Human Molecular Genetics Advance Access originally published online on November 25, 2003
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Human Molecular Genetics, 2004, Vol. 13, No. 2 151-157
DOI: 10.1093/hmg/ddh014
Overexpression of P104L mutant caveolin-3 in mice develops hypertrophic cardiomyopathy with enhanced contractility in association with increased endothelial nitric oxide synthase activity
1Division of Neurology, Department of Internal Medicine, Kawasaki Medical School, 577 Matsushima, Kurashiki-City, Okayama 701-0192, Japan, 2Department of Cardiovascular Science and Medicine, Chiba University Graduate School of Medicine, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, Japan and 3Department of Pharmacology, Kawasaki Medical School, 577 Matsushima, Kurashiki-City, Okayama 701-0192, Japan
Received July 8, 2003; Accepted November 11, 2003
| ABSTRACT |
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The effect of endogenous nitric oxide synthase (NOS) on cardiac contractility and architecture has been a matter of debate. A role for NOS in cardiac hypertrophy has recently been demonstrated by studies which have shown hypertrophic cardiomyopathy (HCM) with altered contractility in constitutive NOS (cNOS) knockout mice. Caveolin-3, a strong inhibitor of all NOS isoforms, is expressed in sarcolemmal caveolae microdomains and binds to cNOS in vivo: endothelial nitric oxide synthase (eNOS) in cardiac myocytes and neuronal nitric oxide synthase (nNOS) in skeletal myocytes. The current study characterized the biochemical and cardiac parameters of P104L mutant caveolin-3 transgenic mice, a model of an autosomal dominant limb-girdle muscular dystrophy (LGMD1C). Transgenic mouse hearts demonstrated HCM, enhanced basal contractility, decreased left ventricular end diastolic diameter, and loss and cytoplasmic mislocalization of caveolin-3 protein. Surprisingly, cardiac muscle showed activation of eNOS catalytic activity without increased expression of all NOS isoforms. These data suggest that a moderate increase in eNOS activity associated with loss of caveolin-3 results in HCM.
| INTRODUCTION |
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Caveolae are 50100 nm flask-shaped invaginations of the plasma membrane that are primarily composed of the 2124 kDa integral membrane proteins, caveolin-1, -2 and -3 (1). These structures participate in vesicular trafficking events and signal transduction by acting as scaffold proteins for specific lipids and lipid-modified signaling molecules (e.g. cholesterol, G-proteins, G-protein coupled receptors, receptor tyrosine kinases and nitric oxide synthase) (24).
Caveolin-3 is a myocyte-specific isoform that assembles to
350 kDa homo-oligomers in the sarcoplasmic reticulum (SR) (2). Caveolin-3 homo-oligomers are translocated to the plasma membrane via the trans-Golgi network (2,4) and inhibit all NOS isoforms in vitro and bind to constitutive NOS (cNOS) in vivo: endothelial nitric oxide synthase (eNOS) in cardiac myocytes and neuronal nitric oxide synthase (nNOS) in skeletal myocytes (58).
Autosomal dominant limb-girdle muscular dystrophy 1C (LGMD1C) and autosomal dominant rippling muscle disease (AD-RMD) result from heterozygous mutations of the skeletal muscle caveolin-3 gene (CAV3) (9,10). We previously generated transgenic (Tg) mice (TgCAV3M1 mice) with severe myopathy secondary to overexpression of P104L mutant caveolin-3 as a model of LGMD1C (11). Further study of this transgenic animal model revealed increased sarcolemmal nNOS activity without alternations of nNOS expression at both mRNA and protein levels. Other reports demonstrated that caveolin-3 is down-regulated in the hypertrophic hearts of spontaneously hypertensive rats (12) and that circulatory NO (13) or eNOS mRNA in cardiac muscle (14) increases in human heart failure. These observations suggest that loss of caveolin-3 may modulate cardiac architecture and function via disinhibition of NOS activity. The present study investigated this hypothesis by characterizing the biochemical and cardiac parameters of TgCAV3M1 mice.
