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Circulation Research. 2009;104:1347-1354
Published online before print May 14, 2009, doi: 10.1161/CIRCRESAHA.108.191726
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(Circulation Research. 2009;104:1347.)
© 2009 American Heart Association, Inc.


Molecular Medicine

Positive Transcription Elongation Factor b Activity in Compensatory Myocardial Hypertrophy is Regulated by Cardiac Lineage Protein-1

Jorge Espinoza-Derout, Michael Wagner, Louis Salciccioli, Jason M. Lazar, Sikha Bhaduri, Eduardo Mascareno, Brahim Chaqour, M.A.Q. Siddiqui

From the Department of Anatomy and Cell Biology (J.E.-D., M.W., S.B., E.M., B.C., M.A.Q.S.), Center for Cardiovascular and Muscle Research; and Division of Cardiology (L.S., J.M.L.), State University of New York Downstate Medical Center, Brooklyn.

Correspondence to M.A.Q. Siddiqui, Department of Anatomy and Cell Biology, State University of New York Downstate Medical Center, 450 Clarkson Ave, Brooklyn, NY 11203. E-mail maq.siddiqui{at}downstate.edu


*    Abstract
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*Abstract
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Emerging evidence illustrates the importance of the positive transcription elongation factor (P-TEF)b in control of global RNA synthesis, which constitutes a major feature of the compensatory response to diverse hypertrophic stimuli in cardiomyocytes. P-TEFb complex, composed of cyclin T and cdk9, is critical for elongation of nascent RNA chains via phosphorylation of the carboxyl-terminal domain of RNA polymerase (Pol) II. We and others have shown that the activity of P-TEFb is inhibited by its association with cardiac lineage protein (CLP)-1, the mouse homolog of human HEXIM1, in various physiological and pathological conditions. To investigate the mechanism of control of P-TEFb activity by CLP-1 in cardiac hypertrophy, we used a transgenic mouse model of hypertrophy caused by overexpression of calcineurin in the heart. We observed that the level of CLP-1 associated with P-TEFb was reduced markedly in hypertrophic hearts. We also generated bigenic mice (MHC–cyclin T1/CLP-1+/–) by crossing MHC–cyclin T1 transgenic mice with CLP-1 heterozygote. The bigenic mice exhibit enhanced susceptibility to hypertrophy that is accompanied with an increase in cdk9 activity via an increase in serine 2 phosphorylation of carboxyl-terminal domain and an increase in GLUT1/GLUT4 ratio. These mice have compensated systolic function without evidence of fibrosis and reduced lifespan. These data suggest that the reduced level of CLP-1 introduced in the background of elevated levels of cyclin T1 elevates derepression of P-TEFb activity and emphasizes the importance of the role of CLP-1 in the mechanism governing compensatory hypertrophy in cardiomyocytes.


Key Words: myocardial hypertrophy • transcriptional elongation • CLP-1 • HEXIM1


*    Introduction
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*Introduction
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Cardiac hypertrophy, a compensatory response to several clinical settings, such as hypertension, myocardial infarction, arrhythmias, inherited cardiomyopathies, vascular abnormalities, and mechanical stress,1–3 is characterized by an increase in myocyte size to accommodate increased sarcomeric elaboration resulting from the recruitment of contractile and structural proteins. Although it is initially an adaptive response to normalize ventricular wall stress, prolonged application of deleterious stimuli leads to a pathological state of hypertrophy and eventually to heart failure.4 The transition to the hypertrophic phenotype is highlighted by a global increase in total RNA synthesis, a shift toward dependence on glucose to meet metabolic demands with altered expression of glucose transporters, and by reexpression of genes that resembles the fetal gene expression program.5,6 There has been significant progress in understanding the mechanisms underlying fetal gene reactivation during hypertrophy.1,2,7–11 However, the mechanism that governs the activation of a wide-scale genetic response culminating in a global increase in RNA synthesis in hypertrophic cardiomyocytes remains elusive. Recent studies using microarray analysis identified a wide spectrum of genes that show increased expression levels in response to hypertrophic stimuli.12,13 Such a wide-scale genomic response is likely to be achieved not through activation of a specific battery of genes via distinct regulatory controls but rather through a generalized mechanism of transcriptional activation or through activation of a common part of the transcriptional apparatus critical to a wide spectrum of genes.

