The failing human heart is characterized by changes in the expression and f
unction of proteins involved in intracellular Ca2+ cycling, resulting in al
tered Ca2+ transients and impaired contractile properties of cardiac muscle
. The role of the cardiac annexins in this process remains unclear. Annexin
s may play a role in the regulation of Ca2+ pumps and exchangers on the sar
colemma, and have been shown to be altered in some cardiac disease states.
Objective: The goal of this study was to compare the immunolocalization and
expression of annexins IV,V and VI in failing and non-failing human hearts
. Methods: We used immunostaining to identify the subcellular location of a
nnexins IV,V and VI proteins within the myocardial cell, and Western blot a
nalysis to quantify the proteins in the same hearts. Results: Annexin IV sh
owed a cytoplasmic distribution in both failing and non-failing human heart
cells. Annexin V was localized at the z-line, around lipofuscin granules,
and in the cytosol in the non-failing heart cells. Annexin VI was localized
at the sarcolemma and intercalated disc. Protein levels of annexins IV and
V were up-regulated in failing human hearts, while the expression of annex
in VI was unchanged. Conclusions: Alterations in the intracellular localiza
tion of annexins, along with up-regulation of annexins IV and V in the fail
ing human heart cells, suggests differential regulation of these Ca2+ regul
atory proteins during heart failure. (C) 2000 Elsevier Science B.V. All rig
hts reserved.