Abstract
β-adrenergie (β-AR) signaling is essential for the adaptation of the heart to exercise and stress. Chronic stress leads to the activation of Ca2+/calmodulin-dependent kinase II (CaMKII) and protein kinase D (PKD). Unlike CaMKII, the effects of PKD on excitation-contraction coupling (ECC) remain unclear. To elucidate the mechanisms of PKD-dependent ECC regulation, we used hearts from cardiac-specific PKD1 knockout (PKD1 cKO) mice and wild-type (WT) littermates. We measured calcium transients (CaT), Ca2+ sparks, contraction and L-type Ca2+ current in paced cardiomyocytes under acute β-AR stimulation with isoproterenol (ISO; 100 nM). Sarcoplasmic reticulum (SR) Ca2+ load was assessed by rapid caffeine (10 mM) induced Ca2+ release. Expression and phosphorylation of ECC proteins phospholambam (PLB), troponin I (TnI), ryanodine receptor (RyR), sarcoendoplasmic reticulum Ca2+ ATPase (SERCA) were evaluated by western blotting. At baseline, CaT amplitude and decay tau, Ca2+ spark frequency, SR Ca2+ load, L-type Ca2+ current, contractility, and expression and phosphorylation of ECC protein were all similar in PKD1 cKO vs. WT. However, PKD1 cKO cardiomyocytes presented a diminished ISO response vs. WT with less increase in CaT amplitude, slower [Ca2+]i decline, lower Ca2+ spark rate and lower RyR phosphorylation, but with similar SR Ca2+ load, L-type Ca2+ current, contraction and phosphorylation of PLB and TnI. We infer that the presence of PKD1 allows full cardiomyocyte β-adrenergic responsiveness by allowing optimal enhancement in SR Ca2+ uptake and RyR sensitivity, but not altering L-type Ca2+ current, TnI phosphorylation or contractile response. Further studies are necessary to elucidate the specific mechanisms by which PKD1 is regulating RyR sensitivity. We conclude that the presence of basal PKD1 activity in cardiac ventricular myocytes contributes to normal β-adrenergic responses in Ca2+ handling.
Keywords: Protein kinase D, Calcium handling, Ca2+ sparks, Ryanodine receptor, β-Adrenergic stimulation, EC-coupling
1. Introduction
The β-adrenergic (β-AR) signaling pathway is critical for the survival mechanism referred to as the sympathetic fight-or-flight response, but under physiological basal conditions, the sympathetic nervous system also regulates the function of several organs, including the heart. The sympathetic reflex modulates (through the β-AR pathway) the heart’s response to changes in afterload by increasing heart rate and contractility [1]. This is accomplished through alterations in the activities of proteins involved in excitation-contraction coupling (ECC) including L-type Ca2+ channels, ryanodine receptors (RyRs), phospholamban (PLB), troponin I (TnI) and myosin binding protein C (MyBP-C) mostly by protein kinase A (PKA) [2]. In cardiac hypertrophy and failure there is chronic activation of β-AR signaling and activation of CaM kinase superfamily members such as Ca2+/CaM-dependent kinase II (CaMKII) and protein kinase D (PKD) that can modulate ECC [3-6]. While CaMKII effects on ECC have been studied in detail, PKD has been less well-studied.
PKD is a serine/threonine kinase that has been strongly implicated in cardiac remodeling during, for example, pressure overload induced hypertrophy [7] and heart failure [8] and can reduce myofilament Ca2+ sensitivity in response to Gq-protein coupled receptor activation; e.g. endothelin-1 [4,9]. Moreover, PKD is required for the pathologic hypertrophic remodeling induced by chronic neurohumoral stimulation with isoproterenol (β-AR receptor agonist) in mice [7], indicating the interaction between PKD and the β-AR signaling pathway. However, the mechanisms by which PKD acutely modulates β-AR responses at the ECC level remain unclear. Indeed, prior studies on the molecular interaction between β-AR/PKA signaling and PKD have produced conflicting results: Harrison et al. [10] detected no effect on PKD target phosphorylation after β-AR or PKA stimulation; Carnegie et al. [11] showed that A-kinase-anchoring protein-Lbc (AKAP-Lbc) operates as a scaffold for PKA and protein kinase C (PKC) enabling PKD activation and histone deacetylase 5 (HDAC5) phosphorylation; and Haworth et al. [12] found that PKA inhibits PKD activation by endothelin-1 (ET-1) or phenylephrine (PE) and this is mediated by phosphodiesterase 3 and 4 (PDE 3 and 4). Nichols et al. identified that β-AR/PKA signaling triggers a novel nuclear PKD activation, while also suppressing the canonical PKC-dependent sarcolemmal PKD activation, demonstrating crosstalk between these two signaling pathways [13].