It is now believed that in addition to translation and transcription initiation steps, phosphorylation of RNA polymerase (Pol) II in the carboxyl-terminal domain constitutes a critical step in control of the production of full-length mRNAs.14 Phosphorylation of Pol II by cyclin-dependent kinases (cdk) allows progression from transcription initiation to RNA chain elongation and pre-mRNA processing.15 Recent studies have implicated positive transcription elongation factor (P-TEF)b activity as pivotal to the hypertrophic response to pressure overload in the myocardium.7,16 It appears that P-TEFb is dynamically partitioned between inactive versus active states, suggesting that its transcriptional control can be subject to regulatory control. Studies in HeLa cells have shown that a critical step in the response of cells to stress stimuli is dissociation of the inhibitory protein cardiac lineage protein (CLP)-1/HEXIM1 from P-TEFb.17,18 These observations provide additional insights into how P-TEFb activity might be regulated.

We have cloned the mouse homolog of human HEXIM1, called CLP-1,19,20 and knocked out the CLP-1 gene in mice21 which resulted in expression of the genetic hallmarks of cardiac hypertrophy during the late stages of fetal development.20,21 We have shown that CLP-1 is colocalized with cdk9 and cyclin T1 in heart during the period in which the CLP-1 knockout fetuses develop hypertrophy. Subsequently, we demonstrated the release of CLP-1 from the P-TEFb complex in cardiomyocytes in culture rendered hypertrophic by mechanical stretch or agonist.22 In the present study, we have extended our findings to demonstrate the regulatory function of CLP-1 in the control of cardiac growth in mouse models of hypertrophy. Transgenic mice that express an activated form of calcineurin show a dissociation of CLP-1 from the P-TEFb complex accompanied by increased serine 2 phosphorylation of Pol II during the compensatory phase of hypertrophy. To study the inhibitory effects of CLP-1 on P-TEFb activity, we crossed the heart-specific transgenic MHC–cyclin T1 mice with CLP-1+/– and show a marked increase in hypertrophic features in the cyclin T1 transgenic with CLP-1 heterozygous offspring (MHC–cyclin T1/CLP-1+/–). We evaluated the hearts of these bigenic mice using a variety of well-documented biochemical and physiological parameters and show that reduced levels of CLP-1 promotes appearance of features characteristic of compensatory hypertrophy in cardiomyocytes.


*    Materials and Methods
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Transgenic Lines
Transgenic mice with cardiac-restricted expression of calcineurin (MHC-CnA), a kind gift of Dr Jeffery Molkentin, have been described previously.23,24 MHC-CnA mice were bred on a congenic C57/Bl6 background before performing the experiments. The CLP-1 heterozygote knockout mice generated in our laboratory have been described earlier.21 The CLP-1+/– mice were also bred on a congenic C57/Bl6 background. Transgenic mice with cardiac-restricted overexpression of cyclin T1 (Fvb background), a kind gift of Dr Michael Schneider, have been described previously.7,25 The MHC–cyclin T1/CLP-1+/– mice were produced by crossing females CLP-1 heterozygote mice with males MHC–cyclin T1 mice. All animal experiments were conducted in accordance with the Guide for the Care and Use of Laboratory Animals published by the US National Institutes of Health (NIH Publication No. 85-23, revised 1996).

