Abstract
The ε isoform of protein kinase C (PKCε) is a member of the PKC family of serine/threonine kinases and plays a critical role in protection against ischemic injury in multiple organs. Functional proteomic analyses of PKCε signaling show that this isozyme forms multiprotein complexes in the heart; however, the precise signaling mechanisms whereby PKCε orchestrates cardioprotection are poorly understood. Here we report that Lck, a member of the Src family of tyrosine kinases, forms a functional signaling module with PKCε. In cardiac cells, PKCε interacts with, phosphorylates, and activates Lck. In vivo studies showed that cardioprotection elicited either by cardiac-specific transgenic activation of PKCε or by ischemic preconditioning enhances the formation of PKCε-Lck modules. Disruption of these modules, via ablation of the Lck gene, abrogated the infarct-sparing effects of these two forms of cardioprotection, indicating that the formation of PKCε-Lck signaling modules is required for the manifestation of a cardioprotective phenotype. These findings demonstrate, for the first time to our knowledge, that the assembly of a module (PKCε-Lck) is an obligatory step in the signal transduction that results in a specific phenotype. Thus, PKCε-Lck modules may serve as novel therapeutic targets for the prevention of ischemic injury.
Introduction
Ischemic injury can result in cell death and irreversible loss of function in a variety of biological systems (1–3). An understanding of the intracellular signaling mechanisms by which cells protect themselves against ischemia-induced damage bears great clinical significance with respect to the treatment and prevention of tissue injury (1–3). The ε isoform of protein kinase C (PKCε) is a member of the PKC family of serine/threonine kinases and has been implicated in the protection against injury in multiple organ systems (4–13). In the heart, activation of PKCε has been shown to mediate the development of preconditioning (4, 5, 11–13), a powerful cardioprotective adaptation that can be produced either by brief episodes of ischemia followed by reperfusion, or by the administration of pharmacological agents that can mimic the effects of ischemic preconditioning (1, 14–18). However, the manner in which this individual kinase (PKCε) interacts with other proteins within the signaling system to conduct signal transduction during cardioprotection remains unknown.
The colocalization of multiple proteins to transmit subcellular signals is an emerging theme underlying recent studies in signal transduction (19–25). For instance, a number of investigations have characterized the regulation of mitogen-activated protein kinase (MAPK) cascades by scaffolding proteins (22, 24, 25). Another paradigm that embodies a theme of compartmentalization is the assembly of multiprotein signaling complexes (19, 20). We recently reported that, in the murine myocardium, PKCε forms complexes with at least 36 proteins that can be categorized as structural proteins, signaling kinases, and stress-responsive proteins (19). The composition of this complex is dynamically altered during cardioprotection (19), indicating that the regulation of complex components may serve as a means for cardioprotective signaling. One of the signaling kinases identified in this study was Lck, a member of the Src family of nonreceptor tyrosine kinases that has been characterized as a central signaling molecule in numerous biological systems (26–28). The recruitment of Lck to the PKCε signaling complex was associated with posttranslational modification of Lck during cardioprotection (19), suggesting that this tyrosine kinase may function in concert with PKCε to confer a specific phenotype. Given the biological ubi-quity of PKCε and Lck, it is of particular importance to understand how these molecules might interact to perform multiple signaling tasks.
Although the biological roles of both PKCε and Lck have been extensively studied in a variety of systems (4–13, 26–33), it is unknown whether these two kinases interact and, if so, in which specific manner they interact, and whether their coordinated interactions are required to govern signal transduction during the genesis of a biological phenotype (such as protection against ischemic injury). In the present investigation, we found that PKCε interacted with, phosphorylated, and activated Lck; that is, PKCε and Lck functioned as a signaling module. Furthermore, using a well-established in vivo model of regional myocardial ischemia, we found that both chronic activation of PKCε (PKCε transgenesis) and acute activation of PKCε (ischemic preconditioning) promoted the formation of PKCε-Lck modules and evoked cardioprotection. Disruption of these modules, via deletion of the Lck gene, abrogated the infarct-sparing effects of both of these forms of cardioprotection, demonstrating that these modules play a causative role in the reduction of myocardial infarct size. Based on these lines of evidence, we propose that the formation of signaling modules may be a common mechanism employed by different signaling systems in order to facilitate the development of their respective biological phenotypes. Furthermore, our data indicate that pharmacological interventions targeted at the formation of these modules may be utilized for the prevention of ischemic injury.