Here, we used a cardiac specific knockout of the major cardiac isoform, PKD1 (PKD1 cKO) [7], to test how PKD1 alters adult murine ventricular myocyte Ca2+ handling in the absence and presence of β-AR activation. These mice exhibit no prominent baseline phenotype with respect to cardiac size or function. However, cellular Ca2+ handling and contraction had not been assessed. We found no difference in ECC at baseline in PKD1 cKO myocyte. However, we found a blunted β-AR response in Ca2+ transient amplitude and rate of [Ca2+]i decline. The β-AR-induced increase in spontaneous SR Ca2+ release events (Ca2+ sparks) and RyR phosphorylation were also reduced in the PKD1 cKO mouse myocytes. No significant changes were observed in L-type Ca2+ current, contractility and phosphorylation of other key ECC proteins (e.g. TnI).
Our findings suggest that PKD1 may enhance cardiomyocyte responsiveness to β-adrenergic stimulation by modulating RyR sensitivity and without appreciably changing SR Ca2+ load, L-type Ca2+ current, PLB and TnI phosphorylation and contractility.
2. Methods
2.1. Animal models and cell isolation
All animal procedures were approved by the Institutional Animal Care and Use Committee at University of California, Davis (protocol #22824) in accordance with the Guide for the Care and Use of Laboratory Animals published by the US National Institutes of Health (8th edition, 2011).
Healthy adult (8–12 weeks, both sexes) C57BL/6 J (WT, Jackson Laboratory, stock No. 000664), Protein Kinase D1 cardiac specific knock-out (PKD1 cKO, obtained by crossing PKD1loxP/loxP mice (Jackson Laboratory, stock No.: 014181) with PKD1loxP/loxP; α-MHC-Cre [7]), and wild-type (WT) littermates were used. Notably, the Olson group [7] did not detect PKD1 protein in western blots in these PKD1 cKO, noting that the 5-fold reduction of PKD1 mRNA in PKD1 cKO hearts may reflect PKD1 expression in fibroblasts, endothelial, smooth muscle, and immune cells within the heart (and there was no apparent compensatory upregulation of PKD2 or PKD3 in the PKD1 cKO hearts).
Isolated cardiomyocytes were obtained by enzymatic digestion of mouse left ventricles with 89 mg of type II collagenase (Worthington Biochemical Company, Cat#LS004177, Lot#41H21476, 290 units/mg dry weight) and 4 mg of type XIV protease (from Streptomyces griseus, Sigma-Aldrich, Cat#P5147, ≥3.5 units/mg powder). Briefly, heparin injected mice (400 U/kg body weight) were anesthetized with isoflurane (5% for induction and 3–3.5% for maintenance) and heart excision was performed. After aortic cannulation, hearts were perfused on constant flow Langendorff apparatus (37 °C) with 50 mL MEM (in mM: NaCl 135, KCl 4.7, KH2PO4 0.6, Na2HPO4 0.6, MgSO4 1.2, HEPES-free acid 20, taurine 30; and 10 μM Ca2+ with enzymes and 100% O2, pH = 7.4) for 15–20 min. Subsequently, myocytes were disaggregated by gentle pipetting, filtered (nylon mesh) and sedimented repeatedly following step increases in Ca2+ (0.125, 0.25 and 0.5 mmol/L). Before experiments, myocytes are kept in normal Tyrode (NT) solution (in mM: NaCl 140, KCl 4, MgCl2 1, HEPES-Na 5, HEPES-H-free 5, glucose 5.5, CaCl2 0.5; pH = 7.4) at room temperature (22–23 °C).
2.2. Calcium imaging and contractility analysis
Isolated myocytes were indicator-loaded by incubation with Fluo-4 AM (10 μM, Invitrogen with Pluronic F-127 0.02%, Invitrogen) in NT for 30 min and then washed for 10 min in NT and allowed to de-esterify for an additional 20 min. Then CaT and diastolic events (sparks) were measured at 0.5 Hz and 1 Hz pacing under acute β-adrenergic stimulation (isoproterenol, ISO, 100 nM, 5-min). Experiments were performed in paired cells (control and ISO on the same cell) at room temperature in NT solution with 1.8 mM Ca2+. Line scan recordings were obtained using confocal microscopy (Bio-Rad Radiance 2100, 40× objective, 6 ms/line), exciting Fluo-4 AM with an Argon laser at 488 nm and collecting emission with a 500–530 nm bandpass filter. For SR Ca2+ load determination, rapid delivery of 10 mM caffeine was used. Diastolic [Ca2+] variations (at rest and during pacing) were assessed by measurements of initial Ca2+ baseline (at rest), diastolic Ca2+ baseline (during pacing) and the ratio of diastolic/resting fluorescence after background subtraction (F/F0). Recordings were analyzed with Image J-Fiji™ [14] and the SparkMaster plugin [15], with later data processing with our custom-made Python based software for CaT and SR Ca load and for contractility/fractional shortening (LineScanAnalyzer; https://github.com/DrHellgren/LineScanAnalyzer.git). Only recordings that showed no spontaneous Ca2+ waves or spontaneous CaT were included in the analysis. Matlab™ software was used to enhance contrast and scale fluorescence ranges to match background values in representative sparks traces.
