Pigment Epithelium‐Derived Factor (PEDF) Improves Ischemic Cardiac Functional Reserve Through Decreasing Hypoxic Cardiomyocyte Contractility Through PEDF Receptor (PEDF‐R)

Background Pigment epithelium‐derived factor (PEDF), which belongs to the noninhibitory serpin family, has shown the ability to stimulate several physiological processes, such as antiangiogenesis, anti‐inflammation, and antioxidation. In the present study, the effects of PEDF on contractility and calcium handling of rat ventricular myocytes were investigated. Methods and Results Adult Sprague‐Dawley rat models of acute myocardial infarction (AMI) were surgically established. PEDF‐lentivirus was delivered into the myocardium along and away from the infarction border to overexpress PEDF. Video edge detection was used to measure myocyte shortening in vitro. Intracellular Ca2+ was measured in cells loaded with the Ca2+ sensitive fluorescent indicator, Fura‐2‐acetoxymethyl ester. PEDF local overexpression enhanced cardiac functional reserve in AMI rats and reduced myocardial contracture bordering the infracted area. Exogenous PEDF treatment (10 nmol/L) caused a significant decrease in amplitudes of isoproterenol‐stimulated myocyte shortening, Ca2+ transients, and caffeine‐evoked Ca2+ transients in vitro. We then tested a potential role for PEDF receptor‐mediated effects on upregulation of protein kinase C (PKC) and found evidence of signaling through the diacylglycerol/PKCα pathway. We also confirmed that pretreatment of cardiomyocytes with PEDF exhibited dephosphorylation of phospholamban at Ser16, which could be attenuated with PKC inhibition. Conclusions The results suggest that PEDF depresses myocyte contractility by suppressing phosphorylation of phospholamban and Ca2+ transients in a PKCα‐dependent manner through its receptor, PEDF receptor, therefore improving cardiac functional reserve during AMI.