Endothelin-1-Stimulated InsP3-Induced Ca2+ Release Is a Nexus for Hypertrophic Signaling in Cardiac Myocytes
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Summary

Ca2+ elevations are fundamental to cardiac physiology-stimulating contraction and regulating the gene transcription that underlies hypertrophy. How Ca2+ specifically controls gene transcription on the background of the rhythmic Ca2+ increases required for contraction is not fully understood. Here we identify a hypertrophy-signaling module in cardiac myocytes that explains how Ca2+ discretely regulates myocyte hypertrophy and contraction. We show that endothelin-1 (ET-1) stimulates InsP3-induced Ca2+ release (IICR) from perinuclear InsP3Rs, causing an elevation in nuclear Ca2+. Significantly, we show that IICR, but not global Ca2+ elevations associated with myocyte contraction, couple to the calcineurin (CnA)/NFAT pathway to induce hypertrophy. Moreover, we found that activation of the CnA/NFAT pathway and hypertrophy by isoproterenol and BayK8644, which enhance global Ca2+ fluxes, was also dependent on IICR and nuclear Ca2+ elevations. The activation of IICR by these activity-enhancing mediators was explained by their ability to stimulate secretion of autocrine/paracrine ET-1.

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