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J. K. A, L. X, D. R. P, P. J. P, K. S, D. B. S W. S. C. Reactive Oxygen
Species Mediate Alpha-adrenergic Receptor-stimulated Hypertrophy in Adult Rat Ventricular Myocytes. Journal
of Molecular and Cellular Cardiology (2001) 33, 131–139. Norepinephrine (NE) causes hypertrophic growth of
cardiac myocytes via stimulation of alpha1-adrenergic receptors (1-AR). Reactive oxygen species (ROS) can act
as signaling molecules for cell growth. Accordingly, we tested the hypothesis that ROS mediate 1-AR-stimulated
hypertrophic growth in adult rat ventricular myocytes (ARVM). NE increased the level of intracellular ROS as
assessed by lucigenin chemiluminescence or cytochrome c reduction, and this effect was prevented by the
superoxide dismutase (SOD)-mimetic MnTMPyP. NE also caused the induction of MnSOD mRNA. 1-AR stimulation
with NE (1 ) in the presence of propranolol (2 ) for 48–96 h caused a hypertrophic growth phenotype
characterized by a 36±3% increase in 3H-leucine incorporation, a 49±14% increase in protein accumulation,
a six-fold induction of atrial natriuretic peptide mRNA, actin filament reorganization, and the induction of MnSOD
mRNA. These responses were all prevented by pretreatment with the 1-AR-selective antagonist prazosin (100 n)
or the SOD-mimetics MnTMPyP (50 ) and Euk-8 (100 ). MnTMPyP had no effect on 1-AR-stimulated 3H-
inositol phosphate turnover or the hypertrophic phenotype caused by the protein kinase C activator phorbol-12-
myristate-13-acetate. Thus, ROS play a critical role in mediating the hypertrophic growth response to 1-AR-
stimulation in ARVM. 2000 Academic Press
K W: 1-adrenergic receptor; Myocyte; Reactive oxygen species; Superoxide dismutase; Hypertrophy.
Please address all correspondence to: Wilson S. Colucci, M.D., Cardiovascular Section, Boston University Medical Center, 88 East
Newton Street, Boston, MA 02118, USA. Fax: 617-638-8712. E-mail: wilson.colucci@bmc.org
cellular ROS caused by inhibition of superoxide cence was observed. In some experiments the SOD-
dismutase (SOD) can stimulate growth, fetal pro- mimetic Mn(II/III)tetrakis(1-methyl-4-peridyl)por-
gram expression and apoptosis in neonatal rat car- phyrin (MnMnTMPyP)13 was added at a final con-
diac myocytes.10 It is not known whether ROS are centration of 50 .
involved in mediating the effects of 1-AR in cardiac
myocytes or other cell types. Therefore, the purpose
of this study was to test the hypothesis that ROS Cytochrome c reduction
mediate the hypertrophic effect of 1-AR stimulation
in adult rat ventricular myocytes (ARVM). Cytochrome c reduction was measured as de-
scribed.14 The media was changed to Tyrode’s with
glucose. Cytochrome c was added at a final con-
centration of 80 , with or without SOD at a final
Methods concentration of 300 U/ml. NE was added for 1 h
and the media was removed, centrifuged to remove
Myocyte isolation and culture any debris, and analyzed for the proportion of
reduced cytochrome c by measuring the absorbence
ARVM were prepared from male Sprague–Dawley at 550 and 600 n. The difference between paired
rats as previously described.11 Rod-shaped myocytes plates with and without SOD was taken as SOD-
were plated in serum-free, defined medium (DMEM inhibitable cytochrome c reduction. As NE can
supplemented with 2 mg/ml BSA, 2 mmol/l -car- redox cycle and react with O2− itself, cytochrome
nitine, 5 mmol/l creatine, 5 mmol/l taurine, 0.1 c reduction was also measured in cell-free plates
insulin, 100 IU/ml penicillin, and 100 g/ml strep- that contained media and NE.
