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[Molecular basis for cardiac functions]

R Nagai1, T Yamazaki, I Shiojima

  • 13rd Department of Internal Medicine, University of Tokyo.

Rinsho Byori. the Japanese Journal of Clinical Pathology
|April 1, 1993
PubMed

Insights

This study reveals molecular changes in cardiac hypertrophy, showing increased protein synthesis and altered myosin heavy chain (MHC) expression. It also details decreased sarcoplasmic reticulum Ca(2+)-ATPase activity, crucial for heart relaxation.

Area of Science:

  • Cardiovascular Biology
  • Molecular Cardiology
  • Cellular Physiology

Background:

  • Cardiac hypertrophy involves alterations in contractile and calcium regulatory proteins.
  • Impaired contractile and diastolic functions are linked to these molecular changes.
  • Understanding these adaptations is key to treating heart conditions.

Purpose of the Study:

  • To analyze molecular changes during the development of cardiac hypertrophy.
  • To investigate alterations in protein synthesis, myosin heavy chain (MHC) isoforms, and sarcoplasmic reticulum Ca(2+)-ATPase (SR Ca(2+)-ATPase).
  • To explore signal transduction pathways involved in cardiac myocyte adaptation.

Main Methods:

  • Cardiac hypertrophy induced via pulmonary artery constriction (rabbits) or aortic constriction (rats).
  • Analysis of protein synthesis, MHC isoform expression (mRNA and protein levels).
  • Measurement of SR Ca(2+)-ATPase activity and mRNA levels.
  • Investigation of signal transduction by stretching cardiac myocytes.

Main Results:

  • Protein synthesis increased significantly (1.8x) in rabbit ventricular hypertrophy.
  • A shift from alpha-MHC to beta-MHC expression occurred at the mRNA level.
  • SR Ca(2+)-ATPase activity and mRNA levels decreased in pressure-overload hypertrophy but increased in thyrotoxic hearts.
  • Stretching myocytes activated protein kinase C, MAP-II kinase, and S6 kinase, potentially inducing fetal-type genes.

Conclusions:

  • Cardiac hypertrophy involves complex molecular adaptations in protein synthesis and contractile elements.
  • Downregulation of SR Ca(2+)-ATPase impairs relaxation in hypertrophied hearts.
  • Signal transduction pathways play a role in mediating hypertrophic responses and gene expression changes.

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