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Acta Physiologica 2011; Volume 201, Supplement 682
The 90th Annual Meeting of The German Physiological Society
3/26/2011-3/29/2011
Regensburg, Germany
PARADOXICAL EFFECTS OF ATRIAL NATRIURETIC PEPTIDE (ANP) ON MYOCYTE CA2+I-HANDLING IN HYPERTENSIVE CARDIAC HYPERTROPHY
Abstract number: P041
*Klaiber1 M., Dankworth1 B., Kruse2 M., Nikolaev3 V., Volker1 K., Feil4 R., Frantz5 S., Pongs2 O., Kuhn1 M.
The atrial natriuretic peptide (ANP) - guanylyl cyclase A (GC-A) pathway has been implicated as an intrinsic moderator of cardiac hypertrophy. GC-A activation generates cGMP, which in turn activates cGMP-dependent protein kinase (PKG I) and counteracts Angiotensin II-induced increases in myocyte Ca2+i-levels and cardiac hypertrophy. However, in hypertensive heart disease cardiac ANP levels are markedly increased and cGMP responses to ANP are blunted, indicating homologous desensitization of GC-A. Here we investigated how this process affects cardiomyocyte Ca2+-responses to ANP. Ventricular myocytes were isolated from mice subjected to transverse aortic constriction (TAC) or sham surgery (controls). Patch clamp recordings of L-type Ca2+ currents (ICa) were combined with fluorescent imaging of Ca2+i-transients. In control myocytes ANP raised intracellular cGMP levels. This had no direct effect on basal ICa and Ca2+i but fully prevented their stimulation by Angiotensin II. In hypertrophic myocytes from mice with TAC the cGMP-responses to ANP were diminished. Unexpectedly, ANP now itself enhanced ICa and Ca2+i. Moreover, ANP did not inhibit the Ca2+-responses to Angiotensin II. Similar Ca2+-enhancing effects of ANP were observed in myocytes with genetic or pharmacological inhibition of PKG I. These "paradoxical" Ca2+-responses to ANP were abolished in the presence of TRPC inhibitors or in TRPC3/C6-deficient cardiomyocytes. Our study unravels a novel cGMP-independent signaling pathway of GC-A, which can provoke pathological Ca2+i raises in cardiomyocytes. This pathway may be relevant in the heart under pathophysiological conditions and might increase the propensity to hypertrophy and arrhythmias when GC-A is desensitized by high ANP levels. Supported by SFB 487.
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Acta Physiologica 2011; Volume 201, Supplement 682 :P041