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Submitted on June 3, 2003
Accepted on September 2, 2003
1 Clayton Foundation Laboratories for Peptide Biology, The Salk Institute, 10010 N Torrey Pines Road, La Jolla, CA, U. S. A. From the Department of Medical Physiology , Institute of Medical Biology, Faculty of Medicine, University of Tromsø, Norway. From The Institute Of Child Health University College London, 30 Guilford Street, London, WC1N 1EH.
* To whom correspondence should be addressed. E-mail: vale{at}salk.edu.
Corticotrophin releasing factor (CRF) receptor type 2
(CRFR2
) is expressed in the heart. Urocortin-I (Ucn-I) activation of CRFR2
is cardioprotective against ischemic reperfusion (I/R) injury by stimulation of the extracellular receptor kinases (ERK1/2) p-42, 44. However, by binding CRF receptor type 1 (CRFR1), Ucn-I can also activate the hypothalamic stress axis (HPA). Urocortin-II (Ucn-II)/Stresscopin Related Peptide and Urocortin-III (Ucn-III)/Stresscopin are two new members of the CRF/Ucn-I gene family and are selective for CRFR2
. We propose that CRFR2
selective Ucn-II or Ucn-III will protect cardiomyocytes and the ex vivo Langendorff perfused rat heart from I/R injury by activation of ERK1/2-p42, 44. Ucn-II is expressed in mouse cardiomyocytes and Ucn-II or Ucn-III can bind to CRFR2
, resulting in ERK1/2-p42, 44 phosphorylation and cAMP stimulation. Phosphorylation of ERK1/2-p42, 44 is regulated by the Ras/Raf-1 kinase pathway, independent of adenylate cyclase and therefore, cAMP activation. Ucn-II and Ucn-III protect cardiomyocytes from I/R injury and reduce the percentage of infarct size/risk ratio in Langendorff perfused rat hearts exposed to regional I/R (*P < 0.001). The CRFR2 selective antagonist Astressin2-B and an ERK1/2-p42, 44 inhibitor abolish the cardioprotective actions of Ucn-II and Ucn-III in reperfusion. Cardiomyocytes isolated from CRFR2-null mice are less resistant to I/R injury compared with wild-type cardiomyocytes. We propose the use of CRFR2 selective agonists, Ucn-II and Ucn-III, to treat ischemic heart disease due to their potent cardioprotective effects in the murine heart and their minimal impact on the HPA axis. We emphasize an important endogenous cardioprotective role for CRFR2
in the murine heart.
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