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β1-Adrenergic Receptors Stimulate Cardiac Contractility and Ca2+/Calmodulin-Dependent Kinase II (CaMKII) Activation In Normal Cardiac Function and Myocardial Infarction
연세대 원주의대 심장내과¹, Departments of Medicine,Cell Biology & Molecular Genetics, Duke University Medical Center ²
유병수¹, Anthony Lemaire² , Supachoke Mamgool ², Lan Mao² , Howard A. Rockman²
Background; The β-adrenergic receptor (βAR) signaling system is one of the most powerful regulators of cardiac function and a key regulator of Ca2+ homeostasis. Objective and Methods; We investigated the role of βAR stimulation in augmenting cardiac function and its role in the activation of Ca2+/calmodulin-dependent kinase II (CaMKII) using various βAR knockouts (KO) including β1ARKO, β2ARKO and β1/β2AR double KO (DKO) mice. We employed a murine model of left anterior descending coronary ligation to examine the differential contributions of specific βAR subtypes in the activation of CaMKII in vivo in failing myocardium. Results; Cardiac inotropy, chronotropy and CaMKII activity following short term ISO stimulation was significant attenuated in β1ARKO and DKO compared to either the β2ARKO or WT mice indicating that β1ARs are required for catecholamine induced increases in contractility and CaMKll activity. Eight weeks post MI, β1ARKO and DKO mice showed a significant attenuation in fractional shortening compared to either the β2ARKO or WT mice. CaMKII activity after MI was significantly increased only in the β2ARKO and WT hearts and not in the β1ARKO and DKO hearts. The border zone of the infarct in the β2ARKO and WT hearts demonstrated significantly increased apoptosis by TUNEL staining compared to the β1ARKO and DKO hearts. Conclusion; Taken together, these data show that cardiac function and CaMKII activity is mediated almost exclusively by the β1AR. Moreover, it appears that β1AR signaling is detrimental to cardiac function following myocardial infarction, possibly through activation of CaMKII.


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