Background
NADH increases in cardiomyopathy, activates protein kinase C (PKC), upregulates mitochondrial reactive oxygen species (mitoROS), and downregulates the cardiac Na+ channel (Nav1.5).
Objective
The objective was to determine how NADH signals downregulation of Nav1.5.
Methods
Isolated mouse cardiomyocytes were used for patch clamp recording and to monitor mitoROS with MitoSOX™ Red. HEK293 cells were used for transient transfections. HEK293 cells stably expressing human Nav1.5 were utilized for single channel recording, whole-cell patch clamp recording, activity measurements of phospholipase C and D (PLD), channel protein purification, and co-immunoprecipitation with PKC isoforms. HL-1 cells were used for mitochondria isolation.
Results
NADH enhanced PLD activity (1.6±0.1-fold, P<0.01) and activated PKCδ. Activated PKCδ translocated to mitochondria and upregulated mitoROS (2.8±0.3-fold, P<0.01) by enhancing the activities of mitochondrial complexes I, II and IV (1.1- to 1.5-fold, P<0.01). PKCδ also interacted with Nav1.5 to downregulate Na+ current (INa). Reduction in INa by activated PKCδ was prevented by antioxidants and by mutating the known PKC phosphorylation site S1503. At the single channel level, the mechanism of current reduction by PKC and recovery by PKA was a change in single channel conductance.
Conclusion
NADH activated PKCδ by enhancing PLD activity. PKCδ modulated both mitoROS and Nav1.5. PKCδ elevated mitoROS via enhancing the mitochondrial oxidative phosphorylation complex activities. PKCδ-mediated channel phosphorylation and mitoROS were both required to downregulate Nav1.5 and altered single channel conductance.