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J. Biol. Chem., Vol. 279, Issue 5, 3596-3604, January 30, 2004
Preservation of Base-line Hemodynamic Function and Loss of Inducible Cardioprotection in Adult Mice Lacking Protein Kinase C
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| ABSTRACT |
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activation in cardiac myocytes reduces necrosis caused by coronary artery disease. However, it is unclear whether protein kinase C
function is required for normal cardiac development or inducible protection against oxidative stress. Protein kinase C
activation is also observed during cardiac preconditioning. However, its role as a promoter or inhibitor of injury is controversial. We examined hearts from protein kinase C
knock-out mice under physiological conditions and during acute ischemia reperfusion. Null-mutant and wild-type mice displayed equivalent base-line morphology and hemodynamic function. Targeted disruption of the protein kinase C
gene blocked cardioprotection caused by ischemic preconditioning and
1-adrenergic receptor stimulation. Protein kinase C
activation increased in protein kinase C
knock-out myocytes without altering resistance to injury. These observations support protein kinase C
activation as an essential component of cardioprotective signaling. Our results favor protein kinase C
activation as a mediator of normal growth. This study advances the understanding of cellular mechanisms responsible for preservation of myocardial integrity as potential targets for prevention and treatment of ischemic heart disease. | INTRODUCTION |
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translocation in transgenic mouse hearts caused physiological hypertrophy and reduced the size of individual myocytes. In contrast, postnatal inhibition of PKC
translocation produced lethal dilated cardiomyopathy and increased cardiac myocyte volumes (1). Wu et al. (2) later observed that activation of PKC
translocation in G
q transgenic hearts improved contractile function. Conversely, inhibition of PKC
translocation converted the G
q hypertrophic phenotype to a dilated cardiomyopathy (2). However, no previous investigations established whether PKC
activation was an absolute requirement for normal cardiac growth or whether compensatory changes in the expression of other myocardial proteins developed in the absence of PKC
-mediated signaling.
Two lines of evidence support the hypothesis that PKC
activation promotes myocardial resistance to injury during periods of oxidative stress. First, both ischemic preconditioning and pharmacological approaches that induce cardioprotection increase PKC
immunoreactivity and kinase function in cell particulate fractions (3). Second, transgenic expression of a constitutively active PKC
(4) or a peptide agonist of PKC
translocation (5) reduces cardiac myocyte necrosis during ischemia reperfusion. However, it is unclear whether PKC
activation represents a final common pathway for cardioprotection versus one branch of a network of cellular mechanisms that preserve myocardial integrity. Distinction between alternative models would establish the importance of this signaling molecule as a therapeutic target for prevention of ischemic heart disease. Previous efforts to test PKC
function as a requirement for cardioprotection were limited by toxicity and poor specificity of in vitro inhibitors of phosphorylation activity (68).
Ischemic preconditioning and pharmacological approaches that induce cardioprotection activate both PKC
and PKC
in rat heart and cardiac myocyte models (912). The functional significance of PKC
activation during myocardial ischemia reperfusion is controversial. For example, Chen et al. (13) found that inhibition of PKC
translocation in rat hearts reduced myocyte injury measured as creatine kinase release during reperfusion. Hahn et al. (14) observed that transgenic expression of a peptide antagonist of PKC
translocation in mouse hearts improved contractile recovery after prolonged ischemia. Contradicting these reports are investigations of pharmacological preconditioning in which PKC
activation was shown to be essential for cardioprotection. For example, Kudo et al. (15) found that beneficial effects of adenosine A1 receptor agonist pretreatment were associated with PKC
up-regulation and blocked by isozyme-selective antagonists such as rottlerin. Fryer et al. (12) observed that
1-opioid receptor agonist treatment reduced infarction size during coronary artery occlusion in association with PKC
translocation to cardiac myocyte mitochondria, effects that were also blocked by rottlerin (12).
In this study, we examined hearts from PKC
knock-out (KO) mice under physiological conditions and during ischemia reperfusion. PKC
expression was clearly not a requirement for normal development because null-mutant mice could not be distinguished from their wild-type littermates by general appearance or cardiovascular function. However, acute cardioprotection induced by ischemic preconditioning or
1-adrenergic receptor stimulation was blocked in PKC
KO hearts. Targeted disruption of the PKC
gene increased expression and activation of PKC
in cardiac myocytes. However, PKC
activation in the absence of PKC
expression did not alter resistance to ischemia-reperfusion injury. These results support PKC
activation as an essential component of cardioprotection and an important target for prevention of the pathophysiology associated with coronary artery disease. Our data favor PKC
function as a mediator of normal cardiovascular development, particularly in the context of compromised PKC
signaling.
