Abstract
BACKGROUND: Cardiac Na/K-ATPase (NKA) regulates intracellular Na (Na(i)),
which in turn affects intracellular Ca and thus contractility via
Na/Ca exchange. Recent evidence shows that phosphorylation of the
NKA-associated small transmembrane protein phospholemman (PLM) mediates
beta-adrenergic-induced NKA stimulation. METHODS AND RESULTS: Here,
we tested whether PLM phosphorylation during beta-adrenergic activation
limits the rise in Na(i), Ca transient amplitude, and triggered
arrhythmias in mouse ventricular myocytes. In myocytes from wild-type
(WT) mice, Na(i) increased on field stimulation at 2 Hz from 11.1+/-1.8
mmol/L to a plateau of 15.2+/-1.5 mmol/L. Isoproterenol induced a
decrease in Na(i) to 12.0+/-1.2 mmol/L. In PLM knockout (PLM-KO)
mice in which beta-adrenergic stimulation does not activate NKA,
Na(i) also increased at 2 Hz (from 10.4+/-1.2 to 17.0+/-1.5 mmol/L)
but was unaltered by isoproterenol. The PLM-mediated decrease in
Na(i) in WT mice could limit the isoproterenol-induced inotropic
state. Indeed, the isoproterenol-induced increase in the amplitude
of Ca transients was significantly smaller in the WT mice (5.2+/-0.4-
versus 7.1+/-0.5-fold in PLM-KO mice). This also was the case for
the sarcoplasmic reticulum Ca content, which increased by 1.27+/-0.09-fold
in WT mice versus 1.53+/-0.09-fold in PLM-KO mice. The higher sarcoplasmic
reticulum Ca content in PLM-KO versus WT mice was associated with
an increased propensity for spontaneous Ca transients and contractions
in PLM-KO mice. CONCLUSIONS: These data suggest that PLM phosphorylation
and NKA stimulation are an integral part of the sympathetic fight-or-flight
response, tempering the rise in Na(i) and cellular Ca loading and
perhaps limiting Ca overload-induced arrhythmias.
- activation,
- adrenergic
- adrenergic,
- agents,
- animals,
- animals;
- arrhythmias,
- artificial;
- atpases,
- beta,
- beta-agonists,
- c57bl;
- calcium
- calcium-transporting
- cardiac
- cardiac,
- cardiotonic
- channel
- chemically
- congenic;
- drug
- effects/metabolism;
- effects;
- enzyme
- gating,
- heart
- inbred
- induced/physiopathology;
- ion
- isoproterenol,
- knockout;
- membrane
- metabolism
- mice,
- mice;
- myocytes,
- pacing,
- phosphoproteins,
- phosphorylation;
- physiology;
- post-translational;
- processing,
- protein
- proteins,
- receptors,
- reticulum
- sarcoplasmic
- signaling;
- sodium,
- toxicity;
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