-Adrenergic Stimulation of L-type Ca 2 Channels in Cardiac Myocytes Requires the Distal Carboxyl Terminus of 1C but Not Serine 1928 Anand N. Ganesan, Christoph Maack, David C. Johns, Agnieszka Sidor, Brian O’Rourke Abstract-Adrenoceptor stimulation robustly increases cardiac L-type Ca 2+ current (I CaL ); yet the molecular mechanism of this effect is still not well understood. Previous reports have shown in vitro phosphorylation of a consensus protein kinase A site at serine 1928 on the carboxyl terminus of the 1C subunit; however, the functional role of this site has not been investigated in cardiac myocytes. Here, we examine the effects of truncating the distal carboxyl terminus of the 1C subunit at amino acid residue 1905 or mutating the putative protein kinase A site at serine 1928 to alanine in adult guinea pig myocytes, using novel dihydropyridine-insensitive 1C adenoviruses, coexpressed with 2 subunits. Expression of 1C truncated at 1905 dramatically attenuated the increase of peak I CaL induced by isoproterenol. However, the point mutation S1928A did not significantly attenuate the -adrenergic response. The findings indicate that the distal carboxyl-terminus of 1C plays an important role in -adrenergic upregulation of cardiac L-type Ca 2+ channels, but that phosphorylation of serine 1928 is not required for this effect. (Circ Res. 2006;98:e11-e18.) Key Words: protein kinase A adenovirus ion channel calcium current cAMP V oltage-gated L-type (Ca v 1.2) Ca 2+ channels play a central role in controlling cardiac function, providing the trigger for intracellular Ca 2+ release during excitation– contraction cou- pling, contributing to the plateau phase of the cardiac action potential, and modulating pacemaker activity in the sinoatrial node. 1–3 The L-type Ca 2+ channel is a multiprotein complex, comprised of the pore-forming 1 subunit and the auxiliary 2 and 2 subunits. 4 In the heart, the molecular identity of the subunit remains a subject of ongoing investigation. 5,6 A number of receptor-mediated signal transduction pathways regulate Ca 2+ influx via Ca v 1.2 channels, the most prominent of which is the -adrenergic/cAMP signaling pathway. -Adrenergic stimulation is the dominant mechanism of positive chronotropy, inotropy, and lusitropy in the heart. 7 Activation of -adrenergic receptors strongly enhances cardiac L-type Ca 2+ current (I CaL ) via cAMP generation and the activation of protein kinase A (PKA), presumably by phosphorylating specific sites on the channel protein. 8,9 Nevertheless, the structural determi- nants of PKA action on the Ca 2+ channel in native adult cardiomyocytes are unknown. Previous biochemical studies have implicated the carboxyl terminus as a target of PKA-mediated phosphorylation: for example, a truncated form of the channel was reportedly not phosphorylated by PKA in vitro. 10 The consensus phosphor- ylation site at serine 1928 was later identified as the main target of PKA. 11,12 On the other hand, phosphorylation sites have also been mapped to the subunit of the channel and localized to serines 478 and 479 of 2a . 13,14 Mixed results have been obtained when attempts have been made to confirm the functional role of these sites in the regulation of Ca 2+ channel activity, in part, because of the difficulty of reconstituting PKA-mediated channel activation in heterologous expression systems. Whereas some studies have observed PKA-mediated activation of the channel in heterologous systems, 10,14 others have observed no such stimulation. 15,16 Other groups have used PKA inhibitors to argue that Ca v 1.2 channels are phosphorylated at baseline when expressed in cultured cell lines. 17–19 The failure to reproduce the strong upregulation of the L-type Ca 2+ current in nonnative cells has been attributed to the lack of A-kinase anchoring proteins (AKAPs) in heterologous systems. By coexpressing AKAP 79, Gao et al 20 were able to reconstitute forskolin-mediated upregulation of Ca 2+ channels expressed in HEK 293 cells, and the authors concluded that S1928 was necessary to produce PKA-mediated activation of the L-type current. In contrast, a subsequent study by the same group reported PKA-mediated activation of Ca 2+ current through L-type channels with a mutant 1C truncated at 1905 and Original received November 8, 2005; revision received December 15, 2005; accepted December 20, 2005. From the Institute of Molecular Cardiobiology (A.N.G., C.M., A.S., B.O’R.), Department of Medicine; and the Department of Neurosurgery (D.C.J.), The Johns Hopkins University, Baltimore, Md. Under a licensing agreement between Excigen Inc and the Johns Hopkins University, D.C.J. is entitled to a share of royalty and milestone payments received by the University on sales of products described in this article. The terms of this agreement are being managed by the Johns Hopkins University in accordance with its conflict-of-interest policies. This manuscript was sent to Harry A. Fozzard, Consulting Editor, for review by expert referees, editorial decision, and final disposition. Correspondence to Brian O’Rourke, Johns Hopkins University, 1059 Ross Building, 720 Rutland Ave, Baltimore, MD 21205. E-mail bor@jhmi.edu © 2006 American Heart Association, Inc. Circulation Research is available at http://circres.ahajournals.org DOI: 10.1161/01.RES.0000202692.23001.e2 e11 UltraRapid Communication