| EXPERIMENTAL PROCEDURES |
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were originally derived by homologous recombination in J1 embryonic stem cells (16). F1 generation hybrid C57BL/6Jx129SvJae heterozygous progeny were then intercrossed to generate F2 generation hybrid wild-type and PKC
-null littermates for study. Male mice 1216 weeks of age were used for experiments. Animal care and handling procedures were in accordance with established institutional and National Institutes of Health guidelines. Cardiac Myocyte Culture ModelLeft ventricular myocytes were cultured using modification of the method described by Zhou et al. (17). Excised hearts were cannulated via the aorta for retrograde perfusion with Ca2+-free buffer containing (in mmol/liter) NaCl 120, KCl 5.4, MgSO4 1.2, NaH2PO4 1.2, glucose 5.6, NaHCO3 20, 2,3-butanedionemonoxime 10, taurine 5, and type B collagenase 1.5 mg/ml (Worthington, Lakewood, NJ). Myocytes were resuspended as described previously (17) and plated on glass chamber slides at 5,000 cells/cm2. Medium was changed to minimal essential medium with Hanks' buffered salt solution containing transferrin (10 ng/ml) and insulin (10 ng/ml). This protocol yielded 80% rod-shaped myocytes with defined sarcomeric striations viable at pH 7.2 for 48 h.
In Vivo Hemodynamic MeasurementsSystolic blood pressure and heart rate were measured in conscious mice after training using a non-invasive computerized tail cuff system (VisiTech Systems, Apex, NC). Results are expressed as the means of three independent daily measurements with at least 15 of 20 successful analyses each (18). Echocardiographic studies were performed on conscious mice after training using a 15-MHz linear array transducer and commercially available imaging system (Acuson Sequoia c256, Mountain View, CA). Cardiac catheterization was performed in closed-chest mice after the administration of ketamine. A MikrotipTM pressure-transducing catheter (Millar Instruments, Houston, TX) was inserted into the right carotid artery and advanced retrograde into the left ventricle. Heart rate, aortic pressure, and left ventricular pressures were monitored continuously using a chart recorder with signal conditioning units (Gould Electronics, Hayward, CA).
Ex Vivo Ischemia-reperfusion Model of Myocardial InfarctionExcised hearts were cannulated via the aorta and perfused on a Langendorff apparatus using Krebs-Henseleit solution containing (in mmol/liter) NaCl 118, KCl 4.7, CaCl2 2.5, MgSO4 1.2, KH2PO4 1.2, NaHCO3 24, glucose 5.5, sodium pyruvate 5.0, and EDTA 0.5. Hearts were paced at 6 Hz, and left ventricular (LV) developed pressure (LVDP = LV systolic pressure - LV end-diastolic pressure (LVEDP)) was measured using a micromanometer (Millar Instruments) passed into a polyvinylchloride balloon in the LV cavity (19). Base-line hemodynamic parameters were recorded during 20-min equilibration before hearts were subjected to 20-min global ischemia and 30-min reperfusion.
Wild-type and PKC
KO hearts were pretreated with 2-min global ischemia (transient ischemic preconditioning, TIP) or 2-min phenylephrine (PHE) infusion (20 µmol/liter) followed by a 5-min washout prior to index ischemia reperfusion. In separate experiments, wild-type and PKC
KO hearts were preconditioned with four cycles of 4-min global ischemia and 6-min reperfusion (4-CYCLE IP). Hearts isolated from C57BL/6J mice were pretreated with PKC
agonist peptide (YGRKKRRQRRR-HDAPIGYD), antagonist (YGRKKRRQRRR-EAVSLKPT), or scrambled antagonist (YGRKKRRRQRRR-LSETKPAV) infusion (1 µmol/liter) with no washout period before ischemia reperfusion. Peptides were synthesized at the University of California San Francisco Biomolecular Resource Center using N-(9-fluorenyl)methoxycarbonyl (Fmoc) chemistry. All of the peptides were purified (>95%) by preparative reversed-phase high performance liquid chromatography (19). Creatine kinase (CK) activity in coronary effluent collected during reperfusion was measured using a commercial kit (Sigma) and corrected for flow rate and wet heart weight. After reperfusion, hearts were perfused with 1% triphenyltetrazolium chloride solution, fixed in 10% neutral buffered formalin, and sectioned (20). Planimetry of viable (stained) and necrotic (unstained) tissue was performed using NIH Image software. Infarction size was corrected for the weight of each heart section.
