Cardiac Oxidative Signaling and Physiological Hypertrophy in the Na/K-ATPase α1<sup>s/s</sup>α2<sup>s/s</sup> Mouse Model of High Affinity for Cardiotonic Steroids

The Na/K-ATPase is the specific receptor for cardiotonic steroids (CTS) such as ouabain and digoxin. At pharmacological concentrations used in the treatment of cardiac conditions, CTS inhibit the ion-pumping function of Na/K-ATPase. At much lower concentrations, in the range of those reported for en...

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Main Authors: Pauline V. Marck, Marco T. Pessoa, Yunhui Xu, Laura C. Kutz, Dominic M. Collins, Yanling Yan, Cierra King, Xiaoliang Wang, Qiming Duan, Liquan Cai, Jeffrey X. Xie, Jerry B. Lingrel, Zijian Xie, Jiang Tian, Sandrine V. Pierre
Format: Article
Language:English
Published: MDPI AG 2021-03-01
Series:International Journal of Molecular Sciences
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Online Access:https://www.mdpi.com/1422-0067/22/7/3462
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author Pauline V. Marck
Marco T. Pessoa
Yunhui Xu
Laura C. Kutz
Dominic M. Collins
Yanling Yan
Cierra King
Xiaoliang Wang
Qiming Duan
Liquan Cai
Jeffrey X. Xie
Jerry B. Lingrel
Zijian Xie
Jiang Tian
Sandrine V. Pierre
author_facet Pauline V. Marck
Marco T. Pessoa
Yunhui Xu
Laura C. Kutz
Dominic M. Collins
Yanling Yan
Cierra King
Xiaoliang Wang
Qiming Duan
Liquan Cai
Jeffrey X. Xie
Jerry B. Lingrel
Zijian Xie
Jiang Tian
Sandrine V. Pierre
author_sort Pauline V. Marck
collection DOAJ
description The Na/K-ATPase is the specific receptor for cardiotonic steroids (CTS) such as ouabain and digoxin. At pharmacological concentrations used in the treatment of cardiac conditions, CTS inhibit the ion-pumping function of Na/K-ATPase. At much lower concentrations, in the range of those reported for endogenous CTS in the blood, they stimulate hypertrophic growth of cultured cardiac myocytes through initiation of a Na/K-ATPase-mediated and reactive oxygen species (ROS)-dependent signaling. To examine a possible effect of endogenous concentrations of CTS on cardiac structure and function in vivo, we compared mice expressing the naturally resistant Na/K-ATPase α1 and age-matched mice genetically engineered to express a mutated Na/K-ATPase α1 with high affinity for CTS. In this model, total cardiac Na/K-ATPase activity, α1, α2, and β1 protein content remained unchanged, and the cardiac Na/K-ATPase dose–response curve to ouabain shifted to the left as expected. In males aged 3–6 months, increased α1 sensitivity to CTS resulted in a significant increase in cardiac carbonylated protein content, suggesting that ROS production was elevated. A moderate but significant increase of about 15% of the heart-weight-to-tibia-length ratio accompanied by an increase in the myocyte cross-sectional area was detected. Echocardiographic analyses did not reveal any change in cardiac function, and there was no fibrosis or re-expression of the fetal gene program. RNA sequencing analysis indicated that pathways related to energy metabolism were upregulated, while those related to extracellular matrix organization were downregulated. Consistent with a functional role of the latter, an angiotensin-II challenge that triggered fibrosis in the α1<sup>r/r</sup>α2<sup>s/s</sup> mouse failed to do so in the α1<sup>s/s</sup>α2<sup>s/s</sup>. Taken together, these results are indicative of a link between circulating CTS, Na/K-ATPase α1, ROS, and physiological cardiac hypertrophy in mice under baseline laboratory conditions.