2.3. Cellular electrophysiology
Freshly isolated ventricular cardiomyocytes were transferred to a measuring chamber (QR-40LP, Warner Instruments) mounted on a Leica DMI3000 B inverted microscope, and continuously perfused (2 mL/min) with a modified NT solution (K+ was replaced with Cs+) containing (in mM): NaCl 140, CsCl 4, CaCl2 1.8, MgCl2 1, HEPES 5, Na-HEPES 5, glucose 5.5, 4-aminopyridine 5, tetrodotoxin citrate 0.01, with pH = 7.40 (using HCl). Patch electrodes were fabricated from borosilicate glass (World Precision Instruments) having tip resistances of 2–3 MΩ when filled with a Cs-based pipette solution containing (in mM): CsCl 110, tetraethylammonium chloride 20, MgATP 5, HEPES 10, phosphocreatine disodium salt 5, calmodulin 0.0001, EGTA 10, CaCl2 3.6 (free [Ca2+] = 100 nmol/L), with pH = 7.20 (using CsOH). The electrodes were connected to the input of an Axopatch 200B amplifier (Axon Instruments). Outputs from the amplifier were digitized at 50 kHz using Digidata 1332A A/D card (Axon Instruments) under software control (pClamp 10). Series resistance (on cell) was typically 3–5 MΩ and it was compensated by 85%. Experiments were discarded when the series resistance was high or increased by >20%.
Whole-cell L-type Ca2+ channel currents (ICa,L) were measured using 500 ms long voltage steps from holding potential of −80 mV to test potentials (between −40 and + 20 mV) every 5 s with a 50-ms pre-step to −40 mV to inactivate Na+ channels. At the end of each experiment, ICa,L was inhibited using 10 μM nifedipine. Ionic currents were normalized to cell capacitance, determined in each cell using short (10 ms) hyperpolarizing pulses from −10 mV to −20 mV. Cell capacitance was 148 ± 3 pF in WT (13 cells/6 animals) and 153 ± 4 pF in PKD1 cKO (15 cells/6 animals). All experiments were conducted at 21 ± 1 °C.
2.4. Inotropic stimulation and western blotting
Acute inotropic stimulation was performed in anesthetized WT and PKD1 cKO mice (90 mg/kg of ketamine and 4.5 mg/kg of xylazine, intraperitoneal, IP) with 1.5 mg/kg of isoproterenol (IP) for 15 min before hearts from these mice were rapidly excised, rinsed with 0 Ca2+ NT solution, cut into 6–8 pieces and flash-frozen in liquid nitrogen. Samples were stored at −80 °C until use. Hearts were homogenized in ice-cold buffer containing (in mmol/L): NaCl 300, Tris-HCl (pH 7.4) 40, NaF 20, sodium pyrophosphate 2, MgCl2 1, EGTA 2, EDTA 2, 4% NP40, and protease and phosphatase inhibitors (EMD Millipore, set III and V, respectively). Protein concentration was assessed in heart homogenates with a Pierce™ BCA protein assay (Thermo Fisher Scientific, Cat#: 23225). Proteins were divided using Tris-Bis and Tris-HCl SDS-PAGE electrophoresis gels (4–12% Criterion XT Bio-Rad for PLB and 4–15% Criterion TGX Bio-Rad for TnI, SERCA, RyR and GAPDH) and then transferred to a 0.2 μm (PLB) or 0.45 μm (TnI, RyR and SERCA) nitrocellulose membrane that was then blocked with 5% blotting-grade blocker (Bio-Rad). Protein transfer success was checked with Ponceau staining. Blots were incubated overnight at 4 °C with primary antibodies: PLB (Badrilla, PLN, mAB A1, Cat#: A010–14, 1:2000, mouse), PLB pS16 (Badrilla, Cat#: A010-12AP, 1:2000, rabbit), TnI (Cell signaling, Cat# 4002S, 1:2000, rabbit), TnI pS22/23 (Abcam, EPR1059 (2), Cat#190697, 1:2000, rabbit), RyR2 (Invitrogen-ThermoFisher, C3–33, Cat# MA3–916, 1:1000, mouse), RyR pS2814 (Invitrogen-ThermoFisher, Cat# PA5–104558, 1:2000, rabbit), RyR pS2808 (Invitrogen-ThermoFisher, Cat# PA5–36758, 1:1000, rabbit), SERCA2 (Invitrogen, Cat#MA3–919, 1:2000, rabbit) and GAPDH (Bio-Rad, Cat# MCA4739, 1:2000, mouse). After primary antibody incubation, membranes were rinsed with TBS-Tween (TBST) and then incubated at room temperature with secondary antibodies (1:10000) for 2 h: Alexa Fluor 647 (Invitrogen, goat anti-rabbit, Cat# A32733) and Alexa Fluor 790 (Invitrogen, goat anti-mouse, Cat# A11357). Later, the blots were rinsed in TBST and then left washing in more TBST for 30 min until reading. Blots were imaged in the ChemiDoc™ MP Imaging System (Bio-Rad) and analyzed with Image Lab (Bio-Rad). Three technical replicates were prepared for each blot.
