Adenylyl Cyclase Type VI Increases Akt Activity and Phospholamban Phosphorylation in Cardiac Myocytes*

Increased expression of adenylyl cyclase VI has beneficial effects on the heart, but strategies that increase cAMP production in cardiac myocytes usually are harmful. Might adenylyl cyclase VI have beneficial effects unrelated to increased β-adrenergic receptor-mediated signaling? We previously reported that adenylyl cyclase VI reduces cardiac phospholamban expression. Our focus in the current studies is how adenylyl cyclase VI influences phospholamban phosphorylation. In cultured cardiac myocytes, increased expression of adenylyl cyclase VI activates Akt by phosphorylation at serine 473 and threonine 308 and is associated with increased nuclear phospho-Akt. Activated Akt phosphorylates phospholamban, a process that does not require β-adrenergic receptor stimulation or protein kinase A activation. These previously unrecognized signaling events would be predicted to promote calcium handling and increase contractile function of the intact heart independently of β-adrenergic receptor activation. We speculate that phospholamban phosphorylation, through activation of Akt, may be an important mechanism by which adenylyl cyclase VI increases the function of the failing heart.

Increased expression of adenylyl cyclase VI has beneficial effects on the heart, but strategies that increase cAMP production in cardiac myocytes usually are harmful. Might adenylyl cyclase VI have beneficial effects unrelated to increased ␤-adrenergic receptor-mediated signaling? We previously reported that adenylyl cyclase VI reduces cardiac phospholamban expression. Our focus in the current studies is how adenylyl cyclase VI influences phospholamban phosphorylation. In cultured cardiac myocytes, increased expression of adenylyl cyclase VI activates Akt by phosphorylation at serine 473 and threonine 308 and is associated with increased nuclear phospho-Akt. Activated Akt phosphorylates phospholamban, a process that does not require ␤-adrenergic receptor stimulation or protein kinase A activation. These previously unrecognized signaling events would be predicted to promote calcium handling and increase contractile function of the intact heart independently of ␤-adrenergic receptor activation. We speculate that phospholamban phosphorylation, through activation of Akt, may be an important mechanism by which adenylyl cyclase VI increases the function of the failing heart.
Adenylyl cyclase (AC) 4 catalyzes ATP to generate cAMP, a second messenger that is required for many intracellular events. AC is the effector molecule in the ␤-adrenergic receptor (␤AR)-Gs-AC signaling pathway and for many other G-protein-coupled receptors in cardiac myocytes and other cells (1)(2). Cardiac myocytes express predominantly AC type V and AC type VI (AC VI ) (3). Cardiac-directed expression of AC VI in murine cardiomyopathy increases cardiac function, attenuates myocardial hypertrophy, and increases survival (4,5). However, when cardiac-directed ␤AR expression is used in this same model, life is shortened (6,7). Clearly there are marked differences in effects that are evoked by these two elements in the ␤AR-Gs-AC signaling pathway, even though both strategies increase cAMP.
The objective of the current study was to determine whether increased AC VI expression has effects not directly linked with ␤AR stimulation and protein kinase A (PKA) activation, thereby providing a mechanistic explanation for the unanticipated favorable effects of increased cardiac AC VI expression in heart failure. We previously reported that AC VI reduces cardiac phospholamban (PLB) expression through increased expression of activating transcription factor-3, which suppresses PLB promoter activity (8). We now focus on how AC VI influences PLB phosphorylation. We test the hypothesis that AC VI increases PLB phosphorylation independently of ␤AR stimulation and PKA activation. This would result in increased cardiac function but would circumvent deleterious effects of sustained PKA activation (9).
Cardiac Myocyte Culture and Gene Transfer-Neonatal rat cardiac myocytes were isolated as previously described (10). One day after plating, an E1-deleted recombinant adenovirus encoding murine AC VI (with an AU1 tag, a 6-amino acid epitope: DTYRYI) was added to the culture media (600 viral particle/cell). An adenovirus encoding enhanced green fluorescence protein (EGFP) was used as a control vector. Twenty-four hours after adenovirus was added, cultured cells were stimulated with 10 M isoproterenol or 10 M NKH477, a watersoluble forskolin analog that directly stimulates AC. Kinase inhibitors were added 2 h after adenovirus infection in specific experiments (see below).