Protein Kinase C AssaysWestern blot analysis of PKC isozyme expression was performed as described previously (19). Left ventricular tissue was homogenized, and samples of the 100,000 x g supernatant and Triton X-100-extracted pellet fractions were subjected to SDS-PAGE and then transferred to nitrocellulose membrane. PKC distribution was determined using isozyme-selective primary antibodies (Transduction Laboratories, Lexington, KY) and enhanced chemiluminescence detection (Amersham Biosciences). In separate experiments, intact mitochondria were isolated from individual mouse hearts using differential centrifugation protocols (21) and subjected to Western analysis. Immunofluorescence microscopy was performed as described previously (5, 11). Myocytes were fixed with 4% paraformaldehyde and permeabilized with 0.2% Triton X-100. Cells were incubated with PKC isozyme-selective primary antibodies (Santa Cruz Biotechnology, Santa Cruz, CA) and fluorescein isothiocyanate-conjugated secondary antibodies. In selected experiments, cells were stained with MitoTracker Red CMXRos (Molecular Probes, Eugene, OR) prior to fixation. Fluorescent images of labeled myocytes were acquired using a Leica TCS confocal laser-scanning microscope system (Leica Lasertechik, Heidelberg, Germany).
Statistical AnalysisResults are reported as the means ± S.E. Comparisons between groups were made using one-way ANOVA or repeated measures ANOVA as indicated. Differences were confirmed using a Bonferroni post hoc test. p < 0.05 was considered significant.
| RESULTS |
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KO MiceBecause PKC
activation is important for physiological myocardial development in other mouse models (1, 2), we were surprised to find that hearts from PKC
KO mice were normal in weight and appearance (Table I). Furthermore, cellular volumes of myocytes isolated from PKC
KO hearts were no different from wild-type cardiac myocytes (22,275 ± 958 versus 24,565 ± 918 µm3; n = 4, p = not significant) as measured electronically with a Coulter counter (22). Therefore, targeted disruption of the PKC
gene had no obvious effect on overall heart morphology or individual cardiac myocyte size.
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KO mice during in vivo catheterization (Table I). Non-invasive techniques performed in conscious mice validated results obtained using invasive approaches. First, there were no differences in left ventricular mass or contractile function between groups measured using two-dimensional and M-mode echocardiography (Table I). Second, tail cuff measurements of systolic blood pressure and heart rate were normal in PKC
KO mice (Table I).
Loss of Cardioprotection in PKC
KO MicePKC
activation in cardiac myocytes induces resistance against myocardial ischemia-reperfusion injury (4, 5). However, it is unclear whether PKC
activation is required for the beneficial effects of acute ischemic or pharmacological preconditioning. Here we investigated cardioprotective signaling using buffer-perfused hearts from wild-type and PKC
KO mice to eliminate potential confounding effects of PKC
gene disruption on pulmonary, vascular (24), and central nervous system (25) functions. We observed no differences in LVDP between wild-type and PKC
KO hearts (84 ± 3 versus 86 ± 3 mm Hg; n = 18, p = not significant), confirming measurements made during in vivo catheterization.
Prolonged ischemia reperfusion severely impaired LVDP recovery (Fig. 1A) in both groups of hearts (20 ± 4 versus 19 ± 3 mm Hg; n = 6, p = not significant). Independent laboratories have shown that pretreatment with brief ischemia, here termed TIP, prevents cardiac injury during prolonged ischemia reperfusion in association with PKC activation (9, 10). In this study, we found that TIP improved LVDP recovery during reperfusion (Fig. 1B) in wild-type hearts (61 ± 3 versus 20 ± 4 mm Hg for controls; n = 6, p < 0.05). However, the beneficial effects of TIP on contractility did not develop in PKC
KO hearts (Fig. 1B). Cardioprotection in association with PKC activation has also been observed after stimulation with pharmacological agents such as adenosine A1 receptor agonists (15),
1-opioid receptor agonists (12, 26), ethanol (19, 27), sphingosine-1-phosphate (20), and
1-adrenergic receptor agonists (9, 28). Here we pretreated with PHE at concentrations selective for
1-adrenergic receptor stimulation and improved LVDP recovery during reperfusion in wild-type but not PKC
KO hearts (Fig. 1C). Similarly, TIP and PHE prevented pathological elevation of LVEDP after ischemia reperfusion only in wild-type hearts (Fig. 1, B and C).
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KO hearts (Fig. 2A). TIP reduced infarction size (Fig. 2B) in wild-type hearts (27 ± 3 versus 47 ± 3% LV mass for WT controls; n = 6, p < 0.05). However, effects of TIP on infarction size were blocked in PKC
KO hearts (Fig. 2B). Similarly, PHE reduced infarction in wild-type hearts to 29 ± 3% LV mass (n = 6, p < 0.05 versus WT controls) but did not induce protection in PKC
KO hearts (Fig. 2C). Creatine kinase activity in coronary effluent validated measurements of infarction size (Fig. 2).
