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Published on: September 24, 2013
Regulation of thyroid hormone receptor isoforms in physiological and pathological cardiac hypertrophy
K Kinugawa1, K Yonekura, R C Ribeiro
1Division of Cardiology, University of Colorado Health Sciences Center, Denver, CO, USA.
Insights
Thyroid hormone receptors (TRs) in heart cells change with cardiac hypertrophy. TR levels are altered, explaining molecular changes in both physiological and pathological heart enlargement.
Area of Science:
- Cardiology
- Molecular Biology
- Endocrinology
Background:
- Cardiac hypertrophy involves altered gene expression of thyroid hormone (TH)-responsive genes like alpha- and beta-myosin heavy chain (MyHC) and SERCA.
- TH treatment can reverse pathological hypertrophy, suggesting a role for TH signaling, yet serum TH levels are often normal.
Purpose of the Study:
- To investigate the regulation and distinct functions of thyroid hormone receptor (TR) subtypes (TRbeta1, TRalpha1, TRalpha2) in rat cardiac hypertrophy models.
- To determine if changes in myocyte TR levels contribute to the molecular phenotypes observed in physiological and pathological cardiac hypertrophy.
Main Methods:
- Studied TR subtype expression in rat cardiac hypertrophy models induced by phenylephrine (in culture) and pressure overload (in vivo).
- Examined TR expression in models mimicking hypothyroid-like and hyperthyroid-like states.
- Utilized myocyte culture experiments with TR overexpression, triiodothyronine (T3) treatment, and TR isoform-selective agonists (GC-1) to assess functional coupling.
Main Results:
- All three TR subtypes were downregulated in hypertrophy models with a hypothyroid-like mRNA phenotype (phenylephrine, pressure overload).
- Myocyte TRbeta1 was upregulated in models with a hyperthyroid-like phenotype (T3, exercise).
- TRbeta1 was linked to beta-MyHC, SERCA, and TRbeta1 transcription, while TRalpha1 influenced alpha-MyHC transcription and myocyte size.
Conclusions:
- Thyroid hormone receptor isoforms (TRbeta1, TRalpha1) exhibit distinct regulation and functional roles in rat cardiac myocytes.
- Altered expression of myocyte TRs contributes to the molecular characteristics of physiological and pathological cardiac hypertrophy.
Abstract:
Physiological and pathological cardiac hypertrophy have directionally opposite changes in transcription of thyroid hormone (TH)-responsive genes, including alpha- and beta-myosin heavy chain (MyHC) and sarcoplasmic reticulum Ca(2+)-ATPase (SERCA), and TH treatment can reverse molecular and functional abnormalities in pathological hypertrophy, such as pressure overload. These findings suggest relative hypothyroidism in pathological hypertrophy, but serum levels of TH are usually normal. We studied the regulation of TH receptors (TRs) beta1, alpha1, and alpha2 in pathological and physiological rat cardiac hypertrophy models with hypothyroid- and hyperthyroid-like changes in the TH target genes, alpha- and beta-MyHC and SERCA. All 3 TR subtypes in myocytes were downregulated in 2 hypertrophy models with a hypothyroid-like mRNA phenotype, phenylephrine in culture and pressure overload in vivo. Myocyte TRbeta1 was upregulated in models with a hyperthyroid-like phenotype, TH (triiodothyronine, T3), in culture and exercise in vivo. In myocyte culture, TR overexpression, or excess T3, reversed the effects of phenylephrine on TH-responsive mRNAs and promoters. In addition, TR cotransfection and treatment with the TRbeta1-selective agonist GC-1 suggested different functional coupling of the TR isoforms, TRbeta1 to transcription of beta-MyHC, SERCA, and TRbeta1, and TRalpha1 to alpha-MyHC transcription and increased myocyte size. We conclude that TR isoforms have distinct regulation and function in rat cardiac myocytes. Changes in myocyte TR levels can explain in part the characteristic molecular phenotypes in physiological and pathological cardiac hypertrophy.
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