Methods
Transgenic mice.
PKCε transgenic mice were generated (ICR background) using a cDNA of active PKCε driven by the α-myosin heavy chain promoter to achieve cardiac-specific expression (10, 34). The PKCε transgenic line used in these studies expresses low levels of PKCε and is free of cardiac hypertrophy (10). Breeding pairs of Lck–/– mice (C57BL/6J) were obtained from The Jackson Laboratory (Bar Harbor, Maine, USA). To obtain PKCε-Lck–/– mice, PKCε mice were mated with Lck–/– mice, and the F2 through F4 chimeric offspring were genotyped, via PCR and Southern blot analysis, to document PKCε transgene transmission and deletion of the Lck gene. F4 offspring were used in this study. Although the genetic background of these PKCε-Lck–/– mice (approximately 80% C57BL/6J) differs from that of either parent strain (ICR and C57BL/6J), in previous studies we have found that the response of ICR and C57BL/6J mice both to a 30-minute coronary occlusion and to ischemic preconditioning is indistinguishable. Consequently, it is highly unlikely that the differences in infarct size between PKCε-Lck–/– mice and PKCε mice are accounted for solely by differences in the genetic background. The PKCε, Lck–/–, and PKCε-Lck–/– mice and their wild-type controls were studied at age 9–12 weeks.
Mouse model of myocardial infarction.
The murine model of ischemic preconditioning and myocardial infarction has been described in detail (35). Briefly, myocardial infarction was produced by a 30-minute coronary occlusion followed by a 4-hour reperfusion. To induce ischemic preconditioning, mice underwent a sequence of six 4-minute coronary occlusions separated by 4 minutes of reperfusion, 24 hours prior to the 30-minute occlusion. Fundamental physiological variables that impact on infarct size, including rectal temperature, arterial blood pressure, heart rate, and arterial blood gases, were carefully monitored and maintained within normal limits (35). At the conclusion of the study, the occluded/reperfused vascular bed and the infarct were identified by postmortem perfusion. Infarct size was calculated by computerized videoplanimetry (35).
Recombinant PKCε and Lck proteins.
Mouse cDNAs encoding wild-type PKCε, the catalytic domain (CHA) of PKCε, the regulatory domain (RHA) of PKCε, or wild-type Lck were cloned into the pAcGHLT vector, expressed in the baculovirus system, and purified to generate glutathione S-transferase (GST) fusion proteins (BD PharMingen, San Diego, California, USA). GST fusion proteins with various Lck domains (GST-Unique, amino acids [a.a.] 1–67; GST-SH2, a.a. 67–116; GST-SH3, a.a. 116–238) were obtained from BD PharMingen. Cold or [35S]methionine-labeled recombinant proteins of PKCε wild-type, PKCε-RHA, PKCε-CHA, and Lck wild-type were also made through in vitro transcription and translation using the TNT Quick-Coupled rabbit reticulocyte lysate system (Promega Corp., Madison, Wisconsin, USA). The GST-PKCε, GST-Lck, and the in vitro translated PKCε and Lck were all verified to retain their kinase activity (data not shown).
Assessing protein-protein interactions via coimmunoprecipitation and GST affinity pull-down assays.