Cloning of GST-PLB and Site-directed Mutagenesis-A full-length rat PLB cDNA was cloned from neonatal rat cardiac myocytes using reverse transcription and polymerase chain reaction. The primer for reverse transcription was a random hexamer obtained from Qiagen (Valencia, CA). The primers for PCR included: PLBs, 5Ј-GGAATTCATGG-AAAAAGTCCAATACCTTAC and PLBas, 5Ј-GGAATTC-CAGAAGCATCACAATGATG. The PLB cDNA was subcloned into pGEX1T vector (GE Healthcare Life Sciences) at an EcoRI site. After the sequence was confirmed by PCR, the GST-PLB plasmid was transformed into Escherichia coli (DH5␣ strain).
Site-directed mutagenesis was performed. The primers used for generating variants of GST-PLB included 5Ј-TCG GCT ATC AGG GCA GCC TCG ACT ATT for mutating amino acid Arg to Ala at Ϫ2 position (Mut-2), 5Ј-CGC TCG GCT ATC GCG AGA GCC TCG ACT for mutating Arg to Ala at Ϫ3 position (Mut-3), 5Ј CTT ACT CGC TCG CGT ATC AGG AGA GCC for mutating Ala to Arg at Ϫ5 position (Mut-5, Akt consensus), and 5Ј-CAA TAC CTT ACT GCC TCG GCT ATC AGG for mutating Arg to Ala at Ϫ7 position (Mut-7).
Generation of GST-PLB Fusion Protein-The recombinant GST-PLB fusion proteins were expressed in bacteria after induction with 0.1 mM isopropyl ␤-D-thiogalactoside for 2 h. To purify the GST-PLB protein, bacteria were collected in PBS, sonicated, and lysed with Triton X-100 (final concentration, 1%) for 30 min at room temperature. After centrifugation (15,000 ϫ g, 30 min), the GST-PLB proteins were purified by incubating the supernatant with glutathione-Sepharose 4B, which was followed by washing six times with PBS. GST-PLB proteins were confirmed (SDS-PAGE), and the amount of fusion proteins was determined using bovine serum albumin standard on the same SDS-PAGE.
Phosphorylation of PLB Peptide by Akt-The Akt kinase assay reaction mixtures (25 l) contained 10 mM MOPS/NaOH, pH 7.0, 0.2 mM EDTA, 15 MgCl 2 , 100 M cold ATP, and 0.5 Ci of [␥-32 P]ATP (3000 Ci/mmol) and various concentrations of substrate. The reaction was carried out for 10 min at 30°C after adding 100 ng of recombinant Akt and stopped by adding 12.5 l of termination buffer (7.5 M guanidine hydrochloride). This amount of recombinant Akt and the reaction time was tittered to be in the lineage range. Ten microliters of reaction mix was spotted onto P81 phosphocellulose filter and washed extensively with 0.75% phosphoric acid. Radioactive 32 P incorporation was counted using a scintillation counter. The K m and V max were determined by performing a nonlinear least-square best fit to the Michaelis-Menten equation using GraphPad Prism 5 (La Jolla, CA).
PKA and CaMKII Activities-Neonatal rat cardiac myocytes infected with Ad.AC VI or Ad.EGFP or uninfected were stimulated with isoproterenol (10 M) and NKH477 (10 M) for 10 min. Cardiac myocytes then were homogenized in buffer (25 mM Tris-HCl (pH 7.4); 0.5 mM EDTA; 0.5 mM EGTA; 10 mM ␤-mercaptoethanol; 50 mM ␤-glycerophosphate; 10 mM NaF; 1 mM Na 3 VO 4 ) in the presence of protease inhibitor mixture. The homogenates were centrifuged at 14,000 ϫ g for 5 min at 4°C. The supernatant was incubated with PKA biotinylated peptide substrate provided in SigmaTECT cAMP-dependent Protein Kinase (PKA) Assay System or with CaMKII-biotinylated peptide substrate provided in SigmaTECT Calcium/Calmodulindependent Protein Kinase Assay System in the presence of [␥-32 P]ATP. The 32 P-labeled and biotinylated substrate was recovered with a streptavidin matrix, and the specific activity of PKA or CaMKII in each sample was determined by measuring the amount of radioactive substrate.