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Activation Is Required for Acute Cardioprotection in C57BL/6 MiceAlthough the PKC
KO mouse model is a powerful tool for investigation of cardioprotective signaling, we sought alternative approaches for inhibition of PKC
function. Chen et al. (13) previously used modulators of PKC isozyme translocation in ex vivo rat hearts to examine the effects of PKC
and PKC
activation on creatine kinase release during ischemia reperfusion. Gustafsson et al. (31) recently confirmed that trans-activating protein-mediated protein transduction delivered cardioprotective peptides into buffer-perfused rat hearts, including cytosolic and mitochondrial fractions.
In this study, we added a peptide agonist of PKC
translocation (5, 32) linked to amino acids derived from the protein transduction domain of human immunodeficiency virus transactivating protein protein (33) to perfusate for 20 min before global ischemia. PKC
agonist pretreatment did not affect the subcellular distributions of PKC
and PKC
in left ventricular lysates (Fig. 3A). However, agonist infusion increased the proportion of PKC
localized to 100,000 x g particulate fractions (0.63 ± 0.02 versus 0.46 ± 0.02 for controls; n = 3, p < 0.01), indicating activation (3, 34). In independent experiments, we found that TIP did not alter the subcellular distribution of PKC
but increased the proportion of PKC
(0.54 ± 0.02 versus 0.40 ± 0.02 for controls; n = 3, p < 0.01) and PKC
(0.57 ± 0.06 versus 0.37 ± 0.03 for controls; n = 3, p < 0.05) in particulate fractions (Fig. 3B). PKC
antagonist had no effect on TIP-induced translocation of PKC
(Fig. 3C). However, the antagonist blocked translocation of PKC
to particulate fractions (64 ± 2 versus 117 ± 12 density units for scrambled antagonist; n = 3, p < 0.05), indicating degradation of activated isozyme not bound by its anchoring proteins or receptors for activated C-kinase (3). Scrambled PKC
antagonist had no effect on the subcellular distributions of the PKC isozymes examined. Therefore, trans-activating protein-mediated protein transduction delivered selective activators and inhibitors of PKC
function into mouse hearts.
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induced resistance to ischemia-reperfusion injury. Dorn et al. (5) established that PKC
activation caused by transgenic expression of PKC
agonist peptide in mouse hearts also caused sustained cardioprotection. Here we found that pretreatment with PKC
agonist improved LVDP recovery (Fig. 4A) in normal hearts from C57BL/6 mice (66 ± 4 versus 28 ± 4 mm Hg for controls; n = 6, p < 0.05). PKC
agonist pretreatment also reduced infarction and creatine kinase release caused by ischemia reperfusion (Fig. 4A). Thus, direct activation of PKC
translocation through acute modulation of interactions with anchoring proteins mimicked the cardioprotective effects of ischemic and
1-adrenergic receptor-mediated preconditioning.
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translocation in a neonatal rat cardiac myocyte model of hypoxic preconditioning to show that PKC
activation was necessary for acute protection against hypoxia-induced cell death (11). Ping et al. (35) later observed that adenovirus-mediated expression of dominant-negative mutant PKC
in isolated rabbit cardiac myocytes also blocked protection during simulated ischemia. In this study, pretreatment of intact heart with PKC
antagonist had no effect on base-line contractile function. However, inhibition of PKC
translocation blocked improvement of LVDP recovery after preconditioning (Fig. 4, B and C). Selective PKC
inhibition also prevented TIP- and PHE-mediated reduction of infarction size and creatine kinase release. Scrambled PKC
antagonist had no effect on cardiac contractility, infarction size, or creatine kinase release. Thus, PKC
activation was necessary for the acute protection of intact myocardium against ischemia-reperfusion injury in C57BL/6 mice.
Contractile Recovery and Infarction after Pretreatment with Four Cycles of Transient IschemiaIn an earlier investigation, Saurin et al. (36) observed that four cycles of 4-min ischemia and 6-min reperfusion prior to prolonged ischemia reperfusion also reduced infarction size in ex vivo hearts from mice expressing PKC
but not in PKC
KO hearts. In contrast to our current study, those investigators demonstrated that four-cycle ischemic preconditioning improved contractile recovery during reperfusion in both control and PKC
KO hearts. Differences in results from the two laboratories raised the possibility that PKC
-independent myocardial signaling sufficient to reduce oxidant stress and stunning during reperfusion may develop after repeated exposure to brief ischemia (36). We tested this hypothesis by subjecting wild-type and PKC
KO hearts to four cycles of 4-min ischemia and 6-min reperfusion prior to prolonged ischemia reperfusion.
