A Critical Function for Ser-282 in Cardiac Myosin Binding Protein-C Phosphorylation and Cardiac Function Sakthivel Sadayappan, James Gulick, Hanna Osinska, David Barefield, Friederike Cuello, Metin Avkiran, Valerie M. Lasko, John N. Lorenz, Marjorie Maillet, Jody L. Martin, Joan Heller Brown, Donald M. Bers, Jeffery D. Molkentin, Jeanne James, Jeffrey Robbins Rationale: Cardiac myosin-binding protein-C (cMyBP-C) phosphorylation at Ser-273, Ser-282, and Ser-302 regulates Downloaded from http://circres.ahajournals.org/ by guest on June 15, 2017 myocardial contractility. In vitro and in vivo experiments suggest the nonequivalence of these sites and the potential importance of Ser-282 phosphorylation in modulating the protein’s overall phosphorylation and myocardial function. Objective: To determine whether complete cMyBP-C phosphorylation is dependent on Ser-282 phosphorylation and to define its role in myocardial function. We hypothesized that Ser-282 regulates Ser-302 phosphorylation and cardiac function during -adrenergic stimulation. Methods and Results: Using recombinant human C1-M-C2 peptides in vitro, we determined that protein kinase A can phosphorylate Ser-273, Ser-282, and Ser-302. Protein kinase C can also phosphorylate Ser-273 and Ser-302. In contrast, Ca2ⴙ-calmodulin-activated kinase II targets Ser-302 but can also target Ser-282 at nonphysiological calcium concentrations. Strikingly, Ser-302 phosphorylation by Ca2ⴙ-calmodulin-activated kinase II was abolished by ablating the ability of Ser-282 to be phosphorylated via alanine substitution. To determine the functional roles of the sites in vivo, three transgenic lines, which expressed cMyBP-C containing either Ser-273-Ala-282-Ser-302 (cMyBP-CSAS), Ala-273-Asp-282-Ala-302 (cMyBP-CADA), or Asp-273-Ala-282Asp-302 (cMyBP-CDAD), were generated. Mutant protein was completely substituted for endogenous cMyBP-C by breeding each mouse line into a cMyBP-C null (t/t) background. Serine-to-alanine substitutions were used to ablate the abilities of the residues to be phosphorylated, whereas serine-to-aspartate substitutions were used to mimic the charged state conferred by phosphorylation. Compared to control nontransgenic mice, as well as transgenic mice expressing wild-type cMyBP-C, the transgenic cMyBP-CSAS(t/t), cMyBP-CADA(t/t), and cMyBPCDAD(t/t) mice showed no increases in morbidity and mortality and partially rescued the cMyBP-C(t/t) phenotype. The loss of cMyBP-C phosphorylation at Ser-282 led to an altered -adrenergic response. In vivo hemodynamic studies revealed that contractility was unaffected but that cMyBP-CSAS(t/t) hearts showed decreased diastolic function at baseline. However, the normal increases in cardiac function (increased contractility/relaxation) as a result of infusion of -agonist was significantly decreased in all of the mutants, suggesting that competency for phosphorylation at multiple sites in cMyBP-C is a prerequisite for normal -adrenergic responsiveness. Conclusions: Ser-282 has a unique regulatory role in that its phosphorylation is critical for the subsequent phosphorylation of Ser-302. However, each residue plays a role in regulating the contractile response to -agonist stimulation. (Circ Res. 2011;109:141-150.) Key Words: contractile function 䡲 myofilament 䡲 myosin-binding protein-C 䡲 phosphorylation C ardiovascular disease, particularly ischemia, myocardial infarction, and heart failure, constitutes a growing health and economic problem, afflicting approximately five million people in the United States each year at an estimated cost of $29.6 billion.1 Heart failure is associated with diminished -adrenergic (-AR) receptor responsiveness, loss of cardiac contractility, abnormalities in Ca2⫹ handling,2,3 and altered contractile protein phosphorylation.4 Altered phosphorylation Original received February 11, 2011; revision received May 5, 2011; accepted May 9, 2011. In April 2011, the average time from submission to first decision for all original research papers submitted to Circulation Research was 15 days. From the Department of Cell and Molecular Physiology (S.S., D.B., J.L.M.), Stritch School of Medicine, Loyola University Chicago, IL; Division of Molecular Cardiovascular Biology (J.G., H.O., M.M., J.D.M., J.J., J.R.), Department of Pediatrics, The Cincinnati Children’s Hospital Medical Center, Cincinnati, OH; Cardiovascular Division (F.C., M.A.), King’s College London, The Rayne Institute, St. Thomas’ Hospital, London, United Kingdom; Department of Molecular and Cellular Physiology (V.M.L., J.N.L.), University of Cincinnati College of Medicine, University of Cincinnati, Cincinnati, OH; Department of Pharmacologyy, University of California, La Jolla, CA; Department of Pharmacology (D.M.B.), University of California Davis, Genomics and Biological Sciences Facility, Davis, CA. This manuscript was sent to Ali J. Marian, Consulting Editor, for review by expert referees, editorial decision, and final disposition. Correspondence to Jeffrey Robbins, PhD, Division of Molecular Cardiovascular Biology, Cincinnati Children’s Hospital Medical Center, MLC 7020, 240 Albert Sabin Way, Cincinnati, OH 45229-3039. E-mail [email protected] © 2011 American Heart Association, Inc. Circulation Research is available at http://circres.ahajournals.org DOI: 10.1161/CIRCRESAHA.111.242560 141 142 Circulation Research July 8, 2011 Non-standard Abbreviations and Acronyms AllPⴚ cMyBP-C TG NTG AllPⴙ CaMKII a cMyBP-C in which 3 phosphorylatable serines have been mutated to alanine cardiac myosin binding protein-C transgenic nontransgenic cMyBP-C in which 3 phosphorylatable serines have been mutated to aspartate Ca2⫹-calmodulin-activated kinase II structure and function using three TG mouse models in which mutated cMyBP-C replaced the endogenous cardiac protein. cMyBP-C carrying the mutations Ser273-Ala282-Ser302 (SAS), Ala273-Asp282-Ala302 (ADA), or Asp273-Ala282Asp302 (DAD) were generated and expressed specifically in cardiomyocytes. Our data demonstrate that Ser-282 phosphorylation is a critical determinant of Ser-302 phosphorylation in vitro and in vivo and that phosphorylation at each of the residues participates in the contractile response to -AR stimulation in vivo. Methods Downloaded from http://circres.ahajournals.org/ by guest on June 15, 2017 of the contractile proteins may partially underlie cardiac dysfunction in heart failure.4,5 Cardiac myosin-binding protein-C (cMyBP-C) phosphorylation at multiple sites can impact myocardial function,6,7 metabolism,8 and cardioprotection,9 but the precise functional consequences of phosphorylation are not characterized fully. cMyBP-C is a 140-kDa structural protein that is localized at the inner two-thirds of the A-band in the cardiac sarcomere.10,11 cMyBP-C binds myosin at the S2 region12 and light meromyosin,13,14 where it modulates myosin assembly10 and actin–myosin interaction.15,16 It also binds to titin via domains C8 to C1017 and presumably to actin as well; however, this interaction is less well-defined,18 suggesting that these interactions may be necessary for the stability or function of cMyBP-C in the sarcomeres. The cardiac isoform differs from the skeletal isoform in that it contains an extra domain at the N-terminus (C0) and a phosphorylation motif (M-domain) localized between the immunoglobulin I-like C1 and C2 domains,19,8 in which