2.5. Statistical analysis
Data are presented as mean ± SEM. Data distribution (normality) was determined by D’Agostino-Pearson test. Two-tailed t-test and two-way ANOVA followed by post-hoc multiple comparison test (Tukey’s) was used and are noted in each figure legend. When data were not normally distributed or N < 6, non-parametric tests were used. Differences were considered statistically significant if P < 0.05. Exact P-values are noted in figures or results section. GraphPad Prism 9 software was used for data analysis.
3. Results
3.1. Cardiomyocyte response to β-adrenergic stimulation is diminished in the absence of PKD1
To test whether baseline Ca2+ handling is altered by the absence of PKD1, CaT amplitude, tau decay, time to peak and durations were assessed. Fluo-4 AM loaded mouse ventricular myocytes were used to record CaTs by linescan images in confocal microscopy. No statistically significant differences at baseline were detected between the WT and PKD1 cKO mice (CaT amplitude P = 0.52; time constants (τ) of [Ca2+]i decline P = 0.12). Paired to the baseline (control) measurements, β-AR effects (ISO) in CaT parameters were evaluated. As shown in Fig. 1, the responsiveness to β-AR stimulation (induced by 100 nM ISO) was diminished in the PKD1 cKO mice compared to the WT mice, with smaller CaT amplitudes and slower kinetics as indicated by longer time constants (τ) of [Ca2+]i decline and CaT duration at 90% decline (CaTD90; Fig. 1 D-F). Diastolic [Ca2+]i (minimum during pacing, F/F0) had comparable changes with respect to baseline fluorescence (at rest, non-paced, F0 = Fcell-Fbackground) before and after ISO in both groups (P = 0.87; Supplemental Fig. S1A-B).
3.2. β-AR stimulation-induced increase in Ca2+ spark rate is reduced in PKD1 cKO cardiomyocytes
To assess whether PKD1 modulates spontaneous SR Ca2+ release through RyRs or SR Ca2+ load, Ca2+ spark rate and caffeine-induced CaT were measured. No significant difference in Ca2+ spark rate at baseline was detected between the WT and PKD1 cKO mice (means 0.128 ± 0.027 and 0.078 ± 0.009; SEM; P = 0.81). In both WT and PKD1 cKO myocytes, ISO induced an increase in Ca2+ spark frequency (CaSp frequency; Fig. 2C). However, the CaSp frequency achieved in the PKD1 cKO myocytes was significantly less than that observed in WT. The SR Ca2+ load at the end of the Ca2+ spark recording period was also not different between WT and PKD1 cKO myocytes, both before and after ISO (Fig. 2D). The apparent ISO-induced decrease in SR Ca2+ load could have been due to the increase in Ca2+ spark frequency and net Ca2+ extrusion via Na+/Ca2+ exchanger during rest while Ca2+ sparks were measured. To test this possibility, we repeated the pacing protocol (in separate cells) and tested SR Ca2+ load immediately after stimulation was stopped, and in most cells an increase in SR Ca2+ load with ISO was observed (Fig. 2F). Normalizing Ca2+ spark frequency to these SR Ca2+ loads (Fig. 2G) did not change the conclusions from Fig. 2E. Despite the lower absolute CaSp frequencies in PKD1 cKO myocytes in ISO, the fold-change in response to ISO was not statistically different between the groups (Fig. 2H). That may relate to a lower basal CaSp frequency in PKD1 cKO (Fig. 2C), which was not significant, but might have contributed in part to the lesser ISO-induced Ca spark level observed in PKD1 cKO.
3.3. β-adrenergic regulation of L-type Ca2+ current (ICa,L in PKD1 cKO ventricular myocytes is unaltered
The L-type Ca2+ channel is an important downstream target of the β-adrenergic signaling pathway and critically contributes to increasing CaT [16,17]. As expected, ISO markedly increased the L-type Ca2+ current (ICa,L) in WT murine ventricular myocytes (Fig. 3A-B) and induced a characteristic leftward shift in activation voltage (Fig. 3C). ISO also slightly slowed ICa,L decay and enhanced ICa,L recovery from inactivation in WT, whereas voltage-dependence of inactivation was unchanged (Fig. 3B-C). Importantly, in PKD1 cKO as in WT, ISO induced identical increase in ICa,L density, activation voltage shift, slowing of inactivation, and enhanced recovery (Fig. 3A-C). Baseline ICa,L magnitude and biophysical parameters were also indistinguishable in PKD1 cKO vs. WT. These data suggest that the impaired β-adrenergic CaT response in PKD1 cKO is not due to ICa,L hypo-responsiveness. In line with this, PKD1 has already been shown to regulate L-type Ca2+ channel in neonatal rat cardiomyocytes; however, this regulation occurred only upon stimulation with α-adrenergic rather than β-adrenergic agonists [18].