Akt Activity-The Akt kinase assay kit was used for detection of Akt activity in cardiac myocytes. Cardiac myocyte extracts were prepared by lysing in Cell Lysis Buffer (provided in kit) supplemented with protease inhibitors. Lysates were centrifuged at 10,000 ϫ g (10 min, 4°C). Akt protein then was specifically precipitated using an anti-Akt antibody. The precipitate then was incubated with recombinant glycogen synthase kinase 3 (GSK-3) ␣/␤ fusion protein in the presence of ATP and kinase buffer to allow Akt to phosphorylate GSK-3␣/␤ at Ser-21/9 sites. Phosphorylated GSK-3 was detected by immunoblotting using an anti phospho-GSK-3␣/␤ antibody (1:1,000).
Rap1 activity was used to determine the effects of AC VI on Epac signaling pathways. Rap1 activity was detected using the EZ-Detect Rap1 activation kit and protocol from the manufactory (Pierce). Cell lysates from AC VI virus-infected or uninfected cardiac myocytes were incubated with GST-RalGDS-RBD fusion protein. The active GTP-Rap1 pulled down from lysate was detected by immunoblotting using anti-Rap1 antibody. Cells stimulated with Epac activator, 8-pCPT-2Ј-O-Me-cAMP (8-CPT, 100 M, 15 min), were used as a positive control (11), and cells were stimulated with Epac inhibitor, Brefeldin A (100 M, 15 min), were used as a negative control (12).
Immunoblotting Analysis-Immunoblotting analysis for detection of Akt and its phosphorylated forms was performed according to the protocol from Cell Signaling using cardiac myocyte extracts. Total cell lysate (20 g) from each condition was separated (SDS-PAGE) and transferred to membrane. The phospho-PLB protein was detected using anti-phospho-PLB (Ser-16) or (Thr-17) antibody (1:3000). Total PLB protein was detected using a monoclonal anti-PLB antibody (1:500). The Akt and phospho-Akt proteins were detected using anti-Akt and anti-phospho-Akt (Ser-473) or (Thr-308) antibodies (1:1000).
Immunofluorescence Staining-Cardiac myocytes were fixed with 10% formalin solution for 15 min at 23°C. Fixed cells were washed four times with PBS. Cells were blocked with normal goat serum for 1 h and incubated with anti-phospho-Akt (Ser-473) antibody (1:200) for 1 h at 23°C. The cells were washed four times with PBS and then incubated for another hour with a secondary antibody that was conjugated with Alexa Fluo 488. To stain the nucleus, cells were washed and incubated with Hoechst dye (1:1000) for 20 min.
Stained cells were imaged by fluorescence microscopy. Images were obtained with a 40ϫ lens using a DeltaVision system and were subjected to deconvolution (Applied Precision, Issaquah, WA). Images were captured with a CoolSnap camera (Princeton Instruments, Trenton, NJ). To enable comparison, exposure times were identical for each fluorophore and kept within the linear range of the camera.

AC VI Gene Transfer Increases Phospholamban Phosphorylation-As expected, phosphorylation of PLB on both Ser-16 and
Thr-17 was increased in cardiac myocytes by isoproterenol (␤AR stimulation) and forskolin (AC activation) (Fig. 1, lanes 2 and 3 versus lane 1). However, we found that, in the absence of ␤AR activation, AC VI gene transfer alone increased PLB phosphorylation on serine 16 (  16) phosphorylation has been shown to be sufficient in mediating its maximal cardiac responses to ␤-agonists (13). The following studies were focused on determining the mechanisms for AC VI -associated Ser-16 phosphorylation of phospholamban.
