Calcineurin Abeta gene targeting predisposes the myocardium to acute ischemia-induced apoptosis and dysfunction

Orlando F Bueno1, Daniel J Lips, Robert A Kaiser

  • 1Department of Pediatrics, Division of Molecular Cardiovascular Biology, Children's Hospital Medical Center, Cincinnati, Ohio 45229-3039, USA.

Circulation Research
|November 15, 2003
PubMed

Insights

The study reveals that calcineurin-NFAT signaling protects the heart from apoptosis during ischemia-reperfusion injury. Loss of calcineurin Abeta in mice led to increased cardiac cell death and impaired function.

Area of Science:

  • Cardiology
  • Molecular Biology
  • Cellular Biology

Background:

  • Cardiovascular disease, particularly coronary heart disease (CHD), is a major cause of death globally.
  • Acute myocardial infarction leads to significant loss of heart muscle via apoptosis and necrosis.
  • The role of calcineurin (PP2B) in cardiac apoptosis following ischemia-reperfusion injury requires elucidation.

Purpose of the Study:

  • To investigate the function of calcium calmodulin-activated protein phosphatase calcineurin (PP2B) in modulating cardiac apoptosis after ischemia-reperfusion injury.
  • To determine the impact of calcineurin Abeta deficiency on myocardial viability and cardiac function post-injury.
  • To explore the underlying molecular mechanisms, including gene expression changes and the involvement of the NFAT pathway.

Main Methods:

  • Utilized calcineurin Abeta gene-targeted mice and wild-type controls subjected to ischemia-reperfusion injury.
  • Assessed myocardial viability using DNA laddering and TUNEL assays.
  • Performed RNA expression profiling and utilized NFAT-luciferase reporter transgenic mice to analyze gene expression and pathway activity.

Main Results:

  • Calcineurin Abeta knockout mice exhibited greater myocardial loss, enhanced apoptosis markers, and reduced functional performance compared to controls.
  • RNA profiling revealed a generalized downregulation of gene expression in calcineurin Abeta knockout hearts.
  • NFAT-luciferase reporter assays showed reduced NFAT activity in knockout hearts, while NFAT activation protected against apoptosis.

Conclusions:

  • Calcineurin-NFAT signaling plays a critical prosurvival role in the heart during ischemia-reperfusion injury.
  • Genetic loss of calcineurin Abeta impairs the heart's ability to withstand ischemic stress, leading to increased cell death.
  • These findings highlight calcineurin-NFAT as a potential therapeutic target for cardioprotection.