| RESULTS |
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TgCAV3M1 mice show hypertrophic cardiomyopathy with enhanced contractility
TgCAV3M1 mice were generated as described previously (11). Tg mice showed poor growth and were significantly smaller than their wild-type (Wt) littermates at 4, 12, 24 and 36 weeks of age (Fig. 1A) and demonstrated kyphosis of the spine and paralysis of the hindlimbs from 12 weeks of age. The Tg mice exhibited increased cardiac weight and statistically significant increases in the cardiac weight-to-body weight ratio at 4, 12, 24 and 36 weeks of age when compared with their Wt littermates (Fig. 1B and C). However, from the clinical standpoint, the Tg mice have so far not developed any significant symptoms of heart failure, nor have any significant differences in life span been observed between the Wt and Tg mice.
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Gross appearance of the hearts from 6-week-old Wt and Tg mice at the lower ventricular level showed thickening of the interventricular septum and the posterior wall of the left ventricle, resulting in a smaller left ventricular chamber in the Tg mice (Fig. 2A). Hematoxylin and eosin staining of cardiac muscle sections showed hypertrophy of cardiac myofibers in the Tg mice (Fig. 2B). The diameters of 1000 cardiac muscle fibers from five Tg mice and five Wt mice, respectively, were measured. The frequency distribution (percentage) of the cardiac myofiber diameter in Tg mice showed a distribution skew to the right and marked size variability on both longitudinal and transverse sections when compared to Wt mice (Fig. 2C). The mean cardiac muscle fiber diameter and standard deviation were significantly larger (P<0.05) in Tg mice (8.53±1.43 µm on longitudinal section and 9.35±1.17 µm on transverse sections) than in Wt mice (6.55±0.91 and 7.32±0.83 µm, respectively; Fig. 2C). Gene expression of cardiac myocyte hypertrophic markers, atrial natriuretic peptide (ANP) and brain-derived natriuretic peptide (BNP) was analyzed by northern blotting. Densitometry using BAS2000 Image Analyzer demonstrated that both the ANP and BNP transcripts in the Tg mouse hearts were up-regulated by 1.69- and 1.54-fold, respectively (Fig. 2D). Transthoracic echocardiogram performed in 24-week-old Tg mice (n=7) revealed unique pathophysiological characteristics for HCM; increased thickness of the interventricular septum and left ventricular posterior wall, hypercontractility (increased left ventricular fractional shortening) and diastolic dysfunction (decreased left ventricular end diastolic diameter; Table 1).
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Tg CAV3M1 mouse hearts show loss and cytoplasmic mislocalization of caveolin-3
Northern blot analysis of Tg mouse cardiac muscle showed overexpression of smaller-sized (
1.1 kb) mutant caveolin-3 mRNA (Fig. 3A). Detection of endogenous caveolin-3 mRNA (
1.4 kb) in the Tg mice was interfered with by an excessive amount of the mutant caveolin-3 mRNA. Then, the differential expression of endogenous and mutant caveolin-3 mRNA was analyzed by RTPCR using two distinct reverse primers as described previously (11). RTPCR confirmed the expression of endogenous caveolin-3 mRNA in Tg mouse hearts as well as in Wt mouse hearts, as shown in Figure 3B.
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In sharp contrast to overexpression of mutant caveolin-3 mRNA, immunoblot analysis showed a marked reduction (
95%) of caveolin-3 protein in Tg mouse cardiac muscle (Fig. 3C). Immunohistochemical analysis demonstrated sarcolemmal localization of caveolin-3 protein in the Wt mice, while the majority of cardiac muscle fibers of the Tg mice showed only weak sarcolemmal immunoreactivity with small, cytoplasmic, dot-like immunoreactivity (Fig. 3D). There was no change in sarcolemmal dystrophin expression in the Tg mice (Fig. 3D). Caveolin-1 was expressed in endothelial cells and showed no compensatory overexpression in Tg mouse cardiac myocytes (Fig. 3D). ß-Dystroglycan expression was similar in the Wt and Tg mice (Fig. 3C).
