We previously demonstrated that mice heterozygous for the p.N98S mutation in the calmodulin (CaM)-encoding Calm1 gene (Calm1N98S/+) exhibit β-adrenergic hyperresponsiveness of cardiac L-type current (ICa.L). We hypothesized that N98S-CaM-mediated inhibition of Ca2+/CaM-dependent phosphodiesterase (PDE1) increases cAMP-signaling at the L-type channel, amplifying the effect of β-adrenergic stimulation on ICa.L. Peak ICa.L densities were significantly larger (−13.9±0.6 pA/pF vs. −10.3±0.3 pA/pF;mean±SEM at 0 mV) and ICa.L activated at more negative potentials (Vhalf:-16.2±0.8 mV vs. -12.9±0.8 mV) in Calm1N98S/+vs. Calm1+/+ ventricular myocytes (VMs) treated with the β-adrenergic agonist isoproterenol (ISO; 5 nM;P = 0.005; 21 cells/genotype). Substitution of external Ca2+ with Ba2+ plus dialysis of VMs with 5 μM ryanodine, 1 μM thapsigargin and 10 mM BAPTA abrogated ICa.L potentiation, indicative of its Ca2+-dependence. PDE1-mediated, i.e., Ca2+-sensitive, cAMP hydrolysis was absent in Calm1N98S/+ VM lysates, whereas it contributed 31±3% to the total PDE catalytic activity in Calm1+/+ lysates (n = 6/genotype). The PDE1 inhibitor (PDE1i) Lu-AF50827 (200 nM) eliminated PDE1 activity from and replicated ISO-induced ICa.L potentiation in Calm1+/+ myocytes but had no additional effect on peak ICa.L of ISO-stimulated Calm1N98S/+ myocytes. The protein kinase A (PKA) inhibitor Rp-cAMPS abrogated ISO-evoked ICa.L potentiation of Calm1N98S/+ VMs, indicating that PKA overactivity is both necessary and sufficient for ICa.L potentiation. ISO did not prolong action potential duration at 90% repolarization (APD90) in Calm1+/+ VMs (1 Hz; n = 6), but its combination with PDE1i increased APD90 by 8±2 ms (n = 6; P = 0.005). Despite the larger peak ICa.L density of ISO-stimulated Calm1N98S/+ myocytes, magnitudes of action potential-evoked peak [Ca2+]i elevations with ISO were indistinguishable between the two genotypes. We conclude that N98S-CaM-induced PDE1 inhibition amplifies cAMP signaling at the L-type channel, causing PKA-mediated ICa.L potentiation, but does not impact sarcoplasmic reticulum Ca2+ cycling, compromising feedback inhibition of L-type channels and prolonging APD.
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