PMID- 30702345 OWN - NLM STAT- MEDLINE DCOM- 20200218 LR - 20200930 IS - 1522-1504 (Electronic) IS - 1040-0605 (Print) IS - 1040-0605 (Linking) VI - 316 IP - 4 DP - 2019 Apr 1 TI - Small-hairpin RNA and pharmacological targeting of neutral sphingomyelinase prevent diaphragm weakness in rats with heart failure and reduced ejection fraction. PG - L679-L690 LID - 10.1152/ajplung.00516.2018 [doi] AB - Heart failure with reduced ejection fraction (HFREF) increases neutral sphingomyelinase (NSMase) activity and mitochondrial reactive oxygen species (ROS) emission and causes diaphragm weakness. We tested whether a systemic pharmacological NSMase inhibitor or short-hairpin RNA (shRNA) targeting NSMase isoform 3 (NSMase3) would prevent diaphragm abnormalities induced by HFREF caused by myocardial infarction. In the pharmacological intervention, we used intraperitoneal injection of GW4869 or vehicle. In the genetic intervention, we injected adeno-associated virus serotype 9 (AAV9) containing shRNA targeting NSMase3 or a scrambled sequence directly into the diaphragm. We also studied acid sphingomyelinase-knockout mice. GW4869 prevented the increase in diaphragm ceramide content, weakness, and tachypnea caused by HFREF. For example, maximal specific forces (in N/cm(2)) were vehicle [sham 31 +/- 2 and HFREF 26 +/- 2 ( P < 0.05)] and GW4869 (sham 31 +/- 2 and HFREF 31 +/- 1). Respiratory rates were (in breaths/min) vehicle [sham 61 +/- 3 and HFREF 84 +/- 11 ( P < 0.05)] and GW4869 (sham 66 +/- 2 and HFREF 72 +/- 2). AAV9-NSMase3 shRNA prevented heightening of diaphragm mitochondrial ROS and weakness [in N/cm(2), AAV9-scrambled shRNA: sham 31 +/- 2 and HFREF 27 +/- 2 ( P < 0.05); AAV9-NSMase3 shRNA: sham 30 +/- 1 and HFREF 30 +/- 1] but displayed tachypnea. Both wild-type and ASMase-knockout mice with HFREF displayed diaphragm weakness. Our study suggests that activation of NSMase3 causes diaphragm weakness in HFREF, presumably through accumulation of ceramide and elevation in mitochondrial ROS. Our data also reveal a novel inhibitory effect of GW4869 on tachypnea in HFREF likely mediated by changes in neural control of breathing. FAU - Coblentz, Philip D AU - Coblentz PD AD - Department of Applied Physiology and Kinesiology, College of Health and Human Performance, University of Florida , Gainesville, Florida. FAU - Ahn, Bumsoo AU - Ahn B AD - Department of Applied Physiology and Kinesiology, College of Health and Human Performance, University of Florida , Gainesville, Florida. FAU - Hayward, Linda F AU - Hayward LF AD - Department of Physiological Sciences, College of Veterinary Medicine, University of Florida , Gainesville, Florida. FAU - Yoo, Jeung-Ki AU - Yoo JK AD - Department of Applied Physiology and Kinesiology, College of Health and Human Performance, University of Florida , Gainesville, Florida. FAU - Christou, Demetra D AU - Christou DD AUID- ORCID: 0000-0002-9710-6666 AD - Department of Applied Physiology and Kinesiology, College of Health and Human Performance, University of Florida , Gainesville, Florida. FAU - Ferreira, Leonardo F AU - Ferreira LF AUID- ORCID: 0000-0001-6581-5882 AD - Department of Applied Physiology and Kinesiology, College of Health and Human Performance, University of Florida , Gainesville, Florida. LA - eng GR - R00 HL098453/HL/NHLBI NIH HHS/United States GR - R01 HL130318/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 - 20190131 PL - United States TA - Am J Physiol Lung Cell Mol Physiol JT - American journal of physiology. Lung cellular and molecular physiology JID - 100901229 RN - 0 (Aniline Compounds) RN - 0 (Benzylidene Compounds) RN - 0 (GW 4869) RN - 0 (RNA, Small Interfering) RN - EC 3.1.4.12 (Sphingomyelin Phosphodiesterase) SB - IM MH - Aniline Compounds/pharmacology MH - Animals MH - Benzylidene Compounds/pharmacology MH - Diaphragm/enzymology/*physiopathology MH - Disease Models, Animal MH - Heart Failure/genetics/*physiopathology/therapy MH - Humans MH - Male MH - Mice MH - Mice, Knockout MH - Muscle Weakness/genetics/physiopathology/*prevention & control MH - RNA, Small Interfering/*genetics MH - Rats MH - Rats, Wistar MH - Sphingomyelin Phosphodiesterase/*antagonists & inhibitors/deficiency/*genetics MH - Stroke Volume/genetics/physiology PMC - PMC6483012 OTO - NOTNLM OT - ceramide OT - mitochondria OT - myocardial infarction OT - oxidants OT - skeletal muscle OT - tachypnea COIS- No conflicts of interest, financial or otherwise, are declared by the authors. EDAT- 2019/02/01 06:00 MHDA- 2020/02/19 06:00 PMCR- 2020/04/01 CRDT- 2019/02/01 06:00 PHST- 2019/02/01 06:00 [pubmed] PHST- 2020/02/19 06:00 [medline] PHST- 2019/02/01 06:00 [entrez] PHST- 2020/04/01 00:00 [pmc-release] AID - L-00516-2018 [pii] AID - 10.1152/ajplung.00516.2018 [doi] PST - ppublish SO - Am J Physiol Lung Cell Mol Physiol. 2019 Apr 1;316(4):L679-L690. doi: 10.1152/ajplung.00516.2018. Epub 2019 Jan 31.