AC VI -induced PLB Phosphorylation Does Not Require ␤AR Stimulation-To determine whether catecholamines in the media were contributing to PLB phosphorylation after AC VI gene transfer, two approaches were used. First, fetal bovine serum was dialyzed to eliminate catecholamines. No difference in AC VI -induced PLB phosphorylation was found between myocytes cultured in dialyzed and undialyzed serum (Fig. 2,  lanes 3 and 4 versus lanes 1 and 2), indicating that increased PLB phosphorylation associated with AC VI gene transfer did not stem from low levels of catecholamines in media. Second, ␤AR blockade with a ␤ 1 AR antagonist (CGP20712A, 1 M and 10 M) and a ␤ 2 AR antagonist (ICI118,551, 1 M and 10 M) did not reduce phosphorylation of PLB (Fig. 2, lanes 5-8 versus lane 2), confirming that AC VI -induced PLB phosphorylation was independent of ␤AR stimulation.
AC VI Gene Transfer Increases PLB Phosphorylation Independently of PKA and Epac-Using several approaches, we examined the potential role of PKA activation in PLB phosphorylation associated with AC VI gene transfer. First, we measured PKA catalytic ␣-isoform (PKA-C␣) expression (immunoblotting) using an antibody against total PKA-C␣ and phospho-PKA-C␣ (Thr-197). AC VI gene transfer did not affect PKA-C␣ subunit expression or its phosphorylation (Fig. 3A). Second, although PKA activity was increased 5-fold in response to ␤AR (isoproterenol) and AC (NKH477) stimulations in AC VI -infected cells, basal PKA activity was unaltered by AC VI (Fig. 3B). Finally, specific inhibition of PKA did not block Ad.AC VI -associated PLB phosphorylation (shown below in Fig. 8, E and F). These data correlate with the effects of AC VI on intracellular cAMP levels: AC VI gene transfer does not change basal cAMP levels, but cAMP production in response to ␤AR or AC stimulation are increased (10,14,15). Taken together, these data indicate that increased PLB phosphorylation evoked by AC VI occurs by a mechanism that does not involve PKA. AC VI gene transfer was not associated with activation of calmodulin kinase   NOVEMBER 28, 2008 • VOLUME 283 • NUMBER 48 II (CaMKII) (Fig. 3C), which was in line with the lack of PLB phosphorylation on Thr-17 (Fig. 1).

AC VI Increases PLB Phosphorylation via Akt
To determine whether the Epac signaling pathway was activated by AC VI gene transfer, intracellular active Rap1 was quantified. We found no difference in Rap1 activity between AC VI virus-infected and uninfected myocytes, with or without serum. The Epac activator (8-CPT) slightly increased active Rap1, but again, in both AC VI virus-infected and uninfected myocytes (Fig. 3D). Therefore, gene transfer of AC6 did not activate the Epac signaling pathway.
AC Catalytic Activity Is Not Required for Phosphorylation of PLB and Akt-To determine whether catalytic activation of AC is required for PLB or Akt phosphorylation, we used AC P-site inhibitors. Two P-site inhibitors (SQ22536 and 9-CPA) (16 -18) greatly reduced forskolin stimulated AC activity in AC VI virus-infected myocytes (Fig. 4A). Another P-site inhibitor, foscarnet (a pyrophosphate analog), was able to inhibit AC activity in uninfected cardiac myocytes (Fig. 4B), but did not inhibit AC activity in AC VI virus-infected myocytes (Fig. 4, A and C), which suggest that endogenous AC isoforms and increased AC VI have different sensitivities to foscarnet inhibition (19). None of these reagents inhibited AC VI -associated phosphorylation of PLB or Akt (Fig. 4D), indicating that the catalytic activation of transgene AC VI is not required for its effects on PLB or Akt phosphorylation.
