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Exchange protein activated by cyclic-adenosine monophosphate (Epac) regulates atrial fibroblast function and controls cardiac remodelling.


ABSTRACT:

Aims

Heart failure (HF) produces left atrial (LA)-selective fibrosis and promotes atrial fibrillation. HF also causes adrenergic activation, which contributes to remodelling via a variety of signalling molecules, including the exchange protein activated by cAMP (Epac). Here, we evaluate the effects of Epac1-signalling on LA fibroblast (FB) function and its potential role in HF-related atrial remodelling.

Methods and results

HF was induced in adult male mongrel dogs by ventricular tachypacing (VTP). Epac1-expression decreased in LA-FBs within 12?h (-3.9-fold) of VTP onset. The selective Epac activator, 8-pCPT (50?µM) reduced, whereas the Epac blocker ESI-09 (1?µM) enhanced, collagen expression in LA-FBs. Norepinephrine (1?µM) decreased Epac1-expression, an effect blocked by prazosin, and increased FB collagen production. The ?-adrenoceptor (AR) agonist isoproterenol increased Epac1 expression, an effect antagonized by ICI (?2-AR-blocker), but not by CGP (?1-AR-blocker). ?-AR-activation with isoproterenol decreased collagen expression, an effect mimicked by the ?2-AR-agonist salbutamol and blocked by the Epac1-antagonist ESI-09. Transforming growth factor-?1, known to be activated in HF, suppressed Epac1 expression, an effect blocked by the Smad3-inhibitor SIS3. To evaluate effects on atrial fibrosis in vivo, mice subjected to myocardial infarction (MI) received the Epac-activator Sp-8-pCPT or vehicle for 2?weeks post-MI; Sp-8-pCPT diminished LA fibrosis and attenuated cardiac dysfunction.

Conclusions

HF reduces LA-FB Epac1 expression. Adrenergic activation has complex effects on FBs, with ?-AR-activation suppressing Epac1-expression and increasing collagen expression, and ?2-AR-activation having opposite effects. Epac1-activation reduces cardiac dysfunction and LA fibrosis post-MI. Thus, Epac1 signalling may be a novel target for the prevention of profibrillatory cardiac remodelling.

SUBMITTER: Surinkaew S 

PROVIDER: S-EPMC6302269 | biostudies-literature | 2019 Jan

REPOSITORIES: biostudies-literature

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Publications

Exchange protein activated by cyclic-adenosine monophosphate (Epac) regulates atrial fibroblast function and controls cardiac remodelling.

Surinkaew Sirirat S   Aflaki Mona M   Takawale Abhijit A   Chen Yu Y   Qi Xiao-Yan XY   Gillis Marc-Antoine MA   Shi Yan-Fen YF   Tardif Jean-Claude JC   Chattipakorn Nipon N   Nattel Stanley S  

Cardiovascular research 20190101 1


<h4>Aims</h4>Heart failure (HF) produces left atrial (LA)-selective fibrosis and promotes atrial fibrillation. HF also causes adrenergic activation, which contributes to remodelling via a variety of signalling molecules, including the exchange protein activated by cAMP (Epac). Here, we evaluate the effects of Epac1-signalling on LA fibroblast (FB) function and its potential role in HF-related atrial remodelling.<h4>Methods and results</h4>HF was induced in adult male mongrel dogs by ventricular  ...[more]

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