cells Review Cardiac cAMP-PKA Signaling Compartmentalization in Myocardial Infarction Anne-Sophie Colombe and Guillaume Pidoux * INSERM, UMR-S 1180, Signalisation et Physiopathologie Cardiovasculaire, Université Paris-Saclay, 92296 Châtenay-Malabry, France;
[email protected] * Correspondence:
[email protected] Abstract: Under physiological conditions, cAMP signaling plays a key role in the regulation of car- diac function. Activation of this intracellular signaling pathway mirrors cardiomyocyte adaptation to various extracellular stimuli. Extracellular ligand binding to seven-transmembrane receptors (also known as GPCRs) with G proteins and adenylyl cyclases (ACs) modulate the intracellular cAMP content. Subsequently, this second messenger triggers activation of specific intracellular downstream effectors that ensure a proper cellular response. Therefore, it is essential for the cell to keep the cAMP signaling highly regulated in space and time. The temporal regulation depends on the activity of ACs and phosphodiesterases. By scaffolding key components of the cAMP signaling machinery, A-kinase anchoring proteins (AKAPs) coordinate both the spatial and temporal regulation. Myocar- dial infarction is one of the major causes of death in industrialized countries and is characterized by a prolonged cardiac ischemia. This leads to irreversible cardiomyocyte death and impairs cardiac function. Regardless of its causes, a chronic activation of cardiac cAMP signaling is established to compensate this loss. While this adaptation is primarily beneficial for contractile function, it turns out, in the long run, to be deleterious. This review compiles current knowledge about cardiac cAMP compartmentalization under physiological conditions and post-myocardial infarction when it Citation: Colombe, A.-S.; Pidoux, G. appears to be profoundly impaired. Cardiac cAMP-PKA Signaling Compartmentalization in Myocardial Keywords: heart; myocardial infarction; cardiomyocytes; cAMP signaling; A-kinase anchoring Infarction.