Immunoprecipitation and Western Blot Analysis
The hearts were homogenized with a glass tissue grinder in ice-chilled buffer A (10 mmol/L HEPES [pH 7.9], 1.5 mmol/L MgCl2, 10 mmol/L KCl, 200 mmol/L NaCl, 0.2 mmol/L EDTA), supplemented with 1 mmol/L DTT, protease inhibitor cocktail (P-8340, Sigma), 40 U/mL RNasin (Promega), phosphatase Inhibitor cocktails (P2850, P5726, Sigma), β-glycerol phosphate (102893, MP Biochemicals), and 0.5% Nonidet P-40. The extracts were subjected to sequential centrifugations for 5 minutes each at 500g and 9000g at 4°C. The final supernatant was used in all experiments. For the immunoprecipitation experiments, the supernatant was incubated overnight with goat antibody against cyclin T1 (Santa Cruz Biotechnology), followed by 3 hours of incubation with protein G agarose. Proteins were separated by polyacrylamide electrophoresis (10% Tris-HCl) and electrotransferred onto nitrocellulose membrane. The blots were blocked in Tris-buffered saline/0.1% Tween 20 with 5% bovine serum albumin powder for 1 hour at room temperature. After incubation with the primary antibody, detection was performed using secondary horseradish peroxide–coupled antibody and ECL-enhanced chemiluminescence according to the recommendations of the supplier (Amersham Biosciences). The following antibodies were used: rabbit anti–CLP-1 (Proteintech Group Inc), rabbit anti-GAPDH (Abcam), rabbit anti–cyclin T1 (Santa Cruz Biotechnology), mouse monoclonal anti-Ser2 Pol II (Covance), mouse monoclonal anti–Ser5 Pol II (Covance), rabbit anti-RNA Pol II (Santa Cruz Biotechnology), mouse monoclonal anti-cdk9 (Santa Cruz Biotechnology), rabbit anti-HEXIM2 (Santa Cruz Biotechnology), rabbit anti-GLUT1 (Santa Cruz Biotechnology), and rabbit anti-GLUT4 (Santa Cruz Biotechnology).

Morphological Analysis
Hearts from 3-month-old male mice of wild-type, CLP-1+/–, MHC–cyclin T1, and MHC–cyclin T1/CLP-1+/– genotypes were fixed in 4% paraformaldehyde, embedded in paraffin, and 10-µm coronal tissue sections were prepared. Masson Trichrome staining was performed in accordance with the instructions of the manufacturer (HT15-KT, Sigma HT15 Trichrome Stain [Masson] Kit).

Echocardiography
The mice chests were shaved and allowed to rest by at least 1 hour before echocardiography. Echocardiography was performed on conscious mice to avoid any cardiodepression produced by anesthesia.26 Mice were ascertained using the M-mode short axis view, measuring systolic and diastolic cardiac dimensions. Left ventricular (LV) fractional shortening was calculated with the formula: (LVEDD–LVESD)/(LVEDD), where LVEDD indicates LV end-diastolic diameter; LVESD, LV end-systolic diameter. Echocardiography was performed using the SONOS 5500 with a linear probe (15 MHz) as reported previously.27

Statistical Analysis
The signal value of the Western blots was determined with the ImageJ program (NIH, Bethesda, Md). Differences between means of the Western blots values and the heart/body ratios were compared by a 1-way ANOVA and a paired t test, using Microsoft Excel. The level of significance for rejection of the null hypothesis was set at P<0.05.


*    Results
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up arrowMaterials and Methods
*Results
down arrowDiscussion
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CLP-1 Expression in the Calcineurin Model of Cardiac Hypertrophy
To determine whether the expression of CLP-1 is regulated differentially in the progression to cardiac hypertrophy, we examined total CLP-1 protein levels by Western blot and the levels of CLP-1 associated with P-TEFb in a hypertrophic hearts of MHC-CnA mice, which overexpresses an activated form of calcineurin in the heart. Calcineurin is a calmodulin dependent phosphatase, which is activated by the elevation of intracellular calcium and promotes cardiac hypertrophy.23 MHC-CnA mice exhibit 2 distinct and well-defined phases in the progression of hypertrophy: during the first month, MHC-CnA mice have hypertrophic characteristics without diastolic dysfunction; however, after 1 month, the transgenic hearts show cardiac dysfunction associated with sudden death.24 We have previously shown that the levels of CLP-1 and cyclin T1 in the heart decrease after birth with the lowest level being in the adult heart.22 This is in agreement with another report that cyclin T1 and cdk9 levels decrease in heart after birth.7 Figure 1A (top) shows that CLP-1 levels in MHC-CnA decrease in comparison with wild-type littermates. CLP-1 expression decreased in MHC-CnA mice in 1 week (P<0.05, 45%) and 1 month (P<0.05, 49%). However, there was no difference between the 4-month-old transgenic and wild-type mice, although both levels were low compared to 1-week- and 1-month-old mice, suggesting that CLP-1 is differentially regulated in the 2 stages of hypertrophy. There was no discernable difference in the 4-month-old transgenic mice in the maladaptive stage of heart failure compared to wild-type hearts. Figure 1A (bottom) shows that cyclin T1 levels did not change in MHC-CnA in comparison with wild-type littermates in any of the different stages of hypertrophy (Student’s t test, P>0.05).


