Cardiovascular Research Advance Access [Accepted Manuscript] published online on November 9, 2009
Cardiovascular Research, doi:10.1093/cvr/cvp364
Natriuretic peptides increase beta-1-adrenoceptor signalling in failing hearts through phosphodiesterase 3 inhibition
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