Ser-273, Ser-282, and Ser-302 each can be phosphorylated.20 The three sites are differentially phosphorylated by the enzymes protein kinase (PK) A,21 PKC,21 Ca2⫹-calmodulinactivated kinase II (CaMKII),19 PKD,22 and the 90-kDa ribosomal s6 kinase.23 To begin to explore the physiological roles of cMyBP-C phosphorylation, we previously established two transgenic (TG) mouse models in which the three phosphorylation sites were mutated to either alanine (phospho-ablation, AllP⫺) or aspartate (phospho-mimetic, AllP⫹).7,9,24,25 Our findings suggested that cMyBP-C phosphorylation was essential for normal cardiac function and that charged residues at 273, 282, and 302 sites conferred cardioprotection against ischemia-reperfusion injury in either the ␣-myosin heavy chain or the -myosin heavy chain backgrounds. However, these data did not resolve the functional roles of the individual sites. Previously, hierarchical phosphorylation patterns for cMyBP-C have been defined in vitro,19 where Ca2⫹-dependent CaMKII phosphorylation at Ser-282 appeared to be necessary for phosphorylation of Ser-273 and Ser-302.19,21,26 Furthermore, monophosphorylation of cMyBP-C by CaMKII is associated with myocardial stunning20 and enhanced contractility27 under certain conditions.26 However, the critical role of Ser-282 phosphorylation in vivo remains to be systematically investigated. In the present study, we explored the necessity and sufficiency of Ser-282 phosphorylation in mediating cardiac TG Constructs cMyBP-C wild-type (WT) cDNA was subjected to site-directed mutagenesis to generate cMyBP-CSAS, cMyBP-CDAD, and cMyBPCADA constructs. Cardiomyocyte-specific TG mice were generated using the mouse cardiac-specific ␣-myosin heavy chain promoter.7,9 An N-terminal myc-tag, which has no effect on cMyBP-C function and stability,7,9,28 was introduced to differentiate TG protein from endogenous cMyBP-C. All biochemical and functional assays used hearts from 10- to 12-week-old mice. Animals were handled in accordance with the principles and procedures of the Guide for the Care and Use of Laboratory Animals. The Institutional Animal Care and Use Committee at Cincinnati Children’s Hospital approved all experimental procedures. Characterization of TG Mice TG mice were identified by polymerase chain reaction.7 Transgene copy number was determined by southern blotting (Figure I, online data supplement available online at http://circres.ahajournals.org) and transgene expression in the cardiomyocytes determined by real-time polymerase chain reaction and confirmed in some cases by northern blot analysis with a gene-specific ␥32P-labeled probe7 using actin and GAPDH as loading controls (Online Figure I). To ensure that the observed phenotype was not attributable to insertional mutagenesis, at least two different TG lines were used from each group when assessing the functional consequences of complete cMyBP-C mutant protein replacement in the cMyBP-C(t/t) background.7,9 The presence of necrosis, fibrosis, and disarray, as well as localization and integration of cMyBP-C mutant proteins into the sarcomere, were evaluated by immunofluorescence microscopy as described.7 To determine sarcomeric A-band, I-band, and M-line organization and thick filament distances, structural analyses at the light and electron microscopy levels were performed.7,9 Evaluation of cMyBP-C Phosphorylation To define the phosphorylation status of Ser-273, Ser-282, and Ser-302, myofibrils from nontransgenic (NTG) and TG mouse hearts were treated with either PKA, PKC, CaMKII␦, or phosphatase (Sigma), electrophoresed on SDS-PAGE, and Western blots were performed using an anti-cMyBP-C2–14 antibody that was raised against the first 14 residues of cMyBP-C (ProSci) and phosphospecific cMyBP-C antibodies as described previously.22,24 In addition, the importance of each phosphorylation site was confirmed using recombinant human mutant C1-M-C2 peptides and sitespecific cMyBP-C phospho-antibodies.22,24 Cardiac Function Cardiac function was determined in the intact closed chest model as described.7 Increasing doses of dobutamine were administered during 3-minute constant infusions (0.1 L/min/g body weight) to determine -AR responsiveness. To observe changes in left ventricular chamber size and fractional shortening, noninvasive M-mode echocardiography was used.9 Sadayappan et al Cardiac Myosin Binding Protein-C Phosphorylation 143 Downloaded from http://circres.ahajournals.org/ by guest on June 15, 2017 Figure 1. Differential substrate specificities and regulation of Ser-273, Ser-282, and Ser-302 phosphorylation. A, His6-tagged C1-M-C2 recombinant human cardiac myosin-binding protein-C (cMyBP-C) peptide that includes the C1-M-C2 domains with the three phosphorylation sites. In the normal endogenous protein, each of these three serines is phosphorylatable. B, The ability of each residue to be phosphorylated by protein kinase (PK) A, Ca2⫹-calmodulin-activated kinase II (CaMKII␦), or PKC is shown in (B) and (C), respectively. A dash indicates that the endogenous fragment with all three serines intact is present, and immunoblotting is indicated by “IB” (Western blotting). The mutation of serine (S) to alanine (A) at each residue is indicated as Ser to Ala. Phosphorylation of each residue with each enzyme was assayed using our phosphoresidue–specific antibodies via Western blot analyses. Ponceau-S staining of the membranes confirmed equal amounts of protein were loaded. D and E, Western blot analyses, using site-specific phospho cMyBP-C antibodies, of neonatal rat cardiomyocytes infected with constitutively active (CA) and dominant negative (DN) CaMKII␦ and (F and G) PKC adenoviruses (Ad) at a multiplicity of infection of 100 (n⫽5). C, Negative control using an empty vector for infection, isoproterenol-treated (ISO); 50 nmol/L ISO neonatal rat cardiomyocytes. H and I, At different time points after transverse aortic constriction (TAC) in mice, Western blot analysis of total heart proteins using site-specific phospho cMyBP-C antibodies demonstrated that phosphorylation increased significantly after 30 minutes, but that Ser-282 phosphorylation was significantly reduced after 24 hours compared to Ser-273 and Ser-302 sites (n⫽6). *P⬍0.01 vs control or sham (n⫽5). Statistical Analysis All biochemical and functional assays were performed in mice obtained at 10 to 12 weeks of age along with mixed-gender controls. One-way ANOVA was used to test for overall significance, followed by the Student–Newman–Keuls test for multiple comparison testing between the various groups (Sigma Plot 11). Data are presented as means⫾SEM. Results Phosphorylation of Ser-282 Is Critical for Ser-302 Phosphorylation We focused on three sites in the cardiac-specific insertion region of cMyBP-C to determine their roles in modulating cardiac function. Initially, to determine the substrate specificity of these sites by PKA,21 PKC,21 and CaMKII,19 recombinant human His-tagged C1-M-C2 fragments of cMyBP-C were generated in which the three phosphorylatable sites were individually mutated to alanine, as well as a wild-type control (Figure 1A).22 Peptides were treated with PKA, PKC, or CaMKII␦, and their phosphorylation status was determined by Western blot analysis using site-specific cMyBP-C phosphoantibodies (Figure 1B, 1C). Experiments with PKA-mediated and PKC-mediated phosphorylation confirmed