Controlled and Cardiac-Restricted Overexpression of the Arginine Vasopressin V1A Receptor Causes Reversible Left Ventricular Dysfunction Through Gα q -Mediated Cell Signaling

Author:

Li Xue1,Chan Tung O.1,Myers Valerie1,Chowdhury Ibrul1,Zhang Xue-Qian1,Song Jianliang1,Zhang Jin1,Andrel Jocelyn1,Funakoshi Hajime1,Robbins Jeffrey1,Koch Walter J.1,Hyslop Terry1,Cheung Joseph Y.1,Feldman Arthur M.1

Affiliation:

1. From the Center For Translational Medicine, Department of Medicine (X.L., T.O.C., V.M., I.C., X.-Q.Z., J.S., J.Z., H.F., W.J.K., J.Y.C., A.M.F.), Division of Biostatistics, Department of Pharmacology and Experimental Therapeutics (J.A., T.H.), Jefferson Medical College, Philadelphia, PA; and Division of Molecular Cardiovascular Biology, Cincinnati Children's Hospital, Cincinnati, OH (J.R.).

Abstract

Background— [Arg8]-vasopressin (AVP) activates 3 G-protein–coupled receptors: V1A, V2, and V1B. The AVP-V1A receptor is the primary AVP receptor in the heart; however, its role in cardiac homeostasis is controversial. To better understand AVP-mediated signaling in the heart, we created a transgenic mouse with controlled overexpression of the V1A receptor. Methods and Results— The V1A receptor transgene was placed under the control of the tetracycline-regulated, cardiac-specific α-myosin heavy chain promoter (V1A-TG). V1A-TG mice had a normal cardiac function phenotype at 10 weeks of age; however, by 24 weeks of age, tetracycline-transactivating factor/V1A-TG mouse hearts had reduced cardiac function, cardiac hypertrophy, and dilatation of the ventricular cavity. Contractile dysfunction was also observed in isolated adult cardiac myocytes. When V1A receptor transgene was induced to be expressed in adult mice (V1A-TG Ind ), left ventricular dysfunction and dilatation were also seen, albeit at a later time point. Because the V1A receptor mediates cell signaling through Gα q protein, we blocked Gα q signaling by crossing tetracycline-transactivating factor/V1A mice with transgenic mice that expressed a small inhibitory peptide against Gα q . Gα q blockade abrogated the development of the heart failure phenotype in tetracycline-transactivating factor/V1A-TG mice. The heart failure phenotype could be reversed by administration of doxycycline. Conclusions— Our results demonstrate a role for V1A-mediated signaling in the development of heart failure and support a role for V1A blockade in the treatment of patients with elevated levels of vasopressin.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

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