Rad-deletion phenocopies tonic sympathetic stimulation of the heart

BM Levitan, JR Manning, CN Withers, JD Smith… - Journal of …, 2016 - Springer
BM Levitan, JR Manning, CN Withers, JD Smith, RM Shaw, DA Andres, VL Sorrell, J Satin
Journal of cardiovascular translational research, 2016Springer
Sympathetic stimulation modulates L-type calcium channel (LTCC) gating to contribute to
increased systolic heart function. Rad is a monomeric G-protein that interacts with LTCC.
Genetic deletion of Rad (Rad−/−) renders LTCC in a sympathomimetic state. The study goal
was to use a clinically inspired pharmacological stress echocardiography test, including
analysis of global strain, to determine whether Rad−/− confers tonic positive inotropic heart
function. Sarcomere dynamics and strain showed partial parallel isoproterenol (ISO) …
Abstract
Sympathetic stimulation modulates L-type calcium channel (LTCC) gating to contribute to increased systolic heart function. Rad is a monomeric G-protein that interacts with LTCC. Genetic deletion of Rad (Rad−/−) renders LTCC in a sympathomimetic state. The study goal was to use a clinically inspired pharmacological stress echocardiography test, including analysis of global strain, to determine whether Rad−/− confers tonic positive inotropic heart function. Sarcomere dynamics and strain showed partial parallel isoproterenol (ISO) responsiveness for wild-type (WT) and for Rad−/−. Rad−/− basal inotropy was elevated compared to WT but was less responsiveness to ISO. Rad protein levels were lower in human patients with end-stage non-ischemic heart failure. These results show that Rad reduction provides a stable inotropic response rooted in sarcomere level function. Thus, reduced Rad levels in heart failure patients may be a compensatory response to need for increased output in the setting of HF. Rad deletion suggests a future therapeutic direction for inotropic support.
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