4-CYCLE IP improved LVDP recovery at 30-min reperfusion in wild-type hearts (59 ± 8 versus 20 ± 4 mm Hg for controls; n = 6, p < 0.05) but not in PKC
KO hearts (Fig. 5A). Similarly, 4-CYCLE IP prevented pathological elevation of LVEDP after ischemia reperfusion only in wild-type hearts (Fig. 5A). In agreement with the results of Saurin et al. (36), we found that 4-CYCLE IP reduced infarction after prolonged ischemia reperfusion in wild-type hearts (28 ± 3 versus 47 ± 3% LV mass for controls; n = 6, p < 0.05) but not in PKC
KO hearts (Fig. 5B). Creatine kinase activity in coronary effluent validated measurements of infarction size. Therefore, improved contractile recovery caused by four-cycle preconditioning was associated with reduced tissue necrosis in wild-type hearts but was blocked in PKC
KO hearts.
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Expression and Activation in PKC
KO HeartsHypoxic preconditioning activates both PKC
and PKC
in neonatal rat ventricular myocyte models (11). Ischemic preconditioning is also known to activate PKC
and PKC
in ex vivo rat hearts (9, 10). However, PKC
-mediated signaling during ischemia reperfusion has not been fully explored. Here we confirmed that targeted disruption of the PKC
gene blocked the expression of PKC
protein (Fig. 6A). We also found that PKC
protein expression increased substantially in hearts from mice lacking PKC
(166 ± 14 versus 93 ± 8 density units for wild type; n = 4, p < 0.01).
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localized to nuclei of all wild-type cardiac myocytes (Fig. 6B). In contrast, PKC
localized to perinuclear sites in all of the myocytes prepared from PKC
KO hearts (Fig. 6B). Importantly, PKC
translocated acutely to identical perinuclear sites in wild-type cells after treatment with the PKC activator 4
-phorbol 12-myristate 13-acetate (Fig. 6B). These results suggested that PKC
was chronically activated in cardiac myocytes from PKC
KO hearts.
Mitochondrial localization of activated PKC
may be required for physiological function. For example, Caruso et al. (37) established that mitochondrial translocation of PKC
was necessary for insulin stimulation of pyruvate dehydrogenase complex activity in muscle and liver cells. Fryer et al. (12) found mitochondrial translocation of PKC
important for the cardioprotective effects of
1-opioid receptor stimulation in a rat model of acute myocardial infarction. In this study, incubation of wild-type myocytes with fluorescent probe MitoTracker Red labeled mitochondria in longitudinal arrays between myofibrils (Fig. 6C). In contrast, staining with selective PKC
antibodies revealed predominant localization to transverse tubules (38).
Mitochondrion-selective labeling of PKC
KO cardiac myocytes also revealed longitudinal arrays between myofibrils (Fig. 6C). Importantly, targeted disruption of the PKC
gene did not increase localization of PKC
to mitochondria, demonstrated by confocal images simultaneously acquired from myocytes dual-labeled with PKC
antibodies and MitoTracker Red (Fig. 6C). In separate experiments, we subjected mitochondrial fractions from wild-type and PKC
KO hearts to Western analysis and found no differences in PKC
content between groups (Fig. 6D). Thus, PKC
expression and perinuclear localization increased in PKC
KO hearts without changes in distribution to mitochondria or base line resistance to ischemia-reperfusion injury.
| DISCUSSION |
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KO mice and demonstrated normal cardiac morphology and contractility. In an early investigation of ex vivo mouse heart function, Saurin et al. (36) also observed that ischemic preconditioning reduced infarction size during ischemia reperfusion in hearts expressing PKC
but not in PKC
KO hearts (36). In contrast to our study, those investigators demonstrated that ischemic preconditioning improved contractile recovery during reperfusion in both control and PKC
KO hearts. At least three differences in experimental conditions used by each laboratory may provide important insights regarding PKC function in cardioprotective signaling. First, although similar strategies were used to target the PKC
gene, knock-out mice were independently derived in different genetic backgrounds (16, 39). Second, Saurin et al. (36) paced hearts at 10 Hz to mimic rates observed in intact mice and generated LV developed pressures below physiological levels (36). We paced all of the hearts at 6 Hz to remain within the oxygen and substrate transfer limits of the buffer perfusion system and generated LV developed pressures equal to those measured during in vivo cardiac catheterization. Finally, the hearts in the previous study were preconditioned with four cycles of transient ischemia, whereas our work focused on cardioprotection conferred by a single cycle of transient ischemia.
