PMID- 32699940 OWN - NLM STAT- MEDLINE DCOM- 20210625 LR - 20211204 IS - 1435-1803 (Electronic) IS - 0300-8428 (Linking) VI - 115 IP - 5 DP - 2020 Jul 22 TI - Fibroblast growth factor 23 decreases PDE4 expression in heart increasing the risk of cardiac arrhythmia; Klotho opposes these effects. PG - 51 LID - 10.1007/s00395-020-0810-6 [doi] AB - The concentration of fibroblast growth factor 23 (FGF23) rises progressively in renal failure (RF). High FGF23 concentrations have been consistently associated with adverse cardiovascular outcomes or death, in chronic kidney disease (CKD), heart failure or liver cirrhosis. We identified the mechanisms whereby high concentrations of FGF23 can increase the risk of death of cardiovascular origin. We studied the effects of FGF23 and Klotho in adult rat ventricular cardiomyocytes (ARVMs) and on the heart of mice with CKD. We show that FGF23 increases the frequency of spontaneous calcium waves (SCWs), a marker of cardiomyocyte arrhythmogenicity, in ARVMs. FGF23 increased sarcoplasmic reticulum Ca(2+) leakage, basal phosphorylation of Ca(2+)-cycling proteins including phospholamban and ryanodine receptor type 2. These effects are secondary to a decrease in phosphodiesterase 4B (PDE4B) in ARVMs and in heart of mice with RF. Soluble Klotho, a circulating form of the FGF23 receptor, prevents FGF23 effects on ARVMs by increasing PDE3A and PDE3B expression. Our results suggest that the combination of high FGF23 and low sKlotho concentrations decreases PDE activity in ARVMs, which favors the occurrence of ventricular arrhythmias and may participate in the high death rate observed in patients with CKD. FAU - Lindner, Marta AU - Lindner M AD - INSERM U1151-CNRS UMR8253, Paris, France. FAU - Mehel, Hind AU - Mehel H AD - INSERM U1151-CNRS UMR8253, Paris, France. FAU - David, Amandine AU - David A AD - INSERM U1151-CNRS UMR8253, Paris, France. FAU - Leroy, Christine AU - Leroy C AD - INSERM U1151-CNRS UMR8253, Paris, France. FAU - Burtin, Martine AU - Burtin M AD - INSERM U1151-CNRS UMR8253, Paris, France. FAU - Friedlander, Gerard AU - Friedlander G AD - INSERM U1151-CNRS UMR8253, Paris, France. AD - Universite de Paris Faculte de Medecine, Paris, France. AD - Service de Physiologie Explorations Fonctionnelles Hopital Europeen Georges Pompidou, Assistance Publique-Hopitaux de Paris, Paris, France. FAU - Terzi, Fabiola AU - Terzi F AD - INSERM U1151-CNRS UMR8253, Paris, France. FAU - Mika, Delphine AU - Mika D AD - Universite Paris-Saclay, Inserm U1180, 92296, Chatenay-Malabry, France. FAU - Fischmeister, Rodolphe AU - Fischmeister R AD - Universite Paris-Saclay, Inserm U1180, 92296, Chatenay-Malabry, France. FAU - Prie, Dominique AU - Prie D AUID- ORCID: 0000-0003-3478-9778 AD - INSERM U1151-CNRS UMR8253, Paris, France. dominique.prie@inserm.fr. AD - Universite de Paris Faculte de Medecine, Paris, France. dominique.prie@inserm.fr. AD - Service de Physiologie Explorations Fonctionnelles Hopital Necker-Enfants Malades, Assistance Publique-Hopitaux de Paris, Paris, France. dominique.prie@inserm.fr. LA - eng GR - CERF ANR- 13-BSV1-0002-01/Agence Nationale de la Recherche/International GR - EFIKAC ANR-16-CE14-0010/Agence Nationale de la Recherche/International GR - ANR- 11-LABX-0051/Laboratory of Excellence GR-Ex/International GR - ANR-11-IDEX-0005-02/Laboratory of Excellence GR-Ex/International GR - ANR-10-LABX-33/LERMIT/International GR - ANR-11-IDEX-0003-01/LERMIT/International PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200722 PL - Germany TA - Basic Res Cardiol JT - Basic research in cardiology JID - 0360342 RN - 0 (Fgf23 protein, mouse) RN - 0 (Fgf23 protein, rat) RN - 62031-54-3 (Fibroblast Growth Factors) RN - 7Q7P4S7RRE (Fibroblast Growth Factor-23) RN - E0399OZS9N (Cyclic AMP) RN - EC 3.1.4.17 (Cyclic Nucleotide Phosphodiesterases, Type 4) RN - EC 3.1.4.17 (PDE4B protein, rat) RN - EC 3.2.1.31 (Glucuronidase) RN - EC 3.2.1.31 (Klotho Proteins) SB - IM MH - Animals MH - Arrhythmias, Cardiac/*etiology/metabolism MH - Calcium Signaling MH - Cardiomegaly/etiology MH - Cyclic AMP/metabolism MH - Cyclic Nucleotide Phosphodiesterases, Type 4/*metabolism MH - Excitation Contraction Coupling MH - Fibroblast Growth Factor-23 MH - Fibroblast Growth Factors/*metabolism MH - Glucuronidase/*metabolism MH - Klotho Proteins MH - Male MH - Mice MH - Myocytes, Cardiac/*metabolism MH - Nephrectomy MH - Primary Cell Culture MH - Rats, Wistar OTO - NOTNLM OT - Arrhythmia OT - Fibroblast growth factor 23 OT - Heart OT - Klotho OT - Phosphodiesterases OT - Renal failure EDAT- 2020/07/24 06:00 MHDA- 2021/06/29 06:00 CRDT- 2020/07/24 06:00 PHST- 2020/04/01 00:00 [received] PHST- 2020/07/01 00:00 [accepted] PHST- 2020/07/24 06:00 [entrez] PHST- 2020/07/24 06:00 [pubmed] PHST- 2021/06/29 06:00 [medline] AID - 10.1007/s00395-020-0810-6 [pii] AID - 10.1007/s00395-020-0810-6 [doi] PST - epublish SO - Basic Res Cardiol. 2020 Jul 22;115(5):51. doi: 10.1007/s00395-020-0810-6.