(PDEs) regulate local cAMP concentration in cardiomyocytes, with PDE4 being predominant for the control of β-AR-dependent cAMP signals. Three genes encoding PDE4 are expressed in mouse heart: Pde4a, Pde4b, and Pde4d. Here we show that both PDE4B and PDE4D are tethered to the LTCC in the mouse heart but that β-AR stimulation of the L-type Ca 2+ current (I Ca,L ) is increased only in Pde4b -/-mice. A fraction of PDE4B colocalized with the LTCC along T-tubules in the mouse heart. Under β-AR stimulation, Ca 2+ transients, cell contraction, and spontaneous Ca 2+ release events were increased in Pde4b -/-and Pde4d -/-myocytes compared with those in WT myocytes. In vivo, after intraperitoneal injection of isoprenaline, catheter-mediated burst pacing triggered ventricular tachycardia in Pde4b -/-mice but not in WT mice. These results identify PDE4B in the Ca V 1.2 complex as a critical regulator of I Ca,L during β-AR stimulation and suggest that distinct PDE4 subtypes are important for normal regulation of Ca 2+ -induced Ca 2+ release in cardiomyocytes.
IntroductionDuring the cardiac action potential, Ca 2+ influx through sarcolemmal L-type Ca 2+ channels (LTCCs) triggers Ca 2+ release from juxtaposed ryanodine receptor 2 (RyR2) located in the sarcoplasmic reticulum (SR). This allows a rapid and synchronous Ca 2+ elevation throughout the cell, which activates contraction. During cardiac relaxation, Ca 2+ is rapidly extruded by the Na + /Ca 2+ exchanger and re-sequestered into the SR by the Ca 2+ -ATPase, SERCA2 (1). This process is highly regulated, in particular, by the sympathetic nervous system. β-Adrenergic receptors (β-ARs) exert strong inotropic and lusitropic effects by increasing intracellular cAMP levels and activating cAMP-dependent PKA. PKA then phosphorylates the key proteins of the excitation-contraction coupling (ECC) process, including LTCC and RyR2 but also phospholamban (PLB), which controls Ca 2+ reuptake by SERCA2, as well as the myofilament proteins troponin I and myosin binding protein C (1).The cardiac LTCC consists of the central pore-forming subunit α 1C (Ca V 1.2) and auxiliary β and α 2 -δ subunits that modulate its function (2). Upon β-AR stimulation, phosphorylation of Ca V 1.2, the auxiliary β 2 subunit, or the closely associated protein AHNAK by PKA increases channel activity, thus enhancing the L-type Ca 2+ current (I Ca,L ) (3-5). This regulation involves physical