Immunoprecipitation assays were performed using PKCε mAb’s (BD PharMingen). Nonspecific bead-associated proteins were initially precleared from the tissue homogenates by the addition of protein-G beads. After the preclearing step, the sample was split into equal portions. For immunoprecipitation of the PKCε complex, PKCε mAb’s were added to the precleared homogenates. Nonspecific interactions were identified by substituting IgG for the PKCε antibodies.
GST recombinant protein–based affinity pull-down assays were performed as previously reported (19). Briefly, GST recombinant proteins (e.g., GST-PKCε) were immobilized on GST beads, mixed with either tested recombinant proteins or cardiac tissue homogenates, and incubated in binding buffer (0.5% Triton X-100, 20 mM Tris-HCl, pH 7.4, 1 mM EDTA, 1 mM EGTA, 0.2 mM sodium orthovanadate, 1× proteinase cocktail [Roche Molecular Biochemicals, Indianapolis, Indiana, USA]) with various concentrations of NaCl. The reactions were terminated by a 5-minute centrifugation at 500 g. The GST-protein pellets were washed, resolved by SDS-PAGE, and analyzed via immunoblotting with antibodies against corresponding proteins. To determine nonspecific binding, parallel reactions were conducted using equal molar amounts of GST-null proteins in lieu of the tested GST fusion proteins.
The binding affinities between PKCε and Lck were assessed via an ELISA-based binding assay. Polystyrene 96-well plates (Corning-Costar Corp., Cambridge, Massachusetts, USA) were coated with purified GST-Lck (0, 50, 200, 400, 800 ng), washed with TBST buffer (20 mM Tris-HCl, pH 7.4, 150 mM NaCl, 0.05% Tween-20), and blocked with 1% BSA. Various amounts of hemagglutinin-tagged (HA-tagged) and in vitro translated HA-PKCε-CHA or HA-PKCε-RHA (10, 55, 150, 300 ng) were blotted onto the plates. After incubation, the plates were washed with TBST and incubated with HA antibodies (Berkeley Antibody Co., Richmond, California, USA). The reactions were washed with TBST, developed with 3,3′,5,5′-tetra-methylbenzidine, and treated with 2 M H2SO4. Lck and PKCε binding was quantified using OD reading at 450 nm (Microplate Reader; Bio-Rad, Hercules, California, USA).
In vitro phosphorylation of Lck by PKCε.
Kinase active PKCε recombinant proteins were incubated with wild-type or various GST-Lck mutants in the PKC phosphorylation cocktail (50 mM Tris-HCl [pH 7.5], 0.1 mM ATP, 2.3 mM HEPES, 28.8 μg/ml L-α-phosphatidyl-L-serine, 3 μg/ml phorbol PMA, 7.5 mM DTT, 3.0 mM calcium acetate, 5.5 mM MgCl2, and 0.5 μCi [γ-32P]ATP) (12). Phosphorylation of Lck was analyzed via SDS-PAGE and autoradiography.
PKCε and Lck activity assays.
The phosphorylation activity of PKCε was determined as previously described (12). Briefly, tissue protein samples were immunoprecipitated overnight with PKCε antibodies (BD PharMingen). The immunoprecipitates were incubated with the PKCε-selective substrate (ERMRPRKRQGSVRRRV) in the PKC phosphorylation cocktail (12).
The phosphorylation activity of Lck was determined as previously described (32). Briefly, protein samples were immunoprecipitated with Lck antibodies (Santa Cruz Biotechnology Inc., Santa Cruz, California, USA), and the immunoprecipitates were subjected to an Src tyrosine kinase phosphorylation assay using either the peptide (KVEKIGEGTYGVVYK) or enolase (Sigma-Aldrich, St. Louis, Missouri, USA) as substrates in an Src phosphorylation cocktail (32). The phosphorylation activity of PKCε-associated Lck was determined by subjecting the PKCε-immunoprecipitated complex to the Lck kinase phosphorylation assay.
Results
PKCε and Lck form functional signaling modules in the murine myocardium.
