthase inhibitor, or disruption of caveolae but was blocked by chelerythrine, implicating protein kinase C, but not phosphatidylinositol-3-kinase, in the mechanism. The insulin effect was also not additive with phosphatidylinositol-4,5-bisphosphate-induced activation of INCX. The finding that the 562–670 f-loop domain is implicated in both XIP and receptor-mediated modulation of NCX highlights its important role in acute physiological or pathophysiological regulation of Ca2+ balance in the heart.


Received for publication, February 21, 2008 , and in revised form, March 31, 2008.

* The work was supported, in whole or in part, by National Institutes of Health Grants R01-HL61711 and P01-HL81427. 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.

1 To whom correspondence should be addressed: The Johns Hopkins University, Dept. of Medicine, 720 Rutland Ave., 1059 Ross Bldg., Baltimore, MD 21205-2195. E-mail: bor{at}jhmi.edu.


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