title: Protective effects of exercise and phosphoinositide 3-kinase(p110alpha) signaling in dilated and hypertrophic cardiomyopathy.
abstract: Physical activity protects against cardiovascular disease, and physiological cardiac hypertrophy associated with regular exercise is usually beneficial, in marked contrast to pathological hypertrophy associated with disease. The p110alpha isoform of phosphoinositide 3-kinase (PI3K) plays a critical role in the induction of exercise-induced hypertrophy. Whether it or other genes activated in the athlete's heart might have an impact on cardiac function and survival in a setting of heart failure is unknown. To examine whether progressive exercise training and PI3K(p110alpha) activity affect survival and/or cardiac function in two models of heart disease, we subjected a transgenic mouse model of dilated cardiomyopathy (DCM) to swim training, genetically crossed cardiac-specific transgenic mice with increased or decreased PI3K(p110alpha) activity to the DCM model, and subjected PI3K(p110alpha) transgenics to acute pressure overload (ascending aortic constriction). Life-span, cardiac function, and molecular markers of pathological hypertrophy were examined. Exercise training and increased cardiac PI3K(p110alpha) activity prolonged survival in the DCM model by 15-20%. In contrast, reduced PI3K(p110alpha) activity drastically shortened lifespan by approximately 50%. Increased PI3K(p110alpha) activity had a favorable effect on cardiac function and fibrosis in the pressure-overload model and attenuated pathological growth. PI3K(p110alpha) signaling negatively regulated G protein-coupled receptor stimulated extracellular responsive kinase and Akt (via PI3K, p110gamma) activation in isolated cardiomyocytes. These findings suggest that exercise and enhanced PI3K(p110alpha) activity delay or prevent progression of heart disease, and that supraphysiologic activity can be beneficial. Identification of genes important for hypertrophy in the athlete's heart could offer new strategies for treating heart failure.
authors.affiliation: Experimental Cardiology and Heart Failure Division, Baker Heart Research Institute, Melbourne 8008, Australia. julie.mcmullen@baker.edu.au
authors.forename: Julie R
authors.initials: JR
authors.lastname: McMullen
authors.forename: Fatemeh
authors.initials: F
authors.lastname: Amirahmadi
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Woodcock
authors.forename: Martina
authors.initials: M
authors.lastname: Schinke-Braun
authors.forename: Russell D
authors.initials: RD
authors.lastname: Bouwman
authors.forename: Kimberly A
authors.initials: KA
authors.lastname: Hewitt
authors.forename: Janelle P
authors.initials: JP
authors.lastname: Mollica
authors.forename: Li
authors.initials: L
authors.lastname: Zhang
authors.forename: Yunyu
authors.initials: Y
authors.lastname: Zhang
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Shioi
authors.forename: Antje
authors.initials: A
authors.lastname: Buerger
authors.forename: Seigo
authors.initials: S
authors.lastname: Izumo
authors.forename: Patrick Y
authors.initials: PY
authors.lastname: Jay
authors.forename: Garry L
authors.initials: GL
authors.lastname: Jennings
mesh_terms: D000818:Animals; D002311:Cardiomyopathy, Dilated / Q000473:pathology / Q000503:physiopathology* / Q000517:prevention & control*; D002312:Cardiomyopathy, Hypertrophic / Q000473:pathology / Q000503:physiopathology* / Q000517:prevention & control*; D058534:Class I Phosphatidylinositol 3-Kinases; D004195:Disease Models, Animal; D005260:Female; D015870:Gene Expression; D006801:Humans; D008297:Male; D051379:Mice; D018345:Mice, Knockout; D008822:Mice, Transgenic; D019869:Phosphatidylinositol 3-Kinases / Q000172:deficiency / Q000235:genetics / Q000378:metabolism*; D010805:Physical Conditioning, Animal; D005082:Physical Exertion / Q000502:physiology*; D015398:Signal Transduction
chemical_list: D019869:Phosphatidylinositol 3-Kinases; C509622:1-phosphatidylinositol 3-kinase p110 subunit, mouse; D058534:Class I Phosphatidylinositol 3-Kinases