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Published on: July 17, 2020
TSH inhibits SERCA2a and the PKA/PLN pathway in rat cardiomyocytes
Jiajia Dong1, Cuixia Gao2, Jing Liu1
1Department of Endocrinology, Gansu Provincial Hospital, Lanzhou, Gansu, China.
Abstract:
Elevated thyroid-stimulating hormone (TSH) levels often accompany impaired LV diastolic function and subtle systolic dysfunction in subclinical hypothyroidism (sHT). These cardiac dysfunctions are characterized by increases in mean aortic acceleration and pre-ejection/ejection time ratios. To explore the mechanism underlying these pathologies, we investigated the effects of TSH on sarcoplasmic reticulum calcium ATPase (SERCA2a) activity and expression in neonatal rat cardiomyocytes. TSH inhibited SERCA2a activity and expression by binding to TSH receptors in cardiomyocyte membranes and inhibiting the protein kinase A/phoshpolamban (PKA/PLN) signaling pathway. These results suggest that increases in serum TSH levels contribute to the development of cardiac diastolic and systolic dysfunction.
Insights
Elevated thyroid-stimulating hormone (TSH) can impair heart function by reducing calcium handling in heart cells. This study reveals TSH inhibits key proteins, suggesting a mechanism for cardiac dysfunction in subclinical hypothyroidism.
Area of Science:
- Cardiology
- Endocrinology
- Molecular Biology
Background:
- Subclinical hypothyroidism (sHT) is linked to impaired left ventricular (LV) diastolic and systolic function.
- Cardiac dysfunction in sHT is associated with altered hemodynamic parameters like increased mean aortic acceleration and pre-ejection/ejection time ratios.
Purpose of the Study:
- To investigate the direct effects of thyroid-stimulating hormone (TSH) on cardiac function at the molecular level.
- To elucidate the mechanism by which TSH influences sarcoplasmic reticulum calcium ATPase (SERCA2a) activity and expression in cardiomyocytes.
Main Methods:
- Primary neonatal rat cardiomyocytes were utilized to study TSH effects.
- Assays were performed to measure SERCA2a activity and expression.
- Investigated the role of TSH receptors and the protein kinase A/phospholamban (PKA/PLN) signaling pathway.
Main Results:
- TSH was found to inhibit both the activity and expression of SERCA2a in cardiomyocytes.
- TSH exerts its inhibitory effects by binding to cardiomyocyte membrane TSH receptors.
- The protein kinase A/phospholamban (PKA/PLN) signaling pathway was identified as a key mediator of TSH's inhibitory action.
Conclusions:
- Increased serum TSH levels directly impact cardiomyocyte function by inhibiting SERCA2a.
- The TSH-induced inhibition of SERCA2a via the PKA/PLN pathway contributes to cardiac diastolic and systolic dysfunction.
- Findings suggest a molecular mechanism linking subclinical hypothyroidism to cardiovascular pathologies.
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