AC VI Gene Transfer Increases Akt Phosphorylation and Activity-AC VI gene transfer increased phosphorylation of Akt at both the Ser-473 and Thr-308 sites but did not change the levels of Akt protein (Fig. 5A). To determine whether Akt phosphorylation was associated with increased Akt activity, Akt was immunoprecipitated from cardiac myocyte lysates, and activity was assessed using recombinant GSK3␣/␤ fusion protein as a substrate in vitro. AC VI gene transfer increased Akt activity 5-fold versus Ad.EGFP-infected cardiac myocytes (Fig. 5B, lane 2 versus lane 1). Sustained (22 h) ␤AR stimulation increased Akt activity in control cells (Fig. 5B, lane 3 versus lane 1) but not further enhance Akt activity in Ad.AC VI -infected cells (Fig. 5B, lane 4 versus lane 2). We next determined whether phosphorylation of GSK-3, an endogenous Akt substrate, was increased after AC VI gene transfer. GSK-3 phosphorylation was detected using antibodies against its ␣and ␤-isoforms. We found that AC VI gene transfer increased phosphorylation of Ser-21 on the ␣-isoform and Ser-9 on the ␤-isoform (Fig. 6).
AC VI Gene Transfer Increased Nuclear Phospho-Akt-To detect the intracellular location of Akt, we used anti-phospho-Akt (Ser-473) antibody and immunofluorescence staining followed by deconvolution analysis. In uninfected cardiac myocytes, phospho-Akt was detected in the cytoplasm, but was barely detectable in the nucleus. In contrast, after AC VI gene transfer, nuclear phospho-Akt was substantially increased (Fig.  7). As previously shown (Fig. 5), Akt activation did not require ␤AR stimulation.
AC VI Gene Transfer Increases PLB Phosphorylation via Akt-To determine if PLB was an Akt substrate in the setting of increased AC VI expression, we used three approaches. First, using GST-PLB fusion as substrate, we asked whether recombinant Akt protein could phosphorylate PLB Ser-16 in vitro. Phospho-PLB Ser-16 was detected using anti-phospho-PLB (Ser-16) antibody in immunoblotting after kinase Cultured cardiac myocytes were infected with Ad.AC VI or Ad.EGFP or uninfected (Con). Isoproterenol (Iso, 10 M) and NKH477 (NKH, 10 M) were added for 10 min. Cell homogenates were centrifuged (14,000 ϫ g, 5 min, 4°C), and supernatant was incubated with PKA-biotinylated peptide substrate in the presence of [␥-32 P]ATP. The 32 P-labeled, biotinylated substrate was recovered with a streptavidin matrix, and the specific activity of PKA in each sample was determined after measuring the amount of radioactive substrate. AC VI gene transfer did not alter basal (B) PKA activity, but greatly increased PKA activity in response to ␤AR or AC stimulation. C, analysis of CaMKII activity. Cell homogenates of Ad.AC VI virus-infected (AC VI ) or uninfected (Con) cardiac myocytes were incubated with CaMKII biotinylated peptide substrate in the presence of [␥-32 P]ATP, and with (Activation) or without (Basal) calmodulin, a CaMKII activator. The 32 P-labeled, biotinylated substrate was recovered with a streptavidin matrix, and the specific activity of CaMKII in each sample was determined after measuring the amount of radioactive substrate. AC VI gene transfer did not alter basal (basal) CaMKII activity, neither the activity in response to calmodulin (activation). D, Rap1 activity. Cardiac myocytes were incubated with 100 m [8-(4-chlorophenylthio)-2ЈO-methyl-cAMP] (8-CPT) or Brefeldin A (BFA) for 24 h. GTP-bound active Rap1 was pulled down using GST-RalGDS-RBD fusion protein. The Rap1 was detected by immunoblotting using anti-Rap1 antibody. Total Rap1 protein was detected from cell lysate without pulldown. reaction. We found that Akt phosphorylated PLB on Ser-16 in vitro (Fig. 8A). To determine the amino acids around Ser-16 required for Akt phosphorylation, 3 arginines in PLB (RXAXRRXS) were mutated to alanines (called mut-2, mut-3, and mut-7, respectively). In addition, the alanine at position Ϫ5 was changed to arginine (called mut-5) to mimic an Akt consensus site (RXRXXpS) as shown in Fig. 8B. The PLB-WT and mutants of GST-PLB were tested for phosphorylation by recombinant active Akt1 in vitro. Although mut-5 increased (1.7-fold) the amount of PLB phosphorylation when compared with WT, mutation at Ϫ7 reduced PLB phosphorylation Ͼ95%, and mutation at Ϫ2 or Ϫ3 site completely abolished PLB phosphorylation by Akt (Fig. 8, C and  D). These data confirmed that PLB is one of the Akt substrates and that the three arginines at Ϫ2, Ϫ3, and Ϫ7 are critical for Akt to phosphorylate PLB.