that PKA phosphorylates all three sites, whereas PKC phosphorylates only Ser-273 and Ser-302 (Figure 1C). At low Ca2⫹ concentrations, CaMKII␦ targets Ser-302, whereas at high Ca2⫹ concentrations Ser-282 also can be a substrate (Online Figure I, available online at http://circres.ahajournals.org), confirming that Ca2⫹dependent CaMKII differentially phosphorylates Ser-282 and Ser-302. Phosphorylation at Ser-282 appears to be required for Ser-302 phosphorylation in vitro (Figure 1B, panel 4, antip302). To explore further the site-specificity of Ser-273, Ser-282, and Ser-302 for PKA, PKC, and CaMKII, we infected neonatal rat cardiomyocytes with adenovirus expressing constitutively active and dominant-negative forms of rat CaMKII␦C29 and rabbit PKC.30 Western blot analysis showed 10⫾2-fold overexpression of CaMKII␦ and 4⫾1.2fold overexpression of PKC in neonatal rat cardiomyocytes (Figure 1D, 1F). Cardiomyocytes were treated with isoproterenol as a positive control for the PKA activation. We then performed Western blot analysis using our site-specific cMyBP-C phospho-antibodies24 and compared those results with isoproterenol-treated cardiomyocytes as a positive control.24 Results show that overexpression of constitutively active CaMKII␦ specifically increased Ser-302 phosphorylation compared to controls, confirming that Ser-302 is a substrate for CaMKII␦ ex vivo, whereas the PKC transfections confirmed that Ser-273 and Ser-302 are both PKC substrates (Figure 1D–1G). To demonstrate active regulation 144 Circulation Research July 8, 2011 Downloaded from http://circres.ahajournals.org/ by guest on June 15, 2017 Figure 2. Transgenic expression of cardiac myosin-binding protein-C (cMyBP-C) mutants in the cMyBP-C(t/t) null background. A, Schematic diagram of cMyBP-C illustrates domain structure and regions that interact with the other filament systems in the sarcomere. B, Mutations in the cMyBP-C transgenes. C, SDS-PAGE analysis of myofibrillar proteins from nontransgenic (NTG), cMyBP-C null (t/t), transgenic (TG) cMyBP-CWT (wild-type [WT]), cMyBP-CSAS (Ser273-Ala282-Ser302 [SAS]), cMyBP-CADA (Ala273-Asp282Ala302 [ADA]), and cMyBP-CDAD (Asp273-Ala282-Asp302 [DAD]) hearts. D, Expression levels of total cMyBP-C and the presence of myc-tagged (TG) cMyBP-C in the same mice were confirmed by Western blot analysis. E, Western blot analyses using phosphospecific antibodies on the in vitro dephosphorylated and phosphorylated NTG, cMyBP-CWT, and cMyBP-CSAS myofibrils with phosphatase (control), protein kinase (PK) C, PKA, and Ca2⫹-calmodulin-activated kinase II (CaMKII␦) treatment. PKA phosphorylates all three sites, whereas PKC phosphorylates Ser-273 and Ser-302. CaMKII␦ was used at two different Ca2⫹ concentrations. F, Quantitative analysis of Western blot data (E). No significant differences were found between NTG and WT(t/t) groups. Values represent means⫾standard error for each group (n⫽3), and designations denote significant differences (P⬍0.001) from *WT(t/t) and #controls. of these sites during cardiac stress, a transverse aortic constriction-induced pressure-overload mouse model was used. Western blot analyses, using myofilament proteins from the transverse aortic constriction-induced pressure-overload model, showed that Ser-273 and Ser-302 phosphorylation was significantly increased after 5 minutes but decreased after 4 weeks of transverse aortic constriction (Figure 1H, 1I). In contrast, Ser-282 phosphorylation was significantly increased after 5 minutes but decreased after 24 hours, showing the sites were differentially regulated in terms of their steady-state phosphorylation levels. These in vivo experiments are consistent with the hypothesis that Ser-282 phosphorylation is an early event in the stressed heart but does not resolve the question of whether its posttranslational modification is necessary for the subsequent phosphorylation of the other sites.19,21 To resolve this question, we turned to the intact animal and replaced endogenous cMyBP-C with protein that could not be phosphorylated at Ser-282. Three Transgenic Mouse Models Three separate constructs were used to generate multiple lines of TG mice to test the hypothesis that Ser-282 phosphorylation influenced the phosphorylation levels of residue 302 (Figure 2A, 2B). In the cMyBP-CSAS mouse model, Ser-282 of cMyBP-C was mutated to a nonphosphorylatable alanine, preventing Ser-282 phosphorylation. In the cMyBP-CADA mouse model, the PKC sites (Ser-273 and Ser-302) were mutated to nonphosphorylatable alanines and Ser-282 was replaced with aspartate, resulting in a Ser-282 phosphomimetic. In contrast, the third mouse model, cMyBP-CDAD, contains charged residues (aspartates) at amino acids 273 and 302, mimicking constitutive PKC-mediated phosphorylation Sadayappan et al Cardiac Myosin Binding Protein-C Phosphorylation 145 Downloaded from http://circres.ahajournals.org/ by guest on June 15, 2017 Figure 3. Phenotypic analyses of sarcomere architecture. A, Incorporation of Myc-tagged mutant cardiac myosin-binding protein-C (cMyBP-C) was confirmed by immunofluorescent staining of cMyBP-C with either an anti-myc (A) or an anticMyBP-C antibody (B). C, Longitudinal sections of the heart stained with hematoxylin and eosin (20⫻) or (D) Masson-trichrome (20⫻) to assess fibrosis. Note the areas of disrupted myocyte organization and fibrosis in the (t/t) and Asp273-Ala282-Asp302 (DAD(t/t)) hearts. E, Transmission electron micrographs of sarcomeres show loss of the normal M-line structures in both cMyBP-C(t/t) and cMyBP-CDAD(t/t) hearts. For each line, between 240 and 539 individual sarcomeres were scored. For the control hearts, wild-type (WT) (t/t), 544 sarcomeres were counted with 9% blindly scored as “abnormal.” For the Ser273Ala282-Ser302 (SAS(t/t)) or Ala273-Asp282Ala302 (ADA(t/t)) animals, 15% to 18% had abnormal M-lines, whereas for the DAD(t/t) animals 244 sarcomeres were counted and 83% had scores indicating abnormal M-lines. in the absence of phosphorylation at Ser-282, resulting in Ser-282 phospho-ablation. All TG mice were characterized before crossing into the cMyBP-C(t/t) background to assess any effects of TG expression. In each TG mouse model, we obtained three lines with variable transgene expression, resulting in 25% to 45% replacement of the endogenous cMyBP-C with TG protein (Online Figure II). None of the lines showed any obvious phenotype or increased morbidity and mortality over the course a 10-month period, suggesting that the SAS, ADA, and DAD mutations are benign in the unstressed animals (data not shown). To obtain complete replacement of endogenous cMyBP-C with the TG mutant proteins, the individual cMyBP-CSAS, cMyBP-CADA, and cMyBP-CDAD lines were bred into the cMyBP-C null background (t/t).31 SDS-PAGE confirmed normal levels of cMyBP-C in this background, driven by Table 1. transgenic expression of the mutant cMyBP-C and levels of other sarcomeric proteins, such as actin and myosin, were unaltered (Figure 2C). Using antibodies against the myctag as well as to the first 14 N-terminal residues of cMyBP-C, the incorporation of the mutant cMyBP-C into the sarcomere was confirmed as well as the ability of the protein to maintain the proper stoichiometry by Western blotting (Figure 2D). To determine if elimination of Ser-282 phosphorylation affected Ser-302 phosphorylation, we treated myofilaments