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Sildenafil and B-Type Natriuretic Peptide Acutely Phosphorylate Titin and Improve Diastolic Distensibility In Vivo
Author(s) -
Kalkidan Bishu,
Nazha Hamdani,
Selma F. Mohammed,
Martina Krüger,
Tomohito Ohtani,
Ozgur Ogut,
Frank V. Brozovich,
John C. Burnett,
Wolfgang A. Linke,
Margaret M. Redfield
Publication year - 2011
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/circulationaha.111.048520
Subject(s) - medicine , sildenafil , cardiology , titin , natriuretic peptide , troponin i , diastole , phospholamban , endocrinology , atrial natriuretic peptide , phosphorylation , myocyte , heart failure , blood pressure , sarcomere , myocardial infarction , chemistry , biochemistry
In vitro studies suggest that phosphorylation of titin reduces myocyte/myofiber stiffness. Titin can be phosphorylated by cGMP-activated protein kinase. Intracellular cGMP production is stimulated by B-type natriuretic peptide (BNP) and degraded by phosphodiesterases, including phosphodiesterase-5A. We hypothesized that a phosphodiesterase-5A inhibitor (sildenafil) alone or in combination with BNP would increase left ventricular diastolic distensibility by phosphorylating titin.

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