The objective of this study was to establish whether 1) hyperactivity of renin-angiotensin-aldosterone system (RAAS) produces apoptosis in early stages of
cardiac disease; and 2)
Ca(2+)-calmodulin-dependent protein kinase II (
CaMKII) is involved in these apoptotic events. Two models of
hypertrophy were used at an early stage of
cardiac disease: spontaneously hypertensive rats (SHR) and
isoproterenol-treated rats (Iso-rats). At 4 mo, SHR showed blood pressure,
aldosterone serum levels, used as RAAS activity index, and left ventricular mass index, used as
hypertrophy index, above control values by 84.2 ± 2.6 mmHg, 211.2 ± 25.8%, and 8.6 ± 1.1 mg/mm, respectively. There was also an increase in apoptotis (Bax-to-Bcl-2 ratio and
terminal deoxynucleotidyl transferase dUTP-mediated nick-end labeling positive cells) associated with an enhancement of
CaMKII activity with respect to age-matched controls (phosphorylated-
CaMKII, 98.7 ± 14.1 above control). Similar results were observed in 4-mo-old Iso-rats. Cardiac function studied by echocardiography remained unaltered in all groups.
Enalapril treatment significantly prevented
hypertrophy, apoptosis, and
CaMKII activity. Moreover, intracellular Ca(2+) handling in isolated myocytes was similar between SHR, Iso-rats, and their aged-matched controls. However, SHR and Iso-rats showed a significant increase in
superoxide anion generation (
lucigenin) and lipid peroxidation (
thiobarbituric acid reactive substance). In transgenic mice with targeted cardiomyocyte expression of a
CaMKII inhibitory
peptide (AC3-I) or a scrambled control
peptide (AC3-C), Iso treatment increased
thiobarbituric acid reactive substance in both strains, whereas it increased
CaMKII activity and apoptosis only in AC3-C mice. Endogenous increases in RAAS activity induce ROS and
CaMKII-dependent apoptosis in vivo.
CaMKII activation could not be associated with intracellular Ca(2+) increments and was directly related to the increase in oxidative stress.