tomycin) on 100 mm laminin-coated plates at a
density 100–150 cells mm2 or on 24 well plates at
a density of 50 000 cells/well. The media was 3
changed 1 h after plating to remove unattached H-leucine uptake and protein accumulation
cells, and the attached cells were incubated (37°C) 3
for 18 h prior to addition of NE or other reagents. H-leucine uptake and protein accumulation were
Ascorbic acid (10 mol/l) was added to all plates measured as previously described.15 3H-leucine (1
to prevent the auto-oxidation of NE. Ci/ml), NE and other reagents were added to
ARVM plated in 24-well plates. After 48 h, cells
were washed twice with PBS, precipitated with 5%
trichloroacetic acid at 4°C for 1 h, and tri-
Lucigenin-enhanced chemiluminescence chloroacetic acid-precipitable radioactivity was
measured by scintillation counting. To measure
ROS production was measured by lucigenin-en- total cellular protein content, ARVM were washed
hanced chemiluminescence.12 After treatment with with cold water, solubilized with NaOH (0.4 N) at
NE, ARVM in serum-free DMEM were lysed in room temperature for 1 h, and an aliquot was
physiological buffer (in mmol/l: NaCl 119, HEPES analyzed for total protein using the Bradford method
20, KCl 4.6, MgSO4 1, Na2HPO4 0.15, KH2PO4 0.4, (Biorad).
NaHCO3 5, CaCl2 1.2, glucose 11.1, pH 7.4) and
sonicated with three 10-s bursts on ice. Protein
concentration was determined using the Bradford Northern blot analysis
assay, and aliquots containing 50 g of protein
were brought to a volume of 170 l with lysis Total cellular RNA was isolated as previously de-
buffer. Lucigenin (50 mol/l; bis-N-methyl- scribed.15 Total RNA (20 g) was size-fractionated
acridinium nitrate; Sigma, St. Louis, MO, USA) was by gel electrophoresis, blotted onto a nylon mem-
added to the aliquots and allowed to equilibrate for brane, and hybridized for 24 h with cDNAs for rat
several minutes at 37°C. Luminescence, measured prepro-atrial natriuretic factor (0.6 kilobase pair of
with a Turner 20/20 Luminometer (Turner, Sunny- coding region) or human MnSOD (courtesy of J.
vale, CA), was integrated over 30 s intervals for Wispe, Cincinnati, Ohio, USA)16 labeled with alpha
32
a total of 2.5 min at room temperature. NADH P-dCTP by the random priming method. Signal
(100 ) was added to the reaction and the meas- intensity was determined by densitometry, and blots
urements were continued at 30-s intervals for an were reprobed with a cDNA for 18 S ribosomal
additional 5–10 min until a maximal lumines- RNA to normalize for RNA loading.17
ROS-dependent -adrenergic Signaling in Cardiac Myocytes 133
Histochemistry
Inositol phosphates
Materials
Results
-norepinephrine, dl-propranolol, ascorbate, and
phorbol 12-myristate 13-acetate (PMA) were from Alpha1-AR stimulation causes hypertrophy in ARVM
Sigma (St. Louis, MO, USA). MnTMPyP13 was from
Calbiochem, Inc (San Diego, CA, USA). Euk-819 was Exposure to NE (1 ) for 48 h increased 3H-leucine
a gift from Eukarion, Inc. (Beverly, MA, USA). 32P- uptake by 42±6% (P<0.01 v control; n=8) and
CTP was from New England Nuclear, Inc (Boston, increased total cellular protein content by 30±8%
MA, USA). (P<0.01 v control; n=6) (Fig. 1). As previously
described,6 this hypertrophic effect was abolished
by the 1-AR-selective antagonist prazosin (100 n)
Statistical methods and was not significantly affected by the 1-AR
antagonist propranolol (2 ) (Fig. 1), confirming
All data are presented as mean±... Statistical that NE-stimulated protein synthesis is mediated
analysis was performed using the Student’s t-test predominantly by 1-AR in ARVM.
134 J. K. Amin et al.
Figure 4 Effect of the SOD-mimetic MnTMPyP (MnT; 50 ) on the -AR-stimulated induction of ANP mRNA in
ARVM. (A) shows a representative northern blot using cDNAs for ANP and 18 S RNA. (B) shows the mean data
normalized to 18 S RNA (∗P<0.03 v NE/Pro; n=3).
Figure 5 Effect of an SOD-mimetic on 1-AR and PMA stimulated actin filament reorganization in ARVMs. ARVMs
were cultured on laminin-coated glass coverslips for 96 h. Filamentous actin was stained with rhodamine- or bodipy-
phalloidin. Panels A–C and D–F represent two separate experiments. (A) untreated; (B) treatment with NE (1 ) and
propranolol (2 ); (C) NE, propranolol, after pretreatment with the SOD-mimetic MnTMPyP (50 ). (D) untreated;
(E) treatment with PMA (25 ng/ml); (F) PMA after pretreatment with MnTMPyP (50 ). Photomicrographs are
representative of at least 4 similar experiments. Scale bar=50 m.
observations suggest that ROS play a central role 1-AR stimulation increases ROS in ARVM
in mediating the hypertrophic phenotype caused
by 1-AR stimulation in adult cardiac myocytes. By lucigenin chemiluminescence there was in-
creased NADH-dependent ROS generation in lysates
of cells treated with NE for 60 min. Addition of the
SOD-mimetic rapidly quenched the lucigenin signal.
