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J Am Coll Cardiol, 2006; 48:545-555, doi:10.1016/j.jacc.2006.02.072 (Published online 11 July 2006).
© 2006 by the American College of Cardiology Foundation
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Activation of p38 Mitogen-Activated Protein Kinase Contributes to the Early Cardiodepressant Action of Tumor Necrosis Factor

Mohamed Bellahcene, PhD*, Sebastien Jacquet, PhD*, Xue B. Cao, MD*, Masaya Tanno, MD, PhD*, Robert S. Haworth, PhD*, Joanne Layland, PhD{dagger}, Alamgir M. Kabir, MB, BS{dagger}, Matthias Gaestel, PhD{ddagger}, Roger J. Davis, PhD§, Richard A. Flavell, PhD||, Ajay M. Shah, MD, FESC*, Metin Avkiran, PhD, DSc* and Michael S. Marber, PhD, FACC*,*

* Cardiovascular Division, King's College London, The Rayne Institute, St. Thomas' Hospital, London, United Kingdom
{dagger} Cardiovascular Division, King's College London, King's College Hospital, London, United Kingdom
{ddagger} Institute of Biochemistry, Medical School Hannover, Hannover, Germany
§ Howard Hughes Medical Institute, University of Massachusetts, Worcester, Massachusetts
|| Section of Immunobiology, Howard Hughes Medical Institute and Yale University School of Medicine, New Haven, Connecticut


Figure 1
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Figure 1 Effect of tumor necrosis factor-alpha (TNF{alpha}) (10 ng/ml) on mkk3–/– (KO) and mkk3+/+ (WT) hearts during coronary perfusion under conditions of constant pressure. Data represented by mean ± SEM; n = 6 per group. (A) Left ventricular developed pressure (LVDP) before and during 15 min exposure to TNF{alpha}. (B) Left ventricular volume versus LVDP measured after at least 15 min of TNF{alpha}. (C) Coronary flow before and during TNF{alpha}. (D) Upper part shows representative Western blots of total and phosphorylated p38-MAPK and HSP27 in hearts exposed to TNF{alpha} for 15 min. Activation of p38-MAPK is reflected in the phosphorylation of HSP27. Lower part shows quantitative data expressed as fold increase relative to baseline (mean ± SEM; n = 3). TNF{alpha} induces a robust activation of p38-MAPK in mkk3+/+ but not in mkk3–/– hearts.

 

Figure 2
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Figure 2 Effect of tumor necrosis factor-alpha (TNF{alpha}) (10 ng/ml) on mkk3–/– (KO) and mkk3+/+ (WT) hearts during coronary perfusion under conditions of constant flow. Data represented by mean ± SEM; n = 6 per group. (A) Left ventricular developed pressure (LVDP) before and during exposure to TNF{alpha}. (B) Left ventricular volume versus LVDP measured after at least 15 min of TNF{alpha}. (C) Perfusion pressure measured before and during TNF{alpha}. (D) Upper part shows representative Western blots of total and phosphorylated p38-MAPK and HSP27 in hearts exposed to TNF{alpha} for 15 min. Lower part depicts quantitative data expressed as fold increase relative to baseline (mean ± SEM; n = 3). TNF{alpha} induces activation of p38-MAPK in mkk3+/+ but not in mkk3–/– hearts under constant flow conditions; however, this effect was less pronounced than under constant pressure (Fig. 1).

 

Figure 3
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Figure 3 Effect of tumor necrosis factor-alpha (TNF{alpha}) (10 ng/ml) on mk2–/– (KO) and mk2+/+ (WT) hearts during coronary perfusion under conditions of constant pressure. Data represented by mean ± SEM. (A) Left ventricular developed pressure (LVDP) before and during exposure to TNF{alpha}. (B) Coronary flow before and during TNF{alpha}. (C) Upper part shows representative Western blots of total and phosphorylated p38-MAPK and MKK3/6 in hearts exposed to TNF{alpha} for 15 min. Lower part shows quantitative data expressed in arbitrary units as phosphorylation increase related to total amount for a given protein (mean ± SEM; n = 3), because total p38-MAPK is altered by the mk2 genotype. Consequently, p38-MAPK dual phoshorylation is less pronounced in mk2–/– than in mk2+/+. MKK3 is preferentially activated over MKK6 by TNF{alpha}, with detectable phospho-MKK3/6 signal in both mk2–/– and mk2+/+.

