Hyperthyroid hearts display a phenotype of cardioprotection against ischemic stress: a possible involvement of heat

C Pantos1, V Malliopoulou, I Mourouzis

  • 1Department of Pharmacology, University of Athens. cpantos@cc.uoa.gr

Hormone and Metabolic Research = Hormon- Und Stoffwechselforschung = Hormones Et Metabolisme
|May 24, 2006
PubMed

Insights

Long-term thyroxin treatment enhances heart protection against ischemic stress by increasing Heat Shock Protein 70 (HSP70) expression. This suggests HSP70 plays a key role in thyroid hormone-induced cardioprotection.

Area of Science:

  • Cardiovascular Physiology
  • Molecular Biology
  • Endocrinology

Background:

  • Hyperthyroid hearts exhibit cardioprotection against ischemia, but mechanisms are unclear.
  • Heat Shock Protein 70 (HSP70) is a stress-responsive chaperone enhancing cell survival.
  • Thyroid hormones may influence myocardial stress resilience via HSP70.

Purpose of the Study:

  • To investigate the relationship between HSP70 and thyroid hormone-induced cardioprotection.
  • To determine if long-term thyroxin administration alters HSP70 expression and myocardial tolerance to ischemia/reperfusion (I/R).

Main Methods:

  • Wistar rats received thyroxin for 4 or 14 days.
  • Isolated hearts underwent 20 min ischemia followed by 45 min reperfusion (I/R).
  • Myocardial HSP70 levels and oxidative stress (MDA) were measured; functional recovery post-I/R was assessed.

Main Results:

  • Long-term (14-day) thyroxin treatment significantly increased myocardial HSP70 levels (1.85-fold) compared to controls.
  • Short-term (4-day) thyroxin treatment did not alter HSP70 levels.
  • Hearts from long-term treated rats showed significantly improved functional recovery after I/R, unlike short-term treated hearts.
  • Increased oxidative stress (MDA) was noted in long-term treated hearts.

Conclusions:

  • Long-term thyroxin administration confers myocardial tolerance to I/R.
  • Enhanced HSP70 expression in the myocardium likely contributes to this cardioprotective effect.
  • Thyroid hormone-induced cardioprotection is time-dependent and associated with HSP70 upregulation.

Related Concept Videos

Cardiomyopathy III: Hypertrophic Cardiomyopathy01:29

Cardiomyopathy III: Hypertrophic Cardiomyopathy

Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
Hyperthyroidism II: Pathophysiology01:27

Hyperthyroidism II: Pathophysiology

Hyperthyroidism is a hypermetabolic state caused by elevated levels of thyroid hormones, triiodothyronine (T3) and thyroxine (T4). It results from dysregulation at the thyroid, pituitary, or immune system level and affects multiple organ systems.PathophysiologyThe most common cause of hyperthyroidism is Graves’ disease, an autoimmune disorder in which antibodies, specifically thyroid-stimulating antibodies (TSAb), a subtype of TSH receptor antibodies (TRAb), bind to and activate TSH receptors...
Heart Failure II: Pathophysiology01:29

Heart Failure II: Pathophysiology

Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
Graves' Disease I: Introduction01:28

Graves' Disease I: Introduction

Graves' disease is an autoimmune disorder that causes hyperthyroidism, or overactivity of the thyroid gland. It results from autoantibodies called thyroid-stimulating immunoglobulins (TSIs), which bind to thyroid-stimulating hormone (TSH) receptors, leading to overstimulation of hormone production and a hypermetabolic state.EtiologyAlthough considered idiopathic, Graves’ disease has well-established contributing factors. There is a strong genetic component, with increased prevalence in...
Myocarditis I: Introduction01:21

Myocarditis I: Introduction

Myocarditis is inflammation of the myocardium, which is the muscular layer of the heart.EtiologyMyocarditis has a diverse etiology, including a wide range of infectious and non-infectious causes:Infectious CausesViral: Common viruses include Coxsackie A and B, adenovirus, parvovirus B19, enteroviruses, and influenza A.Bacterial: Examples include infections caused by Streptococcus, Staphylococcus, and Mycoplasma species.Rickettsial: Infections like Rocky Mountain spotted fever can result in...
Cardiomyopathy II: Dilated Cardiomyopathy01:30

Cardiomyopathy II: Dilated Cardiomyopathy

Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...