PDE1 inhibition facilitates proteasomal degradation of misfolded proteins and protects against cardiac proteinopathy

Sci Adv. 2019 May 22;5(5):eaaw5870. doi: 10.1126/sciadv.aaw5870. eCollection 2019 May.

Abstract

No current treatment targets cardiac proteotoxicity or can reduce mortality of heart failure (HF) with preserved ejection fraction (HFpEF). Selective degradation of misfolded proteins by the ubiquitin-proteasome system (UPS) is vital to the cell. Proteasome impairment contributes to HF. Activation of cAMP-dependent protein kinase (PKA) or cGMP-dependent protein kinase (PKG) facilitates proteasome functioning. Phosphodiesterase 1 (PDE1) hydrolyzes both cyclic nucleotides and accounts for most PDE activities in human myocardium. We report that PDE1 inhibition (IC86430) increases myocardial 26S proteasome activities and UPS proteolytic function in mice. Mice with CryABR120G-based proteinopathy develop HFpEF and show increased myocardial PDE1A expression. PDE1 inhibition markedly attenuates HFpEF, improves mouse survival, increases PKA-mediated proteasome phosphorylation, and reduces myocardial misfolded CryAB. Therefore, PDE1 inhibition induces PKA- and PKG-mediated promotion of proteasomal degradation of misfolded proteins and treats HFpEF caused by CryABR120G, representing a potentially new therapeutic strategy for HFpEF and heart disease with increased proteotoxic stress.

Publication types

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

MeSH terms

  • Animals
  • Cyclic AMP-Dependent Protein Kinases / metabolism
  • Cyclic GMP-Dependent Protein Kinases / metabolism
  • Cyclic Nucleotide Phosphodiesterases, Type 1 / metabolism*
  • Densitometry
  • Echocardiography
  • Female
  • Genotype
  • Heart Failure / metabolism*
  • Heart Failure / physiopathology
  • Heart Ventricles / metabolism
  • Hemodynamics
  • Humans
  • Hydrolysis
  • Male
  • Mice
  • Mice, Transgenic
  • Microscopy, Fluorescence
  • Myocytes, Cardiac / metabolism
  • Phosphorylation
  • Proteasome Endopeptidase Complex / metabolism*
  • Protein Denaturation
  • Protein Folding*
  • Proteostasis Deficiencies / metabolism*
  • Proteostasis Deficiencies / physiopathology
  • Rats
  • alpha-Crystallin B Chain / metabolism*

Substances

  • Cryab protein, mouse
  • alpha-Crystallin B Chain
  • Cyclic AMP-Dependent Protein Kinases
  • Cyclic GMP-Dependent Protein Kinases
  • Cyclic Nucleotide Phosphodiesterases, Type 1
  • Pde1A protein, mouse
  • Proteasome Endopeptidase Complex
  • ATP dependent 26S protease