PMID- 24008870 OWN - NLM STAT- MEDLINE DCOM- 20140128 LR - 20211203 IS - 1524-4539 (Electronic) IS - 0009-7322 (Print) IS - 0009-7322 (Linking) VI - 128 IP - 19 DP - 2013 Nov 5 TI - Mechanistic target of rapamycin complex 2 protects the heart from ischemic damage. PG - 2132-44 LID - 10.1161/CIRCULATIONAHA.113.003638 [doi] AB - BACKGROUND: The mechanistic target of rapamycin (mTOR) comprises 2 structurally distinct multiprotein complexes, mTOR complexes 1 and 2 (mTORC1 and mTORC2). Deregulation of mTOR signaling occurs during and contributes to the severity of myocardial damage from ischemic heart disease. However, the relative roles of mTORC1 versus mTORC2 in the pathogenesis of ischemic damage are unknown. METHODS AND RESULTS: Combined pharmacological and molecular approaches were used to alter the balance of mTORC1 and mTORC2 signaling in cultured cardiac myocytes and in mouse hearts subjected to conditions that mimic ischemic heart disease. The importance of mTOR signaling in cardiac protection was demonstrated by pharmacological inhibition of both mTORC1 and mTORC2 with Torin1, which led to increased cardiomyocyte apoptosis and tissue damage after myocardial infarction. Predominant mTORC1 signaling mediated by suppression of mTORC2 with Rictor similarly increased cardiomyocyte apoptosis and tissue damage after myocardial infarction. In comparison, preferentially shifting toward mTORC2 signaling by inhibition of mTORC1 with PRAS40 led to decreased cardiomyocyte apoptosis and tissue damage after myocardial infarction. CONCLUSIONS: These results suggest that selectively increasing mTORC2 while concurrently inhibiting mTORC1 signaling is a novel therapeutic approach for the treatment of ischemic heart disease. FAU - Volkers, Mirko AU - Volkers M AD - From SDSU Heart Institute, Department of Biology, San Diego State University, San Diego, CA. FAU - Konstandin, Mathias H AU - Konstandin MH FAU - Doroudgar, Shirin AU - Doroudgar S FAU - Toko, Haruhiro AU - Toko H FAU - Quijada, Pearl AU - Quijada P FAU - Din, Shabana AU - Din S FAU - Joyo, Anya AU - Joyo A FAU - Ornelas, Luis AU - Ornelas L FAU - Samse, Kaitleen AU - Samse K FAU - Thuerauf, Donna J AU - Thuerauf DJ FAU - Gude, Natalie AU - Gude N FAU - Glembotski, Christopher C AU - Glembotski CC FAU - Sussman, Mark A AU - Sussman MA LA - eng GR - 2P01HL085577/HL/NHLBI NIH HHS/United States GR - R01 HL113656-02/HL/NHLBI NIH HHS/United States GR - R01 HL067245-12/HL/NHLBI NIH HHS/United States GR - R37 HL091102-06/HL/NHLBI NIH HHS/United States GR - R01 HL113647/HL/NHLBI NIH HHS/United States GR - R01 HL117163/HL/NHLBI NIH HHS/United States GR - R01 HL105759-03/HL/NHLBI NIH HHS/United States GR - R01 HL105759/HL/NHLBI NIH HHS/United States GR - R01 HL075573/HL/NHLBI NIH HHS/United States GR - R01 HL75573/HL/NHLBI NIH HHS/United States GR - R03 EB011698/EB/NIBIB NIH HHS/United States GR - R37 HL091102/HL/NHLBI NIH HHS/United States GR - R01 HL104535/HL/NHLBI NIH HHS/United States GR - P01 HL085577/HL/NHLBI NIH HHS/United States GR - R01 HL113647-01/HL/NHLBI NIH HHS/United States GR - R01 HL067245/HL/NHLBI NIH HHS/United States GR - R01 HL113656/HL/NHLBI NIH HHS/United States GR - R01 HL117163-01/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 - 20130905 PL - United States TA - Circulation JT - Circulation JID - 0147763 RN - 0 (1-(4-(4-propionylpiperazin-1-yl)-3-(trifluoromethyl)phenyl)-9-(quinolin-3-yl)benzo(h)(1,6)naphthyridin-2(1H)-one) RN - 0 (AKT1S1 protein, human) RN - 0 (Adaptor Proteins, Signal Transducing) RN - 0 (Carrier Proteins) RN - 0 (Multiprotein Complexes) RN - 0 (Naphthyridines) RN - 0 (RICTOR protein, human) RN - 0 (Rapamycin-Insensitive Companion of mTOR Protein) RN - 0 (Recombinant Proteins) RN - EC 2.7.11.1 (Mechanistic Target of Rapamycin Complex 1) RN - EC 2.7.11.1 (Mechanistic Target of Rapamycin Complex 2) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Adaptor Proteins, Signal Transducing/genetics/metabolism MH - Animals MH - Apoptosis/physiology MH - Carrier Proteins/metabolism MH - Humans MH - Male MH - Mechanistic Target of Rapamycin Complex 1 MH - Mechanistic Target of Rapamycin Complex 2 MH - Mice MH - Mice, Inbred C57BL MH - Mice, Knockout MH - Multiprotein Complexes/*antagonists & inhibitors/genetics/*metabolism MH - Myocardial Infarction/*metabolism/pathology MH - Myocardial Ischemia/*metabolism/pathology MH - Myocytes, Cardiac/cytology/physiology MH - Naphthyridines/pharmacology MH - Primary Cell Culture MH - Rapamycin-Insensitive Companion of mTOR Protein MH - Recombinant Proteins/genetics/metabolism MH - Signal Transduction/drug effects/*physiology MH - TOR Serine-Threonine Kinases/*antagonists & inhibitors/genetics/*metabolism PMC - PMC4131547 MID - NIHMS600045 OTO - NOTNLM OT - AKT1S1 protein, human OT - RICTOR protein, human OT - TOR serine-threonine kinases EDAT- 2013/09/07 06:00 MHDA- 2014/01/29 06:00 PMCR- 2014/08/13 CRDT- 2013/09/07 06:00 PHST- 2013/09/07 06:00 [entrez] PHST- 2013/09/07 06:00 [pubmed] PHST- 2014/01/29 06:00 [medline] PHST- 2014/08/13 00:00 [pmc-release] AID - CIRCULATIONAHA.113.003638 [pii] AID - 10.1161/CIRCULATIONAHA.113.003638 [doi] PST - ppublish SO - Circulation. 2013 Nov 5;128(19):2132-44. doi: 10.1161/CIRCULATIONAHA.113.003638. Epub 2013 Sep 5.