derived from cMyBP-CSAS(t/t) hearts with PKA, PKC, and CaMKII and determined the phosphorylation status of each residue by Western analyses using the residue-specific phospho-antibodies (Figure 2E). As expected, the Ser-282 site-specific phospho-antibody showed no reactivity under any conditions with cMyBP-CSAS(t/t)-derived protein. Strik- In Vivo Cardiac Function Assayed by M-Mode Echocardiography NTG (n⫽7) (t/t) (n⫽15) WT(t/t) (n⫽7) SAS(t/t) (n⫽12) ADA(t/t) (n⫽8) DAD(t/t) (n⫽8) IVSd, mm 0.73⫾0.12 1.15⫾0.15‡ 0.74⫾0.10㛳 1.02⫾0.13‡ 1.14⫾0.15‡ 1.21⫾0.10‡ LVPW, mm 0.80⫾0.06 1.06⫾0.20* 0.79⫾0.12§ 0.87⫾0.13 0.96⫾0.10 1.04⫾0.18* LVIDd, mm 3.86⫾0.17 4.73⫾0.49‡ 3.93⫾0.32㛳 4.29⫾0.34§ 4.33⫾0.38 4.53⫾0.38* LVIDs, mm 2.63⫾0.23 3.86⫾0.53‡ 2.85⫾0.38¶ 3.27⫾0.38 3.40⫾0.32* 3.46⫾0.51* FS, % 32⫾4 18⫾5‡ 28⫾5§ 24⫾5 22⫾4* 24⫾7 LV VOLd, mm 64⫾7 105⫾25‡ 68⫾12㛳 83⫾15 85⫾18 95⫾18† LV VOLs, mm 26⫾6 66⫾21‡ 31⫾9㛳 44⫾13 48⫾11* 51⫾17* LV EF, % 60⫾5 38⫾9‡ 54⫾8§ 48⫾8 44⫾7* 47⫾11 LV Mass 84⫾17 193⫾44‡ 87⫾18¶ 134⫾31§ 153⫾29 184⫾21‡ 25.9⫾0.36 25.7⫾0.42 26.3⫾0.39 24.95⫾0.51 26.17⫾0.37 25.6⫾0.46 Body weight, g ADA indicates Ala273-Asp282-Ala302; DAD, Asp273-Ala282-Asp302; EF, ejection fraction; FS, fractional shortening; IVSd, interventricular septum; LV, left ventricular; LVIDd, left ventricular inner diameter in diastole; LVIDs, left ventricular inner diameter in systole; NTG, nontransgenic; PW, posterior wall; SAS, Ser273-Ala282-Ser302; VOLd, volume in diastole; VOLs, volume in systole; WT, wild-type. Measurement values in mm were averaged from at least three separate cardiac cycles. All values given as mean⫾standard deviation. *P⬍0.05 vs NTG; †P⬍0.01 vs NTG; ‡P⬍0.001 vs NTG; §P⬍0.05 vs (t/t); ¶P⬍0.01 vs (t/t); 㛳P⬍0.001 vs (t/t). 146 Circulation Research July 8, 2011 Downloaded from http://circres.ahajournals.org/ by guest on June 15, 2017 Figure 4. Cardiac myosin-binding protein-C (cMyBP-C) phosphorylation and cardiac function. A and B, Phosphorylation status of Ser273, Ser-282, and Ser-302 sites before and after dobutamine treatment was determined by Western blots using phospho-specific antibodies (n⫽5). C, Contractile function was measured at baseline and dobutamine (32 ng/mL min). Maximal rate of ventricular contraction (dP/dtmax) and relaxation (dP/dtmin). Data are presented as mean⫾standard error (n⫽6). *P⬍0.05, **P⬍0.005 compared with nontransgenic (NTG); ¶P⬍0.05, ¶¶P⬍0.005, ¶¶¶P⬍0.0005 compared with (t/t); §P⬍0.05 compared with basal (absence of dobutamine stimulation) measurements. ingly, the loss of Ser-282 phosphorylation impacted significantly on the ability of PKA, PKC, and CaMKII to phosphorylate Ser-302 (Figure 2E). Specifically, CaMKII-mediated phosphorylation was completely abolished in the SAS myofilament preparations (Figure 2E and Figure 4). To determine whether increased Ca2⫹ concentrations could overcome this block in the phosphor-ablated cardiac sample, 25 mmol/L Ca2⫹ was used with CaMKII to treat the cMyBP-CSAS(t/t) myofilaments. Western blot analyses showed that increased Ca2⫹ concentrations can stimulate Ser-282 phosphorylation in the NTG and cMyBP-CWT(t/t) myofilaments, whereas Ser-302 phosphorylation in the absence of Ser-282 phosphorylation was reduced, with the site being hypophosphorylated relative to normal cMyBP-C (Figure 2F). Sarcomere Architecture in the SAS, ADA, and DAD Mutant Hearts We reported previously that expression of cMyBP-CWT(t/t) and cMyBP-CAllP⫹(t/t) effectively rescued the cMyBP-C(t/t) phenotype, but that expression of the nonphosphorylatable cMyBP-CAllP⫺ failed to rescue the null, suggesting the necessity of cMyBP-C phosphorylation for normal sarcomere and cardiac function.7,9 To explore this observation at the individual residue level, we first determined whether the phospho-specific mutants incorporated normally into the sarcomere. Immunohistochemical analyses were performed with both anti-myc and anti-cMyBP-C antibodies (Figure 3A, 3B). Results show that SAS, ADA, and DAD proteins were incorporated normally into the sarcomere in the cMyBP-C(t/t) mouse background with striations indistinguishable from those seen in the NTG and cMyBP-CWT(t/t) sarcomeres (Figure 3A, 3B). Histological analyses showed that, as expected, the cMyBP-C(t/t) hearts displayed cardiac hypertrophy with fibrosis and disarray. However, there were no obvious abnormalities, fibrosis, calcification, or disarray observed in the cMyBP-CSAS(t/t) and cMyBP-CADA(t/t) samples compared to NTG and cMyBP-CWT(t/t) controls (Figure 3C and 3D). In contrast with these data, the cMyBP-CDAD(t/t) mouse hearts showed fibrosis and disarray, mimicking the cMyBP-Ct/t phenotype. Considering that this mouse contains the cMyBP-C phospho-mimetic in which residues 273 and 302 are constitutively charged, the data emphasize the importance of Ser-282 phosphorylation for cMyBP-C function. Transmission electron microscopy confirmed the previous observations of subtle organizational changes at the center of the sarcomere, at the M-line, and in the cMyBP-C–null mice, with the characteristic electron-dense M-line largely absent or irregular (Figure 3E).7,9,31 Consistent with the lack of disarray and fibrosis observed in the cMyBP-CWT(t/t), cMyBP-CSAS(t/t), and cMyBP-CADA(t/t) hearts, the center of those sarcomeres contained a well-defined M line that was indistinguishable from those observed in normal sarcomeres in 81% to 91% of the sarcomeres. In contrast, 83% of the cMyBP-CDAD(t/t) sarcomeres displayed significant M-line abnormalities, suggesting that Ser-282 phosphorylation is necessary for the structural functions of cMyBP-C. Sadayappan et al Table 2. Cardiac Myosin Binding Protein-C Phosphorylation 147 In Vivo Cardiac Hemodynamic Measurements Heart rate, bpm Basal Dobutamine (32 ng/g/min) MAP, mm Hg/s Systolic pressure, mm Hg/s LVP, mm Hg/s dP/dtmax, mm Hg/s LVEDP, mm Hg/s Downloaded from http://circres.ahajournals.org/ by guest on June 15, 2017 dP/dt40, mm Hg/s (t/t) (n⫽8) WT(t/t) (n⫽6) SAS(t/t) (n⫽6) ADA(t/t) (n⫽5) DAD(t/t) (n⫽5) 411⫾8 383⫾7* 400⫾5 363⫾7† 353⫾12† 361⫾20 589⫾10 533⫾16* 587⫾10‡ 555⫾20 514⫾10† 518⫾33 Basal 72.8⫾3 66⫾2 74⫾4 68⫾4 68⫾5 59⫾6 Dobutamine (32 ng/g/min) 67.9⫾10 58⫾6 70⫾3 60⫾5 60⫾5 61⫾4 Basal 86.8⫾7 76⫾5 88⫾5 78⫾5 88⫾8 70⫾5 Dobutamine (32 ng/g/min) 85⫾8 72⫾7 85⫾3 70⫾6 82⫾9 80⫾6 Basal 94.7⫾5 88⫾2 98⫾6 90⫾4 90⫾5 81⫾4* Dobutamine (32 ng/g/min) 106.9⫾4 91⫾4 105⫾4‡ 93⫾3 93⫾4 91⫾4 7853⫾385 7842⫾464 7472⫾582 7058⫾805 6592⫾964 Basal Dobutamine (32 ng/g/min) dP/dtmin, mm Hg/s NTG (n⫽5) 8611⫾703 14 858⫾1362* 19 016⫾664‡ 15 283⫾1426* 14 242⫾1629* 15 268⫾1328* Basal ⫺10 008⫾914 ⫺4486⫾224† ⫺7720⫾361¶ ⫺5868⫾483†‡ ⫺6112⫾724* ⫺6477⫾824* Dobutamine (32 ng/g/min) ⫺14 548⫾2091 ⫺5225⫾409* ⫺10 138⫾952§ ⫺8077⫾495*§ ⫺7143⫾727*‡ ⫺7264⫾505*‡ 10⫾1 15⫾1† 6⫾2 Basal 19 480⫾1227 7.2⫾0.3 13⫾2 5⫾1‡ Dobutamine (32 ng/g/min) 2.6⫾0.8 3⫾0.7 4⫾2 3⫾1 Basal 8053⫾508 7358⫾350 7106⫾294 3⫾1 7082⫾618 3⫾0.8 6270⫾1005 5945⫾901 Dobutamine (32 ng/g/min) 16367⫾499 13 678⫾995* 16 037⫾284‡ 13 536⫾1140* 12 831⫾1364* 13 776⫾902* ADA indicates Ala273-Asp282-Ala302; DAD, Asp273-Ala282-Asp302; dP/dtmax, maximum rate of heart contraction and relaxtion; dP/dtmin, minimum rate of heart contraction and relaxtion; EDP, end-diastolic pressure; LV, left ventricular; LVP, left ventricular pressure; NTG, nontransgenic; MAP, mean arterial pressure; SAS, Ser273-Ala282-Ser302; WT, wild-type. Ventricular contraction and relaxation rates