Figure 1
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Figure 1. Postnatal changes in the P-TEFb complex in wild-type (wt) and MHC-CnA transgenic mice. A, Immunoblot with anti–CLP-1 and anti–cyclin T1 antibodies of the heart lysates from wild-type and MHC-CnA (+) mice. GAPDH was used as loading control (n=6). B, Association of CLP-1 with P-TEFb in postnatal wild-type and MHC-CnA mice as a function of age. Heart lysates from wild-type and MHC-CnA (+) of 1-week-, 1-month-, and 4-month-old mice were immunoprecipitated with cyclin T1 antibody and probed with anti–CLP-1 and anti–cyclin T1 antibodies. Input is nonimmunoprecipitated cell lysates. The data are representative of 3 independent experiments. C, Phosphorylation of Ser2 RNA Pol II and total RNA Pol II in postnatal wild-type and CnA transgenic mice. Immunoblot incubated with anti–phosphorylated Ser2 RNA Pol II and anti–total Pol II of cell lysates of hearts from wild-type and MHC-CnA (+) of 1-week-, 1-month-, and 4-month-old mice (n=4). Data are expressed as means±SE. *P<0.05 vs control.

To examine the levels of CLP-1 associated with the P-TEFb complex in MHC-CnA hypertrophic hearts, we performed immunoprecipitations with the cyclin T1 antibody and Western blotting with an antibody against CLP-1. Figure 1B shows that there was a decrease in binding of CLP-1 to P-TEFb in young hearts but not in 4-month-old hearts. The cyclin T1 levels, on the other hand, remained unchanged between littermates. The major substrate for phosphorylation by cdk9 activity is serine 2 of carboxyl-terminal domain (CTD) terminal of Pol II (Ser2 Pol II), which allows Pol II to produce full-length RNA transcripts. We determined the phosphorylation status of Pol II by immunoblotting protein extracts of MHC-CnA hearts with monoclonal antibody specific to Ser2 Pol II. We observed an increase in phosphorylation in the MHC-CnA heart in 1-week-old (P<0.05, 47%) and 1-month-old (P<0.05, 42%) mice but not in 4-month-old mice (Figure 1C, top). There was no significant change in the total RNA Pol II levels of MHC-CnA in comparison with wild-type littermates (1-way ANOVA, P>0.05; Figure 1C, bottom).

