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Noncanonical EF-hand motif strategically delays Ca2+ buffering to enhance cardiac performance

Abstract

EF-hand proteins are ubiquitous in cell signaling. Parvalbumin (Parv), the archetypal EF-hand protein, is a high-affinity Ca2+ buffer in many biological systems. Given the centrality of Ca2+ signaling in health and disease, EF-hand motifs designed to have new biological activities may have widespread utility. Here, an EF-hand motif substitution that had been presumed to destroy EF-hand function, that of glutamine for glutamate at position 12 of the second cation binding loop domain of Parv (ParvE101Q), markedly inverted relative cation affinities: Mg2+ affinity increased, whereas Ca2+ affinity decreased, forming a new ultra-delayed Ca2+ buffer with favorable properties for promoting cardiac relaxation. In therapeutic testing, expression of ParvE101Q fully reversed the severe myocyte intrinsic contractile defect inherent to expression of native Parv and corrected abnormal myocardial relaxation in diastolic dysfunction disease models in vitro and in vivo. Strategic design of new EF-hand motif domains to modulate intracellular Ca2+ signaling could benefit many biological systems with abnormal Ca2+ handling, including the diseased heart.

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Figure 1: EF-hand motif design and biochemical kinetic analysis.
Figure 2: Functional screening of Parv motifs in rat adult cardiac myocytes.
Figure 3: Effects of ParvE101Q on rabbit adult cardiac myocyte contractility and relaxation.
Figure 4: Effects of ParvE101Q on Ca2+ handling and myofilaments.
Figure 5: ParvE101Q rescues depressed contraction and relaxation in failing myocytes and myocytes with induced relaxation defects.
Figure 6: Systemic rAAV delivery of ParvE101Q rescues defective relaxation in cardiomyopathy models of cell-intrinsic diastolic dysfunction in vivo.

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References

  1. Clapham, D.E. Calcium signaling. Cell 131, 1047–1058 (2007).

    Article  CAS  Google Scholar 

  2. Bers, D.M. Cardiac excitation-contraction coupling. Nature 415, 198–205 (2002).

    Article  CAS  PubMed  Google Scholar 

  3. Kaye, D.M., Hoshijima, M. & Chien, K.R. Reversing advanced heart failure by targeting Ca2+ cycling. Annu. Rev. Med. 59, 13–28 (2008).

    Article  CAS  PubMed  Google Scholar 

  4. Kass, D.A., Bronzwaer, J.G. & Paulus, W.J. What mechanisms underlie diastolic dysfunction in heart failure? Circ. Res. 94, 1533–1542 (2004).

    Article  CAS  PubMed  Google Scholar 

  5. Yano, M., Ikeda, Y. & Matsuzaki, M. Altered intracellular Ca2+ handling in heart failure. J. Clin. Invest. 115, 556–564 (2005).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. MacLennan, D.H. & Kranias, E.G. Phospholamban: a crucial regulator of cardiac contractility. Nat. Rev. Mol. Cell Biol. 4, 566–577 (2003).

    Article  CAS  PubMed  Google Scholar 

  7. Periasamy, M. & Janssen, P.M. Molecular basis of diastolic dysfunction. Heart Fail. Clin. 4, 13–21 (2008).

    Article  PubMed  PubMed Central  Google Scholar 

  8. Zile, M.R., Baicu, C.F. & Gaasch, W.H. Diastolic heart failure—abnormalities in active relaxation and passive stiffness of the left ventricle. N. Engl. J. Med. 350, 1953–1959 (2004).

    Article  CAS  PubMed  Google Scholar 

  9. Minamisawa, S. et al. Chronic phospholamban-sarcoplasmic reticulum calcium ATPase interaction is the critical calcium cycling defect in dilated cardiomyopathy. Cell 99, 313–322 (1999).

    Article  CAS  PubMed  Google Scholar 

  10. Jessup, M. et al. Calcium Upregulation by Percutaneous Administration of Gene Therapy in Cardiac Disease (CUPID): a phase 2 trial of intracoronary gene therapy of sarcoplasmic reticulum Ca2+-ATPase in patients with advanced heart failure. Circulation 124, 304–313 (2011).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Kho, C. et al. SUMO1-dependent modulation of SERCA2a in heart failure. Nature 477, 601–605 (2011).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Wang, W. & Metzger, J.M. Parvalbumin isoforms for enhancing cardiac diastolic function. Cell Biochem. Biophys. 51, 1–8 (2008).

