1. Hyperglycemia regulates cardiac K+ channels via O-GlcNAc-CaMKII and NOX2-ROS-PKC pathways
- Author
-
Bence Hegyi, Logan R. J. Bailey, Julie Bossuyt, Austen J. Lucena, Manuel F. Navedo, Johanna M. Borst, Erin Y. Shen, and Donald M. Bers
- Subjects
0301 basic medicine ,Blood Glucose ,Male ,Potassium Channels ,Glycosylation ,Physiology ,030204 cardiovascular system & hematology ,Arrhythmias ,Cardiorespiratory Medicine and Haematology ,Inbred C57BL ,Cardiovascular ,Transgenic ,Mice ,0302 clinical medicine ,Myocyte ,2.1 Biological and endogenous factors ,Aetiology ,Protein Kinase C ,NADPH oxidase ,CaMKII ,biology ,Chemistry ,Inward-rectifier potassium ion channel ,Diabetes ,ROS ,Potassium channel ,Cell biology ,Heart Disease ,5.1 Pharmaceuticals ,NADPH Oxidase 2 ,Rabbits ,Development of treatments and therapeutic interventions ,Cardiology and Cardiovascular Medicine ,Cardiac ,Type 2 ,medicine.drug ,Signal Transduction ,digestive system ,Autoimmune Disease ,03 medical and health sciences ,Experimental ,Downregulation and upregulation ,Physiology (medical) ,Ca2+/calmodulin-dependent protein kinase ,medicine ,Diabetes Mellitus ,Animals ,Protein kinase C ,Nutrition ,Myocytes ,Streptozotocin ,030104 developmental biology ,Cardiovascular System & Hematology ,Hyperglycemia ,biology.protein ,Reactive Oxygen Species ,Calcium-Calmodulin-Dependent Protein Kinase Type 2 - Abstract
Chronic hyperglycemia and diabetes lead to impaired cardiac repolarization, K+ channel remodeling and increased arrhythmia risk. However, the exact signaling mechanism by which diabetic hyperglycemia regulates cardiac K+ channels remains elusive. Here, we show that acute hyperglycemia increases inward rectifier K+ current (IK1), but reduces the amplitude and inactivation recovery time of the transient outward K+ current (Ito) in mouse, rat, and rabbit myocytes. These changes were all critically dependent on intracellular O-GlcNAcylation. Additionally, IK1 amplitude and Ito recovery effects (but not Ito amplitude) were prevented by the Ca2+/calmodulin-dependent kinase II (CaMKII) inhibitor autocamtide-2-related inhibitory peptide, CaMKIIδ-knockout, and O-GlcNAc-resistant CaMKIIδ-S280A knock-in. Ito reduction was prevented by inhibition of protein kinase C (PKC) and NADPH oxidase 2 (NOX2)-derived reactive oxygen species (ROS). In mouse models of chronic diabetes (streptozotocin, db/db, and high-fat diet), heart failure, and CaMKIIδ overexpression, both Ito and IK1 were reduced in line with the downregulated K+ channel expression. However, IK1 downregulation in diabetes was markedly attenuated in CaMKIIδ-S280A. We conclude that acute hyperglycemia enhances IK1 and Ito recovery via CaMKIIδ-S280 O-GlcNAcylation, but reduces Ito amplitude via a NOX2-ROS-PKC pathway. Moreover, chronic hyperglycemia during diabetes and CaMKII activation downregulate K+ channel expression and function, which may further increase arrhythmia susceptibility.
- Published
- 2020