CLP-1 Mediates Cardiac Hypertrophy in the MHC–Cyclin T1/CLP-1+/– Mice
We have previously shown a correlation of derepression of the P-TEFb activity with the onset of hypertrophy.22 We have produced a CLP-1 knockout mouse that exhibits the physical and genetic hallmarks of cardiac hypertrophy and dies during late fetal development, whereas CLP-1 heterozygote mice appear to be normal and survive without any phenotypic abnormalities.21 We did not observe a change in the interaction between CLP-1 and P-TEFb in wild-type and CLP-1 heterozygote mice (see Figure I in the online data supplement, available at http://circres.ahajournals.org). Cdk9 exerts its kinase activity only when associated with its cyclin partner.14 The overexpression in the heart of cyclin T1 promotes hypertrophy and increase cdk9 activity; however, cdk9 overexpression does not increase cdk9 activity or produce cardiac growth,7,25 suggesting that cyclin T1 is limiting for the activation of the P-TEFb complex. To establish a direct cause–effect relationship between P-TEFb activity and cardiac hypertrophy by further derepressing the P-TEFb, we used the previously described transgenic mice model, the MHC–cyclin T1 mouse (kindly provided by Dr. Michael Schneider). We used this model to test whether decreased levels of CLP-1, a negative regulator of P-TEFb activity, could in combination with elevated levels of the cyclin T1 activator, further increase P-TEFb activity and lead to a more robust hypertrophy. We therefore crossed the MHC–cyclin T1 mice with CLP-1 heterozygotes to produce bigenic offspring (MHC–cyclin T1/CLP-1+/–). These offspring develop significant ventricular hypertrophy with enlargement of the atrium (Figure 2A) that resemble morphologically the MHC–cyclin T1 mice that were subjected to transaortic constriction.25 Three-month-old MHC–cyclin T1/CLP-1+/– mice have increased heart/body ratio in comparison with the control littermates (Figure 2B). The statistical significance by 1-way ANOVA was calculated on heart/body ratio and the analysis was found to be significant F(3,48)=29.05; P<0.01. The heart/body ratios of MHC–cyclin T1/CLP-1+/– mice show a 56% increase in comparison to wild-type (Student’s t test, P<0.01) and a 37% increase in comparison with MHC–cyclin T1 mice (Student’s t test, P<0.01). Moreover, there was a 14% increase in MHC–cyclin T1 in comparison with wild-type (Student’s t test, P<0.05). The top Western blots in Figure 2C show a 102% increase in expression of cyclin T1 protein in the MHC–cyclin T1 transgenic and a 115% increase in the MHC–cyclin T1/CLP-1+/– in comparison with wild-type mice (Student’s t test, P<0.01). There was not a significant change between the wild-type and CLP-1 heterozygote and between MHC–cyclin T1 and MHC–cyclin T1/CLP-1+/– mice in the cyclin T1 protein levels (Student’s t test, P>0.05). The middle Western blots in Figure 2C show a 55% decrease expression of CLP-1 in the CLP-1 heterozygote in comparison with the control animals (Student’s t test, P<0.05). There is a 47% decreased expression of cyclin T1 in the MHC–cyclin T1/CLP-1+/– in comparison with the MHC–cyclin T1 (Student’s t test, P<0.05). Moreover, we observed a secondary increase in the CLP-1 level in the MHC–cyclin T1 (P<0.05, 199%) and MHC–cyclin T1/CLP-1+/– (P<0.05, 89%) in comparison with the wild-type, possibly because of the cyclin T1–dependent chaperone pathway that stabilizes the complex.28 The bottom Western blots in Figure 2C show a 115% increased expression of cdk9 protein in the MHC–cyclin T1 transgenic and a 133% in the MHC–cyclin T1/CLP-1+/– in comparison with wild-type mice (Student’s t test, P<0.01). There was not a significant change between the wild-type and CLP-1 heterozygote and between MHC–cyclin T1 and MHC–cyclin T1/CLP-1+/– mice in the cdk9 protein levels (Student’s t test, P>0.05). Interestingly, we observed an increased reactivity of a small band over the cdk9 band from the MHC–cyclin T1/CLP-1+/– extracts which may be the autophosphorylated cdk9.29 Together, these data suggest a synergistic relationship between CLP-1 heterozygosity and the cyclin T1 overexpression that results in a more robust hypertrophy and strongly implicate CLP-1 in the regulation of hypertrophic growth. We did not observe a compensatory increase in the CLP-1–related protein HEXIM2 in response to the changes of levels of CLP-1 and P-TEFb (see Online Figure II; 1-way ANOVA, P>0.05).


Figure 2
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Figure 2. Exacerbated hypertrophy response in MHC–cyclin T1/CLP-1+/– mice. A, Photograph of adult mice hearts of the indicated genotypes. B, Heart/body weight ratios in MHC–cyclin T1 and MHC–cyclin T1/CLP-1+/– mice. The data shown are means±SE of the {Delta}heart/body ratio. *P<0.05 vs wild type (wt) of 3-month-old mice (n=13). C, Western blots showing levels of CLP-1, cyclin T1, and cdk9 hearts of the indicated genotypes of 3-month-old mice. GAPDH was used as loading control (n=5). *P<0.05 vs control, {dagger}P<0.05 vs MHC–cyclin T1.