 

Figure 4
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Figure 4 Effect of 1 µmol/l SB203580 (SB) on tumor necrosis factor-alpha (TNF{alpha})-induced contractile dysfunction. Hearts from outbred C56BL/6 mice were perfused under constant pressure or constant flow conditions. SB was solubilized in dimethyl sulfoxide (DMSO). Hearts were exposed to TNF{alpha} (10 ng/ml) for 15 min, SB (1 µmol/l), or DMSO (<0.01%) for 20 min. Data represent mean ± SEM; n = 6 per group. (A) Left ventricular developed pressure (LVDP) and (B) coronary flow with constant pressure perfusion. (C) LVDP and (D) perfusion pressure recorded under constant flow conditions. SB reduced TNF{alpha}-induced contractile dysfunction with constant pressure and to a lesser extent with constant flow. Surprisingly, SB reversed TNF{alpha}-induced coronary vasoconstriction. (E) Upper part shows representative Western blots of total and phosphorylated p38-MAPK and HSP27 in hearts exposed to TNF{alpha}, SB, DMSO, and SB + TNF{alpha} under constant pressure. Lower part depicts quantitative data expressed as phosphorylation increase related to total amount for a given protein (mean ± SEM; n = 3). NA = normalization not appropriate.

 

Figure 5
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Figure 5 Effect of tumor necrosis factor-alpha (TNF{alpha}) (10 ng/ml) on murine cardiomyocytes. (A) Representative Western blots of total and phosphorylated p38-MAPK from outbred C57BL/6 mouse cardiomyocytes preincubated for 30 min with increasing concentrations of TNF{alpha} (0, 50, 100 ng/ml). Lower panel shows quantitative data expressed as fold increase of phosphorylation relative to control (mean ± SEM; n = 3). These cells exhibited a substantial basal p38-MAPK dual phosphorylation, and TNF{alpha}, even at high doses, only induced a ~3-fold increase in p38-MAPK dual phosphorylation. (B) Representative Western blots of total and phosphorylated p38-MAPK from C57BL/6 mouse cardiomyocytes and perfused hearts both exposed to TNF{alpha} (10 ng/ml) for 15 min (n = 3). Cardiomyocytes exhibited considerable basal p38-MAPK dual phosphorylation which was absent in perfused hearts. Furthermore, p38-MAPK dual phosphorylation in perfused hearts was greater than in cardiomyocytes (~25-fold vs. ~3-fold increase, respectively).

 

Figure 6
Figure 6
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Figure 6 Effects of tumor necrosis factor-alpha (TNF{alpha}) (10 ng/ml) and SB203580 (SB, 1 µmol/l) on mkk3–/– cardiomyocytes. Freshly isolated cardiomyocytes from outbred C57BL/6, mkk3+/+, and mkk3–/– mice underwent the following exposures: TNF{alpha} (10 ng/ml; n = 24, 29, and 32, respectively) for 30 min; SB (1 µmol/L; n = 25, 29, and 34, respectively); and SB for 35 min starting 5 min before TNF{alpha} exposure (n = 20, 28, and 32, respectively). After TNF{alpha} and SB treatments, some cells were allowed to recover for 45 min in Tyrode's buffer to assess the reversibility of the contractile deficit (n = 16, 13, and 24, respectively). Values are mean ± SEM. (A) Experimental traces showing sarcomere contraction in outbred C57BL/6, mkk3+/+, and mkk3–/– mouse cardiomyocytes preincubated for 30 min with TNF{alpha} (10 ng/ml). (B) Normalized sarcomere contraction amplitude, maximal rate of sarcomere contraction, and maximal rate of sarcomere relengthening. Continued on next page.(C) Characterization of SB effect on TNF{alpha}-induced p38-MAPK activation in murine cardiomyocytes. Upper part shows representative Western blots of total and phosphorylated p38-MAPK and HSP27 in mkk3+/+ and mkk3–/– murine cardiomyocytes exposed to TNF{alpha} (10 ng/ml) for 15 min, SB (1 µmol/l) for 35 min, and SB for 35 min given 5 min before TNF{alpha} treatment. Lower part shows quantitative data expressed as fold increase of phosphorylation relative to control (mean ± SEM; n = 3). Importantly, TNF{alpha} treatment induced p38-MAPK activation in mkk3+/+ but not in mkk3–/– myocytes.

 




 
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