Second, using synthesized PLB peptide (RSAIRRAST), we determined the kinetics of recombinant Akt1 phosphorylation on PLB Ser-16 in vitro. In this experiment, we used an Akt consensus peptide, RPRAATF, as a positive control and PLB Ser-16 mutant as a negative control. An additional mutant on Thr-17, was used to evaluate the specificity of the phosphorylation. After tittering, the amount of Akt kinase and the reaction time were found to be in the lineage range, and various concentrations of PLB substrate were phosphorylated by 100 ng of Akt1 in the presence of [␥-32 P]ATP. The K m and V max of the phosphorylation were calculated using a nonlinear least-square best fit to the Michaelis-Menten equation. We found that, although recombinant active Akt1 phosphorylated its consensus site with K m of 30 M, it phosphorylated PLB peptide with K m of 72 M and V max of 143 nmol/min/mg. Mutation at Thr-17 did not affect Akt phosphorylation of PLB on Ser-16, but mutation at Ser-16 completely abolished PLB phosphorylation, confirming the specificity of the phosphorylation (data not shown). These results indicated that PLB is one of the relative specific Akt substrates, which is consistent with the findings of others for these non-consensus Akt substrates (20,21).
Finally, we used Akt inhibitors to attempt to prevent phosphorylation of endogenous PLB. All three Akt inhibitors, in contrast to PKA inhibitors, blocked AC VI -associated PLB phosphorylation (Fig. 8, E and F). Data on AKt V not shown. These experiments indicate that increased AC VI expression results in phosphorylation of PLB via activation of Akt.

DISCUSSION
The most important finding of this study is that increased AC VI expression in cardiac myocytes leads to increased PLB phosphorylation on Ser-16, but not on Thr-17, via activation of Akt, and that this occurs independently of activation of ␤AR, PKA, or Epac or catalytic activity of AC. This previously unrecognized interaction between Akt and PLB provides a mechanism by which cardiac myocyte function may be increased independent of ␤AR activation and cAMP generation.
PLB Phosphorylation-Typically, PKA phosphorylates PLB at Ser-16 (22,23). However, in seeking a mechanism for the increased level of PLB phosphorylation associated with AC VI expression, we found that the process was not the result of PKA activation (Figs. 3 and 6). Other kinases known to phosphorylate PLB include protein kinase C, cGMP-dependent protein kinase, and myotonic dystrophy protein kinase (24 -27). However, cGMP-dependent protein kinase and myotonic dystrophy protein kinase expression were unchanged by AC VI expression (data not shown), and we previously reported that cardiac protein kinase C activity and content were not altered by increased AC VI expression (28).