CLP-1 Deficiency Enhances cdk9-Mediated Phosphorylation of Pol II in MHC–Cyclin T1/CLP-1+/– Mice
Phosphorylation of Pol II at serine 2 and serine 5 sites by cdk9 and cdk7, respectively, plays a fundamental role in RNA synthesis. It appears that there is a selectivity in using either or both the kinases depending on the nature of hypertrophic stimuli.7,30 For example, activation of cdk9 alone was shown to be involved in hypertrophy triggered by acute aortic banding or in the agonist endothelin-induced hypertrophy in cardiomyocytes in culture, whereas both kinases were activated in most animal models with genetic signaling for cardiac growth.7 We, therefore, examined the phosphorylation state of Pol II in the bigenic MHC–cyclin T1/CLP-1+/– mice with monoclonal antibodies specific to each phosphorylation site of the CTD of Pol II. The Western blot in Figure 3A shows an increased level of phosphorylation of Ser2 of the CTD terminal in the MHC–cyclin T1/CLP-1+/– mice in comparison with the wild-type and MHC–cyclin T1 mice. The increase in Ser2 Pol II phosphorylation in MHC–cyclin T1/CLP-1+/– heart extracts compared to extracts from wild-type mice was 133% (P<0.05) and 55% compared with MHC–cyclin T1 (P<0.05). There was a 51% increase in phosphorylation of Ser2 Pol II in MHC–cyclin T1 mice (P<0.05) compared with wild-type mice. We did not notice a change in Ser2 Pol II phosphorylation in CLP-1+/– in comparison with the wild-type mice. In contrast, the levels of ser5 Pol II phosphorylation and total RNA Pol II remained basically unchanged (Figure 3B and 3C; 1-way ANOVA, P>0.05). These data suggest that the decreased CLP-1 level and increased cyclin T1 level act synergistically to increase activity of Cdk9 to phosphorylate RNA Pol II and increase transcriptional elongation of RNA in myocardial hypertrophy.


Figure 3
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Figure 3. Phosphorylation levels of CTD RNA Pol II in MHC–cyclin T1 and MHC–cyclin T1/CLP-1+/– mice. A, Anti–Ser2 Pol II immunoblot of heart lysates showing phosphorylation levels of RNA Pol II in MHC–cyclin T1 and MHC–cyclin T1/CLP-1+/– mice. B, Anti–Ser5 Pol II immunoblot heart lysates showing phosphorylation levels of CTD RNA Pol II. C, Anti–RNA Pol II immunoblot heart lysates showing total protein levels of RNA Pol II. Data are expressed as means±SE of 5 independent experiments. *P<0.05 vs control, *P<0.05 vs control, {dagger}P<0.05 vs MHC–cyclin T1. wt indicates wild type.

Modulation in GLUT Transporter Expression in Cyclin T1/CLP-1+/– Mice
The heart, under normal conditions, derives its energy from oxidation of lipids, but under pathological conditions, such as, myocardial hypertrophy, it becomes increasingly dependent on glucose oxidation with an increase in GLUT1/GLUT4 ratio.6 The global gene knockout of glucose transporter GLUT4 in mice produces cardiac hypertrophy and heart failure,31 but cardiac-specific deletion of GLUT4 resulted in development of compensatory hypertrophy with normal lifespan.32 To determine whether altered GLUT expression is also a feature of hypertrophy induced by the CLP-1 deregulation of the P-TEFb complex in the bigenic mice, we examined GLUT1 and GLUT4 proteins by Western blotting of heart extracts as above (Figure 4). We observed a 4.1-fold increase in GLUT1/GLUT4 ratio in the MHC–cyclin T1/CLP-1+/– compared with wild-type mice (P<0.01), and these bigenic mice have a 2.6-fold increase when compared with MHC–cyclin T1 mice (P<0.05). The MHC–cyclin T1 mice show about a 2-fold increase in the GLUT1/GLUT4 ratio in comparison with wild-type mice. No change was observed in the CLP-1+/– mice. Therefore, it appears that the changes in GLUT1/GLUT4 ratio in the MHC–cyclin T1/CLP-1+/– mice mimic the metabolic remodeling observed in cardiac hypertrophy.


Figure 4
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Figure 4. Glucose transporters GLUT1/GLUT4 ratio in MHC–cyclin T1/CLP-1+/– mice. A, Western blot shows expression levels of GLUT1, GLUT4, and GAPDH in heart lysates of the indicated genotypes. B, Quantification of GLUT1/GLUT4 ratio. Data are expressed as means±SE of 5 independent experiments of 3-month-old mice. *P<0.05 vs control, {dagger}P<0.05 vs MHC–cyclin T1. wt indicates wild type.

