β-adrenergic receptor-mediated cardiac contractility is inhibited via vasopressin type 1A-receptor-dependent signaling

Circulation. 2014 Nov 11;130(20):1800-11. doi: 10.1161/CIRCULATIONAHA.114.010434. Epub 2014 Sep 9.

Abstract

Background: Enhanced arginine vasopressin levels are associated with increased mortality during end-stage human heart failure, and cardiac arginine vasopressin type 1A receptor (V1AR) expression becomes increased. Additionally, mice with cardiac-restricted V1AR overexpression develop cardiomyopathy and decreased β-adrenergic receptor (βAR) responsiveness. This led us to hypothesize that V1AR signaling regulates βAR responsiveness and in doing so contributes to development of heart failure.

Methods and results: Transaortic constriction resulted in decreased cardiac function and βAR density and increased cardiac V1AR expression, effects reversed by a V1AR-selective antagonist. Molecularly, V1AR stimulation led to decreased βAR ligand affinity, as well as βAR-induced Ca(2+) mobilization and cAMP generation in isolated adult cardiomyocytes, effects recapitulated via ex vivo Langendorff analysis. V1AR-mediated regulation of βAR responsiveness was demonstrated to occur in a previously unrecognized Gq protein-independent/G protein receptor kinase-dependent manner.

Conclusions: This newly discovered relationship between cardiac V1AR and βAR may be informative for the treatment of patients with acute decompensated heart failure and elevated arginine vasopressin.

Keywords: cardiomyopathies; myocardial failure; myocardium; receptors, adrenergic, beta; vasopressin type 1A receptor.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antidiuretic Hormone Receptor Antagonists / pharmacology
  • Arginine Vasopressin / pharmacology
  • Calcium Signaling / drug effects
  • Cardiomyopathy, Hypertrophic / complications
  • Cardiomyopathy, Hypertrophic / physiopathology*
  • Cats
  • Cell Line, Tumor
  • Colforsin / pharmacology
  • Cyclic AMP / biosynthesis
  • G-Protein-Coupled Receptor Kinases / physiology
  • GTP-Binding Protein alpha Subunits, Gq-G11 / genetics
  • Genes, Reporter
  • HEK293 Cells
  • Heart Failure / etiology
  • Heart Failure / physiopathology
  • Humans
  • Indoles / pharmacology
  • Isoproterenol / pharmacology
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Mice, Transgenic
  • Mutagenesis, Site-Directed
  • Myocardial Contraction / drug effects
  • Myocardial Contraction / physiology*
  • Pyrrolidines / pharmacology
  • Receptors, Adrenergic, beta / physiology*
  • Receptors, Vasopressin / biosynthesis
  • Receptors, Vasopressin / genetics
  • Receptors, Vasopressin / physiology*
  • Recombinant Fusion Proteins / metabolism
  • Rolipram / pharmacology
  • Second Messenger Systems / drug effects
  • Second Messenger Systems / physiology*

Substances

  • Antidiuretic Hormone Receptor Antagonists
  • Indoles
  • Pyrrolidines
  • Receptors, Adrenergic, beta
  • Receptors, Vasopressin
  • Recombinant Fusion Proteins
  • Arginine Vasopressin
  • Colforsin
  • relcovaptan
  • Cyclic AMP
  • G-Protein-Coupled Receptor Kinases
  • GTP-Binding Protein alpha Subunits, Gq-G11
  • Rolipram
  • Isoproterenol