beta-Blockers are a standard treatment for heart failure and cardiac arrhythmias. There are similar to 30 commonly used beta-blockers, representing a diverse class of drugs with different receptor affinities and pleiotropic properties. We reported that among 14 beta-blockers tested previously, only carvedilol effectively suppressed cardiac ryanodine receptor (RyR2)-mediated spontaneous Ca2+ waves during store Ca2+ overload, also known as store overload-induced Ca2+ release (SOICR). Given the critical role of SOICR in arrhythmogenesis, it is of importance to determine whether there are other beta-blockers that suppress SOICR. Here, we assessed the effect of other commonly used beta-blockers on RyR2-mediated SOICR in HEK293 cells, using single-cell Ca2+ imaging. Of the 13 beta-blockers tested, only nebivolol, a beta-1-selective beta-blocker with nitric oxide synthase (NOS)-stimulating action, effectively suppressed SOICR. The NOS inhibitor (N-nitro-L-arginine methyl ester) had no effect on nebivolol's SOICR inhibition, and the NOS activator (histamine or prostaglandin E2) alone did not inhibit SOICR. Hence, nebivolol's SOICR inhibition was independent of NOS stimulation. Like carvedilol, nebivolol reduced the opening of single RyR2 channels and suppressed spontaneous Ca2+ waves in intact hearts and catecholaminergic polymorphic ventricular tachycardia (CPVT) in the mice harboring a RyR2 mutation (R4496C). Interestingly, a non-beta-blocking nebivolol enantiomer, (l)-nebivolol, also suppressed SOICR and CPVT without lowering heart rate. These data indicate that nebivolol, like carvedilol, possesses a RyR2-targeted action that suppresses SOICR and SOICR-evoked VTs. Thus, nebivolol represents a promising agent for Ca2+-triggered arrhythmias.
基金:
National Institutes of Health [HL75210, HL090905]; Canadian Institutes of Health Research [MOP-123506]; Canada Foundation for Innovation [23881]; Heart and Stroke Foundation/Libin Professorship in Cardiovascular Research; Alberta Innovates-Health Solutions
第一作者单位:[1]Rush Univ, Med Ctr, Dept Mol Biophys & Physiol, Chicago, IL 60612 USA[5]Harbin Med Univ, Affiliated Hosp 4, Dept Cardiol, Harbin, Peoples R China
通讯作者:
通讯机构:[1]Rush Univ, Med Ctr, Dept Mol Biophys & Physiol, Chicago, IL 60612 USA[2]Univ Calgary, Dept Physiol & Pharmacol, Libin Cardiovasc Inst Alberta, 3330 Hosp Dr NW, Calgary, AB T2N 4N1, Canada
推荐引用方式(GB/T 7714):
Tan Zhen,Xiao Zhichao,Wei Jinhong,et al.Nebivolol suppresses cardiac ryanodine receptor-mediated spontaneous Ca2+ release and catecholaminergic polymorphic ventricular tachycardia[J].BIOCHEMICAL JOURNAL.2016,473:4159-4172.doi:10.1042/BCJ20160620.
APA:
Tan, Zhen,Xiao, Zhichao,Wei, Jinhong,Zhang, Jingqun,Zhou, Qiang...&Chen, S. R. Wayne.(2016).Nebivolol suppresses cardiac ryanodine receptor-mediated spontaneous Ca2+ release and catecholaminergic polymorphic ventricular tachycardia.BIOCHEMICAL JOURNAL,473,