MHC–Cyclin T1/CLP-1+/– Mice Show Compensated Hypertrophy
In failing hearts, there is disruption of the equilibrium between the synthesis and degradation of types I and III collagens, resulting in excessive aggregation of collagen types I and III fibers within the myocardium.33 To ascertain whether the MHC–cyclin T1/CLP-1+/– mice heart develop fibrotic foci, we did histological examination of ventricular tissue by Masson trichrome staining and found no increase in interstitial deposition in MHC–cyclin T1/CLP-1+/– mice (Figure 5).


Figure 5
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Figure 5. Masson trichrome staining of representative ventricular transverse sections of the indicated genotypes (3-month-old mice) illustrating the absence of any marked increase in interstitial collagen (which stains blue). WT indicates wild type.

Echocardiography is considered an important tool in assessing the phenotype and in defining the physiological functionality of genetically altered mice that exhibit cardiomyopathies. We assessed the LV dimensions and contractile function of MHC–cyclin T1/CLP-1+/– transgenic mice by using M-mode echocardiography in 5-month-old MHC–cyclin T1/CLP-1+/– mice (Table). The bigenic mice show a significant increase in LV end-diastolic diameter and LV mass compared to with the MHC–cyclin T1 and wild-type littermates. Fractional shortening, an echocardiographic index of LV contractile function, of MHC–cyclin T1/CLP-1+/– mice was normal. MHC–cyclin T1/CLP-1+/– mice were born with the expected Mendelian frequency, indicating lack of embryonic lethality. The bigenic mice (3 males and 3 females) survived longer than 17 months, implying that there was no reduction in the lifespan of these mice. Together, these data indicate that MHC–cyclin T1 mice, when challenged with CLP-1 heterozygosity, exhibit heightened physiological and metabolic features characteristic of the compensatory phase of hypertrophy, supporting the role of CLP-1 in regulation of myocardial hypertrophy.


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Table 1. Echocardiographic Data


*    Discussion
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up arrowIntroduction
up arrowMaterials and Methods
up arrowResults
*Discussion
down arrowReferences
 
Substantial progress has been made in understanding the mechanisms that control the selective and differential expression of genes associated with the fetal gene expression program in the hypertrophic heart. However, the control of global expression of RNA, the most distinctive feature of cardiac hypertrophic growth, still remains enigmatic. Emerging evidence supports the notion that RNA elongation serves as an important step for control of gene expression. Recent data underscore the regulatory function of CLP-1 as a dynamic component of the P-TEFb complex that serves in its capacity to inhibit cdk9 kinase activity as a critical regulatory switch controlling RNA Pol II function and RNA synthesis. In this study, we have shown the role of CLP-1 in regulation of the P-TEFb activity and thereby in modulation of growth in cardiac hypertrophy. We have demonstrated that derepression of P-TEFb complex activity correlates with decreased expression of CLP-1 in MHC-CnA mice. Calcineurin plays a significant role in physiological and pathological hypertrophy.34,35 Activation of P-TEFb via dissociation of CLP-1 occurs predominately during the initial compensatory hypertrophic stage, and there appears to be no clear correlative connection of CLP-1 with the cardiac dysfunction phase. Four-month-old MHC-CnA hearts, which exhibit pathological phase of hypertrophy, show no difference in CLP-1 levels when compared to age-matched mice, suggesting that the reduced association of CLP-1 with P-TEFb and increase in cdk9 activity may contribute to the initial genomic response to hypertrophic stimuli that occurs during compensatory hypertrophy rather than the transition to heart failure. Although modulations in the levels of CLP-1 are linked to changes in P-TEFb activity, we cannot exclude the possibility that other factors can also contribute to regulation of P-TEFb function. Our studies, nevertheless, suggest that CLP-1 acts like a molecular switch to promote or inhibit RNA synthesis by regulating cdk9 kinase activity and the phosphorylation state of RNA Pol II. On decreased binding of CLP-1 to P-TEFb, cdk9 phosphorylates serine 2 of the CTD of RNA Pol II, releasing it from the "abortive state" to a state that promotes full length RNA chain elongation.14,17 An alternative way of increasing cdk9 activity is to increase the amount of cyclin T1 in relation to cdk9.7 Because the CLP-1 conventional knockout is likely to have an affect on nonmyocytes and other tissues, our approach was to see whether a change in relative amounts of cyclin T1 and CLP-1 targeted to myocardium alone is sufficient to induce change in cardiac growth. Cyclin T1 is the limiting molecule for the P-TEFb activity in the heart and the cdk9/cyclin T1 heterodimer is degraded very slowly in comparison with the free cdk9 may be attributable to a chaperon dependent pathway.28 As such, our data suggest that the levels of CLP-1 and P-TEFb are regulated by the cyclin T1 levels. Furthermore, a change in the CLP-1/cyclin T1 equilibrium is sufficient to release from its inhibited state to activate RNA Pol II and increased RNA synthesis. Such alteration in CLP-1/cyclin T1 equilibrium is also likely to occur in response to hypertrophy stimuli via the dissociation of CLP-1 from the P-TEFb complex. We have previously shown this to be the case in cardiomyocytes rendered hypertrophic by mechanical stretch and application of hypertrophic agonist.22 We have thus documented by 2 alternative approaches: (1) stimulus-dependent generation of hypertrophy, in which CLP-1 dissociates from the P-TEFb; (2) genetic alteration of CLP-1 and cyclin T1 levels to produce increased cdk9 activity to show that the regulation of P-TEFb by CLP-1 is a critical point in the response of cardiomyocytes to hypertrophic stimuli.