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spelling doaj.art-eb7f62c3bf0446d2814a98a8a367e6782023-11-21T13:03:32ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672021-03-01227346210.3390/ijms22073462Cardiac Oxidative Signaling and Physiological Hypertrophy in the Na/K-ATPase α1<sup>s/s</sup>α2<sup>s/s</sup> Mouse Model of High Affinity for Cardiotonic SteroidsPauline V. Marck0Marco T. Pessoa1Yunhui Xu2Laura C. Kutz3Dominic M. Collins4Yanling Yan5Cierra King6Xiaoliang Wang7Qiming Duan8Liquan Cai9Jeffrey X. Xie10Jerry B. Lingrel11Zijian Xie12Jiang Tian13Sandrine V. Pierre14Marshall Institute for Interdisciplinary Research, Huntington, WV 25703, USAMarshall Institute for Interdisciplinary Research, Huntington, WV 25703, USAMarshall Institute for Interdisciplinary Research, Huntington, WV 25703, USAMarshall Institute for Interdisciplinary Research, Huntington, WV 25703, USAMarshall Institute for Interdisciplinary Research, Huntington, WV 25703, USADepartment of Biomedical Sciences, Marshall University Joan C. Edwards School of Medicine, Huntington, WV 25755, USAMarshall Institute for Interdisciplinary Research, Huntington, WV 25703, USAMarshall Institute for Interdisciplinary Research, Huntington, WV 25703, USAGladstone Institute of Cardiovascular Disease, San Francisco, CA 94158, USAMarshall Institute for Interdisciplinary Research, Huntington, WV 25703, USADepartment of Internal Medicine, University of Michigan, Ann Arbor, MI 48109, USADepartment of Molecular Genetics, Biochemistry and Microbiology, University of Cincinnati College of Medicine, Cincinnati, OH 45267, USAMarshall Institute for Interdisciplinary Research, Huntington, WV 25703, USAMarshall Institute for Interdisciplinary Research, Huntington, WV 25703, USAMarshall Institute for Interdisciplinary Research, Huntington, WV 25703, USAThe Na/K-ATPase is the specific receptor for cardiotonic steroids (CTS) such as ouabain and digoxin. At pharmacological concentrations used in the treatment of cardiac conditions, CTS inhibit the ion-pumping function of Na/K-ATPase. At much lower concentrations, in the range of those reported for endogenous CTS in the blood, they stimulate hypertrophic growth of cultured cardiac myocytes through initiation of a Na/K-ATPase-mediated and reactive oxygen species (ROS)-dependent signaling. To examine a possible effect of endogenous concentrations of CTS on cardiac structure and function in vivo, we compared mice expressing the naturally resistant Na/K-ATPase α1 and age-matched mice genetically engineered to express a mutated Na/K-ATPase α1 with high affinity for CTS. In this model, total cardiac Na/K-ATPase activity, α1, α2, and β1 protein content remained unchanged, and the cardiac Na/K-ATPase dose–response curve to ouabain shifted to the left as expected. In males aged 3–6 months, increased α1 sensitivity to CTS resulted in a significant increase in cardiac carbonylated protein content, suggesting that ROS production was elevated. A moderate but significant increase of about 15% of the heart-weight-to-tibia-length ratio accompanied by an increase in the myocyte cross-sectional area was detected. Echocardiographic analyses did not reveal any change in cardiac function, and there was no fibrosis or re-expression of the fetal gene program. RNA sequencing analysis indicated that pathways related to energy metabolism were upregulated, while those related to extracellular matrix organization were downregulated. Consistent with a functional role of the latter, an angiotensin-II challenge that triggered fibrosis in the α1<sup>r/r</sup>α2<sup>s/s</sup> mouse failed to do so in the α1<sup>s/s</sup>α2<sup>s/s</sup>. Taken together, these results are indicative of a link between circulating CTS, Na/K-ATPase α1, ROS, and physiological cardiac hypertrophy in mice under baseline laboratory conditions.https://www.mdpi.com/1422-0067/22/7/3462Na/K-ATPasecardiotonic steroidsisoformreactive oxygen specieshypertrophy
spellingShingle Pauline V. Marck
Marco T. Pessoa
Yunhui Xu
Laura C. Kutz
Dominic M. Collins
Yanling Yan
Cierra King
Xiaoliang Wang
Qiming Duan
Liquan Cai
Jeffrey X. Xie
Jerry B. Lingrel
Zijian Xie
Jiang Tian
Sandrine V. Pierre
Cardiac Oxidative Signaling and Physiological Hypertrophy in the Na/K-ATPase α1<sup>s/s</sup>α2<sup>s/s</sup> Mouse Model of High Affinity for Cardiotonic Steroids
International Journal of Molecular Sciences
Na/K-ATPase
cardiotonic steroids
isoform
reactive oxygen species
hypertrophy
title Cardiac Oxidative Signaling and Physiological Hypertrophy in the Na/K-ATPase α1<sup>s/s</sup>α2<sup>s/s</sup> Mouse Model of High Affinity for Cardiotonic Steroids
title_full Cardiac Oxidative Signaling and Physiological Hypertrophy in the Na/K-ATPase α1<sup>s/s</sup>α2<sup>s/s</sup> Mouse Model of High Affinity for Cardiotonic Steroids
title_fullStr Cardiac Oxidative Signaling and Physiological Hypertrophy in the Na/K-ATPase α1<sup>s/s</sup>α2<sup>s/s</sup> Mouse Model of High Affinity for Cardiotonic Steroids
title_full_unstemmed Cardiac Oxidative Signaling and Physiological Hypertrophy in the Na/K-ATPase α1<sup>s/s</sup>α2<sup>s/s</sup> Mouse Model of High Affinity for Cardiotonic Steroids
title_short Cardiac Oxidative Signaling and Physiological Hypertrophy in the Na/K-ATPase α1<sup>s/s</sup>α2<sup>s/s</sup> Mouse Model of High Affinity for Cardiotonic Steroids
title_sort cardiac oxidative signaling and physiological hypertrophy in the na k atpase α1 sup s s sup α2 sup s s sup mouse model of high affinity for cardiotonic steroids
topic Na/K-ATPase
cardiotonic steroids
isoform
reactive oxygen species
hypertrophy
url https://www.mdpi.com/1422-0067/22/7/3462
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