Activation of FoxO1 prevents and reverses cardiac hypertrophy from diverse stimuli

Thomas G Martin1, Stephen J Langer1, Claudia Crocini2

  • 1Department of Molecular, Cellular, and Developmental Biology, University of Colorado Boulder, Boulder, CO, United States of America; BioFrontiers Institute, University of Colorado Boulder, Boulder, CO, United States of America.

Insights

Forkhead box proteins (FoxOs) and their autophagy targets are key to reversing cardiac hypertrophy after exercise or pregnancy. FoxO1 activation can prevent and reverse pathological heart growth.

Area of Science:

  • Cardiology
  • Molecular Biology
  • Physiology

Background:

  • The heart undergoes structural and functional remodeling in response to various stimuli.
  • Cardiac hypertrophy, a thickening of the heart muscle, is well-studied at the molecular level.
  • Mechanisms driving the regression of cardiac hypertrophy after stimulus removal are less understood.

Purpose of the Study:

  • To investigate the molecular mechanisms underlying cardiac hypertrophy regression.
  • To identify key proteins and pathways involved in reversing cardiac enlargement.
  • To explore the role of forkhead box proteins (FoxOs) in cardiac mass regulation.

Main Methods:

  • Studied cardiac hypertrophy regression in mouse models following exercise and pregnancy.
  • Analyzed the expression and activation of forkhead box proteins (FoxOs).
  • Investigated the impact of FoxO1 activation on adrenergic agonist-induced pathological hypertrophy.

Main Results:

  • Activation of forkhead box proteins (FoxOs) and increased expression of their autophagy targets are common in cardiac hypertrophy regression.
  • Exercise and pregnancy in mice are associated with FoxO activation during hypertrophy regression.
  • FoxO1 activation was sufficient to prevent and reverse pathological cardiac hypertrophy induced by adrenergic agonists.

Conclusions:

  • Forkhead box proteins (FoxOs), particularly FoxO1, play a crucial role in the regression of cardiac hypertrophy.
  • FoxO1 activation is a key regulator of cardiac mass and can counteract pathological cardiac remodeling.
  • Understanding FoxO-mediated pathways offers potential therapeutic targets for managing cardiac hypertrophy.

Related Concept Videos

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...
65
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...
1.9K
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...
59