1998
DOI: 10.1038/3253
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Unloaded heart in vivo replicates fetal gene expression of cardiac hypertrophy

Abstract: The cardiac response to increased work includes a reactivation of fetal genes. The response to a decrease in cardiac work is not known. Such information is of clinical interest, because mechanical unloading can improve the functional capacity of the failing heart. We compared here the patterns of gene expression in unloaded rat heart with those in hypertrophied rat heart. Both conditions induced a re-expression of growth factors and proto-oncogenes, and a downregulation of the 'adult' isoforms, but not of the … Show more

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Cited by 391 publications
(321 citation statements)
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References 53 publications
(54 reference statements)
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“…Several studies have shown that DNA microarrays can be used in cardiovascular aging research to generate panels of hundreds of transcriptional biomarkers Bodyak et al ., 2002). The gene expression profile of aging cardiomyocyte shows similarities to profiles of known heart disorders, such as ischemic heart disease and cardiomyopathies (Depre et al ., 1998;Juhasz et al ., 2002).…”
Section: Introductionmentioning
confidence: 97%
“…Several studies have shown that DNA microarrays can be used in cardiovascular aging research to generate panels of hundreds of transcriptional biomarkers Bodyak et al ., 2002). The gene expression profile of aging cardiomyocyte shows similarities to profiles of known heart disorders, such as ischemic heart disease and cardiomyopathies (Depre et al ., 1998;Juhasz et al ., 2002).…”
Section: Introductionmentioning
confidence: 97%
“…2 The molecular pathways that underpin this process remain complex but include re-expression of a 'fetal gene program,' the induction of growth factors such as transforming growth factor-b, the re-expression of proto-oncogenes (such as c-fos) and the activation of neurohormones, including angiotensin-II, endothelin-1 and norepinephrine. 3 The resultant pathological changes seen include myocyte hypertrophy, local fibroblast proliferation and alterations in the myocardial extracellular matrix. 4,5 It is widely accepted that blood pressure control is central in the prevention of the adverse effects of hypertension on the cardiovascular system.…”
Section: Introductionmentioning
confidence: 99%
“…28 Improving cardiac metabolism has been postulated as a novel treatment of heart failure. 23,29 It has been shown that in animal models of obesity 35 and in humans with no other co-morbidity, abnormally low PCr/ATP ratios occur at rest, potentially due to, in addition to changes in substrate utilization, a loss of the total creatine pool in proportion to the loss of PCr, as occurs in many other forms of hypertrophy. 1,[78][79][80][81] Furthermore, this has been linked to altered cardiac diastolic function and is exacerbated during catecholamine stress.…”
Section: Cardiac Energetics and Obesitymentioning
confidence: 99%
“…21 The importance is again highlighted in the setting of heart failure and left ventricular (LV) hypertrophy, where mitochondrial oxidative capacity is reduced and metabolism shifts back towards a reliance on glucose metabolism, resembling the fetal metabolic program. 22,23 As the heart is an extremely efficient scavenger of circulating non-esterified FFAs (up to 40% extraction fraction), 24 the rate of fatty-acid uptake by the heart is primarily determined by the concentration of non-esterified fatty acids in the plasma. 25 The concentration of serum FFAs is highly regulated and represents a balance between production via hormone-sensitive lipaseinduced adipose tissue triglyceride breakdown and synthesis via glycerolphosphate acyltransferase.…”
Section: Introductionmentioning
confidence: 99%