Background Decreased expression of the sarcoplasmic reticulum (SR) Ca2
+-ATPase of the cardiac myocyte (SERCA2) and abnormal Ca2+ regulation
have been independently linked to human heart failure. This study was
designed to determine whether expression of a SERCA2 transgene could r
econstitute depressed cardiac myocyte SERCA2 levels, augment SR Ca2+ u
ptake, and shorten prolonged excitation-contraction (EC)-associated Ca
2+ transients in neonatal rat cardiac myocytes (NM). Methods and Resul
ts Cultured NM were treated with phorbol-12-myristate-13-acetate (PMA)
, a compound that decreases endogenous SERCA2 expression and results i
n prolongation of EC-associated Ca2+ transients. PMA-treated NM had a
75% reduction in SERCA2 mRNA and a 40% reduction in SERCA2 protein lev
els. SERCA2 adenovirus infection increased SERCA2 mRNA expression to 2
.5 times control and reconstituted SERCA2 protein levels in PMA-treate
d cells. This reconstitution was associated with a 32.4% reduction in
the time for decline of the Indo-1 Ca2+ transient to half-maximum leve
ls (t(1/2) [Ca2+](i)) (P<.05). A 34.5% augmentation of oxalate-facilit
ated SR Ca2+ uptake was also documented in SERCA2 adenovirus-infected
cells (P<.05). Conclusions Adenovirus-mediated expression of a SERCA2
transgene can reconstitute depressed endogenous SERCA2 levels, shorten
prolonged Ca2+ transients, and augment SR Ca2+ uptake. It is conceiva
ble that such an approach might be used in vivo to normalize altered C
a2+ regulation in human heart failure.