1. Intracellular Signaling Through Protein Kinases in Cardiac Mechanotransduction.
- Author
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Weckström, Matti, Tavi, Pasi, and Sugden, Peter H.
- Abstract
There is good evidence that stress-induced deformation of the cardiac myocyte can activate intracellular signaling pathways, though how this is brought about is still partly a mystery, some clues being provided by the present volume of reviews. The activation of these signaling pathways is thought to be instrumental in producing the changes in myocyte morphology, sarcomerogenesis, and gene expression that occur during hypertrophic growth. Reversible protein phosphorylation and dephosphosphorylation control a wide range biological responses, and hypertrophic growth is no exception. Specifically, there is evidence of a role for lipid-based signaling and protein kinase C in strain-induced signaling events. Activation of protein kinase C is probably instrumental in activating the extracellular signal-regulated kinase 1/2 cascade. However, other protein kinases are activated by strain: these included stress-activated protein kinases (c-Jun N-terminal kinases, p38-mitogen-activated protein kinases) and the Janus activated kinases. Apart from these, there is also evidence that the extracellular matrix, focal adhesion-based signaling and activation of the focal adhesion kinase may play a role in the response of myocytes to strain. The myocyte probably integrates the myriad messages from a variety of signaling pathways and this determines the overall biological response. It is widely (though not unanimously) accepted that the adult cardiac myocyte is a terminally-differentiated cell, i.e., it is incapable of undergoing complete cycles of cell division. When, as a result of the heart being subjected to haemodynamic or other forms of overload, an increased mechanical load is placed upon the myocyte in vivo, it responds by increasing its myofibrillar complement and overall cell size. The most common experimental manoeuvre to elicit this response is to induce a pressure overload on the left ventricle by constricting the (thoracic) aorta. Overall, this hypertrophy of the contractile cells allows the heart to accommo-date the increased loading. Because of its importance in pathophysiology, attempts have been made to simulate the situation ex vivo. Acute changes in the activation of signaling pathways can be studied in the perfused heart ex vivo, as can changes in the rate of protein synthesis and the very early effects on patterns of gene transcription, but this preparation does not survive for a sufficient length of time for there to be any change in myocyte size. Isolated myocytes from neonatal rat hearts can, when attached to deformable membranes coated with a suitable substrate (e.g., collagen, fibronectin), be ‘stretched' either statically or phasically (usually at about 1 Hz) (see, for example, ref. 1-3). ‘Stretch' is an imprecise term from a physical viewpoint and the term strain, which has a precise physical meaning, is preferred. Strain is the proportional deformation induced in a body by the application of a stress, which is a force. It is assumed that the strained myocyte ex vivo simulates haemodynamic overloading in vivo, but this is not entirely justified. For example, rates of stretching of rat myocytes ex vivo are always less than the 5-6 Hz in vivo, since it is not possible to achieve such rates ex vivo. Furthermore, increased force of contraction in the whole heart is mediated by an increase in intracellular Ca2+ (Ca2+i) transient and/or by an increase in the sensitivity of the myofibrillar ATPase to Ca2+i. For technical reasons, it is still not clear whether strain increases Ca2+i, or the Ca2+i transient.… [ABSTRACT FROM AUTHOR]
- Published
- 2007
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