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PMID PubMed ID  24812278
DOI DOI  10.1093/cvr/cvu120
Publication Year 2014
Title Tubulin polymerization disrupts cardiac β-adrenergic regulation of late INaWikidata
Journal Cardiovascular Research
ISSN 0008-6363, 1755-3245
URL  http://cardiovascres.oxfordjournals.org/content/early/2014/05/08/cvr.cvu120
Pages cvu120
Journal Abbreviation Cardiovasc Res
Extra Aims The anticancer drug paclitaxel (TXL) that polymerizes microtubules is associated with arrhythmias and sinus node dysfunction. TXL can alter membrane expression of Na channels (NaV1.5) and Na current (INa) but the mechanisms are unknown. Ca/CaM-dependent protein kinase II (CaMKII) can be activated by β-adrenergic stimulation and regulates INa gating. We tested, whether TXL interferes with isoproterenol (ISO)-induced activation of CaMKII and consequent INa regulation. Methods and Results In wild-type (WT) mouse myocytes, the addition of ISO (1 µmol/L) resulted in increased CaMKII autophosphorylation (Western blotting). This increase was completely abolished after pre-treatment with TXL (100 µmol/L, 1.5 h). The mechanism was further investigated in human embryonic kidney cells. TXL inhibited the ISO-induced β-arrestin translocation. Interestingly, both knockdown of β-arrestin 2 expression using small interfering RNA or inhibition of exchange protein directly activated by cAMP (Epac) blocked the ISO-induced CaMKII autophosphorylation similar to TXL. The generation of cAMP, however, was unaltered (Epac1-camps). CaMKII-dependent Na channel function was measured using patch-clamp technic in isolated cardiomyoctes. ISO stimulation failed to induce CaMKII-dependent enhancement of late INa and Na channel inactivation (negative voltage shift in steady-state activation and enhanced intermediate inactivation) after TXL pre-incubation. Consistent with this, TXL also inhibited ISO-induced CaMKII-specific Na channel phosphorylation (at serine 571 of NaV1.5). Conclusion TXL preincubation disrupts the ISO-dependent CaMKII activation and consequent Na channel regulation. This may be important for patients receiving TXL treatments but also relevant for conditions of increased CaMKII expression and enhanced β-adrenergic stimulation like in heart failure. PMID: 24812278
Authors Nataliya Dybkova, Stefan Wagner, Johannes Backs, Thomas J. Hund, Peter J. Mohler, Thomas Sowa, Viacheslav O. Nikolaev, Lars S. Maier
First Author Dybkova
Last Author Maier
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