Novel regulation of cardiac force-frequency relation by CREM (cAMP response element modulator)

FASEB J. 2003 Feb;17(2):144-51. doi: 10.1096/fj.01-0981com.

Abstract

The cAMP response element modulator (CREM) plays pivotal roles in the hypothalamic-pituitary-gonadal axis. CREM mRNA is robustly expressed in human myocardium, and identified isoforms may suppress cAMP response element-mediated transcription. However, little is known about the physiological importance of CREM in intact hearts remains unknown. We studied CREM-null mice and age-matched control littermates by in vivo pressure-volume loops to analyze basal and reserve cardiac function. Basal systolic and diastolic function, echocardiographic morphology, and myocardial histology were normal in CREM-null animals. However functional reserve with increasing heart rate was markedly depressed, with less contractile augmentation (+22+/-9% CREM-/- vs.+62+/-11% controls, P<0.05) and relaxation shortening (5+/-5% CREM-/- vs. -18+/-3% controls; P<0.05) at faster rates. In contrast, isoproterenol dose-responses were similar, suggesting normal beta-adrenergic receptor-coupled signaling. Gene expression of calcium handling proteins (SERCA, phospholamban) and stress-response genes (e.g., alpha-skeletal actin, beta-myosin heavy chain, natriuretic peptides) were similar between groups. However, total and serine-phosphorylated phospholamban protein declined -38 and -64% respectively, and protein phosphatase-1 (PP1) activity increased 44% without increased protein levels (all P<0.01) in CREM-/- vs. controls. These results demonstrate novel involvement of CREM in regulation of PP1 activity and of PLB, likely resulting in a potent frequency-dependent influence on cardiac function.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adrenergic beta-Agonists / pharmacology
  • Animals
  • Blood Pressure / drug effects
  • Blood Pressure / physiology
  • Calcium-Binding Proteins / metabolism
  • Calcium-Transporting ATPases / metabolism
  • Cyclic AMP Response Element Modulator
  • DNA-Binding Proteins / genetics
  • DNA-Binding Proteins / physiology*
  • Dose-Response Relationship, Drug
  • Genotype
  • Heart / physiology*
  • Heart Rate / drug effects
  • Heart Rate / physiology
  • Hemodynamics / drug effects
  • Hemodynamics / physiology
  • Isoproterenol / pharmacology
  • Mice
  • Mutation
  • Phosphoprotein Phosphatases / metabolism
  • Phosphorylation
  • Protein Phosphatase 1
  • Repressor Proteins*
  • Sarcoplasmic Reticulum Calcium-Transporting ATPases

Substances

  • Adrenergic beta-Agonists
  • Calcium-Binding Proteins
  • DNA-Binding Proteins
  • Repressor Proteins
  • phospholamban
  • Cyclic AMP Response Element Modulator
  • Phosphoprotein Phosphatases
  • Protein Phosphatase 1
  • Sarcoplasmic Reticulum Calcium-Transporting ATPases
  • Calcium-Transporting ATPases
  • Isoproterenol