We tested the hypothesis that PKC
-independent cardioprotective signaling develops after repeated exposure to brief ischemia by subjecting hearts from wild-type and PKC
KO mice to four-cycle ischemic preconditioning. We found that 4-CYCLE IP reduced subsequent infarction in control hearts but not in PKC
KO hearts. In contrast to the results of Saurin et al. (36), we found that 4-CYCLE IP improved contractile recovery in control hearts but not in PKC
KO hearts. Thus, PKC
activation was required for reduction of tissue necrosis and improvement of function caused by four-cycle ischemic preconditioning. There was no dichotomy of infarction size and contractile recovery (36) in any combination of animals and preconditioning strategies studied. Our investigation was not designed to identify cellular mediators of cardioprotection downstream of PKC
. However, the clear distinction of preconditioning effects on contractility between PKC
KO mice derived in different backgrounds suggests that these animals will be useful for future exploration of myocardial stunning using genomic and proteomic approaches. Alternatively, more exhaustive examination of pacing rate, oxygenation, and substrate utilization effects on PKC
KO heart function may yield novel insights regarding metabolic pathways that are responsible for preservation of myocardial integrity during periods of oxidative stress.
Results from experiments using null-mutant animals supported the hypothesis that PKC
activation is required for reduction of infarction size during prolonged ischemia reperfusion. However, we recognized that the loss of inducible cardioprotection in PKC
KO mice might be a consequence of polymorphism in the genetic background or potential confounding effects of linked genes (40, 41). We were aware that few other approaches selectively block PKC
function under physiological conditions. For example, pharmacological agents such as chelerythrine chloride exert biological effects besides PKC inhibition (7, 8). Similarly, transgenic expression of the first variable (V1) region of PKC
in adult mouse hearts prevents PKC
translocation but progressively impairs contractility (1). Accordingly, we used protein transduction methods to introduce peptide modulators of PKC
translocation acutely into hearts from C57BL/6J mice. We observed effects on PKC
localization predicted by in vitro studies (5, 11, 32) without any impairment of base-line hemodynamic function. Inhibition of PKC
translocation prevented reduction of infarction size caused by preconditioning. Conversely, direct activation of PKC
translocation induced resistance to injury. Thus, complementary approaches of gene targeting and pharmacological modulation of interactions between PKC
and its anchoring proteins independently established a requirement for this signaling pathway in acute cardioprotection.
In vivo myocardial ischemia causes release of norepinephrine from sympathetic efferent nerves and up-regulation of
1-adrenergic receptors (42). Stimulation of
1-adrenergic receptors activates numerous signaling pathways within ventricular myocytes including mitochondrial KATP channels (28), glucose transporters (42), and PKC isozymes (9). However, it is unclear which of the pathways protect acutely against injury and which of them contribute chronically to myocardial pathology. In this study, phenylephrine pretreatment caused activation and translocation of PKC
, but not PKC
, to myocyte particulate fractions (data not shown). Beneficial effects of
1-adrenergic receptor stimulation were blocked in PKC
KO hearts and in C57BL/6J hearts after perfusion with PKC
antagonist. This is the first demonstration of a requirement for PKC
signaling in cardioprotection mediated by
1-adrenergic receptors. Our findings suggest that PKC
KO mice will be useful for future investigation of exercise-induced protection, a strategy that reduces ischemia-reperfusion injury in association with norepinephrine release (43).
Changes in expression of one PKC isozyme have been shown to alter expression of other PKC isozymes within the same tissue. For example, Ways et al. (44) observed that transfection of human MCF-7 breast cancer cells with PKC
enhanced the neoplastic phenotype, increased endogenous expression of PKC
, and reduced expression of PKC
and PKC
. Targeted disruption of the PKC
gene did not alter expression of other PKC isozymes in mouse dorsal root ganglia or central nervous system tissues (16). However, Western analysis of PKC
null-mutant hearts in this study revealed up-regulation of PKC
protein expression. Using confocal microscopy techniques not employed previously, we found consistent localization of PKC
to perinuclear regions in PKC
KO myocytes, sites identical to those in wild-type myocytes after activation by phorbol ester and in neonatal rat cardiac myocytes after hypoxic preconditioning or norepinephrine stimulation (1). These findings supported chronic activation of PKC
in hearts from mice lacking PKC
. Definitive evaluation of compensatory changes in cardiac signaling triggered by PKC
gene ablation awaits microarray analysis of null-mutant hearts. Our data favor PKC
as one mediator of normal myocardial development, particularly in the context of compromised PKC
function. A similar role for PKC
in maintenance of cytoskeletal integrity was proposed by Hahn et al. (14) based on a mouse model of myofibrillar cardiomyopathy.