We first sought to determine whether Lck is able to physically interact with PKCε. Consistent with our previous report, we found that Lck co-resided in the PKCε complex both in cardiac myocytes (as demonstrated by coimmunoprecipitation; Figure 1a) and in the myocardium (as illustrated by GST-PKCε pull-down assays; Figure 1b). In contrast, the expression of Lck was not detected in PKCη immunocomplexes (Figure 1a), indicating that the association of Lck and PKCε is isoform-specific. Furthermore, GST-PKCε exhibited physical interactions with recombinant Lck proteins in an NaCl concentration–dependent fashion in vitro (Figure 1c), indicating that the interactions are ionic in nature. ELISA-based binding assays showed that GST-Lck binds to both CHA proteins (left panel) and RHA proteins (right panel) with similar affinity (Figure 1e). Collectively, these data indicate that Lck is a binding partner of PKCε.
Next, we examined whether physical interactions between PKCε and Lck facilitate the transduction of a signal. To address this issue, we tested whether PKCε can transfer a signal to Lck by direct chemical modification, i.e., whether PKCε and Lck compose a functional signaling module. In the in vitro setting, PKCε was found to phosphorylate recombinant Lck proteins (Figure 2a). Using recombinant proteins carrying various mutations of Lck, phosphorylation by PKCε was found to be localized exclusively to the SH2 domain of Lck (Figure 2b). Matrix-assisted laser desorption ionization (MALDI) mass spectrometric analysis revealed that, among the four PKC recognition motifs harbored within the SH2 domain, the serine 166 site was phosphorylated in the presence of active PKCε in vitro (Figure 2c). Point mutation of this site (S to A) abolished the phosphorylation signal (Figure 2c). Importantly, PKCε phosphorylation of the recombinant Lck proteins was associated with a commensurate increase in the kinase activity of Lck as demonstrated both by GST-Lck–induced phosphorylation of enolase and by GST-Lck–induced phosphorylation of the Src-specific peptide KVEKIGEGTYGVVYK (Figure 2d). In both of these experiments, which utilized completely different substrates for Lck, GST-Lck exhibited significantly higher activity in the presence of PKCε when compared with that in the absence of PKCε (GST-Lck alone). To verify these findings in intact cells, cardiac myocytes were transfected with recombinant adenoviruses encoding active PKCε. Activation of PKCε in these cells resulted in increased serine phosphorylation of Lck (Figure 2e) and elevated Lck activity (Figure 2f). In addition, we performed phosphorylation assays using endogenous myocardial PKCε. Our results show that myocardial PKCε phosphorylates recombinant SH2 domains and that mutation of the S166 residue in the SH2 domain diminishes this phosphorylation event (Figure 2g) and attenuates PKCε-dependent Lck phosphorylation activity (Figure 2h). Taken together, these data demonstrate that PKCε and Lck form a signaling module in vitro and in cardiac myocytes, and that the formation of this PKCε-Lck signaling module serves to facilitate signal transduction between PKCε and Lck.
Transgenic activation of PKCε protects against myocardial infarction.
Brief episodes of ischemia/reperfusion render the heart remarkably resistant to a subsequent lethal ischemic insult, a phenomenon termed ischemic preconditioning (1, 14). The ε isozyme of PKC has been implicated as an essential signaling element in the genesis of ischemic preconditioning (4, 5, 11–13). To determine whether activation of PKCε in itself is sufficient to recapitulate the preconditioned phenotype, we generated a transgenic mouse line expressing cardiac-targeted active PKCε (these mice are free of cardiac hypertrophy) (10). In the myocardium of these PKCε mice, the level of PKCε activation (Figure 3a) and the extent of PKCε translocation (Figure 3b) fully mimicked those elicited in wild-type mice by ischemic preconditioning (six cycles of 4-minute coronary occlusion separated by 4 minutes of reperfusion) (35) (Figure 3, a and b). In accordance with our previous studies (35), the size of the infarct induced by a 30-minute coronary artery occlusion was markedly reduced in ischemically preconditioned wild-type mice when compared with non-preconditioned controls (Figure 4, a and b). In PKCε transgenic mice subjected to the same 30-minute coronary occlusion without ischemic preconditioning, myocardial infarct size was significantly less than in nontransgenic mice (Figure 4, a and c) and was similar to that noted in preconditioned wild-type mice (Figure 4, a and c). These data demonstrate that the PKCε mice are inherently resistant to ischemic injury, thereby displaying a cardioprotective phenotype similar to that exhibited by wild-type mice preconditioned with ischemia. The magnitude of the protection afforded by selective activation of PKCε appears to be equivalent to that afforded by ischemic preconditioning.
