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Intracellular Ca2+ Dysregulation in Coronary Smooth Muscle Is Similar in Coronary Disease of Humans and Ossabaw Miniature Swine

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Abstract

Intracellular free Ca2+ ([Ca2+]i) dysregulation occurs in coronary smooth muscle (CSM) in atherosclerotic coronary artery disease (CAD) of metabolic syndrome (MetS) swine. Our goal was to determine how CAD severity, arterial structure, and MetS risk factors associate with [Ca2+]i dysregulation in human CAD compared to changes in Ossabaw miniature swine. CSM cells were dispersed from coronary arteries of explanted hearts from transplant recipients and from lean and MetS swine with CAD. CSM [Ca2+]i elicited by Ca2+ influx and sarcoplasmic reticulum (SR) Ca2+ release and sequestration was measured with fura-2. Increased [Ca2+]i signaling was associated with advanced age and a greater media area in human CAD. Decreased [Ca2+]i signaling was associated with a greater number of risk factors and a higher plaque burden in human and swine CAD. Similar [Ca2+]i dysregulation exhibited in human and Ossabaw swine CSM provides strong evidence for the translational relevance of this large animal model.

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Abbreviations

BMI:

Body mass index

[Ca2+]i :

Intracellular free calcium

CSM:

Coronary smooth muscle

CAD:

Coronary artery disease

LDL:

Low-density lipoprotein

LVAD:

Left ventricular assist device

MetS:

Metabolic syndrome

SERCA:

Sarco-endoplasmic reticulum Ca2+ ATPase

SR:

Sarcoplasmic reticulum

References

  1. Benjamin, E. J., Virani, S. S., Callaway, C. W., Chamberlain, A. M., Chang, A. R., Cheng, S., et al. (2018). Heart Disease and stroke statistics-2018 update: A report from the American Heart Association. Circulation, 137(12), e67–e492. https://doi.org/10.1161/CIR.0000000000000558.

    Article  PubMed  Google Scholar 

  2. Wexler, R. K., Elton, T., Pleister, A., & Feldman, D. (2009). Cardiomyopathy: An overview. American Family Physician, 79(9), 778–784.

    PubMed  PubMed Central  Google Scholar 

  3. Libby, P., Ridker, P. M., & Hansson, G. K. (2011). Progress and challenges in translating the biology of atherosclerosis. Nature, 473(7347), 317–325. https://doi.org/10.1038/nature10146.

    Article  CAS  PubMed  Google Scholar 

  4. Owens, G. K., Kumar, M. S., & Wamhoff, B. R. (2004). Molecular regulation of vascular smooth muscle cell differentiation in development and disease. Physiological Reviews, 84(3), 767–801. https://doi.org/10.1152/physrev.00041.2003.

    Article  CAS  PubMed  Google Scholar 

  5. van der Schaaf, R. J., Timmer, J. R., Ottervanger, J. P., Hoorntje, J. C., de Boer, M. J., Suryapranata, H., et al. (2006). Long-term impact of multivessel disease on cause-specific mortality after ST elevation myocardial infarction treated with reperfusion therapy. Heart, 92(12), 1760–1763. https://doi.org/10.1136/hrt.2005.086058.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Mozaffarian, D., Benjamin, E. J., Go, A. S., Arnett, D. K., Blaha, M. J., Cushman, M., et al. (2016). Heart Disease and stroke statistics-2016 update: A report from the American Heart Association. Circulation, 133(4), e38–e60. https://doi.org/10.1161/CIR.0000000000000350.

    Article  PubMed  Google Scholar 

  7. Karwowski, W., Naumnik, B., Szczepanski, M., & Mysliwiec, M. (2012). The mechanism of vascular calcification - A systematic review. Medical Science Monitor, 18(1), RA1–RA11.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Hill-Eubanks, D. C., Werner, M. E., Heppner, T. J., & Nelson, M. T. (2011). Calcium signaling in smooth muscle. Cold Spring Harbor Perspectives in Biology, 3(9), a004549. https://doi.org/10.1101/cshperspect.a004549.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Wamhoff, B. R., Bowles, D. K., McDonald, O. G., Sinha, S., Somlyo, A. P., Somlyo, A. V., et al. (2004). L-type voltage-gated Ca2+ channels modulate expression of smooth muscle differentiation marker genes via a rho kinase/myocardin/SRF-dependent mechanism. Circulation Research, 95(4), 406–414. https://doi.org/10.1161/01.RES.0000138582.36921.9e.