were measured at baseline and during -agonist stimulation in the intact closed chest model, including telemetric measurements of heart rate, MAP, LV systolic pressure and LVEDP, LVP, ⫹dP/dtmax, ⫺dP/dtmin, and the rate of LVP increase determined at an LVP of 40 mm Hg (dP/dt40). Cardiovascular stress response to increasing doses of dobutamine was determined during 3-minute constant infusions (0.1 L/min/g body weight), and data were analyzed using a PowerLab system (AD Instruments). Data are presented as mean⫾SE. *P⬍0.05; †P⬍0.005 compared with NTG; ‡P⬍0.05; §P⬍0.005; ¶P⬍0.0005 compared with (t/t). The heart-to-body weight ratios were normal in cMyBPCSAS(t/t) (0.57⫾0.02) and cMyBP-CADA(t/t) (0.57⫾0.02) mice compared to cMyBP-C WT(t/t) (0.56⫾0.02) and NTG (0.50⫾0.013) controls at 3 months. Consistent with the histology, cMyBP-CDAD(t/t) mouse hearts showed significantly increased heart-to-body weight ratios (0.70⫾0.015, P⬍0.0001 vs NTG), as did the cMyBP-C(t/t) hearts (0.81⫾0.02, P⬍0.0001 vs NTG),7 but with normal systolic function (Table 1). In contrast, cMyBP-CADA(t/t) mice showed normal heart-to-body weight ratios but reduced systolic function, suggesting that phospho-specific mutations have differential effects on cardiac structure and function. M-mode echocardiographic measurements showed that expression of normal cMyBP-C (cMyBP-CWT(t/t)) rescued the cMyBP-C(t/t) phenotype as previously shown (Table 1).7,9 In contrast to those data, cMyBP-CSAS(t/t), cMyBP-CADA(t/t), and cMyBPCDAD(t/t) mice showed only partial rescue of the null phenotype. Each model had significantly increased intraventricular septal thickness and left ventricular end-diastolic and endsystolic dimensions (Table 1), indicating that none was as effective at restoring normal cardiac hemodynamics as the WT protein (Table 1). The cMyBP-CSAS(t/t), cMyBP-CDAD(t/t) and cMyBP-CADA(t/t) hearts, all showed reduced fractional shortening, although only the cMyBP-CADA(t/t) hearts reached statistical significance. These data suggest that phosphorylation at Ser-273, Ser-282, and Ser-302, individually or in combination, is required for normal cardiac function to be maintained long-term. -AR Stimulation and cMyBP-C Phosphorylation Phospho-ablation at Ser-282 attenuates Ser-302 phosphorylation, and we hypothesized that this would critically impact the ability of the heart to respond to -AR stimulation. The cMyBP-CSAS(t/t) hearts contain only cMyBP-CSAS cMyBP-C, allowing us to determine the functional consequence of the inability of Ser-282 to be phosphorylated in vivo during -AR stimulation. We noted that Ser-273 appeared to be hyperphosphorylated in the cMyBP-CSAS hearts at baseline, in contrast to the hypophosphorylation observed at Ser-302 (Figure 4A, 4B). At baseline, all groups showed normal systolic function, suggesting that mutating the three selected phosphorylation sites does not affect systolic function (Table 2). On -AR stimulation (dobutamine infusion), a reduced response was observed in all of the TG hearts, with the exception of those animals expressing the normal cMyBP-C protein (cMyBP-CWT/(t/t)). The cMyBP-CSAS(t/t) hearts further showed significantly decreased phosphorylation at Ser-302 during -agonist stimulation compared to NTG and cMyBPCWT:(t/t) controls, confirming the importance of Ser-282 phosphorylation in mediating Ser-302 phosphorylation as well (Figure 4C). Interestingly, the mice containing phosphor-mimetics (cMyBP-CDAD:(t/t)) and phospho-ablation (cMyBP-CADA:(t/t)) at residues 273 and 302 could not respond normally to dobutamine, emphasizing the importance of normal and, potentially, reversible phosphorylation at each of the three sites in mediating normal function and -agonist⫺induced stimulation. 148 Circulation Research July 8, 2011 Downloaded from http://circres.ahajournals.org/ by guest on June 15, 2017 Figure 5. Cardiac myosin-binding protein-C (cMyBP-C) domains and kinases that target the three phosphorylation motifs. cMyBP-C is the 140-kDa-thick filament sarcomeric proteins that consists of 11 domains; 8 immunoglobulin (oval), and 3 fibronectin type III (square) domains. The C0 domain, phosphorylation motif (m), and a cardiac-unique insertion in the C5 domain are unique (light green) to cMyBP-C when compared to skeletal MyBP-C. The proline-rich/alanine-rich region (Pro-Ala) and hypothesized actin and myosin binding sites are marked. The three phosphorylation motifs, Ser-282, Ser-273, and Ser-302, are shown (reference to the mouse identification number), which are targeted by protein kinase (PK) A,21 PKC,21 Ca2⫹-calmodulin-activated kinase II (CaMKII),19 PKD,22 and the 90-kDa ribosomal s6 kinase (RSK).23 Amino acid sequences are numbered using Uniprot and National Center for Biotechnology Information reference numbers. Note that Ser-282 in the mouse corresponds to Ser-284 in the human sequence. Discussion Increasing data suggest that cMyBP-C phosphorylation can regulate myocardial function,7 sarcomere integrity,9 and, in some cases, can be cardioprotective.9,25 It is currently the only thick filament protein that is differentially phosphorylated by five important kinases (Figure 5) that can impact on cardiac contraction: PKA,21 PKC,21 CaMKII,19 PKD,22 and ribosomal s6 kinase.23 Our present study focused on deciphering the phosphorylation pattern of cMyBP-C and determining which phosphorylatable sites are necessary or perhaps sufficient for normal cardiac function. Although cMyBP-C is extensively phosphorylated under basal conditions, the level of cMyBP-C phosphorylation decreases in animal models during development of heart failure, myocardial injury, pathological hypertrophy, and myocardial stunning.5,20,24,32,33 Previously, to better-understand the mechanisms and significance of cMyBP-C phosphorylation, we established two TG mouse models to determine the necessity and sufficiency of cMyBP-C for normal cardiac function.7,9 Our findings showed that cMyBP-C phosphorylation is essential for normal cardiac function7 and that a phospho-mimetic at the Ser-273, Ser-282, and Ser-302 phosphorylation sites conferred cardioprotection against myocardial ischemia reperfusion injury in either the ␣-myosin heavy chain9 or -myosin heavy chain backgrounds.24 Phosphorylation of Ser-282 was a focus of the present study because phosphorylation levels of this residue are decreased in patients with heart failure32,34 and atrial fibrilla- tion.4 Strikingly, Ser-282 is also selectively phosphorylated by ribosomal s6 kinase, which regulates myofilament function.23 In vitro studies demonstrated that phosphorylation at Ser-282 is a prerequisite for phosphorylation of the Ser-273 and Ser-302 sites.19,21 The data obtained from those studies also showed that the ability to phosphorylate Ser-273 and Ser-302 is markedly reduced when Ser-282 is mutated to alanine, suggesting that hierarchical phosphorylation may be involved in cMyBP-C–mediated regulation of contraction in cardiac muscle. In the present study, we removed the ability of Ser-282 to be phosphorylated to investigate the importance of Ser-282 phosphorylation in maintaining normal cardiac function at the whole organ function. Our data demonstrate that Ser-282 regulates the subsequent phosphorylation of Ser-302, but not Ser-273.19,21,22 We hypothesize that Ser-282 is both a regulatory and functional site for phosphorylation, with the