Abstract

AimsIt has been reported that cardiac ankyrin repeat protein is associated with heart development and diseases. This study is aimed to investigate the role of CARP in heart hypertrophy in vivo.Methods and ResultsWe generated a cardiac-specific CARP-overexpressing transgenic mouse. Although such animals did not display any overt physiological abnormality, they developed less cardiac hypertrophy in response to pressure overload than did wildtype mice, as indicated by heart weight/body weight ratios, echocardiographic and histological analyses, and expression of hypertrophic markers. These mice also exhibited less cardiac hypertrophy after infusion of isoproterenol. To gain a molecular insight into how CARP attenuated heart hypertrophy, we examined expression of the mitogen-activated protein kinase cascade and found that the concentrations of phosphorylated ERK1/2 and MEK were markedly reduced in the hearts of transgenic mice subjected to pressure overload. In addition, the expressions of TGF-β and phosphorylated Smad3 were significantly downregulated in the hearts of CARP Tg mice in response to pressure overload. Furthermore, addition of human TGF-β1 could reverse the inhibitory effect of CARP on the hypertrophic response induced by phenylephrine in cardiomyocytes. It was also evidenced that the inhibitory effect of CARP on cardiac hypertrophy was not attributed to apoptosis.ConclusionCARP attenuates cardiac hypertrophy, in which the ERK and TGF-β pathways may be involved. Our findings highlight the significance of CARP as an anti-hypertrophic factor in therapy of cardiac hypertrophy.

Highlights

  • Cardiac hypertrophy is an adaptive response of the myocardium to the increased workload that results from diverse cardiovascular diseases

  • Our findings highlight the significance of CARP as an anti-hypertrophic factor in therapy of cardiac hypertrophy

  • Our results show that CARP has an important role in inhibiting cardiac hypertrophy induced by pressure overload and continuous isoproterenol infusion, and reveal an important regulatory role for transforming growth factor-b (TGF-b) signaling and the mitogen-activated protein kinase (MAPK) cascade, the MEK/ERK1/2 (MAPK/ ERK kinase/extracellular signal-regulated kinase) pathway, in mediating attenuation of cardiac hypertrophy and fibrosis by CARP

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Summary

Introduction

Cardiac hypertrophy is an adaptive response of the myocardium to the increased workload that results from diverse cardiovascular diseases. An imbalance between the expression of pro- and anti-hypertrophic factors acting via a network of intracellular signaling pathways is responsible for development of cardiac hypertrophy [3]. The therapeutic measures against cardiac hypertrophy developed to date principally target pro-hypertrophic pathways; patient outcomes are far from ideal [4]. Against this backdrop, the development of new therapies aimed at enhancing the anti-hypertrophic effect is arguably a worthy undertaking

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