To seek a PKA-independent means for PLB phosphorylation, we asked whether Akt, an important kinase in multiple signaling pathways, might be involved. We found that increased AC VI was associated with increased phosphorylation and activity of Akt. Akt-specific inhibitors, but not a PKA inhibitor, diminished AC VI -induced PLB phosphorylation, which strongly indicates that Akt is responsible for increased phosphorylation of PLB after AC VI gene transfer. AC VI -associated Akt phosphorylation was also inhibited by phosphatidylinositol 3-kinase inhibitors (data not shown). The precise mechanism by which AC VI influences phosphatidylinositol 3-kinase and Akt activation is the focus of ongoing studies in our laboratory. The amount of cAMP was determined using a cAMP Biotrak Enzymeimmunoassay System. Inhibitors (SQ22536 and 9-CPA) greatly reduced forskolin-stimulated AC activity in AC VI virus-infected cells, but foscarnet did not. D, immunoblotting analysis for phospho-PLB or phospho-Akt using cell lysates after treatment with P-site inhibitors. P-site inhibition had no effects on AC VI -associated phosphorylation of Akt and PLB.
Does PLB possess structural features that are typical of other Akt substrates? Akt belongs to the AGC kinase family and has 47% sequence homology with the catalytic subunit of PKA (29). Akt can phosphorylate proteins containing a PKA site such as cAMP-response element-binding protein (30). Most of the Akt substrates contain an Akt consensus site RXRXXS, where X represents any amino acid and S represents a serine (21). Other substrates identified through peptide and protein library screening defined Akt substrate motifs as RXRXRXXS where the R at position Ϫ7 (i.e. 7 amino acids upstream of S) is important for Akt phosphorylation (31), and R at Ϫ5 is dispensable (32). Akt also can phosphorylate actin on sequences XXXXRXXS (33), which is divergent from its consensus sequences. PLB contains sequences RXXXR-RXS around serine 16 that are similar to the above identified sequences with R at Ϫ7 (34). The 3 arginines at Ϫ2, Ϫ3, and Ϫ7 are critical for Akt phosphorylation. Mutating any one of them abolished PLB phosphorylation by Akt (Fig. 8, C and  D). Thus, PLB possesses structural features of other Akt substrates, making its phosphorylation by Akt structurally feasible. Although the K m for PLB peptide phosphorylation in vitro is relatively high compared with the other Akt substrates (21), the maximal PLB phosphorylation induced by AC VI gene transfer (Fig. 1) indicate that AC VI might facilitate Akt to phosphorylate PLB in vivo with unknown mechanisms.
Gene transfer of AC VI did not increase PLB phosphorylation on Thr-17 ( Fig. 1) and even inhibited Thr-17 phosphorylation in response to forskolin stimulation. Lack of Thr-17 phosphorylation after AC VI gene transfer indicates that the effects of AC VI differ from ␤AR agonist stimulation on cardiac myocytes (35). Absence of Thr-17 phosphorylation reflects the absence of CaMKII activation by AC VI expression (Fig. 3D). CaMKII inhibition is beneficial to the heart by protecting myocytes against necrosis, apoptosis, and hypertrophy in animals (36 -39).   After AC VI gene transfer, increased phospho-Akt was detected not only in cytosol, but also in nucleus (bottom row). Nuclei were stained with Hoechst dye (blue). Experiments were repeated four times with similar results. The images were obtained with a 40ϫ lens using a DeltaVision system and were subjected to deconvolution. Exposures were captured with a CoolSnap camera. To enable comparison, exposure times were identical for each fluorophore and kept within the linear range of the camera.
Therefore, lack of CaMKII activation and Thr-17 PLB phosphorylation could be another mechanism for the salutary effects of AC VI .
Akt and Cardiac Function-AC VI expression increased nuclear phospho-Akt. Whether this represents nuclear translocation or, alternatively, increased activation of Akt already present in the nucleus was not determined. Nuclear-targeted Akt expression was found to increase cardiac PLB phosphorylation in transgenic mice (40), so nuclear Akt activation, seen after AC VI gene transfer in the present study, is likely to be an important mechanism in PLB phosphorylation.