PKCε-Lck signaling modules play an obligatory role in cardioprotection.
Having characterized the functional significance of the PKCε-Lck signaling modules (enhanced signal transduction involving these two molecules), we then proceeded to assess the physiological impact that these modules exert in vivo. To determine the role of Lck and PKCε-Lck signaling modules in the genesis of cardioprotection, we examined the activity of Lck, the formation of PKCε-Lck signaling modules, and the extent of cardiac cell death (infarction) in each of the following groups of mice: wild-type mice, ischemically preconditioned mice, PKCε transgenic mice, mice with targeted ablation of the Lck gene (Lck–/–), and double mutant mice exhibiting cardiac-specific expression of active PKCε in addition to deletion of the Lck gene (PKCε-Lck–/–).
In both ischemically preconditioned wild-type mice and PKCε cardioprotected mice, we observed enhanced localization of Lck to the particulate PKCε complex that was accompanied by increased Lck activity (Figures 5, a and b). Thus, augmentation of PKCε-Lck signaling module formation was congruous with the cardioprotective effects conferred by both ischemic preconditioning and PKCε activation (Figure 4, a–c). Next, we determined whether these modules are required for cardioprotection. Accordingly, double mutant mice exhibiting cardiac specific transgenic activation of PKCε along with deletion of the Lck gene were generated (Figure 5c). We found that, in contrast to wild-type mice, ischemic preconditioning produced no infarct-sparing effects in Lck–/– mice, and that the reduction in infarct size observed in PKCε mice was completely lost in PKCε-Lck–/– mice (Figure 4, a–c), indicating that ablation of the Lck gene abrogated both forms of cardioprotection. To our knowledge, these results provide the first indication that Lck-dependent signaling plays a necessary role in the acquisition of ischemic tolerance, thereby identifying this specific kinase as a critical component of the innate defensive response of the heart to injury. Importantly, disruption of these cardioprotective phenotypes occurred in the face of preserved activation of PKCε in Lck–/– mice that were subjected to ischemic preconditioning (Figure 5d) and in PKCε-Lck–/– mice (Figure 5, b and c), demonstrating that PKCε activation is unable to produce a cardioprotective effect without its interactions with, and activation of, Lck. These observations provide direct evidence that Lck is not only an obligatory signaling element in ischemic preconditioning and PKCε-induced protection, but also an essential signaling partner of PKCε in the genesis of both of these forms of cardioprotection. The fact that enhanced tolerance to ischemia was congruous with enhanced formation of PKCε-Lck signaling modules, and that disruption of these modules via the ablation of the Lck gene blocked the infarct-sparing effects elicited by two different stimuli, indicates that PKCε-Lck modules serve as a pivotal nexus in cardioprotective signaling and thus may be an important target for therapeutic interventions.
PKCε-Lck module is required for NF-κB activation during cardioprotection.