Given the importance of PKC
activation in inducible cardioprotection, we were surprised to find that wild-type and PKC
KO hearts could not be distinguished by base-line susceptibility to ischemia-reperfusion injury. At least two models of cardiac PKC
function in the absence of PKC
protein expression may explain these results. In the first model, PKC
signaling serves as one mediator of cardiotoxicity and isozyme-selective inhibition would improve contractile recovery and reduce myocardial necrosis during reperfusion. In the second model, PKC
signaling contributes to cardioprotection and isozyme-selective inhibition would further impair contractile recovery and increase infarction size. Although Western analysis and immunofluorescence microscopy data indicated chronic PKC
activation in PKC
KO myocytes, full function of up-regulated isozyme may require translocation to cellular sites and substrates not available under control conditions. For example, Zhao et al. (6) demonstrated that transfection of neonatal rat cardiac myocytes with wild-type PKC
did not alter cell viability during simulated ischemia (6). These alternatives will be tested using adenosine A1 receptor agonists,
1-opioid receptor agonists, and direct modulators of PKC
translocation in experiments beyond the scope of the present investigation.
In summary, we developed complementary approaches for inhibition of PKC
function in intact hearts. We demonstrated for the first time that PKC
expression was not required for normal in vivo morphology and contractility under physiological conditions. We established that PKC
activation was necessary for acute cardioprotection induced by ischemic preconditioning and by
1-adrenergic receptor stimulation. Finally, we showed that increased PKC
expression in hearts lacking PKC
might have sustained normal cardiac growth but did not alter base-line resistance to oxidative stress. This study advances the understanding of the molecular mechanisms responsible for myocardial integrity as potential targets for prevention of ischemic heart disease.
| FOOTNOTES |
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¶ Supported by National Institutes of Health Grant 5T32GM007546 in the Division of Clinical Pharmacology at University of California San Francisco and by an Austrian Federal Fellowship for Young Investigators. ![]()
To whom correspondence should be addressed: Division of Cardiology 5G1, San Francisco General Hospital, 1001 Potrero Ave., San Francisco, CA 94110. Tel.: 415-206-8613; Fax: 415-206-5100; E-mail: gray{at}medicine.ucsf.edu.
1 The abbreviations used are: PKC, protein kinase C; KO, knock-out; WT, wild type; LV, left ventricular; LVDP, left ventricular developed pressure; LVEDP, left ventricular end-diastolic pressure; CK, creatine kinase; TIP, transient ischemic preconditioning; PHE, phenylephrine preconditioning; 4-CYCLE IP, four-cycle ischemic preconditioning; ANOVA, analysis of variance. ![]()
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J. Lawrence, D. Xiao, Q. Xue, M. Rejali, S. Yang, and L. Zhang Prenatal Nicotine Exposure Increases Heart Susceptibility to Ischemia/Reperfusion Injury in Adult Offspring J. Pharmacol. Exp. Ther., January 1, 2008; 324(1): 331 - 341. [Abstract] [Full Text] [PDF] |
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G. C. Rodrigo and N. J. Samani Ischemic preconditioning of the whole heart confers protection on subsequently isolated ventricular myocytes Am J Physiol Heart Circ Physiol, January 1, 2008; 294(1): H524 - H531. [Abstract] [Full Text] [PDF] |
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R. Steinberg, O. A. Harari, E. A. Lidington, J. J. Boyle, M. Nohadani, A. M. Samarel, M. Ohba, D. O. Haskard, and J. C. Mason A Protein Kinase C{epsilon}-Anti-apoptotic Kinase Signaling Complex Protects Human Vascular Endothelial Cells against Apoptosis through Induction of Bcl-2 J. Biol. Chem., November 2, 2007; 282(44): 32288 - 32297. [Abstract] [Full Text] [PDF] |
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D. Guo, T. Nguyen, M. Ogbi, H. Tawfik, G. Ma, Q. Yu, R. W. Caldwell, and J. A. Johnson Protein kinase C-{varepsilon} coimmunoprecipitates with cytochrome oxidase subunit IV and is associated with improved cytochrome-c oxidase activity and cardioprotection Am J Physiol Heart Circ Physiol, October 1, 2007; 293(4): H2219 - H2230. [Abstract] [Full Text] [PDF] |
