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Circulation Research. 2004;94:110-118
Published online before print December 1, 2003, doi: 10.1161/01.RES.0000109415.17511.18
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(Circulation Research. 2004;94:110.)
© 2004 American Heart Association, Inc.


Integrative Physiology

Calcineurin/NFAT Coupling Participates in Pathological, but not Physiological, Cardiac Hypertrophy

Benjamin J. Wilkins, Yan-Shan Dai, Orlando F. Bueno, Stephanie A. Parsons, Jian Xu, David M. Plank, Fred Jones, Thomas R. Kimball, Jeffery D. Molkentin

From the Divisions of Molecular Cardiovascular Biology (B.J.W., Y.-S.D., O.F.B., S.A.P., J.X., D.M.P., J.D.M.) and Cardiology (F.J., T.R.K.), Department of Pediatrics, Children’s Hospital Medical Center, Cincinnati, Ohio.

Correspondence to Jeffery D. Molkentin, Division of Molecular Cardiovascular Biology, Department of Pediatrics, Children’s Hospital Medical Center, 3333 Burnet Ave, Cincinnati, OH 45229-3039. E-mail jeff.molkentin{at}cchmc.org

Calcineurin (PP2B) is a calcium/calmodulin-activated, serine-threonine phosphatase that transmits signals to the nucleus through the dephosphorylation and translocation of nuclear factor of activated T cell (NFAT) transcription factors. Whereas calcineurin-NFAT signaling has been implicated in regulating the hypertrophic growth of the myocardium, considerable controversy persists as to its role in maintaining versus initiating hypertrophy, its role in pathological versus physiological hypertrophy, and its role in heart failure. To address these issues, NFAT-luciferase reporter transgenic mice were generated and characterized. These mice showed robust and calcineurin-specific activation in the heart that was inhibited with cyclosporin A. In the adult heart, NFAT-luciferase activity was upregulated in a delayed, but sustained manner throughout eight weeks of pathological cardiac hypertrophy induced by pressure-overload, or more dramatically following myocardial infarction-induced heart failure. In contrast, physiological hypertrophy as produced in two separate models of exercise training failed to show significant calcineurin-NFAT coupling in the heart at multiple time points, despite measurable increases in heart to body weight ratios. Moreover, stimulation of hypertrophy with growth hormone–insulin-like growth factor-1 (GH-IGF-1) failed to activate calcineurin-NFAT signaling in the heart or in culture, despite hypertrophy, activation of Akt, and activation of p70 S6K. Calcineurin Aß gene–targeted mice also showed a normal hypertrophic response after GH-IGF-1 infusion. Lastly, exercise- or GH-IGF-1–induced cardiac growth failed to show induction of hypertrophic marker gene expression compared with pressure-overloaded animals. Although a direct cause-and-effect relationship between NFAT-luciferase activity and pathological hypertrophy was not proven here, our results support the hypothesis that separable signaling pathways regulate pathological versus physiological hypertrophic growth of the myocardium, with calcineurin-NFAT potentially serving a regulatory role that is more specialized for maladaptive hypertrophy and heart failure.


Key Words: signaling • calcineurin • hypertrophy • heart failure • transcription




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Physiol. GenomicsHome page
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T. Oka, Y.-S. Dai, and J. D. Molkentin
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Nuclear Factor of Activated T Cells and Serum Response Factor Cooperatively Regulate the Activity of an {alpha}-Actin Intronic Enhancer
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CirculationHome page
T. Aoyama, T. Matsui, M. Novikov, J. Park, B. Hemmings, and A. Rosenzweig
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Cardiovasc ResHome page
H.-P. Vosberg
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JCBHome page
Y. Liu, W. R. Randall, and M. F. Schneider
Activity-dependent and -independent nuclear fluxes of HDAC4 mediated by different kinases in adult skeletal muscle
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B. Sanna, O. F. Bueno, Y.-S. Dai, B. J. Wilkins, and J. D. Molkentin
Direct and Indirect Interactions between Calcineurin-NFAT and MEK1-Extracellular Signal-Regulated Kinase 1/2 Signaling Pathways Regulate Cardiac Gene Expression and Cellular Growth
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DiabetesHome page
G. C. Kane, A. Behfar, S. Yamada, C. Perez-Terzic, F. O'Cochlain, S. Reyes, P. P. Dzeja, T. Miki, S. Seino, and A. Terzic
ATP-Sensitive K+ Channel Knockout Compromises the Metabolic Benefit of Exercise Training, Resulting in Cardiac Deficits
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Cardiovasc ResHome page
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Cardiovasc ResHome page
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V. P.M van Empel and L. J De Windt
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