β-Raf activation of the myocardial Na+/H+ exchanger

The NaC/HC exchanger isoform 1 (NHE1) is a ubiquitous plasma membrane protein that regulates intracellular pH in isolated cardiomyocytes and in other mammalian cells. The N-terminal domain of approximately 500 amino acids is responsible for removal of one intracellular proton in exchange for one extracellular sodium. The intracellular C-terminal of 315 amino acids regulates the membrane domain and is post translationally modified by protein kinase mediated phosphorylation (Fig. 1). NHE1 is intimately involved in heart disease. It contributes to ischemia reperfusion mediated injury. During ischemia, acid load increases and the resultant increase in NHE1 activity contributes to increased intracellular sodium. This elevated sodium leads to reversal of activity of the NaC/Ca2C exchanger and results in an increase in intracellular calcium, triggering deleterious pathways that lead to cell damage and death. Elevated NHE1 activity also contributes to cardiac hypertrophy and its inhibition can prevent cardiac hypertrophy. NHE1 is regulated by protein kinase mediated phosphorylation through the mitogen-activated protein kinase (MAPK) signaling pathway. This pathway of Ras-Raf-MEK-ERK/MAPK (Fig. 1) is conserved and controls a variety of cellular processes including proliferation and metabolism in different cell types. Raf, has three isoforms A-Raf, b¡Raf and Raf-1. The Ser/Thr kinase b-Raf, has mutations in very high frequency in melanomas and in lower frequencies in other types of cancer. The V600E mutation is the most prominent and found in most patients with a b-Raf mutation. The NHE1 protein shares some of the physiological roles of b-Raf being involved in cellular proliferation and promoting tumourigenesis. This led us to examine the potential role of b-Raf in regulation of NHE1 and intracellular pH in malignant melanoma cells with the b-Raf mutation. We demonstrated that melanoma cells with the b-RafV600E mutation had elevated resting intracellular pH that was dependent on NHE1. Also, inhibition or knock down of b-Raf decreased NHE1 activity. This report confirmed that b-Raf is capable of regulation of NHE1 in malignant melanoma cells, but how does this occur and is it common in other cell types? In that study we also demonstrated that b-Raf binds to the cytosolic regulatory domain. b-Raf immunoprecipitated with NHE1 in both HeLa and HEK (human embryonic kidney) cells. Another observation was that in a screen for protein kinases from the heart that bind to the NHE1 tail, the strongest signal observed was an interaction between the NHE1-C terminus and b-Raf. This suggested to us that there may be a regulatory role for b-Raf in the myocardium. It is notable that b-Raf has also been implicated in cardiac hypertrophy in addition to NHE1. It thus occurred to us that there may be a link between b-Raf and NHE1 that is responsible. Our follow up work therefore examined whether b-Raf can regulate NHE1 in myocardial cells. In isolated cardiomyocytes, inhibition or knockdown of b-Raf reduced NHE1 activity, confirming that b-Raf plays a significant role in modulation NHE1 in the myocardium. Cell extracts from isolated cardiomyocytes contained b-Raf that bound to NHE1 and