NOS activity is increased in TgCAV3M1 mouse hearts
Expression of all NOS isoforms was similar when Wt and Tg mice cardiac muscles were compared by northern blot and immunoblot analyses (Fig. 4A and B). In addition, subsarcolemmal and vascular endothelial localization of eNOS was similar in Tg and Wt mouse hearts (Fig. 4C). NOS activity was quantified in crude extracts from freshly isolated hearts from six-week-old Wt and Tg mice (n=8). Total NOS and eNOS activities in the Tg mouse hearts were significantly higher (P<0.05) than those in the Wt mouse hearts: total NOS activity (pmol/mg protein/min)Tg mouse, 5.10±0.32, Wt mouse, 3.38±0.32; eNOS activity (pmol/mg protein/min)Tg mouse, 4.03±0.32, Wt mouse, 2.31±0.24. No significant differences were observed in either nNOS activity (pmol/mg protein/min)Tg mouse, 0.77±0.07, Wt mouse, 0.75±0.06or iNOS activity (pmol/mg protein/min)Tg mouse, 0.30±0.02, Wt mouse, 0.31±0.03 (Fig. 4D).
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| DISCUSSION |
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Caveolin-3 is a strong physiological inhibitor of NOS and expressed specifically in cardiac and skeletal myocytes (58). The present study demonstrated the occurrence of hypertrophic cardiomyopathy with enhanced contractility in association with increased eNOS activity in caveolin-3-deficient transgenic mice without changes in NOS expression. Therefore, loss of NOS inhibition secondary to deficient caveolin-3 may contribute to the pathogenesis of hypertrophic cardiomyopathy.
NOS activity may modulate cardiac contractility and architecture (1518). eNOS is localized in caveolae (5,8) and plays a role in inhibition of ß-adrenergic-induced contractility (19,20). NO generated by eNOS may also interact with the SR ryanodine receptor (21). In contrast, nNOS, located in the SR (15,22), increases SR Ca2+ release and enhances cardiac contractility (15,23). eNOS knockout mice show enhanced contractility (15), while overexpression of eNOS results in reduced cardiac size and contractility (24). Unexpectedly, our Tg mouse hearts with moderately increased eNOS activity showed enhanced contractility and hypertrophic cardiomyopathy. It is noteworthy that exogenous NO, derived from pharmacological NO donors, produces a biphasic contractile response in cardiac tissue with augmentation at low NO levels and depression at high NO levels (2527). Based on these exogenous NO donor experiments, we postulate that a moderate activation of eNOS activity, as seen in the mutant caveolin-3 Tg mouse hearts enhances contractility and leads to hypertrophic cardiomyopathy, whereas an extremely high activation of eNOS activity, as seen in mouse hearts in which eNOS is overexpressed, reduces contractility and cardiac size.
Woodman et al. (28) reported that caveolin-3 null mice showed cardiomyopathy and suppressed contractility, possibly secondary to alterations in the p42/44 MAPK pathway, but they did not characterize changes in NOS isoform profiles. Based on previous studies and the present data, we would predict greater NOS activity in caveolin-3 null mouse hearts than in the hearts of mutant caveolin-3 transgenic mice. This higher NOS activity in caveolin-3 null mouse hearts may result in suppression of cardiac contractility.
To date hypertrophic cardiomyopathy has not been reported in LGMD1C patients. However, in only one German pedigree of autosomal dominant rippling muscle disease (AD-RMD) (29), which was proven to carry a caveolin-3 missense mutation (A45V) (10), two patients died suddenly of possible cardiac arrhythmia. An autopsy study of one patient in this pedigree disclosed non-obstructive cardiomyopathy, which was poorly described (29). Cardiac involvement, cardiomyopathy and/or arrhythmia may be a rare but possible feature of CAV-3 missense mutations. Further extensive clinical examination of cardiac function in LGMD1C patients is necessary to test this possibility. Furthermore, it is plausible that the higher copy number of the mutant caveolin-3 gene in TgCAV3M1 mice promotes a disease process leading to HCM.