cMyBP-CDAD:(t/t) mice showing significant pathology at the light and ultrastructural levels (Figure 3D, 3E). cMyBP-C is a substrate for PKC, which can phosphorylate Ser-273 and Ser-302 in cardiomyocytes.21 PKC can also phosphorylate cMyBP-C,35 and this series of enzymes, some more selective than others, makes cMyBP-C phosphorylation exquisitely responsive to the changing environment. cMyBP-C phosphorylation, which is partially mediated by PKC, appears to play a critical role in cardiac function.9 However, the roles of these sites in cardiac physiology have not been characterized. PKC phosphorylation mediates a major mechanism by which the myofilament modulates Sadayappan et al Cardiac Myosin Binding Protein-C Phosphorylation Downloaded from http://circres.ahajournals.org/ by guest on June 15, 2017 changes in myocardial function.35 Gautel et al19 obtained in vitro evidence that phosphorylation of Ser-282 may potentiate the PKC phosphorylation sites (Ser-273 and Ser-302), and thus phosphorylation could function as a switch that might also be triggered to mediate accelerated cardiac function during -AR activation. Evidence from other studies suggests that cMyBP-C phosphorylation influences actomyosin Mg2⫹ATPase activity, the kinetics of cross-bridge cycling, and the rate of relaxation.19,36 –38 Therefore, the second objective of the study was to assess the necessity and sufficiency of PKC-mediated cMyBP-C phosphorylation for sarcomeric integrity and for normal cardiac function. cMyBP-CADA(t/t) and cMyBP-CDAD(t/t) hearts showed decreased hemodynamics and contractility relative to cMyBP-CWT(t/t) controls during -AR stimulation because of the constitutive phosphoablation or phospho-mimetic “phosphorylation” (charged residues) of the PKC phosphorylation sites in cMyBP-C. Importantly, cMyBP-C ADA(t/t) mice unambiguously showed the effect of Ser-282 phosphorylation in the absence of PKC site phosphorylation on whole organ anatomy and function and partially rescued the cMyBP-C(t/t) phenotype. Conversely, despite the charged residues at Ser-273 and Ser-302, the cMyBP-CDAD(t/t) hearts displayed extensive damage compared to cMyBP-CADA(t/t) and cMyBP-CSAS(t/t) mice and damage to cellular components (Figure 3) and had hypertrophy over time, mimicking the t/t null phenotype. Why do the cMyBP-CDAD(t/t) hearts display more overt abnormal pathology than the cMyBP-CSAS(t/t) mice when residue 282 is mutated in both? Overexpression of PKC isoforms in the heart causes hypertrophy in adult mice.39 We hypothesize that mimicking constitutive activation of these two PKC sites in cMyBP-C by replacing the two serines with aspartates in the cMyBP-CDAD(t/t) cardiomyocytes is detrimental to the hearts. In contrast, serines 273 and 302 in the cMyBP-CSAS(t/t) will not behave as if they were chronically phosphorylated; in fact, serine 302 will be hypophosphorylated in these hearts and thus not exhibit the effects of chronic phosphorylation, as manifested both by a hypertrophic response and a decreased M-line definition. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. Conclusion In conclusion, our data confirm the critical importance of Ser-282 in maintaining normal cardiac (Figure 3C, 3D) and sarcomere (Figure 3E) architecture regardless of the phosphorylation status of the PKC sites. These data provide strong evidence that cMyBP-C phosphorylation directly affects the heart’s contractile properties and sarcomere organization. 17. 18. 19. Sources of Funding This research was supported by National Institutes of Health grants P01HL69799, P50HL074728, P50HL077101, P01HL059408, R01HL087862 (J.R.), and R01HL105826 (S.S.), and by an American Heart Association Scientist Development grant (0830311N to S.S.). 20. 21. Disclosure None. 22. References 1. Thom T, Haase N, Rosamond W, Howard VJ, Rumsfeld J, Manolio T, Zheng ZJ, Flegal K, O’Donnell C, Kittner S, Lloyd-Jones D, Goff DC Jr, 149 Hong Y, Adams R, Friday G, Furie K, Gorelick P, Kissela B, Marler J, Meigs J, Roger V, Sidney S, Sorlie P, Steinberger J, Wasserthiel-Smoller S, Wilson M, Wolf P, American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics–2006 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation. 2006; 113:e85– e151. Liao R, Wang CK, Cheung HC. Coupling of calcium to the interaction of troponin I with troponin C from cardiac muscle. Biochemistry. 1994;33: 12729 –12734. Houser SR, Piacentino V III, Weisser J. Abnormalities of calcium cycling in the hypertrophied and failing heart. J Mol Cell Cardiol. 2000;32: 1595–1607. El-Armouche A, Boknik P, Eschenhagen T, Carrier L, Knaut M, Ravens U, Dobrev D. Molecular determinants of altered Ca2⫹ handling in human chronic atrial fibrillation. Circulation. 2006;114:670 – 680. Decker RS, Decker ML, Kulikovskaya I, Nakamura S, Lee DC, Harris K, Klocke FJ, Winegrad S. Myosin-binding protein C phosphorylation, myofibril structure, and contractile function during low-flow ischemia. Circulation. 2005;111:906 –912. Harris SP, Bartley CR, Hacker TA, McDonald KS, Douglas PS, Greaser ML, Powers PA, Moss RL. Hypertrophic cardiomyopathy in cardiac myosin binding protein-C knockout mice. Circ Res. 2002;90:594 – 601. Sadayappan S, Gulick J, Osinska H, Martin LA, Hahn HS, Dorn GW II, Klevitsky R, Seidman CE, Seidman JG, Robbins J. Cardiac myosinbinding protein-C phosphorylation and cardiac function. Circ Res. 2005; 97:1156 –1163. Bennett PM, Fürst DO, Gautel M. The C-protein (myosin binding protein C) family: regulators of contraction and sarcomere formation? Rev Physiol Biochem Pharmacol. 1999;138:203–234. Sadayappan S, Osinska H, Klevitsky R, Lorenz JN, Sargent M, Molkentin JD, Seidman CE, Seidman JG, Robbins J. Cardiac myosin binding protein C phosphorylation is cardioprotective. Proc Natl Acad Sci U S A. 2006; 103:16918 –16923. Offer G, Moos C, Starr R. A new protein of the thick filaments of vertebrate skeletal myofibrils. Extractions, purification and characterization. J Mol Biol. 1973;74:653– 676. Pepe FA, Drucker B. The myosin filament. III. C-protein. J Mol Biol. 1975;99:609 – 617. Gruen M, Prinz H, Gautel M. cAPK-phosphorylation controls the interaction of the regulatory domain of cardiac myosin binding protein C with myosin-S2 in an on-off fashion. FEBS Lett. 1999;453:254 –259. Okagaki T, Weber FE, Fischman DA, Vaughan KT, Mikawa T, Reinach FC. The major myosin-binding domain of skeletal muscle MyBP-C (C protein) resides in the COOH-terminal, immunoglobulin C2 motif. J Cell Biol. 1993;123:619 – 626. Starr R, Offer G. The interaction of C-protein with heavy meromyosin and subfragment-2. Biochem J. 1978;171:813– 816. Moos C, Mason CM, Besterman JM, Feng IN, Dubin JH. The binding of skeletal muscle C-protein to F-actin, and its relation to the interaction of actin with myosin subfragment-1. J Mol Biol. 1978;124:571–586. Hartzell HC. Effects of phosphorylated and unphosphorylated C-protein on cardiac actomyosin ATPase. J Mol Biol. 1985;186:185–195. Freiburg A, Gautel M. A molecular map of the interactions between titin and myosin-binding protein C. Implications for sarcomeric assembly in familial hypertrophic cardiomyopathy. Eur J Biochem. 