    Article  CAS  PubMed  Google Scholar 

  10. Lundberg, M. S., Curto, K. A., Bilato, C., Monticone, R. E., & Crow, M. T. (1998). Regulation of vascular smooth muscle migration by mitogen-activated protein kinase and calcium/calmodulin-dependent protein kinase II signaling pathways. Journal of Molecular and Cellular Cardiology, 30(11), 2377–2389. https://doi.org/10.1006/jmcc.1998.0795.

    Article  CAS  PubMed  Google Scholar 

  11. Pauly, R. R., Bilato, C., Sollott, S. J., Monticone, R., Kelly, P. T., Lakatta, E. G., et al. (1995). Role of calcium/calmodulin-dependent protein kinase II in the regulation of vascular smooth muscle cell migration. Circulation, 91(4), 1107–1115. https://doi.org/10.1161/01.cir.91.4.1107.

    Article  CAS  PubMed  Google Scholar 

  12. House, S. J., Potier, M., Bisaillon, J., Singer, H. A., & Trebak, M. (2008). The non-excitable smooth muscle: Calcium signaling and phenotypic switching during vascular disease. Pflügers Archiv, 456(5), 769–785. https://doi.org/10.1007/s00424-008-0491-8.

    Article  CAS  PubMed  Google Scholar 

  13. Kruse, H. J., Bauriedel, G., Heimerl, J., Hofling, B., & Weber, P. C. (1994). Role of L-type calcium channels on stimulated calcium influx and on proliferative activity of human coronary smooth muscle cells. Journal of Cardiovascular Pharmacology, 24(2), 328–335.

    Article  CAS  PubMed  Google Scholar 

  14. Nilsson, J., Sjolund, M., Palmberg, L., Von Euler, A. M., Jonzon, B., & Thyberg, J. (1985). The calcium antagonist nifedipine inhibits arterial smooth muscle cell proliferation. Atherosclerosis, 58(1-3), 109–122. https://doi.org/10.1016/0021-9150(85)90059-0.

    Article  CAS  PubMed  Google Scholar 

  15. Jiang, H., & Stephens, N. L. (1994). Calcium and smooth muscle contraction. Molecular and Cellular Biochemistry, 135(1), 1–9. https://doi.org/10.1007/BF00925956.

    Article  CAS  PubMed  Google Scholar 

  16. Sturek, M. (2011). Ca2+ regulatory mechanisms of exercise protection against coronary artery disease in metabolic syndrome and diabetes. Journal of Applied Physiology, 111(2), 573–586. https://doi.org/10.1152/japplphysiol.00373.2011.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Witczak, C. A., Wamhoff, B. R., & Sturek, M. (2006). Exercise training prevents Ca2+ dysregulation in coronary smooth muscle from diabetic dyslipidemic Yucatan swine. Journal of Applied Physiology, 101(3), 752–762. https://doi.org/10.1152/japplphysiol.00235.2006.

    Article  CAS  PubMed  Google Scholar 

  18. Berwick, Z. C., Dick, G. M., O’Leary, H. A., Bender, S. B., Goodwill, A. G., Moberly, S. P., et al. (2013). Contribution of electromechanical coupling between Kv and Ca v1.2 channels to coronary dysfunction in obesity. Basic Research in Cardiology, 108(5), 370. https://doi.org/10.1007/s00395-013-0370-0.

    Article  PubMed  Google Scholar 

  19. Edwards, J. M., Neeb, Z. P., Alloosh, M. A., Long, X., Bratz, I. N., Peller, C. R., et al. (2010). Exercise training decreases store-operated Ca2+ entry associated with metabolic syndrome and coronary atherosclerosis. Cardiovascular Research, 85(3), 631–640. https://doi.org/10.1093/cvr/cvp308.

