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1Department of Molecular Genetics, Biochemistry, and Microbiology, 2Department of Pharmacology and Cell Biophysics, 4Department of Molecular and Cellular Physiology; 5Noninvasive Cardiac Imaging and Hemodynamic Research Laboratory, Division of Cardiology, and 3Department of Pediatrics, Children's Hospital Medical Center, Cincinnati 45229; and 6Department of Physiology and Cell Biology, The Ohio State University, Columbus, Ohio 43210
Submitted 28 July 2003 ; accepted in final form 10 November 2003
We recently developed a mouse model with a single functional allele of Serca2 (Serca2+/) that shows impaired cardiac contractility and relaxation without overt heart disease. The goal of this study was to test the hypothesis that chronic reduction in sarco(endo)plasmic reticulum Ca2+-ATPase (SERCA)2 levels in combination with an increased hemodynamic load will result in an accelerated pathway to heart failure. Age-matched wild-type and Serca2+/ mice were subjected to 10 wk of pressure overload via transverse aortic coarctation surgery. Cardiac hypertrophy and heart failure were assessed by echocardiography, gravimetry/histology, hemodynamics, and Western blotting analyses. Our results showed that
64% of coarcted Serca2+/ mice were in heart failure compared with 0% of coarcted wild-type mice (P < 0.05). Overall, morbidity and mortality were greatly increased in Serca2+/ mice under pressure overload. Echocardiography assessment revealed a significant increase in left ventricular (LV) mass, and LV hypertrophy in coarcted Serca2+/ mice converted from a concentric to an eccentric pattern, similar to that seen in human heart failure. Coarcted Serca2+/ mice had decreased contractile/systolic and relaxation/diastolic performance and/or function compared with coarcted wild-type mice (P < 0.05), despite a similar duration and degree of pressure overload. SERCA2a protein levels were significantly reduced (>50%) in coarcted Serca2+/ mice compared with noncoarcted and coarcted wild-type mice. Our findings suggest that reduction in SERCA2 levels in combination with an increased hemodynamic load results in an accelerated pathway to heart failure.
sarco(endo)plasmic reticulum calcium-adenosine 5'-triphosphatase pump; knockout mice; echocardiography; cardiac dysfunction
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