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Calreticulin induces dilated cardiomyopathy
Dukgyu Lee1, Tatsujiro Oka, Beth Hunter
1Department of Biochemistry, University of Alberta, Edmonton, Alberta, Canada.
Insights
Upregulating calreticulin in adult hearts impairs cardiac function, leading to heart failure. This study reveals calreticulin
Area of Science:
- Cardiovascular Biology
- Molecular Cardiology
- Endoplasmic Reticulum Biology
Background:
- Calreticulin is crucial for embryonic heart development but downregulated in adult hearts.
- Adult hearts normally have minimal calreticulin levels.
- The role of calreticulin in the adult heart remained largely unexplored.
Purpose of the Study:
- To investigate the functional role of calreticulin in the adult mammalian heart.
- To determine the consequences of calreticulin re-expression in adult cardiac tissue.
Main Methods:
- Generation of an inducible transgenic mouse model with cardiac-specific calreticulin upregulation via Cre/loxP system.
- Echocardiography to assess cardiac function (systolic, diastolic, valve function).
- Analysis of gene and protein expression related to calcium signaling and cardiac structure.
Main Results:
- Calreticulin upregulation in adult hearts led to impaired left ventricular systolic and diastolic function.
- Mitral valve function was also compromised in transgenic mice.
- Downregulation of key calcium-handling proteins and altered expression of gap junction proteins were observed.
Conclusions:
- Overexpression of calreticulin in adult hearts induces cardiomyopathy and heart failure in vivo.
- Cardiac dysfunction is linked to altered calcium handling, gap junction alterations, and left ventricle remodeling.
- Calreticulin re-expression significantly disrupts adult cardiac homeostasis.
Background:
Calreticulin, a Ca(2+)-buffering chaperone of the endoplasmic reticulum, is highly expressed in the embryonic heart and is essential for cardiac development. After birth, the calreticulin gene is sharply down regulated in the heart, and thus, adult hearts have negligible levels of calreticulin. In this study we tested the role of calreticulin in the adult heart.
Methodology/Principal Findings:
We generated an inducible transgenic mouse in which calreticulin is targeted to the cardiac tissue using a Cre/loxP system and can be up-regulated in adult hearts. Echocardiography analysis of hearts from transgenic mice expressing calreticulin revealed impaired left ventricular systolic and diastolic function and impaired mitral valve function. There was altered expression of Ca(2+) signaling molecules and the gap junction proteins, Connexin 43 and 45. Sarcoplasmic reticulum associated Ca(2+)-handling proteins (including the cardiac ryanodine receptor, sarco/endoplasmic reticulum Ca(2+)-ATPase, and cardiac calsequestrin) were down-regulated in the transgenic hearts with increased expression of calreticulin.
Conclusions/Significance:
We show that in adult heart, up-regulated expression of calreticulin induces cardiomyopathy in vivo leading to heart failure. This is due to an alternation in changes in a subset of Ca(2+) handling genes, gap junction components and left ventricle remodeling.
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