    Article  CAS  PubMed  Google Scholar 

  20. Hill, B. J., Price, E. M., Dixon, J. L., & Sturek, M. (2003). Increased calcium buffering in coronary smooth muscle cells from diabetic dyslipidemic pigs. Atherosclerosis, 167(1), 15–23. https://doi.org/10.1016/s0021-9150(02)00381-7.

    Article  CAS  PubMed  Google Scholar 

  21. Neeb, Z. P., Edwards, J. M., Alloosh, M., Long, X., Mokelke, E. A., & Sturek, M. (2010). Metabolic syndrome and coronary artery disease in Ossabaw compared with Yucatan swine. Comparative Medicine, 60(4), 300–315.

    CAS  PubMed  PubMed Central  Google Scholar 

  22. McKenney-Drake, M. L., Rodenbeck, S. D., Owen, M. K., Schultz, K. A., Alloosh, M., Tune, J. D., et al. (2016). Biphasic alterations in coronary smooth muscle Ca2+ regulation in a repeat cross-sectional study of coronary artery disease severity in metabolic syndrome. Atherosclerosis, 249, 1–9. https://doi.org/10.1016/j.atherosclerosis.2016.03.032.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Sturek, M., Alloosh, M., & Sellke, F. W. (2020). Swine disease models for optimal vascular engineering. Annual Review of Biomedical Engineering, 22, 25–49. https://doi.org/10.1146/annurev-bioeng-082919-053009.

    Article  CAS  PubMed  Google Scholar 

  24. Badin, J. K., Bruning, R. S., & Sturek, M. (2018). Effect of metabolic syndrome and aging on Ca2+ dysfunction in coronary smooth muscle and coronary artery disease severity in Ossabaw miniature swine. Experimental Gerontology, 108, 247–255. https://doi.org/10.1016/j.exger.2018.04.024.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  25. Badin, J. K., Kole, A., Stivers, B., Progar, V., Pareddy, A., Alloosh, M., et al. (2018). Alloxan-induced diabetes exacerbates coronary atherosclerosis and calcification in Ossabaw miniature swine with metabolic syndrome. Journal of Translational Medicine, 16(1), 58. https://doi.org/10.1186/s12967-018-1431-9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  26. Institute for Laboratory Animal Research. (2010). Guide for the care and use of laboratory animals. National Academy Press.

  27. AVMA Panel on Euthanasia.American Veterinary Medical Association. (2001). 2000 report of the AVMA panel on euthanasia. JAVMA, 218, 669–696.

    Article  Google Scholar 

  28. Grynkiewicz, G., Poenie, M., & Tsien, R. Y. (1985). A new generation of Ca2+ indicators with greatly improved fluorescence properties. J.Biol.Chem., 260, 3440–3450.

    Article  CAS  PubMed  Google Scholar 

  29. Oliver, A. E., Baker, G. A., Fugate, R. D., Tablin, F., & Crowe, J. H. (2000). Effects of temperature on calcium-sensitive fluorescent probes. Biophysical Journal, 78(4), 2116–2126. https://doi.org/10.1016/S0006-3495(00)76758-0.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. Dineen, S. L., McKenney, M. L., Bell, L. N., Fullenkamp, A. M., Schultz, K. A., Alloosh, M., et al. (2015). Metabolic syndrome abolishes glucagon-like peptide 1 receptor agonist stimulation of SERCA in coronary smooth muscle. Diabetes, 64(9), 3321–3327. https://doi.org/10.2337/db14-1790.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  31. McKenney-Drake, M. L., Territo, P. R., Salavati, A., Houshmand, S., Persohn, S., Liang, Y., et al. (2016). 18F-NaF PET imaging of early coronary artery calcification. JACC: Cardiovascular Imaging, 9, 627–628. https://doi.org/10.1016/j.jcmg.2015.02.026.

    Article  PubMed  Google Scholar 

  32. Rodenbeck, S. D., Zarse, C. A., McKenney-Drake, M. L., Bruning, R. S., Sturek, M., Chen, N. X., et al. (2017). Intracellular calcium increases in vascular smooth muscle cells with progression of chronic kidney disease in a rat model. Nephrology, Dialysis, Transplantation, 32(3), 450–458. https://doi.org/10.1093/ndt/gfw274.

