Inhibition of c-Src Tyrosine Kinase Prevents Angiotensin II-Mediated Connexin43 Remodeling and Sudden Cardiac Death

Autor: Vibhash Kumar, Samuel C. Dudley, Kun Wang, Zhe Jiao, Ali A. Sovari, Heather S. Duffy, Kenneth E. Bernstein, Shahriar Iravanian, Marcelo G. Bonini, Elena Dolmatova, Hong Liu, Shadi Zandieh
Jazyk: angličtina
Rok vydání: 2011
Předmět:
medicine.medical_specialty
Blotting
Western

Connexin
Mice
Transgenic

030204 cardiovascular system & hematology
Ventricular tachycardia
Sudden death
sudden cardiac death
Article
Sudden cardiac death
CSK Tyrosine-Protein Kinase
Mice
03 medical and health sciences
0302 clinical medicine
Internal medicine
c-Src tyrosine kinase
Telemetry
Medicine
Animals
Enzyme Inhibitors
Phosphorylation
030304 developmental biology
0303 health sciences
business.industry
Angiotensin II
Gap Junctions
Protein-Tyrosine Kinases
medicine.disease
Immunohistochemistry
3. Good health
connexin43
Blot
Disease Models
Animal

Pyrimidines
Endocrinology
Death
Sudden
Cardiac

src-Family Kinases
Connexin 43
Ventricular Fibrillation
Ventricular fibrillation
Tachycardia
Ventricular

cardiovascular system
Pyrazoles
sense organs
biological phenomena
cell phenomena
and immunity

Cardiology and Cardiovascular Medicine
business
Tyrosine kinase
Popis: ObjectivesThe aim of this study was to test whether c-Src tyrosine kinase mediates connexin-43 (Cx43) reduction and sudden cardiac death in a transgenic mouse model of cardiac-restricted overexpression of angiotensin-converting enzyme (ACE8/8 mice).BackgroundRenin-angiotensin system activation is associated with an increased risk for arrhythmia and sudden cardiac death, but the mechanism is not well understood. The up-regulation of c-Src by angiotensin II may result in the reduction of Cx43, which impairs gap junction function and provides a substrate for arrhythmia.MethodsWild-type and ACE8/8 mice with and without treatment with the c-Src inhibitor 1-(1,1-dimethylethyl)-1-(4-methylphenyl)-1H-pyrazolo[3,4-d]pyrimidin-4-amine (PP1) were studied. Telemetry monitoring, in vivo electrophysiologic studies, Western blot analyses for total and phosphorylated c-Src and Cx43, immunohistochemistry staining for Cx43, and functional assessment of Cx43 with fluorescent dye diffusion were performed.ResultsThe majority of the arrhythmic deaths resulted from ventricular tachycardia degenerating to ventricular fibrillation (83%). Levels of total and phosphorylated c-Src were increased and Cx43 reduced in ACE8/8 mice. PP1 reduced total and phosphorylated c-Src levels, increased Cx43 level by 2.1-fold (p < 0.005), increased Cx43 at the gap junctions (immunostaining), improved gap junctional communication (dye spread), and reduced ventricular tachycardia inducibility and sudden cardiac death. The survival rate increased from 11% to 86% with 4 weeks of PP1 treatment (p < 0.005). Treatment with an inactive analog did not change survival or Cx43 levels.ConclusionsRenin-angiotensin system activation is associated with c-Src up-regulation, Cx43 loss, reduced myocyte coupling, and arrhythmic sudden death, which can be prevented by c-Src inhibition. This suggests that an increase in c-Src activity may help mediate renin-angiotensin system–induced arrhythmias and that c-Src inhibitors might exert antiarrhythmic activity.
Databáze: OpenAIRE