It is well established that the hypertrophic heart becomes dependent on glucose for its energy. GLUT4, an insulin-responsive glucose transporter that allows the heart to derive its energy via the uptake of glucose, is downregulated in various animal models of hypertrophy.6 The cardiac-specific GLUT4 knockout mice develop compensatory hypertrophy without fibrosis and have normal lifespans,32 whereas the cardiac-specific overexpression of GLUT1 improves cardiac function and restrains heart failure in mice subjected to aortic constriction.36 Moreover drugs, such as ranolazine and trimetazine, which stimulate the use of glucose, ameliorate cardiac function in heart failure models. It appears therefore that CLP-1–mediated derepression of P-TEFb complex promotes differential expression of GLUT transporters with an increase in GLUT1/GLUT4 ratio, which is consistent with previously reported changes in GLUT transporters as an initial response to the hypertrophic stimulus.

In agreement with a previous report,7 our data indicated that an increase in cdk9 activity leads to compensatory hypertrophy with no discernable increase in collagen deposition in the MHC–cyclin T1/CLP-1+/– mice in comparison with their control littermates. On the other hand, the MHC–cyclin T1/MHC-Gq bigenic mice, produced by the crossing MHC–cyclin T1 and MHC-Gq mice, develop fibrosis and increased apoptosis, which leads to heart failure.25 This suggests that the increase in P-TEFb activity alone may not be sufficient to produce a transition to heart failure. Activation of specific signaling molecules and transcription factors may target specific genes such as mitochondrial energy–metabolizing genes whose altered expression may facilitate entry into descompensatory transition and failure. Therefore, although the dynamics of association/dissociation of CLP-1 from P-TEFb alone is sufficient to regulate the compensatory hypertrophic growth, other components of the transcriptional machinery are likely to be involved in its transition to heart failure. The activation of the Jak/STAT signaling pathway can induce P-TEFb activity by direct binding of STAT3 and P-TEFb.37,38 STAT3 is a well-documented signaling molecule in the cardiac hypertrophic response.1 Our recent observation that CLP-1 does not dissociate from P-TEFb in the presence of the Jak2 inhibitor AG490 suggests that the association/dissociation of CLP-1 from the complex may be regulated by Jak2 signaling.22 In summary, it appears that derepression of P-TEFb by dissociation and/or decreased levels of CLP-1 may be an important facet of the hypertrophic response and emphasizes the importance of CLP-1 as the regulator of RNA synthesis in development of cardiac hypertrophy.


*    Acknowledgments
 
Sources of Funding

This work was supported by NIH grant HL073399 (to M.A.Q.S.).

Disclosures

None.


*    Footnotes
 
Original received November 26, 2008; revision received April 9, 2009; accepted May 6, 2009.


*    References
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMaterials and Methods
up arrowResults
up arrowDiscussion
*References
 
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