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Glucocorticoid signaling in the heart: A cardiomyocyte perspective
Robert H Oakley1, John A Cidlowski1
1Laboratory of Signal Transduction, National Institute of Environmental Health Sciences, National Institutes of Health, Department of Health and Human Services, 111 TW Alexander Drive, P.O. Box 12233, MD F3-07, Research Triangle Park, North Carolina 27709, USA.
Abstract:
Heart failure is one of the leading causes of death in the Western world. Glucocorticoids are primary stress hormones that regulate a vast array of biological processes, and synthetic derivatives of these steroids have been mainstays in the clinic for the last half century. Abnormal levels of glucocorticoids are known to negatively impact the cardiovascular system; however, surprisingly little is known about the direct role of glucocorticoid signaling in the heart. The actions of glucocorticoids are mediated classically by the glucocorticoid receptor (GR). In certain cells, such as cardiomyocytes, glucocorticoid occupancy and activation of the mineralocorticoid receptor (MR) may also contribute to the observed response. Recently, there has been a surge of reports investigating the in vivo function of glucocorticoid signaling in the heart using transgenic mice that specifically target GR or MR in cardiomyocytes. Results from these studies suggest that GR signaling in cardiomyocytes is critical for the normal development and function of the heart. In contrast, MR signaling in cardiomyocytes participates in the development and progression of cardiac disease. In the following review, we discuss these genetic mouse models and the new insights they are providing into the direct role cardiomyocyte glucocorticoid signaling plays in heart physiology and pathophysiology. This article is part of a Special Issue entitled 'Steroid Perspectives'.
Insights
Glucocorticoid receptor (GR) signaling in heart cells is vital for normal heart development and function. Mineralocorticoid receptor (MR) signaling in these cells contributes to cardiac disease progression.
Area of Science:
- Cardiology
- Endocrinology
- Molecular Biology
Background:
- Heart failure is a major cause of death globally.
- Glucocorticoids are critical stress hormones with known cardiovascular effects.
- The direct role of glucocorticoid signaling in the heart remains incompletely understood.
Purpose of the Study:
- To review the role of glucocorticoid signaling in cardiomyocytes.
- To discuss insights from genetic mouse models targeting GR and MR in the heart.
- To elucidate the impact of cardiomyocyte glucocorticoid signaling on heart physiology and pathophysiology.
Main Methods:
- Utilizing transgenic mouse models to specifically target glucocorticoid receptor (GR) and mineralocorticoid receptor (MR) in cardiomyocytes.
- Investigating the in vivo function of GR and MR signaling pathways within the heart.
- Analyzing the physiological and pathophysiological consequences of altered glucocorticoid signaling in the heart.
Main Results:
- GR signaling in cardiomyocytes is essential for normal cardiac development and function.
- MR signaling in cardiomyocytes plays a role in the development and progression of cardiac disease.
- Genetic models provide new understanding of direct cardiomyocyte glucocorticoid signaling.
Conclusions:
- Cardiomyocyte glucocorticoid signaling, mediated by GR and MR, significantly influences heart health.
- GR signaling is protective, while MR signaling is detrimental in the context of cardiac disease.
- Further research into these pathways can inform therapeutic strategies for heart failure.
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