    Article  CAS  PubMed  Google Scholar 

  33. Bobe, R., Hadri, L., Lopez, J. J., Sassi, Y., Atassi, F., Karakikes, I., et al. (2011). SERCA2a controls the mode of agonist-induced intracellular Ca2+ signal, transcription factor NFAT and proliferation in human vascular smooth muscle cells. Journal of Molecular and Cellular Cardiology, 50(4), 621–633. https://doi.org/10.1016/j.yjmcc.2010.12.016.

    Article  CAS  PubMed  Google Scholar 

  34. Karagiannis, G. S., Weile, J., Bader, G. D., & Minta, J. (2013). Integrative pathway dissection of molecular mechanisms of moxLDL-induced vascular smooth muscle phenotype transformation. BMC Cardiovascular Disorders, 13, 4. https://doi.org/10.1186/1471-2261-13-4.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  35. Spillmann, F., Miteva, K., Pieske, B., Tschope, C., & Van Linthout, S. (2015). High-density lipoproteins reduce endothelial-to-mesenchymal transition. Arteriosclerosis, Thrombosis, and Vascular Biology, 35(8), 1774–1777. https://doi.org/10.1161/ATVBAHA.115.305887.

    Article  CAS  PubMed  Google Scholar 

  36. Wang, Y., Ji, L., Jiang, R., Zheng, L., & Liu, D. (2014). Oxidized high-density lipoprotein induces the proliferation and migration of vascular smooth muscle cells by promoting the production of ROS. Journal of Atherosclerosis and Thrombosis, 21(3), 204–216. https://doi.org/10.5551/jat.19448.

    Article  CAS  PubMed  Google Scholar 

  37. Gheorghiade, M., & Bonow, R. O. (1998). Chronic heart failure in the United States: a manifestation of coronary artery disease. Circulation, 97(3), 282–289. https://doi.org/10.1161/01.cir.97.3.282.

    Article  CAS  PubMed  Google Scholar 

  38. Bart, B. A., Shaw, L. K., McCants Jr., C. B., Fortin, D. F., Lee, K. L., Califf, R. M., et al. (1997). Clinical determinants of mortality in patients with angiographically diagnosed ischemic or nonischemic cardiomyopathy. Journal of the American College of Cardiology, 30(4), 1002–1008. https://doi.org/10.1016/s0735-1097(97)00235-0.

    Article  CAS  PubMed  Google Scholar 

  39. Kim, J. Y., Mun, H. S., Lee, B. K., Yoon, S. B., Choi, E. Y., Min, P. K., et al. (2010). Impact of metabolic syndrome and its individual components on the presence and severity of angiographic coronary artery disease. Yonsei Medical Journal, 51(5), 676–682. https://doi.org/10.3349/ymj.2010.51.5.676.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  40. Gui, M. H., Ling, Y., Liu, L., Jiang, J. J., Li, X. Y., & Gao, X. (2017). Effect of metabolic syndrome score, metabolic syndrome, and its individual components on the prevalence and severity of angiographic coronary artery disease. Chinese Medical Journal (England), 130(6), 669–677. https://doi.org/10.4103/0366-6999.201611.

    Article  CAS  Google Scholar 

  41. Ahmadi, A., Leipsic, J., Feuchtner, G., Gransar, H., Kalra, D., Heo, R., et al. (2015). Is metabolic syndrome predictive of prevalence, extent, and risk of coronary artery disease beyond its components? Results from the multinational coronary CT angiography evaluation for clinical outcome: An international multicenter registry (CONFIRM). PLoS One, 10(3), e0118998. https://doi.org/10.1371/journal.pone.0118998.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  42. Miura, Y., Fukumoto, Y., Shiba, N., Miura, T., Shimada, K., Iwama, Y., et al. (2010). Prevalence and clinical implication of metabolic syndrome in chronic heart failure. Circulation Journal, 74(12), 2612–2621. https://doi.org/10.1253/circj.cj-10-0677.

