CD36 overexpression predisposes to arrhythmias but reduces infarct size in spontaneously hypertensive rats: gene

Jan Neckář1, Jan Šilhavy, Václav Zídek

  • 1Institute of Physiology, Academy of Sciences of the Czech Republic, Czech Republic.

Physiological Genomics
|December 1, 2011
PubMed

Insights

The CD36 fatty acid translocase gene variant in spontaneously hypertensive rats increases susceptibility to ischemic ventricular arrhythmias but reduces myocardial infarct size. This suggests CD36 plays a complex role in cardiac response to ischemia.

Area of Science:

  • Cardiovascular Physiology
  • Molecular Cardiology
  • Genetics

Background:

  • CD36 fatty acid translocase is crucial for cardiac energy metabolism, utilizing long-chain fatty acids (FA).
  • A naturally occurring Cd36 deletion variant in spontaneously hypertensive rats (SHR) impairs FA transport into cardiomyocytes, leading to cardiac hypertrophy.
  • This study investigates the impact of this Cd36 variant on ischemic heart disease outcomes.

Purpose of the Study:

  • To determine the effect of wild-type CD36 expression on susceptibility to ischemic ventricular arrhythmias and myocardial infarction in SHR.
  • To explore the molecular mechanisms underlying CD36-mediated effects on ischemic tolerance.

Main Methods:

  • Utilized an open-chest model of coronary artery occlusion in adult SHR-Cd36 transgenic rats (wild-type Cd36) and age-matched SHR controls.
  • Assessed ventricular arrhythmias and myocardial infarct size.
  • Performed gene expression profiling using Illumina-based sequencing on left ventricles.
  • Investigated the role of catecholamines using reserpine.

Main Results:

  • SHR-Cd36 transgenic rats exhibited significantly increased duration and number of ventricular arrhythmias and a higher arrhythmia score compared to SHR controls.
  • Conversely, transgenic SHR showed a significantly reduced myocardial infarct size.
  • Reserpine abolished the increased susceptibility to arrhythmias in transgenic SHR, indicating involvement of catecholamines.
  • Gene expression analysis identified circadian rhythms and oxidative phosphorylation as key KEGG pathways, and circadian rhythms, VDR/RXR activation, IGF1 signaling, and HMGB1 signaling as significant IPA canonical pathways.

Conclusions:

  • Transgenic expression of CD36 significantly modulates the incidence and severity of ischemic and reperfusion ventricular arrhythmias and myocardial infarct size in SHR.
  • The proarrhythmic effect of the CD36 transgene is dependent on adrenergic stimulation.
  • CD36 plays a dual role in ischemic heart disease, promoting arrhythmias while offering protection against infarct expansion.

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