Chaudhri, Babar, Federica del Monte, Roger J. Hajjar, and Sian E. Harding. Interaction between increased SERCA2a activity and -adrenoceptor stimulation in adult rabbit myocytes. Am J Physiol Heart Circ Physiol 283: H2450-H2457, 2002. First published August 8, 2002 10.1152 10. /ajpheart.00391.2002plasmic reticulum Ca 2ϩ -ATPase (SERCA)2a overexpression and phospholamban depletion have been shown to have beneficial effects on contractility in heart failure. However, the high sympathetic tone during development of failure may interact with increases in SERCA2a activity in potentially deleterious ways. We used adenoviral vectors to overexpress SERCA2a or partially downregulate phospholamban in adult rabbit ventricular myocytes in culture and studied the responses of these cells to -adrenoceptor stimulation. SERCA2a overexpression and phospholamban depletion had quantitatively similar effects on basal contraction amplitude and in accelerating relaxation. Increasing SERCA2a activity by either strategy had little effect on the increase in contraction amplitude or incidence of arrhythmias with increasing isoproterenol. Maximum acceleration of relaxation by -adrenoceptor stimulation was similar to that produced by SERCA2a overexpression. Isoproterenol treatment of SERCA2a-overexpressing or phospholamban-deficient myocytes produced a further modest decrease in relaxation time, with similar final values in both groups. We find no evidence for Ca 2ϩ overload induced by SERCA2a overexpression alone or in combination with catecholamines. phospholamban; antisense; aftercontraction; arrhythmia THERE IS ACCUMULATING EVIDENCE that stimulation of Ca 2ϩ uptake into the sarcoplasmic reticulum (SR), either by overexpression of sarco(endo)plasmic reticulum Ca 2ϩ -ATPase (SERCA)2a or by downregulation of the inhibitory protein phospholamban, is a promising strategy for support of the failing heart. Transgenic mice overexpressing SERCA2a were more resistant to induction of heart failure by aortic banding or diabetes than wild-type mice (15, 31). Similarly, phospholamban knockout (Plb-KO) mice have no increased mortality and can rescue various transgenic heart failure phenotypes (11,20,21,29). Transfection of myocytes from the failing human heart with adenoviral vectors for either SERCA2a or antisense message for phospholamban enhances contractile function, reversing the slowing of relaxation and depression of the frequencyresponse curve that are hallmarks of the failing heart (6, 8). Similarly, rescue of contractile function was seen in rats approaching senescence or with heart failure secondary to aortic banding (22,26). Expected problems related to SR overload resulting from these interventions have not materialized. Instead, the arrhythmogenic potential of increased extracellular Ca 2ϩ was reduced after SERCA2a overexpression in rabbit myocytes and cell viability was increased (4). In vivo transfections showed reduced mortality in the rat model of heart failure, with a decrease in incidence of arrhythmias and improved maintenanc...