1996;235: 317–323. Squire JM, Luther PK, Knupp C. Structural evidence for the interaction of C-protein (MyBP-C) with actin and sequence identification of a possible actin-binding domain. J Mol Biol. 2003;331:713–724. Gautel M, Zuffardi O, Freiburg A, Labeit S. Phosphorylation switches specific for the cardiac isoform of myosin binding protein-C: a modulator of cardiac contraction? Embo J. 1995;14:1952–1960. Yuan C, Guo Y, Ravi R, Przyklenk K, Shilkofski N, Diez R, Cole RN, Murphy AM. Myosin binding protein C is differentially phosphorylated upon myocardial stunning in canine and rat hearts— evidence for novel phosphorylation sites. Proteomics. 2006;6:4176 – 4186. Mohamed AS, Dignam JD, Schlender KK. Cardiac myosin-binding protein C (MyBP-C): identification of protein kinase A and protein kinase C phosphorylation sites. Arch Biochem Biophys. 1998;358:313–319. Bardswell SC, Cuello F, Rowland AJ, Sadayappan S, Robbins J, Gautel M, Walker JW, Kentish JC, Avkiran M. Distinct sarcomeric substrates are responsible for protein kinase D-mediated regulation of cardiac myofilament Ca2⫹ sensitivity and cross-bridge cycling. J Biol Chem. 2010; 285:5674 –5682. 150 Circulation Research July 8, 2011 Downloaded from http://circres.ahajournals.org/ by guest on June 15, 2017 23. Cuello F, Bardswell SC, Haworth RS, Ehler E, Sadayappan S, Kentish JC, Avkiran M. Novel role for p90 ribosomal S6 kinase in the regulation of cardiac myofilament phosphorylation. J Biol Chem. 2011;286: 5300 –5310. 24. Sadayappan S, Gulick J, Klevitsky R, Lorenz JN, Sargent M, Molkentin JD, Robbins J. Cardiac myosin binding protein-C phosphorylation in a {beta}-myosin heavy chain background. Circulation. 2009;119: 1253–1262. 25. Barefield D, Sadayappan S. Phosphorylation and function of cardiac myosin binding protein-C in health and disease. J Mol Cell Cardiol. 2010;48:866 – 875. 26. McClellan G, Kulikovskaya I, Winegrad S. Changes in cardiac contractility related to calcium-mediated changes in phosphorylation of myosinbinding protein C. Biophys J. 2001;81:1083–1092. 27. Cheng L, Qing Q, Ding G, Huang Y, Floyd D, Woods D, Yang Q. Substitution of a constantly phosphorylated cardiac myosin binding protein C in transgenic mouse hearts enhances cardiac performance. Circulation. 2003;108(Suppl IV):IV–90. 28. Yang Q, Sanbe A, Osinska H, Hewett TE, Klevitsky R, Robbins J. In vivo modeling of myosin binding protein C familial hypertrophic cardiomyopathy. Circ Res. 1999;85:841– 847. 29. Zhang T, Kohlhaas M, Backs J, Mishra S, Phillips W, Dybkova N, Chang S, Ling H, Bers DM, Maier LS, Olson EN, Brown JH. CaMKIIdelta isoforms differentially affect calcium handling but similarly regulate HDAC/MEF2 transcriptional responses. J Biol Chem. 2007;282:35078–35087. 30. Strait JB III, Martin JL, Bayer A, Mestril R, Eble DM, Samarel AM. Role of protein kinase C-epsilon in hypertrophy of cultured neonatal rat ventricular myocytes. Am J Physiol Heart Circ Physiol. 2001;280: H756 –H766. 31. McConnell BK, Jones KA, Fatkin D, Arroyo LH, Lee RT, Aristizabal O, Turnbull DH, Georgakopoulos D, Kass D, Bond M, Niimura H, Schoen FJ, Conner D, Fischman DH, Seidman CE, Seidman JG. Dilated cardiomyopathy in homozygous myosin binding protein-C mutant mice. J Clin Invest. 1999;104:1235–1244. Copeland O, Sadayappan S, Messer AE, Steinen GJ, van der Velden J, Marston SB. Analysis of cardiac myosin binding protein-C phosphorylation in human heart muscle. J Mol Cell Cardiol. 2010;49:1003–1011. Sadayappan S, Robbins J. The death of transcriptional chauvinism in the control and regulation of cardiac contractility. Ann N Y Acad Sci. 2008; 1123:1–9. El-Armouche A, Pohlmann L, Schlossarek S, Starbatty J, Yeh YH, Nattel S, Dobrev D, Eschenhagen T, Carrier L. Decreased phosphorylation levels of cardiac myosin-binding protein-C in human and experimental heart failure. J Mol Cell Cardiol. 2007;43:223–229. Pyle WG, Chen Y, Hofmann PA. Cardioprotection through a PKCdependent decrease in myofilament ATPase. Am J Physiol Heart Circ Physiol. 2003;285:H1220 –H1228. Hartzell HC, Glass DB. Phosphorylation of purified cardiac muscle C-protein by purified cAMP-dependent and endogenous Ca2⫹-calmodulin-dependent protein kinases. J Biol Chem. 1984;259: 15587–15596. Schlender KK, Bean LJ. Phosphorylation of chicken cardiac C-protein by calcium/calmodulin-dependent protein kinase II. J Biol Chem. 1991;266: 2811–2817. McClellan G, Weisberg A, Winegrad S. cAMP can raise or lower cardiac actomyosin ATPase activity depending on alpha-adrenergic activity. Am J Physiol. 1994;267:H431–H442. Bowman JC, Steinberg SF, Jiang T, Geenen DL, Fishman GI, Buttrick PM. Expression of protein kinase C beta in the heart causes hypertrophy in adult mice and sudden death in neonates. J Clin Invest. 1997;100:2189 –2195. 32. 33. 34. 35. 36. 37. 38. 39. Novelty and Significance What Is Known? ● ● ● Cardiac myosin binding protein-C (cMyBP-C) can be phosphorylated at multiple sites, with phosphorylation levels decreasing during cardiac stress and the development of heart failure. Three of the serines in cMyBP-C (Ser-273, Ser-282, and Ser-302) are substrates for protein kinase A, protein kinase C, protein kinase D, 90-kDa ribosomal s6 kinase, and Ca2⫹-calmodulin-activated kinase II. It is unclear whether phosphorylation of these sites is functionally equivalent. What New Information Does This Article Contribute? ● ● During cardiac stress, Ser-282 phosphorylation is differentially regulated, compared to the other two sites, suggesting that Ser-282 phosphorylation has a unique role in myocardial function. A phosphorylated serine at position 282 is required for Ser-302 phosphorylation, suggesting that Ser-282 phosphorylation is a critical determinant of cMyBP-C phosphorylation at Ser-302. ● ● Ser-302 is differentially phosphorylated by calmodulin-dependent protein kinase II. The data suggest that Ser-282 phosphorylation may act in a regulatory manner. In addition, Ser-302 is also a functional site, partially mediating the contractile response to -adrenergic stimulation. We previously determined that cMyBP-C phosphorylation is vital for normal cardiac function and that phosphorylation of the Ser-273, Ser-282, and Ser-302 sites conferred cardioprotection against ischemic reperfusion injury in either the ␣-myosin heavy chain or the -myosin heavy chain backgrounds. In the present study, we discovered that Ser-282 phosphorylation is a critical determinant of Ser-302 phosphorylation and that Ser-282 partially regulates the contractile response to -adrenergic stimulation in vivo. Future studies will define the functional and mechanistic effects of cMyBP-C phosphorylation at individual sites in mediating the interactions of cMyBP-C with other sarcomeric proteins, as well as posttranslational effects on sarcomeric integrity and myocardial function. Downloaded from http://circres.ahajournals.org/ by guest on June 15, 2017 A Critical Function for Ser-282 in Cardiac Myosin Binding Protein-C Phosphorylation and Cardiac Function Sakthivel Sadayappan, James Gulick, Hanna Osinska, David Barefield, Friederike Cuello, Metin Avkiran, Valerie M. Lasko, John N. Lorenz, Marjorie Maillet, Jody L. Martin, Joan Heller Brown, Donald M. Bers, Jeffery D. Molkentin, Jeanne James and Jeffrey Robbins Circ Res. 2011;109:141-150; originally published online May 19, 2011; doi: 10.1161/CIRCRESAHA.111.242560 Circulation Research is published by the American Heart Association, 7272 Greenville Avenue, Dallas, TX 75231 Copyright © 2011 American Heart Association, Inc. All rights reserved. Print ISSN: 0009-7330. Online ISSN: 1524-4571 The online version of this article, along with updated