A novel functional haplotype in the human GNAS gene alters Gαs expression, responsiveness to β-adrenoceptor stimulation, and peri-operative cardiac performance

Autor: Heinz Jakob, Lars Bergmann, Eva Kottenberg-Assenmacher, Jürgen Peters, Iris Manthey, Martina Broecker-Preuss, Ulrich H. Frey, Kirsten Leineweber, Gerd Heusch, Winfried Siffert, Michael Adamzik
Rok vydání: 2009
Předmět:
Zdroj: European Heart Journal. 30:1402-1410
ISSN: 1522-9645
0195-668X
DOI: 10.1093/eurheartj/ehn572
Popis: Aims Cardiac overexpression of the β-adrenoceptor-coupled G-protein subunit Gαs in mice enhances inotropic responses to sympathetic stimulation, but evokes cardiomyopathy with increasing age. We tested whether functional single nucleotide polymorphisms (SNPs) in the human Gαs ( GNAS ) gene modulate Gαs expression and assessed functional consequences. Methods and results Sequencing the promoter and intron 1 of GNAS revealed 11 SNPs resulting in three common haplotypes. Haplotype *3 constructs exhibited significantly higher promoter activity than haplotypes *1 and *2, resulting in a more than 50% higher Gαs mRNA expression in homozygous *3 carriers (\*3/\*3) than in heterozygous (*3/−) and negative *3 (−/−) carriers ( P = 0.002). Basal, Gαs- (via NaF and GTP) and isoproterenol-stimulated adenylyl cyclase (AC) activities were also significantly higher in \*3/\*3 than in *3/− and −/− carriers. In contrast, direct AC activation via forskolin was independent of GNAS haplotypes. Furthermore, haemodynamic measurements in 137 coronary artery bypass patients revealed a higher cardiac index in \*3/\*3 carriers than in *3/− and −/− carriers ( P = 0.025) associated with a lower NYHA functional class ( P = 0.040) and serum NT-proBNP concentrations ( P = 0.002). Conclusion SNPs in regulatory regions of GNAS impact upon Gαs expression and stimulated cAMP formation in human hearts in vitro and upon cardiac performance in vivo .
Databáze: OpenAIRE