    Article  CAS  PubMed  Google Scholar 

  13. Gifford, J.L., Walsh, M.P. & Vogel, H.J. Structures and metal-ion–binding properties of the Ca2+-binding helix-loop-helix EF-hand motifs. Biochem. J. 405, 199–221 (2007).

    Article  CAS  PubMed  Google Scholar 

  14. Heizmann, C.W. Parvalbumin, an intracellular calcium-binding protein; distribution, properties and possible roles in mammalian cells. Experientia 40, 910–921 (1984).

    Article  CAS  PubMed  Google Scholar 

  15. Kretsinger, R.H. & Nockolds, C.E. Carp muscle calcium-binding protein. II. Structure determination and general description. J. Biol. Chem. 248, 3313–3326 (1973).

    CAS  PubMed  Google Scholar 

  16. Pauls, T.L., Cox, J.A. & Berchtold, M.W. The Ca2+-binding proteins parvalbumin and oncomodulin and their genes: new structural and functional findings. Biochim. Biophys. Acta 1306, 39–54 (1996).

    Article  PubMed  Google Scholar 

  17. Falke, J.J., Drake, S.K., Hazard, A.L. & Peersen, O.B. Molecular tuning of ion binding to calcium signaling proteins. Q. Rev. Biophys. 27, 219–290 (1994).

    Article  CAS  PubMed  Google Scholar 

  18. Strynadka, N.C. & James, M.N. Crystal structures of the helix-loop-helix calcium-binding proteins. Annu. Rev. Biochem. 58, 951–998 (1989).

    Article  CAS  PubMed  Google Scholar 

  19. Declercq, J.P., Tinant, B., Parello, J. & Rambaud, J. Ionic interactions with parvalbumins. Crystal structure determination of pike 4.10 parvalbumin in four different ionic environments. J. Mol. Biol. 220, 1017–1039 (1991).

    Article  CAS  PubMed  Google Scholar 

  20. Babu, A., Su, H., Ryu, Y. & Gulati, J. Determination of residue specificity in the EF-hand of troponin C for Ca2+ coordination, by genetic engineering. J. Biol. Chem. 267, 15469–15474 (1992).

    CAS  PubMed  Google Scholar 

  21. Maune, J.F., Klee, C.B. & Beckingham, K. Ca2+ binding and conformational change in two series of point mutations to the individual Ca2+-binding sites of calmodulin. J. Biol. Chem. 267, 5286–5295 (1992).

    CAS  PubMed  Google Scholar 

  22. Rome, L.C. Design and function of superfast muscles: new insights into the physiology of skeletal muscle. Annu. Rev. Physiol. 68, 193–221 (2006).

    Article  CAS  PubMed  Google Scholar 

  23. Hirsch, J.C. et al. Comparative analysis of parvalbumin and SERCA2a cardiac myocyte gene transfer in a large animal model of diastolic dysfunction. Am. J. Physiol. Heart Circ. Physiol. 286, H2314–H2321 (2004).

    Article  CAS  PubMed  Google Scholar 

  24. Coutu, P. & Metzger, J.M. Optimal range for parvalbumin as relaxing agent in adult cardiac myocytes: gene transfer and mathematical modeling. Biophys. J. 82, 2565–2579 (2002).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  25. Coutu, P., Bennett, C.N., Favre, E.G., Day, S.M. & Metzger, J.M. Parvalbumin corrects slowed relaxation in adult cardiac myocytes expressing hypertrophic cardiomyopathy-linked α-tropomyosin mutations. Circ. Res. 94, 1235–1241 (2004).

    Article  CAS  PubMed  Google Scholar 

  26. Wahr, P.A., Michele, D.E. & Metzger, J.M. Parvalbumin gene transfer corrects diastolic dysfunction in diseased cardiac myocytes. Proc. Natl. Acad. Sci. USA 96, 11982–11985 (1999).