    Article  PubMed  Google Scholar 

  43. Klotz, S., Jan Danser, A. H., & Burkhoff, D. (2008). Impact of left ventricular assist device (LVAD) support on the cardiac reverse remodeling process. Progress in Biophysics and Molecular Biology, 97(2-3), 479–496. https://doi.org/10.1016/j.pbiomolbio.2008.02.002.

    Article  PubMed  Google Scholar 

  44. Ootaki, Y., Kamohara, K., Akiyama, M., Zahr, F., Kopcak Jr., M. W., Dessoffy, R., et al. (2005). Phasic coronary blood flow pattern during a continuous flow left ventricular assist support. European Journal of Cardio-Thoracic Surgery, 28(5), 711–716. https://doi.org/10.1016/j.ejcts.2005.08.008.

    Article  PubMed  Google Scholar 

  45. Symons, J. D., Deeter, L., Deeter, N., Bonn, T., Cho, J. M., Ferrin, P., et al. (2019). Effect of continuous-flow left ventricular assist device support on coronary artery endothelial function in ischemic and nonischemic cardiomyopathy. Circulation: Heart Failure, 12(8), e006085. https://doi.org/10.1161/CIRCHEARTFAILURE.119.006085.

    Article  Google Scholar 

  46. Ambardekar, A. V., Weiser-Evans, M. C. M., Li, M., Purohit, S. N., Aftab, M., Reece, T. B., et al. (2018). Coronary artery remodeling and fibrosis with continuous-flow left ventricular assist device support. Circulation: Heart Failure, 11(5), e004491. https://doi.org/10.1161/CIRCHEARTFAILURE.117.004491.

    Article  PubMed  Google Scholar 

  47. Wei, X., Li, T., Hagen, B., Zhang, P., Sanchez, P. G., Williams, K., et al. (2013). Short-term mechanical unloading with left ventricular assist devices after acute myocardial infarction conserves calcium cycling and improves heart function. JACC: Cardiovascular Interventions, 6(4), 406–415. https://doi.org/10.1016/j.jcin.2012.12.122.

    Article  PubMed  Google Scholar 

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Acknowledgements

The authors acknowledge the Indiana University School of Medicine Histology Core and Dr. Keith Condon for processing the histology and use of their equipment. Jill K. Badin’s Ph.D. thesis dated August 2019 contained some of the data in this manuscript and can be found at: https://scholarworks.iupui.edu/bitstream/handle/1805/20549/Badin_iupui_0104D_10379.pdf?isAllowed=y&sequence=1

Funding

This research was funded by the National Institutes of Health HL125385, P30 DK097512, the Joshua Diabetes Research Fund, and the Indiana University School of Medicine Center of Excellence in Cardiovascular Research.

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Authors

Contributions

J.K.B., S.D.R., and M.S. are responsible for conception and design of research; J.K.B., C.E., S.D.R., M.A., Z.A.H., I.W., and J.P.G. performed experiments; J.K.B., C.E., and S.D.R. analyzed data; J.K.B., C.E., and M.S. interpreted results of experiments; J.K.B., C.E., and M.S. prepared figures; J.K.B. and C.E. drafted manuscript; J.K.B., C.E., and M.S. edited and revised manuscript; J.K.B., C.E., S.D.R., M.A., Z.A.H., I.W., J.P.G., and M.S. approved the final version of the manuscript.

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Correspondence to Michael Sturek.

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All institutional and national guidelines for the care and use of laboratory animals were followed and approved by the Institutional Animal Care and Use Committee at the Indiana University School of Medicine.

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This article does not contain any studies with human participants performed by any of the authors, as approved by exemption, per the use of discarded human tissue, by the Indiana University Institutional Review Board.

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The authors declare no competing interests.

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Associate Editor Adrian Chester oversaw the review of this article

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Badin, J.K., Eggenberger, C., Rodenbeck, S.D. et al. Intracellular Ca2+ Dysregulation in Coronary Smooth Muscle Is Similar in Coronary Disease of Humans and Ossabaw Miniature Swine. J. of Cardiovasc. Trans. Res. 15, 167–178 (2022). https://doi.org/10.1007/s12265-021-10153-5

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