Increased phospho-Akt is likely to have additional potentially important consequences. For example, Akt signaling affects the balance between survival and programmed cell death (apoptosis) in cardiac myocytes and other cells (41,42). This is achieved by phosphorylation and deactivation of pro-apoptotic factors such as Bad, caspase-9, and Forkhead transcription factors (AFX, Daf-16, and FKHR) (41,(43)(44)(45)(46)(47)(48), and by increasing the expression of anti-apoptotic proteins FIGURE 8. A, phosphorylation of PLB by recombinant Akt1. GST/PLB recombinant protein was produced and purified from bacteria. GST/PLB-bound agarose beads (2 l) were incubated (10 min, 30°C) with increasing amounts of Akt1 in the presence of ATP and kinase buffer. Phospho-Ser-16-PLB was detected using anti-phospho-PLB (Ser-16) antibody. Recombinant Akt phosphorylated PLB at Ser-16. B, wild type and mutants of GST-PLB around serine 16. Serine 16 is defined as "0," and amino acids at 5Ј of serine 16 were defined as negatives. The mut-7, mut-3, and mut-2 have an "R" mutated to "A," and mut-5 has an "A" mutated to an "R" by site-directed mutagenesis. C, immunoblots of WT and mutants of GST-PLB phosphorylated by Akt1. WT or mutant GST-PLB protein was phosphorylated by Akt1 (100 ng) as described in A, and phospho-Ser-16 was detected using anti-phospho-PLB (Ser- 16) antibody. Mutation at Ϫ5 increased PLB phosphorylation by Akt, but mutation at Ϫ2 and Ϫ3 completely abolished the ability of Akt1 to phosphorylate PLB Ser-16. D, phosphorylation of WT and mutants of GST-PLB by Akt1 at varies substrate concentrations. Phospho-Ser-16 was detected in immunoblotting using anti-phospho-PLB (Ser-16) antibody.  NOVEMBER 28, 2008 • VOLUME 283 • NUMBER 48 such as Bcl-2 and Bcl-xL (49,50). Cardiac myocyte number is reduced in heart failure, which is thought to be due, at least in part, to increased apoptosis (51). Mice with cardiac-directed expression of a constitutively active Akt show cardiac hypertrophy and increased systolic function (52), but sustained expression of Akt can lead to heart failure (53). In contrast, cardiac-directed and nuclear-targeted Akt expression increases contractile function (40,54), inhibits apoptosis, and protects the heart during ischemia-reperfusion injury (55). In the present studies, we found nuclear translocation of activated Akt evoked by increases in AC VI levels. We also found that increased cardiac levels of AC VI are associated with reduced apoptosis in an animal model of congestive heart failure (56), suggesting that our findings in cultured cells may have important physiological implications.

AC VI Increases PLB Phosphorylation via Akt
PLB and Cardiac Function-PLB plays an important role as an inhibitor of the sarcoplasmic reticulum Ca 2ϩ ATPase in cardiac myocytes. For example, ␤AR stimulation, through PKA activation, phosphorylates PLB, which disinhibits sarcoplasmic reticulum Ca 2ϩ ATPase and facilitates Ca 2ϩ uptake into the sarcoplasmic reticulum, increasing cardiac function (57). However, sustained ␤AR activation is associated with cardiac myocyte apoptosis (58,59), which is not seen in animals expressing nuclear Akt (40) or AC VI (56). Reduction of PLB through antisense suppression or genetic ablation increases sarcoplasmic reticulum calcium cycling and increases cardiac function (60,61), and cardiac-directed expression of PLB decreases heart function (62). In contrast, increased expression of AC VI in cardiac myocytes not only reduces the expression of PLB (8), but also, as we show here, increases PLB phosphorylation through increased Akt activity, effects which would be predicted to have beneficial effects on cardiac function.

CONCLUSION
Increased AC VI protein activates Akt, which then phosphorylates PLB. AC VI gene transfer is also associated with increased nuclear phospho-Akt. These previously unrecognized signaling events occur in the absence of ␤AR and PKA activation, which may be why this adrenergic intervention, unlike others, has beneficial effects. The discovery that AC VI increases activation of Akt and phosphorylation of PLB, proteins that influence contractile function and cell survival, provides a plausible mechanism for the beneficial effects of AC VI on the failing heart.