Abstract P121: Cardiac Deletion of Aryl Hydrocarbon Nuclear Translocator (Hypoxia-Inducible Factor 1-β) in the Adult Heart Results in Cardiomyopathy

Abstract

Rongxue Wu, Kusum Chawla, Yoshihiko Ichikawa, Mohsen Granefar Hossein Ardehali Background: Aryl hydrocarbon receptor nuclear translocator (ARNT) is a member of basic helix-loop-helix Per/ARNT/Sim (bHLH-PAS) proteins and serves as a binding partner for a number of other family members. ARNT is also a required dimerization partner of HIF1a. Although HIF1a is known to be required for normal cardiac development, the role of ARNT in basal cardiac function in the adult heart is not known. We hypothesized that ARNT is required for normal cardiac physiology, and its deletion in adult heart results in cardiomyopathy. Methods and Results: The deletion of ARNT gene in the heart of 3 month old mice was achieved by crossing ARNT flox/flox mice with αMHC-MCM (tamoxifen-inducible heart specific Cre) transgenic mice followed by administration of tamoxifen chow. MHC-MCM/ARNT +/+ (WT) littermates were used as a control. The ARNT knock out (KO) mice exhibited enlarged left ventricle with a significant reduction in ejection fraction (KO vs. WT: 35.8 ± 3.6% vs. 61.2 ± 2.8%, n=12, p<0.01) and fractional shortening (KO vs. WT: 18.3 ± 1.5 % vs. 30.1 ± 1.1%, p<0.01), assessed by Echocardiography. Closed-chest catheterization also demonstrated reduced +dP/dt (KO vs. WT: 4355 ± 538 vs. 9426 ± 180 mmHg, p<0.01) and increased left ventricular end diastolic pressure (KO vs. WT: 3.12 ± 1.1 vs. 8.47± 1.2 mmHg, P<0.05) in KO mice but not in WT mice. The worsened cardiac function in the KO mouse heart was associated with increase in ANF and BNP expression, interstitial fibrosis, and apoptosis as determined by TUNEL staining. Furthermore, electron microscopy reveals a variety of degenerative changes and some lipid droplet in the KO hearts, and histological studies demonstrated intramyocardial lipid accumulation in the perivascular area in the KO mouse hearts. Analysis of gene expression in the KO heart revealed up-regulation of peroxisome proliferator-activated receptor alpha. Conclusion: ARNT is essential for the maintenance of structural and functional homeostasis in the adult heart, and its inactivation leads to cardiac contractile dysfunction. Our findings implicate a novel critical transcriptional requirement for ARNT in the maintenance of adult cardiac function.