    Article  CAS  PubMed  Google Scholar 

  27. Day, S.M. et al. Cardiac-directed parvalbumin transgene expression in mice shows marked heart rate dependence of delayed Ca2+ buffering action. Physiol. Genomics 33, 312–322 (2008).

    Article  CAS  PubMed  Google Scholar 

  28. Johnson, J.D., Jiang, Y. & Rall, J.A. Intracellular EDTA mimics parvalbumin in the promotion of skeletal muscle relaxation. Biophys. J. 76, 1514–1522 (1999).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Putkey, J.A., Sweeney, H.L. & Campbell, S.T. Site-directed mutation of the trigger calcium-binding sites in cardiac troponin C. J. Biol. Chem. 264, 12370–12378 (1989).

    CAS  PubMed  Google Scholar 

  30. Negele, J.C., Dotson, D.G., Liu, W., Sweeney, H.L. & Putkey, J.A. Mutation of the high affinity calcium binding sites in cardiac troponin C. J. Biol. Chem. 267, 825–831 (1992).

    CAS  PubMed  Google Scholar 

  31. Yang, J.J., Gawthrop, A. & Ye, Y. Obtaining site-specific calcium-binding affinities of calmodulin. Protein Pept. Lett. 10, 331–345 (2003).

    Article  CAS  PubMed  Google Scholar 

  32. Cates, M.S. et al. Metal-ion affinity and specificity in EF-hand proteins: coordination geometry and domain plasticity in parvalbumin. Structure 7, 1269–1278 (1999).

    Article  CAS  PubMed  Google Scholar 

  33. Hutnik, C.M., MacManus, J., Banville, D. & Szabo, A. Comparison of metal ion-induced conformational changes in parvalbumin and oncomodulin as probed by the intrinsic fluorescence of tryptophan 102. J. Biol. Chem. 265, 11456–11464 (1990).

    CAS  PubMed  Google Scholar 

  34. Schwartz, A. Methods in Pharmacology: Myocardial Biology Vol. 5, 63–75 (Plenum Press, New York, 1984).

  35. Rodenbaugh, D.W. et al. Parvalbumin isoforms differentially accelerate cardiac myocyte relaxation kinetics in an animal model of diastolic dysfunction. Am. J. Physiol. Heart Circ. Physiol. 293, H1705–H1713 (2007).

    Article  CAS  PubMed  Google Scholar 

  36. Harrison, S.M. & Bers, D.M. Modification of temperature dependence of myofilament Ca sensitivity by troponin C replacement. Am. J. Physiol. 258, C282–C288 (1990).

    Article  CAS  PubMed  Google Scholar 

  37. McKillop, D.F. & Geeves, M.A. Regulation of the interaction between actin and myosin subfragment 1: evidence for three states of the thin filament. Biophys. J. 65, 693–701 (1993).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  38. Takeda, S., Yamashita, A., Maeda, K. & Maeda, Y. Structure of the core domain of human cardiac troponin in the Ca2+-saturated form. Nature 424, 35–41 (2003).

    Article  CAS  PubMed  Google Scholar 

  39. Hoffmann, B., Schmidt-Traub, H., Perrot, A., Osterziel, K.J. & Gessner, R. First mutation in cardiac troponin C, L29Q, in a patient with hypertrophic cardiomyopathy. Hum. Mutat. 17, 524 (2001).

    Article  CAS  PubMed  Google Scholar 

  40. Schmidtmann, A. et al. Cardiac troponin C–L29Q, related to hypertrophic cardiomyopathy, hinders the transduction of the protein kinase A dependent phosphorylation signal from cardiac troponin I to C. FEBS J. 272, 6087–6097 (2005).

    Article  CAS  PubMed  Google Scholar 

  41. Baryshnikova, O.K., Li, M.X. & Sykes, B.D. Modulation of cardiac troponin C function by the cardiac-specific N-terminus of troponin I: influence of PKA phosphorylation and involvement in cardiomyopathies. J. Mol. Biol. 375, 735–751 (2008).

    Article  CAS  PubMed  Google Scholar 

  42. Dzimiri, N. Regulation of β-adrenoceptor signaling in cardiac function and disease. Pharmacol. Rev. 51, 465–501 (1999).

