309Vitamin A (VA) and its biological derivatives (the retinoids) play diverse roles in physiology, ranging from incorporation into vision pigments to controlling transcription of a host of important genes, as evidenced by the myriad of disorders that accompany defi ciency or excess states. Vitamin A defi ciency (VAD) is a public health problem in more than half of all countries, especially in developing countries, hitting hardest young children and pregnant women. According to the data from WHO, approximately 15% of pregnant women are estimated to be VAD all over the world (1). Maternal insuffi ciency of VA during pregnancy results in fetal death or severe abnormalities in the offspring, including aberrant heart development (2-4).The VA active form, retinoic acid (RA), which acts as a ligand for the nuclear receptors the retinoic acid receptors (RARs) (RAR␣, -, and -␥) and the retinoic X receptors (RXRs) (RXR␣, -, and -␥), distinctly regulates embryonic development. It is an accepted fact that RARs and RXRs are indispensable for embryonic patterning and organogensis, including cardiogenesis (5-8). Some studies show that the RAR␥ gene is at very high levels in the endocardial cushions of the midgestation embryo (9). Data from Mangelsdorf et al. (10) show that the expression of RXR␣ and RXR are highest in the whole embryo at midgestion (embryonic days 11.5-12.5), while RXR␥ expression peaks slightly later (embryonic days 13.5-14.5). Kastner et al. indicate that at least four distinct retinoid receptors (RXR␣, RXR, RAR␣ and RAR) are likely involved in controlling the ventricular myocardium development (11).
Ectopic Expression of Retinoic Acid Receptors and Change of Myocardial Structure in the Offspring Heart withVitamin A Defi ciency Summary Vitamin A is a key micronutrient required during crucial stages of embryonic development and vitamin A defi ciency (VAD) results in embryonic heart malformation. The pleiotropic functions of vitamin A are mediated by specifi c nuclear receptors: the retinoic acid receptors (RAR␣, -, and -␥) and the retinoic X receptors (RXR␣, -, and -␥). The action of nuclear receptors has been implicated in controlling of cell proliferation, differentiation and apoptosis, and the expressions of these receptor genes are regulated by retinoic acid levels during the early stages of embryonic development. GATA-4 is one of the earliest transcription factors expressed in developing cardiac cells. However, the functional links of specifi c nuclear receptors to heart development in VAD embryos are not clearly understood. In our study, weaning female Sprague-Dawley rats were fed a modifi ed diet containing different concentrations of vitamin A according to the American Institute of Nutrition 93 Growth Purifi ed Diet. After 10-wk feeding, the female rats were mated with normal male rats, and a portion of them were transferred to a diet with enough added vitamin A for the pregnancy cycle. The embryo hearts were dissected out at embryonic day 13.5 (E13.5) to study the expression of RARs, RXRs and...