Previous investigations have established activation of NF-κB as an essential signaling event in the development of preconditioning (36–38). These studies have shown that ischemic preconditioning activates NF-κB via a PKC-dependent mechanism (37, 38). Thus, to gain insights into the mechanisms that are regulated by PKCε-Lck modules, we examined the activation of NF-κB. In agreement with our previous results (37, 38), we found that ischemic preconditioning elicited a marked activation of NF-κB in wild-type mice (NF-κB DNA-binding activity: 378.5% ± 8.8% of non-preconditioned mice; n = 5 in each group; P < 0.05; Figure 6a, left panel). In Lck–/– mice, the basal level of NF-κB activity was lower (data not shown) and the ischemic preconditioning protocol failed to induce activation of NF-κB (Figure 6a, right panel). In parallel to these findings in the ischemic preconditioning experiments, the level of activated NF-κB was significantly increased in PKCε cardioprotected mice (234.5% ± 5.6% of wild-type mice; n = 5 in each group; P < 0.05; Figure 6b, left panel). However, in PKCε-Lck–/– mice, the PKCε-induced activation of NF-κB was obliterated by deletion of the Lck gene (Figure 6b, right panel). These data illustrate an example of the manner in which PKCε-Lck signaling modules function to regulate cellular processes (here, the induction of NF-κB) that are crucial to the genesis of cardioprotection.
Discussion
This study is, to our knowledge, the first to demonstrate that PKCε, a serine/threonine kinase, and Lck, a tyrosine kinase, can establish direct protein-protein interactions and function in concert as a signaling module to elicit both biochemical and physiological responses. In the in vitro setting, the formation of this signaling module promoted signal transduction, as documented by the finding that increased PKCε-Lck interactions and PKCε-induced phosphorylation of Lck enhanced the kinase activity of Lck. In the in vivo setting, formation of the PKCε-Lck signaling module was found to be indispensable for the transduction of cardioprotective signals generated by the activation of PKCε. Disruption of this module via deletion of the Lck gene abrogated two different forms of protection against myocardial infarction, ischemic preconditioning, and PKCε-mediated cardioprotection, implying a central function of the PKCε-Lck module in governing the tolerance of the heart to ischemia/reperfusion injury. Taken together, these findings demonstrate a fundamental physiological role for a serine/threonine kinase–tyrosine kinase signaling module in the manifestation of a biological phenotype in vivo.
Both the ε isoform of the PKC family and the Lck isoform of the Src family have been shown to participate in a variety of cellular processes (4–8, 26, 27, 29–32). However, no evidence is available in any cell type regarding how these two molecules may functionally interact to modulate a biological response. Although the phosphorylation of Lck on serine/threonine and/or tyrosine residues in its SH2, SH3, and carboxyl terminal domains has been suggested as a means to regulate its kinase activity (26, 27), a direct molecular modification of Lck by PKCε has never been described. By combining MALDI mass spectrometric analysis with site-directed mutagenesis, we identified the serine 166 residue of the Lck SH2 domain as the specific site phosphorylated by PKCε in vitro and demonstrated that the physical interactions that occur between the two kinases involve both the catalytic and the regulatory domains of PKCε. While PKCε has been previously shown to interact with other cellular proteins, such as its own receptors (receptors for activated C kinase, RACKs) (5), cytoskeletal proteins (e.g., myristoylated alanine rich C kinase substrate, MARCKS) (9), and transmembrane channels (e.g., N-type calcium channels) (29), information regarding the direct interactions of PKCε with other signaling kinases is scarce. Specifically, it has not been shown whether PKCε can govern tyrosine phosphorylation–de-pendent events through direct interaction with a tyrosine kinase. Here, we demonstrate that active PKCε is sufficient to phosphorylate Lck, and that this modification is sufficient to induce increased Lck kinase activity and to elicit Lck-mediated regulation of other proteins (e.g., NF-κB). Moreover, we show that this module plays a necessary role in the signaling system that renders the myocardium resistant to ischemic insults.
