Arginine vasopressin (AVP) levels are elevated in patients with heart failure, and increased plasma AVP concentrations are positively correlated with disease severity and mortality. Metoprolol (Met) is a β-blocker widely used clinically to treat pathological cardiac hypertrophy and improve cardiac function. However, the specific mechanisms by which Met alleviates AVP-induced pathological cardiac hypertrophy remain unclear. Here, researchers found that AKT1, but not AKT2, mediated the pathological process of AVP-induced cardiomyocyte hypertrophy. Sustained AVP stimulation led to hypertrophy in H9C2 rat cardiomyocytes, characterized by downregulated AKT1 and SERCA2 expression, upregulated PLN expression, and increased cytoplasmic calcium concentration. Furthermore, AKT1 overexpression increased SERCA2 expression and decreased PLN expression in H9C2 cells. The researchers also found that Met could attenuate the AVP-induced changes in AKT1, SERCA2, and PLN expression and reduce the cytoplasmic calcium concentration in H9C2 cells. These findings suggest that the AKT1-SERCA2 signaling pathway plays an important regulatory role in AVP-induced pathological cardiac hypertrophy.
To further understand the mechanisms of cardiomyocyte hypertrophy during AKT1 overexpression, researchers conducted a series of studies. Compared to untreated cardiomyocytes, long-term treatment with AVP significantly reduced the expression of SERCA2 protein and increased the expression of PLN in cardiomyocytes. Furthermore, in AKT1-overexpressing cells, SERCA2 expression was upregulated, while PLN expression was downregulated. In AKT1 overexpressing H9C2 cells, the effects of AVP on SERCA2 and PLN expression were significantly attenuated (Figure 1a, b). In addition, researchers measured intracellular calcium storage and found that AVP treatment significantly increased intracellular Ca2+ concentration, while this effect on intracellular Ca2+ concentration was almost completely abolished in AVP-treated H9C2 cells overexpressing AKT1 (Figure 1c, d).
Figure 1. AKT1 overexpression upregulated the protein expression of SERCA2 and downregulated the protein expression of PLN. (Zhao J, et al., 2020)