    CAS  PubMed  Google Scholar 

  43. Bristow, M.R. et al. Decreased catecholamine sensitivity and β-adrenergic–receptor density in failing human hearts. N. Engl. J. Med. 307, 205–211 (1982).

    Article  CAS  PubMed  Google Scholar 

  44. Townsend, D. et al. Systemic administration of micro-dystrophin restores cardiac geometry and prevents dobutamine-induced cardiac pump failure. Mol. Ther. 15, 1086–1092 (2007).

    Article  CAS  PubMed  Google Scholar 

  45. Andersson, K.B. et al. Moderate heart dysfunction in mice with inducible cardiomyocyte-specific excision of the Serca2 gene. J. Mol. Cell Cardiol. 47, 180–187 (2009).

    Article  CAS  PubMed  Google Scholar 

  46. Mogensen, J. et al. Idiopathic restrictive cardiomyopathy is part of the clinical expression of cardiac troponin I mutations. J. Clin. Invest. 111, 209–216 (2003).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  47. Davis, J., Wen, H., Edwards, T. & Metzger, J.M. Thin filament disinhibition by restrictive cardiomyopathy mutant R193H troponin I induces Ca2+-independent mechanical tone and acute myocyte remodeling. Circ. Res. 100, 1494–1502 (2007).

    Article  CAS  PubMed  Google Scholar 

  48. Davis, J. et al. Diastolic dysfunction and thin filament dysregulation resulting from excitation-contraction uncoupling in a mouse model of restrictive cardiomyopathy. J. Mol. Cell Cardiol. 53, 446–457 (2012).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  49. Kawasaki, H. & Kretsinger, R.H. Calcium-binding proteins 1: EF-hands. Protein Profile 2, 297–490 (1995).

    CAS  PubMed  Google Scholar 

  50. Marsden, B.J., Shaw, G.S. & Sykes, B.D. Calcium binding proteins. Elucidating the contributions to calcium affinity from an analysis of species variants and peptide fragments. Biochem. Cell Biol. 68, 587–601 (1990).

    Article  CAS  PubMed  Google Scholar 

  51. Kitzman, D.W. & Daniel, K.R. Diastolic heart failure in the elderly. Heart Fail. Clin. 3, 437–453 (2007).

    Article  PubMed  Google Scholar 

  52. Lorell, B.H. Significance of diastolic dysfunction of the heart. Annu. Rev. Med. 42, 411–436 (1991).

    Article  CAS  PubMed  Google Scholar 

  53. Mann, D.L. Heart Failure: A Companion to Braunwald's Heart Disease. Chap. 7 (Elsevier Health Sciences, 2004).

  54. Tang, W.H. & Francis, G.S. The year in heart failure. J. Am. Coll Cardiol. 52, 1671–1678 (2008).

    Article  PubMed  Google Scholar 

  55. Ingwall, J.S. & Weiss, R.G. Is the failing heart energy starved? On using chemical energy to support cardiac function. Circ. Res. 95, 135–145 (2004).

    Article  CAS  PubMed  Google Scholar 

  56. Westfall, M.V., Rust, E.M., Albayya, F. & Metzger, J.M. Adenovirus-mediated myofilament gene transfer into adult cardiac myocytes. Methods Cell Biol. 52, 307–322 (1997).

    Article  CAS  PubMed  Google Scholar 

  57. Potter, J.D., Strang-Brown, P., Walker, P.L. & Iida, S. Ca2+ binding to calmodulin. Methods Enzymol. 102, 135–143 (1983).

    Article  CAS  PubMed  Google Scholar 

  58. Guan, K.L. & Dixon, J.E. Eukaryotic proteins expressed in Escherichia coli: an improved thrombin cleavage and purification procedure of fusion proteins with glutathione S-transferase. Anal. Biochem. 192, 262–267 (1991).

    Article  CAS  PubMed  Google Scholar 

  59. Tikunova, S.B. & Davis, J.P. Designing calcium-sensitizing mutations in the regulatory domain of cardiac troponin C. J. Biol. Chem. 279, 35341–35352 (2004).

