Cellular remodeling in heart failure disrupts K(ATP) channel-dependent stress tolerance

ATP-sensitive potassium (K(ATP)) channels are required for maintenance of homeostasis during the metabolically demanding adaptive response to stress. However, in disease, the effect of cellular remodeling on K(ATP) channel behavior and associated tolerance to metabolic insult is unknown. Here, trans...

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Veröffentlicht in:The EMBO journal 2003-04, Vol.22 (8), p.1732-1742
Hauptverfasser: Hodgson, Denice M, Zingman, Leonid V, Kane, Garvan C, Perez-Terzic, Carmen, Bienengraeber, Martin, Ozcan, Cevher, Gumina, Richard J, Pucar, Darko, O'Coclain, Fergus, Mann, Douglas L, Alekseev, Alexey E, Terzic, Andre
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container_end_page 1742
container_issue 8
container_start_page 1732
container_title The EMBO journal
container_volume 22
creator Hodgson, Denice M
Zingman, Leonid V
Kane, Garvan C
Perez-Terzic, Carmen
Bienengraeber, Martin
Ozcan, Cevher
Gumina, Richard J
Pucar, Darko
O'Coclain, Fergus
Mann, Douglas L
Alekseev, Alexey E
Terzic, Andre
description ATP-sensitive potassium (K(ATP)) channels are required for maintenance of homeostasis during the metabolically demanding adaptive response to stress. However, in disease, the effect of cellular remodeling on K(ATP) channel behavior and associated tolerance to metabolic insult is unknown. Here, transgenic expression of tumor necrosis factor alpha induced heart failure with typical cardiac structural and energetic alterations. In this paradigm of disease remodeling, K(ATP) channels responded aberrantly to metabolic signals despite intact intrinsic channel properties, implicating defects proximal to the channel. Indeed, cardiomyocytes from failing hearts exhibited mitochondrial and creatine kinase deficits, and thus a reduced potential for metabolic signal generation and transmission. Consequently, K(ATP) channels failed to properly translate cellular distress under metabolic challenge into a protective membrane response. Failing hearts were excessively vulnerable to metabolic insult, demonstrating cardiomyocyte calcium loading and myofibrillar contraction banding, with tolerance improved by K(ATP) channel openers. Thus, disease-induced K(ATP) channel metabolic dysregulation is a contributor to the pathobiology of heart failure, illustrating a mechanism for acquired channelopathy.
doi_str_mv 10.1093/emboj/cdg192
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subjects Adenosine Triphosphate - metabolism
Animals
Calcium - metabolism
Cardiac Output, Low - metabolism
Cardiotonic Agents - pharmacology
Creatine Kinase - metabolism
Dinitrophenols - pharmacology
Female
Ion Channel Gating
Isoproterenol - pharmacology
Male
Mice
Mitochondria - metabolism
Myocardium - ultrastructure
Myocytes, Cardiac - cytology
Myocytes, Cardiac - drug effects
Myocytes, Cardiac - metabolism
Patch-Clamp Techniques
Potassium Channels - metabolism
Transforming Growth Factor alpha - genetics
Transforming Growth Factor alpha - metabolism
Transgenes
Uncoupling Agents - pharmacology
Ventricular Remodeling - physiology
title Cellular remodeling in heart failure disrupts K(ATP) channel-dependent stress tolerance
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