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V. O. Rybin, J. Guo, Z. Gertsberg, H. Elouardighi, and S. F. Steinberg Protein Kinase C{epsilon} (PKC{epsilon}) and Src Control PKC{delta} Activation Loop Phosphorylation in Cardiomyocytes J. Biol. Chem., August 10, 2007; 282(32): 23631 - 23638. [Abstract] [Full Text] [PDF] |
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H. Zhang, A. Darwanto, T. A. Linkhart, L. C. Sowers, and L. Zhang Maternal Cocaine Administration Causes an Epigenetic Modification of Protein Kinase C{epsilon} Gene Expression in Fetal Rat Heart Mol. Pharmacol., May 1, 2007; 71(5): 1319 - 1328. [Abstract] [Full Text] [PDF] |
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J. Tan, D. L. Maass, D. J. White, and J. W. Horton Effects of burn injury on myocardial signaling and cytokine secretion: possible role of PKC Am J Physiol Regulatory Integrative Comp Physiol, February 1, 2007; 292(2): R887 - R896. [Abstract] [Full Text] [PDF] |
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H.-Z. Zhou, R. A. Swanson, U. Simonis, X. Ma, G. Cecchini, and M. O. Gray Poly(ADP-ribose) polymerase-1 hyperactivation and impairment of mitochondrial respiratory chain complex I function in reperfused mouse hearts Am J Physiol Heart Circ Physiol, August 1, 2006; 291(2): H714 - H723. [Abstract] [Full Text] [PDF] |
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A. Pedram, M. Razandi, D. C. Wallace, and E. R. Levin Functional Estrogen Receptors in the Mitochondria of Breast Cancer Cells Mol. Biol. Cell, May 1, 2006; 17(5): 2125 - 2137. [Abstract] [Full Text] [PDF] |
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D. J. Hausenloy and D. M. Yellon Survival kinases in ischemic preconditioning and postconditioning Cardiovasc Res, May 1, 2006; 70(2): 240 - 253. [Abstract] [Full Text] [PDF] |
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A. J. Zatta, H. Kin, G. Lee, N. Wang, R. Jiang, R. Lust, J. G. Reeves, J. Mykytenko, R. A. Guyton, Z.-Q. Zhao, et al. Infarct-sparing effect of myocardial postconditioning is dependent on protein kinase C signalling Cardiovasc Res, May 1, 2006; 70(2): 315 - 324. [Abstract] [Full Text] [PDF] |
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C. M. Littler, C. A. Wehling, M. J. Wick, K. A. Fagan, C. D. Cool, R. O. Messing, and E. C. Dempsey Divergent contractile and structural responses of the murine PKC-{epsilon} null pulmonary circulation to chronic hypoxia Am J Physiol Lung Cell Mol Physiol, December 1, 2005; 289(6): L1083 - L1093. [Abstract] [Full Text] [PDF] |
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C. P D Wheeler-Jones Cell signalling in the cardiovascular system: an overview Heart, October 1, 2005; 91(10): 1366 - 1374. [Full Text] [PDF] |
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Z.-Q. Jin, H.-Z. Zhou, G. Cecchini, M. O. Gray, and J. S. Karliner MnSOD in mouse heart: acute responses to ischemic preconditioning and ischemia-reperfusion injury Am J Physiol Heart Circ Physiol, June 1, 2005; 288(6): H2986 - H2994. [Abstract] [Full Text] [PDF] |
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S. Bae, R. D. Gilbert, C. A. Ducsay, and L. Zhang Prenatal cocaine exposure increases heart susceptibility to ischaemia-reperfusion injury in adult male but not female rats J. Physiol., May 15, 2005; 565(1): 149 - 158. [Abstract] [Full Text] [PDF] |
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S. F. Steinberg and M. A. Sussman Cardiac Hypertrophy Served With Protein Kinase C{epsilon}: {delta} Isoform Substitution Available at Additional Cost Circ. Res., April 15, 2005; 96(7): 711 - 713. [Full Text] [PDF] |
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Z.-Q. Jin, E. J. Goetzl, and J. S. Karliner Sphingosine Kinase Activation Mediates Ischemic Preconditioning in Murine Heart Circulation, October 5, 2004; 110(14): 1980 - 1989. [Abstract] [Full Text] [PDF] |
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S. Redling, I. L. Pfaff, M. Leitges, and V. Vallon Immunolocalization of protein kinase C isoenzymes {alpha}, {beta}I, {beta}II, {delta}, and {varepsilon} in mouse kidney Am J Physiol Renal Physiol, August 1, 2004; 287(2): F289 - F298. [Abstract] [Full Text] [PDF] |
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