Cardiac RKIP induces a beneficial β-adrenoceptor-dependent positive inotropy

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Evelyn Schmid - , University of Würzburg (Author)
  • Stefan Neef - , University of Regensburg (Author)
  • Christopher Berlin - , University of Würzburg (Author)
  • Angela Tomasovic - , University of Würzburg (Author)
  • Katrin Kahlert - , University of Würzburg (Author)
  • Peter Nordbeck - , University of Würzburg (Author)
  • Katharina Deiss - , University of Würzburg, The Francis Crick Institute (Author)
  • Sabrina Denzinger - , University of Würzburg (Author)
  • Sebastian Herrmann - , University of Würzburg (Author)
  • Erich Wettwer - , Institute of Pharmacology and Toxicology (Author)
  • Markus Weidendorfer - , University of Würzburg (Author)
  • Daniel Becker - , University of Würzburg (Author)
  • Florian Schäfer - , University of Würzburg (Author)
  • Nicole Wagner - , University of Würzburg (Author)
  • Süleyman Ergün - , University of Würzburg (Author)
  • Joachim P. Schmitt - , University of Würzburg, University Hospital Duesseldorf (Author)
  • Hugo A. Katus - , Heidelberg University  (Author)
  • Frank Weidemann - , University of Würzburg (Author)
  • Ursula Ravens - , Institute of Pharmacology and Toxicology (Author)
  • Christoph Maack - , Saarland University (Author)
  • Lutz Hein - , University of Freiburg (Author)
  • Georg Ertl - , University of Würzburg (Author)
  • Oliver J. Müller - , Heidelberg University  (Author)
  • Lars S. Maier - , University of Regensburg (Author)
  • Martin J. Lohse - , University of Würzburg (Author)
  • Kristina Lorenz - , University of Würzburg (Author)

Abstract

In heart failure therapy, it is generally assumed that attempts to produce a long-term increase in cardiac contractile force are almost always accompanied by structural and functional damage. Here we show that modest overexpression of the Raf kinase inhibitor protein (RKIP), encoded by Pebp1 in mice, produces a well-tolerated, persistent increase in cardiac contractility that is mediated by the β 1 -adrenoceptor (β 1 AR). This result is unexpected, as β 1 AR activation, a major driver of cardiac contractility, usually has long-term adverse effects. RKIP overexpression achieves this tolerance via simultaneous activation of the β 2 AR subtype. Analogously, RKIP deficiency exaggerates pressure overload-induced cardiac failure. We find that RKIP expression is upregulated in mouse and human heart failure, indicative of an adaptive role for RKIP. Pebp1 gene transfer in a mouse model of heart failure has beneficial effects, suggesting a new therapeutic strategy for heart failure therapy.

Details

Original languageEnglish
Pages (from-to)1298-1306
Number of pages9
JournalNature medicine
Volume21
Issue number11
Publication statusPublished - 1 Nov 2015
Peer-reviewedYes

External IDs

PubMed 26479924

Keywords