3.4. β–AR induced changes in myocyte contractility were similar in WT and PKD1 cKO ventricular myocytes
It has been described that PKD can phosphorylate cardiac myofilaments, more specifically troponin I at serine 22/23 in mice [5]. Notably, these are the same sites that are known to be targets for the PKA-dependent phosphorylation that reduces myofilament Ca2+ sensitivity and contributes to faster relaxation. To determine whether the absence of PKD1 would alter baseline or ISO-induced myocyte contraction, Fig. 4 shows contraction and relaxation results in confocal images for the same cells used for CaT imaging in Fig. 1. There was a trend for more limited ISO-induced contraction amplitude (P = 0.078; Fig. 4B), as was seen for CaT Amplitude. However, there were no statistically significant differences in any of the contraction or relaxation parameters between the WT and PKD1 cKO ventricular myocytes either at baseline or upon β–AR stimulation. Both WT and PKD1 cKO myocytes showed an expected ISO-induced increase in contraction amplitude and rate of relaxation (Fig. 4B-C).
3.5. β–AR induced phosphorylation levels of phospholamban and cardiac troponin I were similar in both groups, whereas RyR phosphorylation was reduced in PKD1 cKO myocytes
As mentioned above, PKD monophosphorylation of serine 22/23 in cTnI was reported to be sufficient to cause marked reduction in myofilament Ca sensitivity (similar to PKA) [5,9] and that could alter ISO-induced responses. Fig. 5A-B shows that the in vivo intraperitoneal injection of ISO (1.5 mg/kg) produced robust increases in the phosphorylation of PLB at Ser16 and cTnI at Ser22/23, and these responses were similar in both WT and PKD1 cKO. Notably, there was also no difference in either expression levels or baseline phosphorylation levels of PLB or cTnI in PKD1 cKO vs. WT (P = 0.89 and P = 0.58, respectively). This suggests that under baseline conditions in WT mice, there may be insufficient PKD1 activity to significantly phosphorylate cTnI S22/23 sites. There was a slight trend toward lower PLB S16 phosphorylation in PKD1 cKO vs. WT (P = 0.179), which would be in the direction consistent with the slower ISO-induced [Ca2+]i decline kinetics and lower CaT amplitude in the PKD1 cKO myocytes (Fig. 1D). However, no such trend was apparent in the cTnI phosphorylation data in Fig. 5B. Importantly, we found that ISO-induced RyR phosphorylation at both S2814 and S2808 sites was reduced in PKD1 cKO hearts (Fig. 5Cb-c). These data are in line with a lower RyR Ca2+ sensitivity and the reduced CaT amplitude and CaSp frequency observed in the PKD1 cKO myocytes (Figs. 1 and 2). The levels of RyR2 and SERCA2 expression were not different in PKD1 cKO and WT hearts (P = 0.7, Fig. 5Cd and Db).
4. Discussion
Protein kinases regulate a wide variety of functions in cells and are one of the largest supergene families described. In the heart, protein kinases are essential regulators of cardiomyocyte hypertrophy, protein expression and excitation-contraction coupling (ECC) modulation in physiological and pathophysiological conditions like pressure overload and heart failure [19]. Kinases also have a wide variety of intracellular distributions (compartments) and functions in the myocyte that have been described, but still there are many unknowns, and it is difficult to accurately state that a specific kinase does not have a specific function, location, or target until it is tested experimentally. Additionally, the levels of expression and function of a kinase can vary with aging and stress stimuli or disease conditions, which all increase the complexity of the study of these proteins [19]. One of the most remarkable stimuli that alters cardiac function is the sympathetic nervous system through β-AR signaling [2]. This signaling pathway modulates ECC, protein expression and hypertrophy, and it is mediated by several protein kinases, including PKA, CaMKII and PKD (which is a member of the CaMK superfamily) [2,3,5]. Despite its key role in cardiac hypertrophy [7], PKD has been less studied in relation to ECC. In this study we tested the effects of PKD on basal ECC mechanisms and β-AR-dependent regulation of ECC in adult mouse ventricular myocytes stimulated with ISO.
Under basal physiological conditions, we did not detect any significant alteration in myocyte ECC in the absence of myocyte PKD1 expression, in terms of Ca2+ transient properties, contraction or ICa,L. These results lead us to conclude that basal PKD1 activity in the normal beating adult ventricular myocyte does not significantly alter ECC.
