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Published on: October 20, 2013
Nitric oxide synthase-3 deficiency results in hypoplastic coronary arteries and postnatal myocardial infarction
Yin Liu1, Xiangru Lu, Fu-Li Xiang
1Department of Physiology and Pharmacology, Western University, London, Ontario, Canada N6A 5C1.
Insights
Nitric oxide synthase-3 (NOS3) is crucial for coronary artery development. Its deficiency causes hypoplastic coronary arteries, a condition linked to sudden cardiac death.
Area of Science:
- Cardiovascular Biology
- Developmental Biology
- Molecular Medicine
Background:
- Hypoplastic coronary artery disease is a rare congenital condition.
- Sudden cardiac death is a known complication.
- The underlying molecular mechanisms remain unclear.
Purpose of the Study:
- To investigate the role of nitric oxide synthase-3 (NOS3) in the development of hypoplastic coronary arteries.
Main Methods:
- Utilized wild-type, NOS3-deficient, and cardiac-specific NOS3-overexpressing mouse models.
- Assessed coronary artery development, cardiac morphology, and gene expression.
- Evaluated epicardial cell migration.
Main Results:
- NOS3 deficiency led to hypoplastic coronary arteries and myocardial infarction in mice.
- Reduced coronary artery diameter, vessel density, and volume were observed.
- NOS3 deficiency altered cardiac structure and down-regulated key developmental genes.
Conclusions:
- Nitric oxide synthase-3 is essential for normal coronary artery development.
- NOS3 deficiency results in hypoplastic coronary arteries.
- Restoration of NOS3 expression rescued the observed abnormalities.
Aims:
Hypoplastic coronary artery disease is a rare congenital abnormality that is associated with sudden cardiac death. However, molecular mechanisms responsible for this disease are not clear. The aim of the present study was to assess the role of nitric oxide synthase-3 (NOS3) in the pathogenesis of hypoplastic coronary arteries.
Methods And Results:
Wild-type (WT), NOS3(-/-), and a novel cardiac-specific NOS3 overexpression mouse model were employed. Deficiency in NOS3 resulted in coronary artery hypoplasia in foetal mice and spontaneous myocardial infarction in postnatal hearts. Coronary artery diameters, vessel density, and volume were significantly decreased in NOS3(-/-) mice at postnatal day 0. In addition, NOS3(-/-) mice showed a significant increase in the ventricular wall thickness, myocardial volume, and cardiomyocyte cell size compared with WT mice. Lack of NOS3 also down-regulated the expression of Gata4, Wilms tumour-1, vascular endothelial growth factor, basic fibroblast growth factor and erythropoietin, and inhibited migration of epicardial cells. These abnormalities and hypoplastic coronary arteries in the NOS3(-/-) mice were completely rescued by the cardiac-specific overexpression of NOS3.
Conclusion:
Nitric oxide synthase-3 is required for coronary artery development and deficiency in NOS3 leads to hypoplastic coronary arteries.
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