Inhibition of calcineurin-NFAT hypertrophy signaling by cGMP-dependent protein kinase type I in cardiac myocytes

Proc Natl Acad Sci U S A. 2002 Aug 20;99(17):11363-8. doi: 10.1073/pnas.162100799. Epub 2002 Aug 12.

Abstract

Recent investigation has focused on identifying signaling pathways that inhibit cardiac hypertrophy, a major risk factor for cardiovascular morbidity and mortality. In this context, nitric oxide (NO), signaling via cGMP and cGMP-dependent protein kinase type I (PKG I), has been recognized as a negative regulator of cardiac myocyte (CM) hypertrophy. However, the underlying mechanisms are poorly understood. Here, we show that PKG I inhibits CM hypertrophy by targeting the calcineurin-NFAT signaling pathway. Calcineurin, a Ca2+-dependent phosphatase, promotes hypertrophy in part by activating NFAT transcription factors which induce expression of hypertrophic genes, including brain natriuretic peptide (BNP). Activation of PKG I by NO/cGMP in CM suppressed NFAT transcriptional activity, BNP induction, and cell enlargement in response to alpha(1)-adrenoreceptor stimulation but not in response to adenoviral expression of a Ca2+-independent, constitutively active calcineurin mutant, thus demonstrating NO-cGMP-PKG I inhibition of calcineurin-NFAT signaling upstream of calcineurin. PKG I suppressed single L-type Ca2+-channel open probability, [Ca2+]i transient amplitude, and, most importantly, L-type Ca2+-channel current-induced NFAT activation, indicating that PKG I targets Ca2+-dependent steps upstream of calcineurin. Adenoviral expression of PKG I enhanced NO/cGMP inhibitory effects upstream of calcineurin, confirming that PKG I mediates NO/cGMP inhibition of calcineurin-NFAT signaling. In CM overexpressing PKG I, NO/cGMP also suppressed BNP induction and cell enlargement but not NFAT activation elicited by constitutively active calcineurin, which is consistent with additional, NFAT-independent inhibitory effect(s) of PKG I downstream of calcineurin. Inhibition of calcineurin-NFAT signaling by PKG I provides a framework for understanding how NO inhibits cardiac myocyte hypertrophy.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Animals, Newborn
  • Calcineurin / physiology*
  • Calcineurin Inhibitors
  • Calcium Channels, L-Type / physiology
  • Calcium Signaling / physiology
  • Cardiomegaly / enzymology
  • Cardiomegaly / physiopathology*
  • Cardiomegaly / prevention & control*
  • Cells, Cultured
  • Cyclic GMP / analogs & derivatives*
  • Cyclic GMP / pharmacology
  • Cyclic GMP-Dependent Protein Kinase Type I
  • Cyclic GMP-Dependent Protein Kinases / antagonists & inhibitors
  • Cyclic GMP-Dependent Protein Kinases / metabolism*
  • DNA-Binding Proteins / antagonists & inhibitors
  • DNA-Binding Proteins / physiology*
  • Enzyme Activation
  • Heart / physiology
  • Heart Ventricles
  • Ion Channel Gating / physiology
  • Luciferases / genetics
  • Luciferases / metabolism
  • Myocardium / metabolism*
  • NFATC Transcription Factors
  • Natriuretic Peptide, Brain / genetics
  • Nuclear Proteins*
  • Plasmids
  • Probability
  • Promoter Regions, Genetic
  • Rats
  • Rats, Sprague-Dawley
  • Signal Transduction / physiology*
  • Thionucleotides / pharmacology
  • Transcription Factors / antagonists & inhibitors
  • Transcription Factors / physiology*
  • Transcription, Genetic
  • Transfection

Substances

  • Calcineurin Inhibitors
  • Calcium Channels, L-Type
  • DNA-Binding Proteins
  • NFATC Transcription Factors
  • Nuclear Proteins
  • Thionucleotides
  • Transcription Factors
  • Natriuretic Peptide, Brain
  • 8-((4-chlorophenyl)thio)cyclic-3',5'-GMP
  • Luciferases
  • Cyclic GMP-Dependent Protein Kinase Type I
  • Cyclic GMP-Dependent Protein Kinases
  • Calcineurin
  • Cyclic GMP