Activation of β-AR causes an increase in ICa,L, SERCA2 pump rate, CaT amplitude and kinetics, RyR-mediated Ca2+ spark frequency, and contraction [20]. The increases in ICa,L and SERCA2 activity are expected to increase SR Ca2+ uptake and loading [21]. Here we showed for the first time that PKD1 ablation in cardiomyocytes blunts the response to acute β-AR stimulation (ISO) by limiting both the rise in CaT amplitude and the acceleration of CaT decay and reducing the ISO-induced increase in Ca2+ spark frequency (and RyR sensitivity), without significant differences in SR Ca2+ loading. From this we conclude that endogenous PKD1 might contribute to the enhanced cardiomyocyte response to β-AR agonists in WT adult mouse ventricular myocytes.
4.1. Mechanisms contributing to reduced β-AR responsiveness in PKD1 cKO
The first step in cardiac ECC is action potential (AP) induced activation of ICa,L, which is normally robustly increased in response to β-AR activation [20]. To test whether the limited CaT amplitude increase observed might be due to reduced Ca2+ entry via ICa,L, we measured ICa,L in both WT and PKD1 cKO myocytes. We detected no significant differences in either baseline ICa,L or its response to ISO stimulation. WT and PKD1 cKO cells both showed a nearly identical increase in ICa,L density and classical shift in the I-V relationship. In both groups, ISO induced a very similar negative shift in ICa,L activation voltage-dependence, no change in ICa,L inactivation voltage-dependence, and slightly enhanced ICa,L recovery. Some prior data suggested that PKD may modulate ICa,L upon α-AR activation, which is primarily via Gq-coupled receptors that activates PKC and PKD [18,22,23]. That α-AR-induced effect was suppressed by a dominant negative PKD1 and may involve partner proteins, such as Rad-Gem/Kir-related (RGKs) and enigma homolog 1 (ENH1), but PKD has not been implicated in β-AR regulation of ICa,L in the heart. We conclude that the reduced ISO-induced CaT increase in PKD1 cKO mice is not due to altered L-type Ca2+ channel properties in myocytes. However, the total influx of Ca2+ via ICa,L can also be influenced by the AP duration (APD) or altered Ca2+-dependent inactivation, points to be addressed later.
The next step in ECC is the ICa,L triggering of SR Ca2+ release that is mediated by the RyR channel and the intra-SR Ca2+ content that is controlled by RyR, SERCA, and PLB. Of note, we found no differences in the expression levels of these three key SR proteins in WT vs. PKD1 cKO mice, nor did we detect significant differences in SR Ca2+ load between WT and PKD1 cKO mice (in the absence or presence of ISO). In an effort to partially isolate RyR sensitivity as a cause of reduced ISO-induced SR Ca2+ release, we measured Ca2+ spark frequency normalized to SR Ca2+ load (Fig. 2E and G). We observed a similar reduction in the ISO-induced increase in Ca2+ spark frequency as was seen for CaT amplitude, raising the possibility that PKD1 activity might slightly increase RyR sensitivity, such that smaller SR Ca2+ release in the PKD1 cKO could limit the ISO-induced increase in CaTs. To test whether RyR sensitivity was altered in the PKD1 cKO mice, we assessed RyR phosphorylation at S2814 and S2808 in hearts from ISO injected mice. We found that ISO-induced RyR phosphorylation was significantly increased in WT hearts but not in PKD1 cKO hearts (Fig. 5C). Based on these weaker functional effects on Ca2+ handling and on RyR phosphorylation, we conclude that ISO-induced RyR sensitivity is lower in PKD1 cKO mice and this explains the smaller CaT amplitude for a given ICa,L and the lower CaSp frequency in the PKD1 cKO myocytes upon ISO exposure. While the basal CaSp frequency tended toward lower values (Fig. 2C), there was no such trend in basal RyR phosphorylation in PKD1 cKO at either the S2808 or S2814 site. The trend toward lower PLB phosphorylation at baseline (Fig. 5Ab) is more in the direction that could limit basal SR Ca2+ content and CaSp frequency.
Whether SERCA or PLB might explain the reduced ISO-induced increase in CaT and rate of [Ca2+]i decline in PKD1 cKO mice was also considered, but there were no differences in SERCA2 or PLB expression between WT and PKD1 cKO hearts and PLB phosphorylation during ISO exposure was not significantly elevated. However, there was a trend (P = 0.179) for a lower PLB phosphorylation ratio in PKD1 cKO hearts (basal and ISO-stimulated). While not statistically significant in the 24 hearts analyzed (6 per treatment and genotype), a slight change in that direction would agree with the lower ISO-induced acceleration of [Ca2+]i decline that is a relatively direct readout of SR Ca2+ uptake rate, especially in mouse myocytes [21]. We conclude that a slight reduction in ISO-induced PLB phosphorylation and SR Ca2+ uptake rate in PKD1 cKO myocytes may explain the slower [Ca2+]i decline observed in PKD1 cKO vs. WT myocytes. Such a limitation in SR Ca2+ uptake could also diminish SR Ca2+ load and so, contribute to the blunted CaT response to ISO in PKD1 cKO myocytes.
