Loss of Hypoxia-Inducible Factor Prolyl Hydroxylase Activity in Cardiomyocytes Phenocopies Ischemic Cardiomyopathy

Ischemic cardiomyopathy is the major cause of heart failure and a significant cause of morbidity and mortality. The degree of left ventricular dysfunction in this setting is often out of proportion to the amount of overtly infarcted tissue, and how decreased delivery of oxygen and nutrients leads to...

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Veröffentlicht in:Circulation (New York, N.Y.) N.Y.), 2010-09, Vol.122 (10), p.1004-1016
Hauptverfasser: MOSLEHI, Javid, MINAMISHIMA, Yoji Andrew, JIANRU SHI, NEUBERG, Donna, CHARYTAN, David M, PADERA, Robert F, SIGNORETTI, Sabina, LIAO, Ronglih, KAELIN, William G
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container_issue 10
container_start_page 1004
container_title Circulation (New York, N.Y.)
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creator MOSLEHI, Javid
MINAMISHIMA, Yoji Andrew
JIANRU SHI
NEUBERG, Donna
CHARYTAN, David M
PADERA, Robert F
SIGNORETTI, Sabina
LIAO, Ronglih
KAELIN, William G
description Ischemic cardiomyopathy is the major cause of heart failure and a significant cause of morbidity and mortality. The degree of left ventricular dysfunction in this setting is often out of proportion to the amount of overtly infarcted tissue, and how decreased delivery of oxygen and nutrients leads to impaired contractility remains incompletely understood. The Prolyl Hydroxylase Domain-Containing Protein (PHD) prolyl hydroxylases are oxygen-sensitive enzymes that transduce changes in oxygen availability into changes in the stability of the hypoxia-inducible factor transcription factor, a master regulator of genes that promote survival in a low-oxygen environment. We found that cardiac-specific PHD inactivation causes ultrastructural, histological, and functional changes reminiscent of ischemic cardiomyopathy over time. Moreover, long-term expression of a stabilized hypoxia-inducible factor alpha variant in cardiomyocytes also led to dilated cardiomyopathy. Sustained loss of PHD activity and subsequent hypoxia-inducible factor activation, as would occur in the setting of chronic ischemia, are sufficient to account for many of the changes in the hearts of individuals with chronic coronary artery disease.
doi_str_mv 10.1161/circulationaha.109.922427
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The degree of left ventricular dysfunction in this setting is often out of proportion to the amount of overtly infarcted tissue, and how decreased delivery of oxygen and nutrients leads to impaired contractility remains incompletely understood. The Prolyl Hydroxylase Domain-Containing Protein (PHD) prolyl hydroxylases are oxygen-sensitive enzymes that transduce changes in oxygen availability into changes in the stability of the hypoxia-inducible factor transcription factor, a master regulator of genes that promote survival in a low-oxygen environment. We found that cardiac-specific PHD inactivation causes ultrastructural, histological, and functional changes reminiscent of ischemic cardiomyopathy over time. Moreover, long-term expression of a stabilized hypoxia-inducible factor alpha variant in cardiomyocytes also led to dilated cardiomyopathy. 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subjects Animals
Basic Helix-Loop-Helix Transcription Factors - metabolism
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Cardiomyopathy, Dilated - metabolism
Cardiomyopathy, Dilated - physiopathology
Cell Hypoxia - physiology
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Fundamental and applied biological sciences. Psychology
General aspects
Heart Failure - metabolism
Heart Failure - physiopathology
Hypoxia-Inducible Factor 1, alpha Subunit - metabolism
Hypoxia-Inducible Factor-Proline Dioxygenases
Medical sciences
Mice
Mice, Inbred C57BL
Mice, Mutant Strains
Mitochondria - metabolism
Myocardial Stunning - metabolism
Myocardial Stunning - physiopathology
Myocardium - metabolism
Myocytes, Cardiac - cytology
Myocytes, Cardiac - enzymology
Neovascularization, Physiologic - physiology
Phenotype
Procollagen-Proline Dioxygenase - genetics
Procollagen-Proline Dioxygenase - metabolism
Vertebrates: cardiovascular system
title Loss of Hypoxia-Inducible Factor Prolyl Hydroxylase Activity in Cardiomyocytes Phenocopies Ischemic Cardiomyopathy
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