1-AR-stimulated growth in ARVM Likewise, in intact cells NE caused an increase in
SOD-inhibitable cytochrome c reduction, another
NE is a potent stimulus for the hypertrophic growth measure of cellular generation of ROS. Because NE
of ventricular myocytes.1,2,6 This effect is associated can redox cycle, it was important to demonstrate
with the induction of protooncogenes such as c- that NE alone, in the absence of cells, had no effect
myc,22 the re-expression of fetal genes such as skel- on SOD-inhibitable cytochrome c reduction. While
etal -actin3 or atrial natriuretic peptide,23 and the ascorbate, which was used to prevent the oxidation
reorganization of actin filaments.24 In short-term of NE, can reduce cytochrome c directly, we found
(i.e. 1–3 days) cultures of ARVM25 and neonatal no effect of ascorbate on basal SOD-inhibitable cyto-
rat ventricular myocytes,26 it has been shown that chrome c reduction. Moreover, ascorbate was added
NE causes hypertrophic growth entirely due to to both the control and NE-treated cells to prevent
stimulation of 1-AR. With prolonged time in cul- any direct effect of ascorbate on cytochrome c that
ture (e.g. [6 days), ARVM exhibit a change in might confound these results.
phenotype that is associated with the development We further found that 1-AR stimulation for 24 h
of a growth response to 2-adrenergic stimulation.27 increased the expression of MnSOD mRNA. MnSOD,
The ability of the highly 1-AR-selective antagonist the predominant isoform of SOD in cardiac myo-
prazosin to prevent NE-stimulated protein synthesis cytes, is upregulated by oxidant stress in a variety
confirmed that, under the conditions used in these of cell types including cardiac myocytes.20 This
experiments (i.e. short-term culture), the hy- observation provides further support for the con-
pertrophic effect of NE is mediated predominantly clusion that 1-AR stimulation increased in-
by 1-AR. tracellular oxidative stress.
ROS-dependent -adrenergic Signaling in Cardiac Myocytes 137
oxidative stress, one or more of these signaling 4. LM VJ, T J, A D, S A,
molecules may be downstream of ROS. B JH, C KR, F JR, K KU.
Gq- and ras-dependent pathways mediate hyper-
We found that a phorbol ester stimulated protein trophy of neonatal rat ventricular myocytes fol-
synthesis and actin re-organization, but that neither lowing alpha 1-adrenergic stimulation. J Biol Chem
effect was sensitive to an SOD-mimetic. This finding 1994; 269(18): 13490–13496.
does not allow us to exclude protein kinase C as 5. R MT, S VP, Z XL, H JJ, C KR,
an ROS-dependent step in 1-AR-stimulated hyper- B JH. The MEKK-JNK pathway is stimulated by
alpha1-adrenergic receptor and ras activation and
trophy. However, it suggests that molecules down- is associated with in vitro and in vivo cardiac hyper-
stream of protein kinase C that are involved in trophy. J Biol Chem 1997; 272(22): 14057–14061.
protein synthesis and actin re-organization are not 6. S KD, P HM. Regulation of growth in
ROS-dependent. the adult cardiomyocytes. FASEB J 1999; 13 Suppl:
S17–S22.
7. I K, X Y, Z JL, S SJ, D CJ, F
ER, S M, F T, G-
Implications C PJ. Mitogenic signaling mediated by ox-
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8. G KK, M CA, O JD,
stimulation in cardiac myocytes causes hyper- A RW. Angiotensin II stimulates NADH
trophic growth and an associated phenotype via a and NADPH oxidase activity in cultured vascular
ROS-dependent step. This observation adds to the smooth muscle cells. Circ Res 1994; 74(6): 1141–
list of signaling pathways that are ROS-dependent. 1148.
Given the ability of ROS to mediate important 9. N K, F K, K H, M K,
M M, O T, N M. Inhibitory effects
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states associated with increased sympathetic ac- and angiotensin II. Circulation 1998; 98(8): 794–
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P PJ, S K, S DB, C WS. In-
and conversely, that the resulting phenotype may hibition of copper-zinc superoxide dismutase induces
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11. C C, S K, P DR, C WS.
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Supported in part by grants HL-42539 and HL- 12. F K, F I. Luminol and lucigenin as
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HL55425 (PJP) and HL07724 (JA, DRP) from the
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grant from the Department of Veterans Affairs (KS). 23471–23476.
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