Document Detail


Up-regulation of type 2 iodothyronine deiodinase in dilated cardiomyopathy.
MedLine Citation:
PMID:  20453157     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: Thyroid hormone (TH) has prominent effects on the heart, and hyperthyroidism is occasionally found to be a cause of dilated cardiomyopathy (DCM). We aim to explore the potential role of TH in the pathogenesis of DCM.
METHODS AND RESULTS: The pathophysiological role of TH in the heart was investigated using a knock-in mouse model of inherited DCM with a deletion mutation DeltaK210 in the cardiac troponin T gene. Serum tri-iodothyronine (T(3)) levels showed no significant difference between wild-type (WT) and DCM mice, whereas cardiac T(3) levels in DCM mice were significantly higher than those in WT mice. Type 2 iodothyronine deiodinase (Dio2), which produces T(3) from thyroxin, was up-regulated in the DCM mice hearts. The cAMP levels were increased in DCM mice hearts, suggesting that transcriptional up-regulation of Dio2 gene is mediated through the evolutionarily conserved cAMP-response element site in its promoter. Propylthiouracil (PTU), an anti-thyroid drug, prevented the hypertrophic remodelling of the heart in DCM mice and improved their cardiac function and life expectancy. Akt and p38 mitogen-activated protein kinase (p38 MAPK) phosphorylation increased in the DCM mice hearts and PTU treatment significantly reduced the phosphorylation levels, strongly suggesting that Dio2 up-regulation is involved in cardiac remodelling in DCM through activating the TH-signalling pathways involving Akt and p38 MAPK. Dio2 gene expression was also markedly up-regulated in the mice hearts developing similar eccentric hypertrophy after myocardial infarction.
CONCLUSION: Local hyperthyroidism via transcriptional up-regulation of the Dio2 gene may be an important underlying mechanism for the hypertrophic cardiac remodelling in DCM.
Authors:
Yuan-Yuan Wang; Sachio Morimoto; Cheng-Kun Du; Qun-Wei Lu; Dong-Yun Zhan; Takaki Tsutsumi; Tomomi Ide; Yosikazu Miwa; Fumi Takahashi-Yanaga; Toshiyuki Sasaguri
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-05-07
Journal Detail:
Title:  Cardiovascular research     Volume:  87     ISSN:  1755-3245     ISO Abbreviation:  Cardiovasc. Res.     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-13     Completed Date:  2010-12-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0077427     Medline TA:  Cardiovasc Res     Country:  England    
Other Details:
Languages:  eng     Pagination:  636-46     Citation Subset:  IM    
Affiliation:
Department of Clinical Pharmacology, Faculty of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan.
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MeSH Terms
Descriptor/Qualifier:
Animals
Antithyroid Agents / pharmacology
Cardiomyopathy, Dilated / drug therapy,  enzymology*,  genetics,  physiopathology
Cells, Cultured
Cyclic AMP / metabolism
Disease Models, Animal
Female
Gene Expression Profiling
Gene Expression Regulation, Enzymologic
Iodide Peroxidase / genetics,  metabolism*
Male
Mice
Mice, Inbred C57BL
Mice, Transgenic
Mutation
Myocardium / enzymology*
Oligonucleotide Array Sequence Analysis
Phosphorylation
Propylthiouracil / pharmacology
Proto-Oncogene Proteins c-akt / metabolism
Transcription, Genetic
Triiodothyronine / metabolism
Troponin T / genetics,  metabolism
Up-Regulation
Ventricular Remodeling* / drug effects
p38 Mitogen-Activated Protein Kinases / metabolism
Chemical
Reg. No./Substance:
0/Antithyroid Agents; 0/Troponin T; 51-52-5/Propylthiouracil; 60-92-4/Cyclic AMP; 6893-02-3/Triiodothyronine; EC 1.11.1.-/iodothyronine deiodinase type II; EC 1.11.1.8/Iodide Peroxidase; EC 2.7.11.1/Proto-Oncogene Proteins c-akt; EC 2.7.11.24/p38 Mitogen-Activated Protein Kinases

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