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1 Department of Molecular, Cellular, and Developmental Biology, University of Colorado, Boulder, Colorado 80309; 2 Department of Physiology and Biophysics, Case Western Reserve University, Cleveland, Ohio 44106; 3 Department of Surgery, Duke University Medical Center, Durham, North Carolina 27710
Familial hypertrophic cardiomyopathy
(HCM) is an autosomal dominant disease characterized by varying degrees
of ventricular hypertrophy and myofibrillar disarray. Mutations in
cardiac contractile proteins cause HCM. However, there is an
unexplained wide variability in the clinical phenotype, and it is
likely that there are multiple contributing factors. Because
mitochondrial dysfunction has been described in heart disease, we
tested the hypothesis that mitochondrial dysfunction contributes to the
varying HCM phenotypes. Mitochondrial function was assessed in two
transgenic models of HCM: mice with a mutant myosin heavy chain gene
(MyHC) or with a mutant cardiac troponin T (R92Q) gene. Despite
mitochondrial ultrastructural abnormalities in both models, the rate of
state 3 respiration was significantly decreased only in the mutant MyHC
mice by ~23%. Notably, this decrease in state 3 respiration preceded
hemodynamic dysfunction. The maximum activity of
-ketogutarate
dehydrogenase as assayed in isolated disrupted mitochondria was
decreased by 28% compared with isolated control mitochondria. In
addition, complexes I and IV were decreased in mutant MyHC transgenic
mice. Inhibition of
-adrenergic receptor kinase, which is elevated in mutant MyHC mouse hearts, can prevent mitochondrial respiratory impairment in mutant MyHC mice. Thus our results suggest that mitochondria may contribute to the hemodynamic dysfunction seen in some
forms of HCM and offer a plausible mechanism responsible for some of
the heterogeneity of the disease phenotypes.
mitochondria; transgenic
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