Title | The two-pore domain potassium channel TREK-1 mediates cardiac fibrosis and diastolic dysfunction. |
Publication Type | Journal Article |
Year of Publication | 2018 |
Authors | Abraham DM, Lee TE, Watson LJ, Mao L, Chandok G, Wang H-G, Frangakis S, Pitt GS, Shah SH, Wolf MJ, Rockman HA |
Journal | J Clin Invest |
Volume | 128 |
Issue | 11 |
Pagination | 4843-4855 |
Date Published | 2018 11 01 |
ISSN | 1558-8238 |
Keywords | Animals, Cardiomegaly, Drosophila melanogaster, Fibroblasts, Fibrosis, Humans, Mice, Mice, Knockout, Myocardium, Myocytes, Cardiac, Potassium Channels, Tandem Pore Domain, Protein Domains |
Abstract | Cardiac two-pore domain potassium channels (K2P) exist in organisms from Drosophila to humans; however, their role in cardiac function is not known. We identified a K2P gene, CG8713 (sandman), in a Drosophila genetic screen and show that sandman is critical to cardiac function. Mice lacking an ortholog of sandman, TWIK-related potassium channel (TREK-1, also known Kcnk2), exhibit exaggerated pressure overload-induced concentric hypertrophy and alterations in fetal gene expression, yet retain preserved systolic and diastolic cardiac function. While cardiomyocyte-specific deletion of TREK-1 in response to in vivo pressure overload resulted in cardiac dysfunction, TREK-1 deletion in fibroblasts prevented deterioration in cardiac function. The absence of pressure overload-induced dysfunction in TREK-1-KO mice was associated with diminished cardiac fibrosis and reduced activation of JNK in cardiomyocytes and fibroblasts. These findings indicate a central role for cardiac fibroblast TREK-1 in the pathogenesis of pressure overload-induced cardiac dysfunction and serve as a conceptual basis for its inhibition as a potential therapy. |
DOI | 10.1172/JCI95945 |
Alternate Journal | J. Clin. Invest. |
PubMed ID | 30153110 |
PubMed Central ID | PMC6205385 |
Grant List | K08 HL125905 / HL / NHLBI NIH HHS / United States P30 DK096493 / DK / NIDDK NIH HHS / United States R01 HL116581 / HL / NHLBI NIH HHS / United States P01 HL075443 / HL / NHLBI NIH HHS / United States R01 HL056687 / HL / NHLBI NIH HHS / United States |