Myocardial transcription factors in diastolic dysfunction: clues for model systems and disease

Alexander T Mikhailov1, Mario Torrado2

  • 1Institute of Health Sciences, University of La Coruña, 15006, La Coruña, Spain. a.mikhailov@udc.es.

Heart Failure Reviews
|June 17, 2016
PubMed

Insights

Cardiovascular transcription factors (TFs) are key regulators of heart diastolic function. Understanding their roles in diastolic dysfunction may lead to new therapeutic targets for heart failure.

Area of Science:

  • Cardiovascular Biology
  • Molecular Cardiology
  • Cardiac Pathophysiology

Background:

  • Diastolic dysfunction involves complex molecular and structural changes in the heart muscle.
  • The precise molecular mechanisms driving diastolic dysfunction progression are not fully understood.
  • Core cardio-enriched transcription factors (TFs) are implicated in regulating cardiac remodeling and diastolic function.

Purpose of the Study:

  • To review current findings on the role of specific transcription factors in cardiac diastolic dysfunction.
  • To highlight the potential of these transcription factors as therapeutic targets.
  • To emphasize the importance of new animal models for studying disease mechanisms.

Main Methods:

  • Literature review of existing studies on transcription factors and diastolic dysfunction.
  • Analysis of the roles of TBX5, GATA-4/6, SRF, MYOCD, NRF2, and PITX2.
  • Discussion of findings from new animal models.

Main Results:

  • Specific transcription factors (TBX5, GATA-4/6, SRF, MYOCD, NRF2, PITX2) play significant roles in cardiac diastolic function and dysfunction.
  • These TFs regulate genes involved in both adaptive and maladaptive cardiac remodeling.
  • Interactions and cross-talk between TFs are crucial in disease pathogenesis.

Conclusions:

  • Transcription factors are critical regulators of diastolic function and dysfunction.
  • Targeting these TFs offers promising avenues for novel therapeutic strategies.
  • Further biomedical research is needed to elucidate TF interactions and develop effective treatments for diastolic dysfunction.

Related Concept Videos

Heart Failure II: Pathophysiology01:29

Heart Failure II: Pathophysiology

Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
1.3K
Cardiomyopathy III: Hypertrophic Cardiomyopathy01:29

Cardiomyopathy III: Hypertrophic Cardiomyopathy

Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
640
Cardiomyopathy II: Dilated Cardiomyopathy01:30

Cardiomyopathy II: Dilated Cardiomyopathy

Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
727
Cardiomyopathy IV: Restrictive Cardiomyopathy01:29

Cardiomyopathy IV: Restrictive Cardiomyopathy

Restrictive cardiomyopathy (RCM) is a rare heart muscle disease characterized by impaired ventricular filling due to stiffened ventricular walls, leading to significant diastolic dysfunction.EtiologyRestrictive cardiomyopathy can arise from both inherited and acquired diseases, many of which are systemic. It is categorized into four main types: infiltrative, storage, non-infiltrative, and endomyocardial diseases.Infiltrative diseases, such as amyloidosis, lead to RCM by depositing amyloid...
746
Master Transcription Regulators02:23

Master Transcription Regulators

Master transcription regulators are regulatory proteins that are predominantly responsible for regulating the expression of multiple genes. Often these genes work in concert to drive a  complex process. Activation of a master transcription regulator can lead to a cascade of transcriptional activation necessary for that outcome. These regulators can directly bind to the regulatory sequences of the various genes involved, or they can indirectly regulate transcription by binding to regulatory...
8.0K
Pathophysiology of Heart Failure01:17

Pathophysiology of Heart Failure

Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
4.4K