    Article  CAS  PubMed  Google Scholar 

  60. Coutu, P. & Metzger, J.M. Genetic manipulation of calcium-handling proteins in cardiac myocytes. I. Experimental studies. Am. J. Physiol. Heart Circ. Physiol. 288, H601–H612 (2005).

    Article  CAS  PubMed  Google Scholar 

  61. Masuda, H. & de Meis, L. Effect of temperature on the Ca2+ transport ATPase of sarcoplasmic reticulum. J. Biol. Chem. 252, 8567–8571 (1977).

    CAS  PubMed  Google Scholar 

  62. Puglisi, J.L., Bassani, R.A., Bassani, J.W., Amin, J.N. & Bers, D.M. Temperature and relative contributions of Ca transport systems in cardiac myocyte relaxation. Am. J. Physiol. 270, H1772–H1778 (1996).

    CAS  PubMed  Google Scholar 

  63. Stein, R.B., Gordon, T. & Shriver, J. Temperature dependence of mammalian muscle contractions and ATPase activities. Biophys. J. 40, 97–107 (1982).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  64. Hou, T.T., Johnson, J.D. & Rall, J.A. Effect of temperature on relaxation rate and Ca2+, Mg2+ dissociation rates from parvalbumin of frog muscle fibres. J. Physiol. (Lond.) 449, 399–410 (1992).

    Article  CAS  Google Scholar 

  65. Herron, T.J. et al. Calcium-independent negative inotropy by β-myosin heavy chain gene transfer in cardiac myocytes. Circ. Res. 100, 1182–1190 (2007).

    Article  CAS  PubMed  Google Scholar 

  66. Tocchetti, C.G. et al. Nitroxyl improves cellular heart function by directly enhancing cardiac sarcoplasmic reticulum Ca2+ cycling. Circ. Res. 100, 96–104 (2007).

    Article  CAS  PubMed  Google Scholar 

  67. Metzger, J.M. Myosin binding–induced cooperative activation of the thin filament in cardiac myocytes and skeletal muscle fibers. Biophys. J. 68, 1430–1442 (1995).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  68. Herron, T.J. et al. Ca2+-independent positive molecular inotropy for failing rabbit and human cardiac muscle by α-myosin motor gene transfer. FASEB J. 24, 415–424 (2010).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  69. Maddaford, T.G., Hurtado, C., Sobrattee, S., Czubryt, M.P. & Pierce, G.N. A model of low-flow ischemia and reperfusion in single, beating adult cardiomyocytes. Am. J. Physiol. 277, H788–H798 (1999).

    CAS  PubMed  Google Scholar 

  70. Day, S.M. et al. Histidine button engineered into cardiac troponin I protects the ischemic and failing heart. Nat. Med. 12, 181–189 (2006).

    Article  CAS  PubMed  Google Scholar 

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Acknowledgements

We thank T. Herron, E. Devaney, I. Turner, M. Maerz, F. Sjaastad, B. Liu, S. Little and T. Edwards for their assistance. We thank the Lillehei Heart Institute for support. We thank H. Sabbah (Henry Ford Hospital Heart and Vascular Institute) for providing the canine failing myocytes. We thank K.B. Andersson and G. Christensen (Institute for Experimental Medical Research, Oslo University Hospital and University of Oslo, Norway) for providing the mice with inducible cardiac myocyte–specific excision of the SERCA2a. This work was supported by the US National Institutes of Health (J.M.M. and J.D.P.).

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J.M.M. was responsible for the original concept and had a key role in study design and data interpretation. W.W. designed and conducted most experiments. M.S.B., F.I.H., M.L.A., J.D. and E.B. aided the in vivo heart function tests. E.A. generated the Ad5 and rAAV vectors for the Parv proteins. Q.L. and J.D.P. provided plasmid constructs of modified Parv. J.P.D. contributed to the measurement of Parv Ca2+ and Mg2+ dissociation rates. J.M.M. and W.W. prepared the manuscript with contributions from J.D.P. and J.P.D.

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Correspondence to Joseph M Metzger.

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Wang, W., Barnabei, M., Asp, M. et al. Noncanonical EF-hand motif strategically delays Ca2+ buffering to enhance cardiac performance. Nat Med 19, 305–312 (2013). https://doi.org/10.1038/nm.3079

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