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Publication : β-Arrestin mediates the Frank-Starling mechanism of cardiac contractility.

First Author  Abraham DM Year  2016
Journal  Proc Natl Acad Sci U S A Volume  113
Issue  50 Pages  14426-14431
PubMed ID  27911784 Mgi Jnum  J:239083
Mgi Id  MGI:5824927 Doi  10.1073/pnas.1609308113
Citation  Abraham DM, et al. (2016) beta-Arrestin mediates the Frank-Starling mechanism of cardiac contractility. Proc Natl Acad Sci U S A 113(50):14426-14431
abstractText  The Frank-Starling law of the heart is a physiological phenomenon that describes an intrinsic property of heart muscle in which increased cardiac filling leads to enhanced cardiac contractility. Identified more than a century ago, the Frank-Starling relationship is currently known to involve length-dependent enhancement of cardiac myofilament Ca2+ sensitivity. However, the upstream molecular events that link cellular stretch to the length-dependent myofilament Ca2+ sensitivity are poorly understood. Because the angiotensin II type 1 receptor (AT1R) and the multifunctional transducer protein beta-arrestin have been shown to mediate mechanosensitive cellular signaling, we tested the hypothesis that these two proteins are involved in the Frank-Starling mechanism of the heart. Using invasive hemodynamics, we found that mice lacking beta-arrestin 1, beta-arrestin 2, or AT1R were unable to generate a Frank-Starling force in response to changes in cardiac volume. Although wild-type mice pretreated with the conventional AT1R blocker losartan were unable to enhance cardiac contractility with volume loading, treatment with a beta-arrestin-biased AT1R ligand to selectively activate beta-arrestin signaling preserved the Frank-Starling relationship. Importantly, in skinned muscle fiber preparations, we found markedly impaired length-dependent myofilament Ca2+ sensitivity in beta-arrestin 1, beta-arrestin 2, and AT1R knockout mice. Our data reveal beta-arrestin 1, beta-arrestin 2, and AT1R as key regulatory molecules in the Frank-Starling mechanism, which potentially can be targeted therapeutically with beta-arrestin-biased AT1R ligands.
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