In conclusion, we propose that moderate eNOS activation caused by loss of caveolin-3 may be involved in a caveolin-3-mediated hypertrophic signal pathway of cardiac myocytes.
| MATERIALS AND METHODS |
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RTPCR
cDNA templates were reverse-transcribed from 1 µg of total RNA from mouse cardiac muscle, primed with an oligo(dT)1218 primer and then subjected to PCR. For amplification of the endogenous caveolin-3 gene, we used F1 (5'-CCCAGCCTCACAATGATGACCGAAG-3') and R1 (5'-CATGTGAACGCAAAGCCTTGC-3'). For amplification of the transgene, we used F1 and R2 (5'-GCATTCTAGTTGTGGTTT-3'). As illustrated in Figure 3B, R1 and R2 correspond to the 5'-untranslated region of caveolin-3 cDNA and the SV40 polyadenylation site, respectively, as described previously (11).
Northern blot analysis
RTPCR product of endogenous caveolin-3 was subcloned into TA vector pCR2.1 (Invitrogen) and then digested by EcoRI. The digested insert was extracted from agarose gel using Concert Kit (GibcoBRL). This cDNA was then labeled as a probe with [
-32P]dCTP using MegaPrime DNA labeling system (Amersham Pharmacia Biotech). Ten micrograms of total RNA from 6-week-old Wt and Tg cardiac muscle were separated on 0.7% agarose gels containing 7% formaldehyde and blotted onto Hybond-N+ (Amersham Pharmacia Biotech). Hybridization was performed at 42°C for 1224 h and autoradiography was performed on a Fuji imaging plate (Fuji Film). Signal intensity of transcripts was measured by BAS2000 Image Analyzer (Fuji Film). Using the same method, we hybridized northern blots with RTPCR generated and labeled fragments of ANP cDNA, BNP cDNA, eNOS cDNA, nNOS cDNA, iNOS cDNA and internal control GAPDH cDNA.
Immunoblot analysis
Six-week-old Wt or Tg mouse cardiac muscle was homogenized in 10 vols (w/v) of a buffer containing 50 mM TrisHCl (pH 7.4), 100 mM NaCl, 1 mM ethylenediaminetetraacetic acid (EDTA), 5 mM ß-mercaptoethanol, 0.1 mM phenylmethylsulphonyl fluoride (PMSF) and 1 mM benzamidine. These crude extracts were denatured and size fractionated by SDSPAGE (312%) and then transferred to a polyvinylidine difluoride (PVDF) membrane. The membrane was blocked using 5% milk in phosphate-buffered saline (PBS) and incubated with rabbit polyclonal antibody against caveolin-3 (Transduction Laboratories, C38330), raised against synthetic peptide corresponding to the amino terminus of caveolin-3 of rat and mouse origin, a monoclonal antibody against ß-dystoglycan (Novo Castra), a rabbit polyclonal antibody against eNOS (Santa Cruz Biotechnology), a rabbit polyclonal antibody against nNOS (Santa Cruz Biotechnology) and a rabbit polyclonal antibody against iNOS (Transduction Laboratories) overnight at room temperature. After washing with 5% milk in PBS, the blots were incubated with horseradish peroxidase-conjugated anti-rabbit or anti-mouse IgG antibody (Amersham Pharmacia Biotech). Immunoreactive bands were visualized with ECL (Amersham Pharmacia Biotech).