Neither resting nor diastolic [Ca2+]i (during pacing) were significantly different in PKD1 cKO vs. WT myocytes (nor the ratio of diastolic/baseline Ca2+; Supplemental Fig. S1). Both groups had a comparably slight change in diastolic [Ca2+]i and diastolic/rest [Ca2+]i ratio after ISO stimulation. Thus, we conclude that altered resting or pacing diastolic [Ca2+]i are unlikely to explain the blunted ISO response in PKD1 cKO vs. WT mice.
β-AR stimulation also decreases myofilament Ca2+ sensitivity by PKA-dependent phosphorylation of troponin I (at S22/23). This causes a faster dissociation of Ca2+ from troponin C, which can speed relaxation, although this effect is more prominent when myocytes are contracting against a significant afterload [24]. In particular, in myocytes that are not mechanically tethered (as here), ISO-induced acceleration of relaxation was shown to depend entirely on PLB phosphorylation [24]. PKD shares with PKA the phosphorylation sites S22/23 on TnI [5]. Phosphorylation of these sites by PKD activation or overexpression has been demonstrated to be sufficient to reduce myofilament Ca2+ sensitivity in mouse skinned trabeculae and adult ventricular myocytes (AVRM) overexpressing PKD [6]. Less phosphorylation of TnI during β-AR stimulation could also potentially alter Ca2+ buffering by troponin C. However, we saw no differences between the groups in TnI phosphorylation (or myocyte relaxation rates) at baseline, suggesting that PKD1 does not significantly elevate baseline cTnI phosphorylation at the regulatory S22/23 sites. The ISO-induced increases in TnI phosphorylation were also not altered in PKD1 cKO vs. WT mice, suggesting that the presence of PKD1 did not influence cTnI phosphorylation in response to ISO.
These results may not be surprising since we did not do anything to directly activate PKD (e.g., by activating Gq-coupled receptors) in either the myocytes or the intact animals. Since the phosphorylation measurements were from animals, it also suggests that endogenous PKD1 activation levels are likely quite low, even upon ISO challenge. Notably, the baseline and ISO responses for contraction and relaxation were quite similar between the groups, which largely rules out a differential change in myofilament Ca2+ buffering as a complicating factor for the Ca2+ analysis. We conclude that changes of myofilament properties in the PKD1 cKO vs. WT mice are unlikely to contribute to the reduced ISO-induced effects on myocyte Ca2+ transients.
The consequences of chronic β-AR activation have been extensively studied in the search for therapeutic targets that can ameliorate the deleterious changes during heart failure. Our results suggest that endogenous PKD1 has a small beneficial effect on the ability of β-AR activation to increase CaT amplitude and decay kinetics. Since PKD expression and activity are upregulated in heart failure [7,8], this potentially beneficial effect might be stronger and contribute to a degree of compensatory benefit. A potential counterpoint to that is that the more responsive β-AR effects on Ca2+ handling in the chronic setting could be more proarrhythmic and also drive progressive remodeling more strongly.
Our group [25] recently demonstrated that trans-aortic constriction (TAC) that induces ventricular action potential duration (APD) prolongation in WT mice was attenuated in PKD1 cKO mice. Moreover, compared to WT 8 weeks post-TAC myocytes from PKD1 cKO exhibited larger K+ currents, including transient outward (Ito), sustained (Isus), inward rectifier (IK1), and rapid delayed rectifier K+ current (IKr), and increased expression of corresponding K+ channels. In TAC and sham WT myocytes, acute inhibition of PKD moderately increased Ito but did not alter other K+ currents. In addition, diastolic arrhythmogenic activities were reduced in PKD1 cKO myocytes. These data suggest that PKD ablation or inhibition can attenuate some chronic arrhythmogenic effects during heart failure. Together with our data, this suggests that PKD may play a role in the attenuation of the effects during chronic β-AR activation (Ca2+ handling dysregulation), but further studies are required to elucidate the detailed molecular mechanisms involved.
