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Publication : Cardiac-specific inducible overexpression of human plasma membrane Ca<sup>2+</sup> ATPase 4b is cardioprotective and improves survival in mice following ischemic injury.

First Author  Sadi AM Year  2018
Journal  Clin Sci (Lond) Volume  132
Issue  6 Pages  641-654
PubMed ID  29487197 Mgi Jnum  J:261941
Mgi Id  MGI:6157852 Doi  10.1042/CS20171337
Citation  Sadi AM, et al. (2018) Cardiac-specific inducible overexpression of human plasma membrane Ca(2+) ATPase 4b is cardioprotective and improves survival in mice following ischemic injury. Clin Sci (Lond) 132(6):641-654
abstractText  Background: Heart failure (HF) is associated with reduced expression of plasma membrane Ca(2+)-ATPase 4 (PMCA4). Cardiac-specific overexpression of human PMCA4b in mice inhibited nNOS activity and reduced cardiac hypertrophy by inhibiting calcineurin. Here we examine temporally regulated cardiac-specific overexpression of hPMCA4b in mouse models of myocardial ischemia reperfusion injury (IRI) ex vivo, and HF following experimental myocardial infarction (MI) in vivoMethods and results: Doxycycline-regulated cardiomyocyte-specific overexpression and activity of hPMCA4b produced adaptive changes in expression levels of Ca(2+)-regulatory genes, and induced hypertrophy without significant differences in Ca(2+) transients or diastolic Ca(2+) concentrations. Total cardiac NOS and nNOS-specific activities were reduced in mice with cardiac overexpression of hPMCA4b while nNOS, eNOS and iNOS protein levels did not differ. hMPCA4b-overexpressing mice also exhibited elevated systolic blood pressure vs. controls, with increased contractility and lusitropy in vivo In isolated hearts undergoing IRI, hPMCA4b overexpression was cardioprotective. NO donor-treated hearts overexpressing hPMCA4b showed reduced LVDP and larger infarct size versus vehicle-treated hearts undergoing IRI, demonstrating that the cardioprotective benefits of hPMCA4b-repressed nNOS are lost by restoring NO availability. Finally, both pre-existing and post-MI induction of hPMCA4b overexpression reduced infarct expansion and improved survival from HF.Conclusions: Cardiac PMCA4b regulates nNOS activity, cardiac mass and contractility, such that PMCA4b overexpression preserves cardiac function following IRI, heightens cardiac performance and limits infarct progression, cardiac hypertrophy and HF, even when induced late post-MI. These data identify PMCA4b as a novel therapeutic target for IRI and HF.
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