We will study myocardial dysfunction by studying the effects of recombinant HIV proteins on cardiac myocytes. We found that the envelope protein, gpl20, enhanced IL-I stimulated inducible nitric oxide synthase (iNOS; II) mRNA, protein and nitric oxide (NO)production by neonatal rat cardiac myocytes through a p38 kinase mediated mechanism. This initial observation in neonatal myocytes prompted us to explore direct inotropic effects of gpl20 on isolated adult rat ventricular myocytes (ARVM). Continuous infusion of ARVM with gpl20 significantly increased the percentage of fractional shortening (FS;function of contractility) in response to electrical field stimulation over 2 to 20 minutes with associated increase in [Ca++]i. Further, continuous perfusion of ARVM with gp120 resulted in frequent significant decrease in FS at 1 to 2 hrs that was not associated with any changes in [Ca++]i. Continuous perfusion of gpl20 was also associated with activation of p38 MAP kinase activity over 1 to 2 hours. Pre-treatment with the p38 MAP kinase inhibitor, SB 203580, resulted in persistence of the increased FS by gp120, while completely blocking the decrease in FS observed at 1-2 hours. This precedented biphasic effect on FS and [Ca++]i in ARVM by a single mediator supports the following hypothesis: HIV gpl20 regulates cardiac myocyte function through a novel signaling pathway. The owing Specific Aims will be pursued: (i) Elucidate the mechanisms involved in the initial positive inotropic effect of gp120. (ii) Elucidate the mechanisms involved in the delayed negative inotropic effect p120. (iii ) To identify and partially characterize a potentially novel receptor for HIV gp120 in ARVM. Clinical and biological relevance of these Specific Aims are underscored by the recent appreciation of important role that p38 MAP kinase plays in both cardiac adrenergic receptor signaling as well as ischemia-reperfusion that will be discussed later in this proposal.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Research Project (R01)
Project #
5R01HL070565-03
Application #
6758004
Study Section
AIDS and Related Research 8 (AARR)
Program Officer
Reid, Diane M
Project Start
2002-04-01
Project End
2006-06-30
Budget Start
2004-04-01
Budget End
2006-06-30
Support Year
3
Fiscal Year
2004
Total Cost
$182,500
Indirect Cost
Name
West Virginia University
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
191510239
City
Morgantown
State
WV
Country
United States
Zip Code
26506
Chen, Fangping; Hadfield, Jessalyn M; Berzingi, Chalak et al. (2013) N-acetylcysteine reverses cardiac myocyte dysfunction in a rodent model of behavioral stress. J Appl Physiol (1985) 115:514-24
Berzingi, Chalak; Chen, Fangping; Finkel, Mitchell S (2009) p38 MAP kinase inhibitor prevents diastolic dysfunction in rats following HIV gp120 injection in vivo. Cardiovasc Toxicol 9:142-50
Chen, Fangping; Kan, Hong; Hobbs, Gerry et al. (2009) p38 MAP kinase inhibitor reverses stress-induced myocardial dysfunction in vivo. J Appl Physiol (1985) 106:1132-41
Yuan, Youxi; Kan, Hong; Fang, Qiujuan et al. (2008) CXCR4 receptor antagonist blocks cardiac myocyte p38 MAP kinase phosphorylation by HIV gp120. Cardiovasc Toxicol 8:173-80
Khanna, Deepak; Kan, Hong; Fang, Qiujuan et al. (2007) Inducible nitric oxide synthase attenuates adrenergic signaling in alcohol fed rats. J Cardiovasc Pharmacol 50:692-6
Kan, Hong; Xie, Zirong; Finkel, Mitchell S (2006) iPLA2 inhibitor blocks negative inotropic effect of HIV gp120 on cardiac myocytes. J Mol Cell Cardiol 40:131-7
Khanna, Deepak; Kan, Hong; Failinger, Conard et al. (2006) Emotional stress and reversible myocardial dysfunction. Cardiovasc Toxicol 6:183-98
Kan, Hong; Failinger, Conard F; Fang, Qiujuan et al. (2005) Reversible myocardial dysfunction in sepsis and ischemia. Crit Care Med 33:2845-7
Kan, Hong; Birkle, Dale; Jain, Abnash C et al. (2005) p38 MAP kinase inhibitor reverses stress-induced cardiac myocyte dysfunction. J Appl Physiol 98:77-82
Kan, Hong; Xie, Zirong; Finkel, Mitchell S (2004) p38 MAP kinase-mediated negative inotropic effect of HIV gp120 on cardiac myocytes. Am J Physiol Cell Physiol 286:C1-7

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