4.2. Potential integrative mechanisms for blunted β-AR response in PKD1 cKO
The above study [25] showed that even at baseline PKD1 cKO mice have a shorter APD than WT myocytes, explained largely by a significant increase in Ito. The shorter APD in PKD1 cKO myocytes would limit the amount of Ca2+ entry via ICa,L even without altering Ca2+ channel expression or properties [26,27]. It would also increase the time at diastolic voltages between beats when most Ca2+ extrusion occurs via Na+/Ca2+ exchange. This situation may suffice to create a slight reduction in basal myocyte and SR Ca2+ loading, and CaT amplitude. This may be difficult to detect statistically, but there was a mild tendency for smaller baseline CaT amplitude in PKD1 cKO vs. WT myocytes (Fig. 1D; P = 0.081 in unpaired t-test). A small difference in Ca2+ influx/efflux mechanisms in PKD1 cKO vs. WT could be worsened by slower baseline SERCA function, based on non-significant but slightly slower mean τ of baseline [Ca2+]i decline (Fig. 1E; P = 0.126 in two-way ANOVA) and slightly lower baseline PLB phosphorylation (Fig. 5A; P = 0.27 in two-way ANOVA) and a marginally lower steady state SR Ca2+ content (Fig. 2F; P = 0.156 in unpaired t-test). So, we cannot rule out the possibility that the limited ISO-induced increases in CaT amplitude and twitch [Ca2+]i decline rate (which is a readout for SERCA function, [21]) are due partly to a culmination of multiple small changes in baseline APD and SERCA function and Ca2+ handling coupled with small reductions in ISO-induced changes in SR Ca2+-handling (via PLB and RyR properties) that limit the integrated ISO effects on CaT properties in PKD1 cKO myocytes. Prior work indicated that phosphatase (PP1) activity was slightly increased in PKD1 cKO vs. WT heart samples [28]. It is possible that such higher PP1 activity in the PKD1 cKO could also contribute to lower PLB and RyR2 phosphorylation levels upon ISO exposure, and thereby limiting the CaT amplitude, [Ca2+]i decline kinetics and RyR2 desensitization (lower Ca2+ spark rate) in the ISO-treated PKD1 cKO myocytes.
5. Conclusion
Here we showed that PKD1-ablated cardiomyocytes have a weaker Ca2+ transient response to acute β-AR activation. This may be consistent with the previously demonstrated protective effect of PKD1 cKO for TAC and resistance to chronic neurohormonal stimulation in PKD1 cKO mice. In response to acute β-AR activation these PKD1 cKO myocytes have less spontaneous SR Ca2+ release events and a slower SERCA pump rate, without substantial compromise in overall contractility and relaxation. The molecular mechanisms by which SERCA2 and RyRs responses are blunted in PKD1 cKO mice may involve multiple small functional effects on APD and myocyte Ca2+ handling. Indeed, β-AR signaling involves many interacting signaling pathways and kinases (i.e. PKA and CaMKII), making this pathway complex and multifactorial. Additionally, the β-AR (specially PKA) and PKD signaling pathways have already been described to be compartmentalized within cardiac myocytes [2,13], with PKD being less well understood. Moreover, prior work has shown interaction between PKA and PKD signaling in myocytes, and the present work highlights an additional crosstalk in which PKD activity may be necessary for full PKA activation of myocyte Ca2+ handling upon ISO stimulation. This, of course, opens possibilities for future studies.
6. Study limitations
This study demonstrates that PKD1 ablation affects EC-coupling following β-AR stimulation in cardiac myocytes. Future studies are necessary to further elucidate the precise molecular signaling pathways that are most critical for the reduced β-AR response in PKD1 knockout. These mechanisms, by which PKD affects EC-coupling, may modulate the integrated cardiac response in cardiac hypertrophy, heart failure, and arrhythmias, which require further investigation.
Supplementary Material
Acknowledgements
The authors thank all the Bers Lab members for the support with heart cells isolation, animal husbandry and general maintenance. And we thank Jakub Tomek for his contribution with the optimization of the spark representative traces.
Funding
This work was supported by grants from the Minciencias–Fulbright Colombia Scholarship (JMH), the National Institutes of Health P01-HL141084 (DMB), R01-HL142282 (DMB and JB) and R00HL138160 (SM), and Burroughs Wellcome Fund-Doris Duke Charitable Foundation “COVID-19 Fund to Retain Clinical Scientists” award (SM).
Abbreviations:
- APD
action potential duration
- β-AR
β-adrenergic
- CaMKII
Ca2+/calmodulin-dependent kinase II
- CaSpF
calcium spark frequency
- CaT
calcium transient
- ECC
excitation-contraction coupling
- IP
intraperitoneal
- ISO
isoproterenol
- NT
normal Tyrode
- PKD
Protein Kinase D
- PKD1 cKO
protein kinase D1 cardiac-specific knock-out
- PLB
phospholamban
- RyR
ryanodine receptor
- SERCA
sarcoendoplasmic reticulum ATPase
- SR
sarcoplasmic reticulum
- TnI
troponin I
- WT
wild type
Footnotes
Appendix A. Supplementary data
Supplementary data to this article can be found online at https://doi.org/10.1016/j.yjmcc.2023.05.001.
Declaration of Competing Interest
None.
Data availability
Data are available on request from the corresponding author: Donald M. Bers – dmbers@ucdavis.edu
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Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Supplementary Materials
Data Availability Statement
Data are available on request from the corresponding author: Donald M. Bers – dmbers@ucdavis.edu