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Cardiovascular Research Advance Access [Accepted Manuscript] published online on November 9, 2009

Cardiovascular Research, doi:10.1093/cvr/cvp364
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org.

Natriuretic peptides increase beta-1-adrenoceptor signalling in failing hearts through phosphodiesterase 3 inhibition

Eirik Qvigstad1,2,*, Lise R. Moltzau1,2, Jan Magnus Aronsen2,3, Cam H.T. Nguyen1,2, Karina Hougen2,3, Ivar Sjaastad2,3, Finn Olav Levy1,2,*, Tor Skomedal1,2 and Jan-Bjørn Osnes1,2

1 Department of Pharmacology, University of Oslo, Oslo, Norway
2 Center for Heart Failure Research, University of Oslo, Oslo, Norway
3 Institute for Experimental Medical Research, University of Oslo, Oslo, Norway

* Corresponding authors: Department of Pharmacology, University of Oslo, P.O. Box 1057 Blindern, 0316 Oslo, Norway. Phone: +47-22840273/22840237, Fax: +47-22840202, E-mail: eirik.qvigstad{at}medisin.uio.no/f.o.levy{at}medisin.uio.no

Aim: Whereas natriuretic peptides increase cGMP levels with beneficial cardiovascular effects through protein kinase G, we found an unexpected cardio-excitatory effect of C-type natriuretic peptide (CNP) through natriuretic peptide receptor B (NPR-B) stimulation in failing cardiac muscle and explored the mechanism.

Methods: Heart failure was induced in male Wistar rats by coronary artery ligation. Contraction studies were performed in left ventricular muscle strips. Cyclic nucleotides were measured by radio- and enzyme immunoassay. Apoptosis was determined in isolated cardiomyocytes by Annexin-V/propidium iodide staining and phosphorylation of phospholamban and troponin I was measured by Western blotting.

Results: Stimulation of NPR-B enhanced β1-adrenoceptor (β1-AR)-evoked contractile responses through cGMP-mediated inhibition of phosphodiesterase 3 (PDE3). CNP enhanced β1-AR-mediated increase of cAMP levels to the same extent as the selective PDE3 inhibitor cilostamide and increased β1-AR-stimulated protein kinase A activity, as demonstrated by increased phospholamban and troponin I phosphorylation. CNP promoted cardiomyocyte apoptosis similar to inhibition of PDE3 by cilostamide, indicative of adverse effects of NPR-B signalling in failing hearts.

Conclusion: An NPR-B-cGMP-PDE3 inhibitory pathway enhances β1-AR-mediated responses and may in the long term be detrimental to the failing heart through mechanisms similar to those operating during treatment with PDE3 inhibitors or during chronic beta-adrenergic stimulation.


Time for primary review: 32 Days


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