information and services, is located on the World Wide Web at: http://circres.ahajournals.org/content/109/2/141 Data Supplement (unedited) at: http://circres.ahajournals.org/content/suppl/2011/05/19/CIRCRESAHA.111.242560.DC1 Permissions: Requests for permissions to reproduce figures, tables, or portions of articles originally published in Circulation Research can be obtained via RightsLink, a service of the Copyright Clearance Center, not the Editorial Office. Once the online version of the published article for which permission is being requested is located, click Request Permissions in the middle column of the Web page under Services. Further information about this process is available in the Permissions and Rights Question and Answer document. Reprints: Information about reprints can be found online at: http://www.lww.com/reprints Subscriptions: Information about subscribing to Circulation Research is online at: http://circres.ahajournals.org//subscriptions/ Online Supplement Figures A Critical Function for Ser-282 in Cardiac Myosin Binding Protein-C Phosphorylation and Cardiac Function Sakthivel Sadayappan, James Gulick, Lisa A. Martin, Hanna Osinska, David Barefield, Friederike Cuello, Metin Avkiran, Valerie M. Lasko, John N. Lorenz, Marjorie Maillet, Jody L. Martin, Joan Heller Brown, Donald M. Bers, Jeffery D. Molkentin, Jeanne James and Jeffrey Robbins From the Department of Cell and Molecular Physiology, Stritch School of Medicine, Loyola University Chicago, 2160 South First Avenue, Maywood, IL 60153, USA (S.S., D.B., J.L.M.); Division of Molecular Cardiovascular Biology, Department of Pediatrics, The Cincinnati Children’s Hospital Medical Center, Cincinnati, OH 45229, USA (J.G., L.A.M., H.O., M.M., J.D.M., J.J., J.R.); Cardiovascular Division, King’s College London, The Rayne Institute, St Thomas’ Hospital, London SE1 7EH, United Kingdom (F.C., M.A.); Department of Molecular and Cellular Physiology, University of Cincinnati College of Medicine, University of Cincinnati, Cincinnati, OH 45279, USA (V.M.L, J.N.L.); Department of Pharmacology, University of California, La Jolla, CA 92093-0636 (J.H.B); Department of Pharmacology, University of California Davis, Genomics and Biological Sciences Facility, 451 Health Sciences Drive, Davis, CA 95616, USA (D.M.B.). Running title: Phosphorylation of Cardiac Myosin Binding Protein-C Correspondence to Jeffrey Robbins PhD, Division of Molecular Cardiovascular Biology, Cincinnati Children’s Hospital Medical Center, MLC 7020, 240 Albert Sabin Way, Cincinnati, OH 45229-3039. Tel: (513) 636-8098; Fax: (513) 636-5958. E-mail: [email protected] Online Supplement Figure I. CaMKII requires high levels of Ca2+ to phosphorylate Ser282 in cMyBP-C. Recombinant His6-tagged C1-M-C2 peptide of human cMyBP-C (100 pmol) was incubated with pre-activated CaMKII at either 2mM or 25mM CaCl2, 1.2µM CaM, 200 µM ATP for 10 min at 30°C, with recombinant Calmodulin-dependent Protein Kinase II (CaMKII); New England Biolabs Cat. No. P6060S or the PKA catalytic subunit (Millipore) for 20 min at 30°C in a final volume of 50 µl (30mM Tris pH 7.4; 15mM MgCl2; 1mM DTT; 100µM ATP). Proteins were subsequently resolved on 12% acrylamide gels, transferred nitrocellulose membranes and immunoblotted with antipSer273 (1:3000), anti-pSer282 (1:3000) or anti-pSer302 (1:10000) phospho-specific antibodies or anti-cMyBP-C2-14 antibody. Results show that Ser-302 is preferentially phosphorylated by the enzyme at low Ca2+ concentrations while at higher Ca2+ concentrations Ser-282 is phosphorylatable by CaMKII. Online Supplement Figure II. Transgenic (TG) expression of cMyBP-C mutant lines. A, Southern blot analysis of genomic DNA from non-transgenic (NTG), wild-type (WT) TG line 21, three lines from cMyBP-CSAS (lines 142, 153 and 155), three lines of cMyBPCADA (lines 14, 22 and 25) and three lines of cMyBP-CDAD (lines 212, 214 and 151). Ten µg of total genomic DNA was digested with EcoRI, separated on agarose, transferred to nitrocellulose and probed with an α-myosin heavy chain promoter specific probe (1000 bp), which recognize both endogenous and TG sequences. Quantitation of the signal indicated that the cMyBP-CSAS, cMyBP-CADA and cMyBP-CDAD lines used for the subsequent studies inherited 5, 4 and 2 transgene copies, respectively, compared to 6 copies in the WT TG line 21. Expression of the cMyBP-C mutant constructs did not result in any detectable embryonic lethality. B-C, Northern blot analyses of total mRNA from left ventricles derived from 3-month old NTG, WT-Tg line 21 and 3 lines from the cMyBP-C mutant mice. To confirm expression of the intact and correctly sized transcript, Northern blot analysis was performed with cMyBP-C and GAPDH probes. Results show that compared to the NTG, significantly increased cMyBP-C transcript levels were observed in the selected TG lines (*P<0.01, n=3). D, Representative SDS-PAGE analysis shows the conservation of the sarcomeric protein levels in these mice compared with a NTG sample. Five µg of total myofilament proteins were loaded on a 4-15% gradient gel (Bio-Rad, Cat. No. 456-1083) and stained with SYPRO-RUBY (Bio-Rad, Cat. No. 1703138). E, Western blot analysis shows the absence of TG cMyBP-C in the NTG hearts and the presence of myc-tagged Tg cMyBP-C in TG mice. cTnI was used as a loading control (Cell Signaling Technology, Cat. No. 4002S). F-H, Total cMyBP-C levels as well as the presence of myc-tagged cMyBP-C protein was confirmed by Western blot analysis. 5 µg of total myofilament proteins were loaded from the respective lines on the same SDS-PAGE for Western blot analysis using monoclonal anti-Myc tag antibody (Roche, Cat. No. 11667149001). NTG hearts do not express the Myc-tagged cMyBP-C. The purpose of loading total myofilament proteins from both the single TG lines and the TG line in the (t/t) background mice on the same gel, side by side, was to normalize the loading and allow us to calculate the cMyBP-C Myc-tag replacement. In the homozygous (t/t) background, TG cMyBP-C levels are equal to 100% as there was no trace of cMyBPC determined in the (t/t) background (Figure 2).1-3 TG Myc-tagged cMyBP-C was first normalized with α-actin (TG Myc/actin). TG Myc-tagged cMyBP-C in the (t/t) background was then normalized with α- actin (TG Myc(t/t)/actin). Then to obtain the amount of replacement in the transgenic lines, the value of [TG Myc/actin]/[ TG Myc(t/t)/actin]*100 was determined. The data obtained from these analyses were used to determine the level of cMyBP-C mutant replacement in the TG lines, compared to the expression in the cMyBP-C null (t/t) background. α- actin was used as a loading control (Sigma, Cat. No. A2172). References: 1. 2. 3. Sadayappan S, Gulick J, Klevitsky R, Lorenz JN, Sargent M, Molkentin JD, Robbins J. Cardiac myosin binding protein-c phosphorylation in a {beta}-myosin heavy chain background. Circulation. 2009;119:1253-1262 Sadayappan S, Gulick J, Osinska H, Martin LA, Hahn HS, Dorn GW, 2nd, Klevitsky R, Seidman CE, Seidman JG, Robbins J. Cardiac myosin binding protein-c phosphorylation and cardiac function. Circ Res. 2005;97:1156-1163 Sadayappan S, Osinska H, Klevitsky R, Lorenz JN, Sargent M, Molkentin JD, Seidman CE, Seidman JG, Robbins J. Cardiac myosin binding protein-c phosphorylation is cardioprotective. Proc Natl Acad Sci U S A. 2006;103:1691816923
© Copyright 2026 Paperzz