Nuclear factor of activated T cells (NFAT) transcription factors play a key role during cellular remodelling associated with hypertrophy and heart failure (HF). We tested the hypothesis that the cardioprotective peptide Urocortin II (UcnII) regulates translocation and activation of NFAT.Rabbit ventricular myocytes were infected with recombinant adenoviruses encoding for NFAT-GFP fusion proteins (isoforms NFATc1 and NFATc3). The subcellular distribution of NFAT was quantified as the ratio of NFATnuc to NFATcyt fluorescence (RNFAT) and nuclear-cytosolic NFAT translocation was expressed as changes of RNFAT. Under basal unstimulated conditions NFATc3 was predominantly localized in the cytoplasm, whereas NFATc1 displayed a nuclear localization. UcnII (100 nM) caused NFATc1 export to the cytoplasm (RNFAT decreased from 2.25 to 1.03 after 24 hrs). UcnII did not affect nuclear-cytosolic NFATc3 distribution.UcnII-induced NFATc1 export to the cytoplasm was significantly (P<0.05) reduced (by 58-79%) by inhibition of guanylate cyclase (ODQ, 10 μM), calcineurin (Cyclosporin A, 1 μM), and GSK3s (Alsterpaullone, 1 μM). Inhibition of PI3K (Wortmannin, 300 nM) and nuclear transport protein crm1 (Leptomycin B, 40 nM) prevented the redistribution of NFATc1 to the cytoplasm completely.In ventricular myocytes from failing rabbit hearts, nuclear localization of NFATc3 was significantly enhanced compared to normal myocytes (RNFAT 0.78 vs. 0.58). Stimulation of HF myocytes with UcnII resulted in a translocation of NFATc3 back to the cytoplasm (RNFAT=0.56). In HF myocytes the nuclear localization of NFATc1 was less pronounced compared to normal myocytes (RNFAT: 1.97 in HF vs. 2.86 in normal ventricular cells). UcnII induced a further redistribution of NFATc1 out of the nucleus (RNFAT=0.97).We conclude that UcnII enhances the export of NFAT from the nucleus to the cytoplasm in ventricular myocytes involving the PI3K/cGMP/PKG/calcineurin- and PI3K/Akt/GSK3s-pathways and could thus positively affect remodeling in hypertrophy and HF.
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