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Time-dependent changes in the expression of thyroid hormone receptor alpha 1 in the myocardium after acute myocardial infarction: possible implications in cardiac remodelling.

Abstract
The present study investigated whether changes in thyroid hormone (TH) signalling can occur after acute myocardial infarction (AMI) with possible physiological consequences on myocardial performance. TH may regulate several genes encoding important structural and regulatory proteins particularly through the TR alpha 1 receptor which is predominant in the myocardium. AMI was induced in rats by ligating the left coronary artery while sham-operated animals served as controls. This resulted in impaired cardiac function in AMI animals after 2 and 13 weeks accompanied by a shift in myosin isoforms expression towards a fetal phenotype in the non-infarcted area. Cardiac hypertrophy was evident in AMI hearts after 13 weeks but not at 2 weeks. This response was associated with a differential pattern of TH changes at 2 and 13 weeks; T(3) and T(4) levels in plasma were not changed at 2 weeks but T(3) was significantly lower and T(4) remained unchanged at 13 weeks. A twofold increase in TR alpha 1 expression was observed after 13 weeks in the non-infarcted area, P<0.05 versus sham operated, while TR alpha 1 expression remained unchanged at 2 weeks. A 2.2-fold decrease in TR beta 1 expression was found in the non-infarcted area at 13 weeks, P<0.05, while no change in TR beta 1 expression was seen at 2 weeks. Parallel studies with neonatal cardiomyocytes showed that phenylephrine (PE) administration resulted in 4.5-fold increase in the expression of TR alpha 1 and 1.6-fold decrease in TR beta 1 expression versus untreated, P<0.05. In conclusion, cardiac dysfunction which occurs at late stages after AMI is associated with increased expression of TR alpha 1 receptor and lower circulating tri-iodothyronine levels. Thus, apo-TR alpha 1 receptor state may prevail contributing to cardiac fetal phenotype. Furthermore, down-regulation of TR beta 1 also contributes to fetal phenotypic changes. alpha1-adrenergic signalling is, at least in part, involved in this response.
AuthorsConstantinos Pantos, Iordanis Mourouzis, Christodoulos Xinaris, Alexandros D Kokkinos, Konstantinos Markakis, Antonios Dimopoulos, Matthew Panagiotou, Theodosios Saranteas, Georgia Kostopanagiotou, Dennis V Cokkinos
JournalEuropean journal of endocrinology (Eur J Endocrinol) Vol. 156 Issue 4 Pg. 415-24 (Apr 2007) ISSN: 0804-4643 [Print] England
PMID17389455 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Cardiotonic Agents
  • Thyroid Hormone Receptors alpha
  • Thyroid Hormone Receptors beta
  • Triiodothyronine
  • Phenylephrine
  • Thyroxine
Topics
  • Animals
  • Cardiomegaly (etiology)
  • Cardiotonic Agents (pharmacology)
  • Cell Shape
  • Echocardiography
  • In Vitro Techniques
  • Isometric Contraction
  • Male
  • Myocardial Contraction
  • Myocardial Infarction (complications, metabolism, physiopathology)
  • Myocardium (metabolism, pathology)
  • Myocytes, Cardiac (drug effects, metabolism, pathology)
  • Phenylephrine
  • Rats
  • Rats, Wistar
  • Thyroid Hormone Receptors alpha (metabolism)
  • Thyroid Hormone Receptors beta (metabolism)
  • Thyroxine (metabolism)
  • Time Factors
  • Triiodothyronine (metabolism)
  • Ventricular Remodeling

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