Alterations in cardiac contractility and gene expression during low-T3 syndrome: prevention with T3

H L Katzeff1, S R Powell, K Ojamaa

  • 1Department of Medicine, North Shore University Hospital, Manhasset, New York 10030, USA.

Insights

Calorie restriction causes low-triiodothyronine (T3) syndrome, impairing heart function and gene expression. T3 supplementation reversed these negative effects, suggesting T3

Area of Science:

  • Endocrinology
  • Cardiovascular Physiology
  • Molecular Biology

Background:

  • Low-triiodothyronine (T3) syndrome, characterized by decreased serum T3, has unclear impacts on thyroid hormone-responsive genes and function.
  • Chronic calorie deprivation serves as a model to investigate the low-T3 syndrome's effects on cardiac myocytes.

Purpose of the Study:

  • To assess the impact of low-T3 syndrome on cardiac myocyte gene expression and contractility in rats.
  • To determine if T3 supplementation can mitigate the cardiac effects of calorie restriction.

Main Methods:

  • Young adult female rats were subjected to 50% calorie restriction for 28 days to induce low-T3 syndrome.
  • Cardiac contractility was measured, alongside sarcoplasmic reticulum calcium ATPase 2 (SERCA2) and myosin heavy chain (MHC) isoform mRNA levels.
  • Groups included control, calorie-restricted (low T3), and calorie-restricted with T3 treatment.

Main Results:

  • Calorie-restricted rats exhibited significantly impaired cardiac contraction and relaxation rates.
  • Left ventricular relaxation time increased, and SERCA2 mRNA levels decreased in low-T3 rats.
  • T3 supplementation normalized cardiac function and SERCA2 mRNA levels, while also affecting MHC isoform expression.

Conclusions:

  • The low-T3 syndrome significantly impairs cardiac contractility and alters cardiac gene expression, as demonstrated in calorie-restricted rats.
  • T3 supplementation effectively reverses the detrimental cardiac effects of calorie restriction, highlighting the role of T3 in adaptation.
  • These findings suggest the low-T3 syndrome is a key factor in the pathophysiology of calorie restriction's impact on the heart.

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