Improvement of cardiomyocyte function by a novel pyrimidine-based CaMKII-inhibitor.

Improvement of cardiomyocyte function by a novel pyrimidine-based CaMKII-inhibitor.
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DOI:
10.1016/j.yjmcc.2017.12.015
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发表时间:
2018-03
影响因子:
5
通讯作者:
Maier LS
Maier LS
中科院分区:
医学2区
文献类型:
--
作者:
Neef S;Steffens A;Pellicena P;Mustroph J;Lebek S;Ort KR;Schulman H;Maier LS

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Ca 2 +/钙调素依赖性蛋白激酶II(CaMKII)的病理性活性增加和相关的肌浆网Ca 2+泄漏被认为是心力衰竭和心律失常的重要新药物靶点。然而,用于治疗用途的CaMKII抑制化合物仍然缺乏。我们现在报告的细胞和分子的影响,一种新的嘧啶为基础的CaMKII抑制剂开发的临床应用。我们的研究结果表明,AS 105是一种高亲和力的ATP竞争性CaMKII抑制剂,通过其作用模式,它对自磷酸化CaMKII也有效(与常用的变构CaMKII抑制剂KN-93相反)。在来自人类供体的分离心房心肌细胞和来自CaMK II δ C过表达心力衰竭小鼠的心室肌细胞中,通过Ca 2+火花或[Ca 2 +]i的丁卡因敏感性变化测量,AS 105可有效降低舒张期SR Ca 2+渗漏38%至65%。与此一致,我们发现AS 105抑制了致炎性自发心肌细胞Ca 2+释放(53%)。此外,SR积累Ca 2+的能力被AS 105增强,如小鼠细胞中Ca 2+瞬时振幅的静息后增强和SR Ca 2+含量增加所示。因此,这些细胞在基础刺激期间具有改善的收缩期Ca 2+瞬时振幅和收缩性。重要的是,CaMKII抑制不损害收缩期部分Ca 2+释放,舒张期SR Ca 2+再摄取通过SERCA 2a或Ca 2+挤出通过NCX。AS 105是一种新型的高效ATP竞争性CaMKII抑制剂。在体外,它有效地减少SR Ca 2 +-泄漏,从而改善SR Ca 2 +-积累和减少细胞促炎相关性,而不会对兴奋-收缩偶联产生负面影响。这些发现进一步验证了CaMKII作为心血管疾病的关键靶点,涉及遗传,变构抑制剂和假底物抑制剂。
Pathologically increased activity of Ca2+/calmodulin-dependent protein kinase II (CaMKII) and the associated Ca2+-leak from the sarcoplasmic reticulum are recognized to be important novel pharmacotherapeutic targets in heart failure and cardiac arrhythmias. However, CaMKII-inhibitory compounds for therapeutic use are still lacking. We now report on the cellular and molecular effects of a novel pyrimidine-based CaMKII inhibitor developed towards clinical use. Our findings demonstrate that AS105 is a high-affinity ATP-competitive CaMKII-inhibitor that by its mode of action is also effective against autophosphorylated CaMKII (in contrast to the commonly used allosteric CaMKII-inhibitor KN-93). In isolated atrial cardiomyocytes from human donors and ventricular myocytes from CaMKIIδC-overexpressing mice with heart failure, AS105 effectively reduced diastolic SR Ca2+ leak by 38% to 65% as measured by Ca2+-sparks or tetracaine-sensitive shift in [Ca2+]i. Consistent with this, we found that AS105 suppressed arrhythmogenic spontaneous cardiomyocyte Ca2+-release (by 53%). Also, the ability of the SR to accumulate Ca2+ was enhanced by AS105, as indicated by improved post-rest potentiation of Ca2+-transient amplitudes and increased SR Ca2+-content in the murine cells. Accordingly, these cells had improved systolic Ca2+-transient amplitudes and contractility during basal stimulation. Importantly, CaMKII inhibition did not compromise systolic fractional Ca2+-release, diastolic SR Ca2+-reuptake via SERCA2a or Ca2+-extrusion via NCX. AS105 is a novel, highly potent ATP-competitive CaMKII inhibitor. In vitro, it effectively reduced SR Ca2+-leak, thus improving SR Ca2+-accumulation and reducing cellular arrhythmogenic correlates, without negatively influencing excitation-contraction coupling. These findings further validate CaMKII as a key target in cardiovascular disease, implicated by genetic, allosteric inhibitors, and pseudo-substrate inhibitors.
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