PMID- 16717153 OWN - NLM STAT- MEDLINE DCOM- 20060620 LR - 20171116 IS - 1524-4539 (Electronic) IS - 0009-7322 (Linking) VI - 113 IP - 21 DP - 2006 May 30 TI - Inhibiting p90 ribosomal S6 kinase prevents (Na+)-H+ exchanger-mediated cardiac ischemia-reperfusion injury. PG - 2516-23 AB - BACKGROUND: Pharmacological and genetic studies indicate that the (Na+)-H+ exchanger isoform 1 (NHE1) plays a critical role in myocardial ischemia and reperfusion (I/R) injury. We found that p90 ribosomal S6 kinase (RSK) phosphorylated serine 703 of NHE1, stimulating 14-3-3 binding and NHE1 activity. Therefore, we hypothesized that inhibiting RSK in cardiomyocytes would prevent NHE1 activation and decrease I/R-mediated injury. METHODS AND RESULTS: To examine the role of RSK in vivo, we generated transgenic mice with cardiac-specific overexpression of dominant negative RSK (DN-RSK-TG). DN-RSK-TG hearts demonstrated normal basal cardiac function and morphology. However, myocardial infarction (left coronary artery occlusion for 45 minutes) in DN-RSK-TG hearts was significantly reduced at 24 hours of reperfusion from 46.9+/-5.6% area at risk in nontransgenic littermate controls to 26.0+/-4.2% in DN-RSK-TG (P<0.01). Cardiomyocyte apoptosis was significantly reduced after I/R in DN-RSK (0.9+/-0.2%) compared with nontransgenic littermate controls (6.2+/-2.6%). Importantly, activation of RSK and interaction of 14-3-3 with NHE1, necessary for agonist-stimulated NHE1 activity, were increased by I/R and inhibited by 70% in DN-RSK-TG (P<0.01). Next, we transduced rat neonatal cardiomyocytes with adenovirus-expressing DN-RSK (Ad.DN-RSK) and measured NHE1 activity. The baseline rate of pH recovery in acid-loaded cells was equal in cells expressing LacZ or DN-RSK. However, NHE1 activation by 100 micromol/L H2O2 was significantly inhibited in cells expressing DN-RSK (0.16+/-0.02 pH units/min) compared with Ad.LacZ (0.49+/-0.13 pH units/min). Apoptosis induced by 12 hours of anoxia followed by 24 hours' reoxygenation was significantly reduced in cells expressing Ad.DN-RSK (18.6+/-2.0%) compared with Ad.LacZ (29.3+/-5.4%). CONCLUSIONS: In summary, RSK is a novel regulator of cardiac NHE1 activity by phosphorylating NHE1 serine 703 and a new pathological mediator of I/R injury in the heart. FAU - Maekawa, Naoya AU - Maekawa N AD - Cardiovascular Research Institute, Department of Medicine, University of Rochester, Rochester, NY, USA. FAU - Abe, Jun-ichi AU - Abe J FAU - Shishido, Tetsuro AU - Shishido T FAU - Itoh, Seigo AU - Itoh S FAU - Ding, Bo AU - Ding B FAU - Sharma, Virendra K AU - Sharma VK FAU - Sheu, Shey-Shing AU - Sheu SS FAU - Blaxall, Burns C AU - Blaxall BC FAU - Berk, Bradford C AU - Berk BC LA - eng GR - R01 HL033333/HL/NHLBI NIH HHS/United States GR - GM71985/GM/NIGMS NIH HHS/United States GR - HL44721/HL/NHLBI NIH HHS/United States GR - HL66919/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20060522 PL - United States TA - Circulation JT - Circulation JID - 0147763 RN - 0 (Cation Transport Proteins) RN - 0 (Enzyme Inhibitors) RN - 0 (Membrane Proteins) RN - 0 (Slc9a1 protein, mouse) RN - 0 (Sodium-Hydrogen Exchanger 1) RN - 0 (Sodium-Hydrogen Exchangers) RN - EC 2.7.11.1 (Ribosomal Protein S6 Kinases, 90-kDa) SB - IM CIN - Circulation. 2009 Oct 13;120(15):e137; author reply e138. PMID: 19822814 MH - Animals MH - Apoptosis MH - Cation Transport Proteins/metabolism MH - Enzyme Inhibitors MH - Membrane Proteins/metabolism MH - Mice MH - Mice, Transgenic MH - Myocardial Reperfusion Injury/etiology/*prevention & control MH - Myocytes, Cardiac/pathology MH - Phosphorylation MH - Rats MH - Ribosomal Protein S6 Kinases, 90-kDa/*antagonists & inhibitors MH - Sodium-Hydrogen Exchanger 1 MH - Sodium-Hydrogen Exchangers/metabolism/*physiology MH - Transduction, Genetic EDAT- 2006/05/24 09:00 MHDA- 2006/06/21 09:00 CRDT- 2006/05/24 09:00 PHST- 2006/05/24 09:00 [pubmed] PHST- 2006/06/21 09:00 [medline] PHST- 2006/05/24 09:00 [entrez] AID - CIRCULATIONAHA.105.563486 [pii] AID - 10.1161/CIRCULATIONAHA.105.563486 [doi] PST - ppublish SO - Circulation. 2006 May 30;113(21):2516-23. doi: 10.1161/CIRCULATIONAHA.105.563486. Epub 2006 May 22.