The two-pore domain potassium channel TREK-1 mediates cardiac fibrosis and diastolic dysfunction.

TitleThe two-pore domain potassium channel TREK-1 mediates cardiac fibrosis and diastolic dysfunction.
Publication TypeJournal Article
Year of Publication2018
AuthorsAbraham DM, Lee TE, Watson LJ, Mao L, Chandok G, Wang H-G, Frangakis S, Pitt GS, Shah SH, Wolf MJ, Rockman HA
JournalJ Clin Invest
Volume128
Issue11
Pagination4843-4855
Date Published2018 11 01
ISSN1558-8238
KeywordsAnimals, 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.

DOI10.1172/JCI95945
Alternate JournalJ. Clin. Invest.
PubMed ID30153110
PubMed Central IDPMC6205385
Grant ListK08 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