The concept that kinases are coupled as signaling modules and function collectively to facilitate the manifestation of a physiological phenotype has broad and fundamental biological implications beyond those related to the genesis of cardioprotection. In view of our observations, we propose that the assembly of a functional signaling module containing PKCε and Lck underscores what may be a mechanism of signal transduction that is conserved across multiple biological responses in a variety of cell types. The signaling complexes, like the PKCε complex characterized by our laboratory (19), which contain within them stimulus-specific modules, like the PKCε-Lck module that is described herein, may serve as a means by which the cell employs multifunctional signaling elements to perform an array of distinct subcellular tasks.
Although the biochemical nature of tissue injury has been extensively documented (1–3), the molecular mechanisms that are responsible for the induction of damage and the development of protective adaptations are not well understood. As a result, there are limited molecular targets for engineering therapeutic measures aimed at preventing ischemic and other forms of cellular injury. A critical first step toward the development of such strategies is to understand the specific mechanisms that underlie endogenous protective processes. The role of PKCε as an essential protective kinase against ischemia was first demonstrated in cardiac tissue (4, 5, 11–13). It has subsequently been shown that PKCε not only mediates protective signals in the heart but also functions as a protective kinase against ischemic injury in the gut (9), as an antiapoptotic kinase in the thyroid (6), and as a key molecule to precondition neurological functions in the brain (3, 29, 30), supporting a ubiquitous role for this enzyme in alleviating the consequences of ischemia. However, the precise molecular mechanisms by which this kinase exerts its salubrious effects remain largely undefined.
We hereby present evidence to show that cardiac-targeted transgenesis of PKCε, by itself, is sufficient to render the heart resistant to ischemic injury. To our knowledge, this is the first demonstration that isoform-specific activation of a kinase elicits cardioprotection in vivo. Furthermore, our findings demonstrate that PKCε does not function independently in this regard. The interaction of Lck with PKCε, and the consequent phosphorylation and activation of Lck by PKCε, are essential not only for the transduction of the PKCε cardioprotective signal, but also for the subsequent development of protection, as evidenced by the fact that disruption of the PKCε-Lck module by ablation of the Lck gene completely eliminated the cardioprotective phenotype conferred by activation of PKCε. Importantly, the obligatory role of the PKCε-Lck signaling module is not limited to PKCε-induced protection, as deletion of the Lck gene also abrogated ischemic preconditioning. Thus, formation of the PKCε-Lck module is crucial for the cardioprotective effects afforded by both chronic (PKCε transgenesis) and acute (ischemic preconditioning) activation of PKCε. Insofar as ischemic preconditioning represents a highly conserved biological response (having been described in the brain, kidney, gut, skeletal muscle, and liver) (1–3, 9) and is the most powerful cardioprotective intervention identified thus far, the present results have broad implications for our understanding of ischemia/reperfusion injury and protection against tissue injury in general.
The identification of PKCε-Lck as an essential module in the genesis of cardioprotection affords novel therapeutic opportunities whereby agents designed to regulate the formation of this module can be used to prevent ischemic injury. This is a departure from previous paradigms that were based on the use of receptor agonists, most of which have indirect and nonselective effects on the PKC signaling system. If, as our data indicate, cardioprotective signaling proceeds via the dynamic interactions of PKCε and Lck, then rationally designed pharmacological or genetic interventions that directly promote the formation of these PKCε-Lck modules would impart specificity and efficacy to therapeutic strategies aimed at protecting the myocardium in patients with ischemic heart disease.
Acknowledgments
This study was supported in part by the American Heart Association grants EIG-40167N (P. Ping) and AHA-0110053B (T.M. Vondriska); NIH grants HL-63901 (P. Ping), HL-65431 (P. Ping), HL-43151 (R. Bolli), HL-55757 (R. Bolli), HL-68088 (R. Bolli), and NIH 1S10RR11368-01A1 (W.M. Pierce); the Commonwealth of Kentucky Research Challenge Trust Fund; the University of Louisville Research Foundation; and the Jewish Hospital Research Foundation.
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