Immunohistochemical analysis
Unfixed cardiac muscle samples were snap frozen in liquid nitrogen-cooled isopentane, sectioned on a cryostat (10 µm), and melted directly onto glass slides. Sections were then postfixed in 4% freshly depolymerized paraformaldehyde in PBS for 1530 min at 4°C. After blocking with 3% BSA in PBS, sections were immunostained with a goat polyclonal antibody against caveolin-3 (Santa Cruz Biotechnology, sc-7665), recognizing the epitope mapped at the amino terminus of caveolin-3 of mouse origin, a rabbit polyclonal antibody against caveolin-1 (Santa Cruz Biotechnology), a goat polyclonal antibody against dystrophin (Santa Cruz Biotechnology), and a rabbit polyclonal antibody against eNOS (Santa Cruz Biotechnology) for 1 h at room temperature. After extensive washing with PBS, sections were incubated with FITC-conjugated or Cy3-conjugated secondary antibody. Rabbit and goat polyclonal antibodies against caveolin-3 used in immunoblot and immunohistochemical analyses can recognize both mutant and wild type forms of caveolin-3.
Transthoracic echocardiogram
Transthoracic echocardiography was performed on 24-week-old Tg mice and Wt littermates (n=7) under light anesthesia using intraperitoneal pentobarbital as described previously (30).
NOS assay
Total NOS activity was measured by monitoring the conversion of L-[3H]arginine to L-[3H]citrulline, as previously described (18,3133). Briefly, freshly prepared cardiac muscle from 6-week-old Tg mice and Wt littermates (n=8) was homogenized in 10 vols (w/v) of a buffer containing 50 mM TrisHCl (pH 7.4), 100 mM NaCl, 0.5 mM EDTA, 0.5 mM EGTA, 1 mM DTT, 0.1 mM PMSF, and 1 µM leupeptin. Aliquots from crude homogenates were quickly assayed in 100 µl reactions containing 100 000 cpm (40 Ci/mmol) of L-[3H]arginine, 1 mM NADPH, 50 mM TrisHCl (pH 7.4), 100 mM NaCl, 1.2 mM CaCl2, 10 µg/ml calmodulin, 1 mM DTT and 10 µM each of tetrahydrobiopterin, FAD and FMN. After an incubation of 10 min at 37°C, assays were terminated with 900 µl of ice cold H2O. After brief sonication, samples were applied to 2 ml of Dowex AG 50W-X8 (Na+ form) column. L-[3H]citrulline was quantified using 1 ml flow-through by liquid scintillation spectroscopy. The combined activity of eNOS plus iNOS was also measured in the same reaction buffer containing specific inhibitor of nNOS (0.1 µM N
-propyl-L-arginine) (TOCRIS) (34,35). iNOS activity was also measured in the presence of 1.5 mM EDTA and 1.5 mM EGTA, which replaced Ca2+ ion in the reaction buffer. The above three assays were performed simultaneously. Then, nNOS activity was calculated by subtraction of the combined activity of eNOS and iNOS from total NOS activity. eNOS activity was calculated by subtraction of iNOS activity from the combined activity of eNOS and iNOS. Data are expressed as mean±SD. Statistical significance was determined using Welch's t-test (P<0.05).
| ACKNOWLEDGEMENTS |
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We thank Drs Tsutomu Ogura, Yukiko Kurashima (Investigative Treatment Division, National Cancer Center Research Institute East) and Hiroshi Shima (Division of Biochemical Oncology and Immunology, Institute for Genetic Medicine, Hokkaido University) for their appropriate advice about the NOS assay method. We also thank Kenzo Uehira (Electron Microscopy Center, Kawasaki Medical School) and Megumu Kita (Laboratory Animal Center, Kawasaki Medical School) for their technical assistance. This work was supported by Research Grant (14B-4) for Nervous and Mental Disorders from the Ministry of Health, Labour and Welfare, Research Grant (15130301) for Research on Psychiatric and Neurological Diseases and Mental Health from the Ministry of Health, Labour and Welfare, Research Grant (14370212) from the Ministry of Education, Culture, Sports, Science and Technology, and Research Project Grants (no. 13-105, 14-117, 14-505, 14604 and 14-208) from Kawasaki Medical School.
| FOOTNOTES |
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* To whom correspondence should be addressed: Tel: +81 864621111; Fax: +81 864621199; Email: ysunada{at}med.kawasaki-m.ac.jp
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