Clinical Research |
From the Department of Molecular, Cellular and Developmental Biology (S.M., L.A.L.), University of Colorado (Boulder); and Division of Cardiology (W.M., M.B.), University of Colorado Health Science Center (Denver).
Correspondence to Dr Leslie A. Leinwand, Department of Molecular, Cellular and Developmental Biology, University of Colorado at Boulder, Campus Box 347, Boulder, CO 80309-0347. E-mail Leslie.Leinwand{at}colorado.edu
| Abstract |
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, produce more power than
those expressing the slower MyHC motor protein, ß, leading to the
hypothesis that MyHC isoforms play a major role in the determination of
cardiac contractility. We showed previously that a
significant amount of
MyHC mRNA is expressed in nonfailing human
ventricular myocardium and that
MyHC mRNA
expression is decreased 15-fold in end-stage failing left ventricles.
In the present study, we determined the MyHC protein isoform
content of human heart samples of known MyHC mRNA composition. We
demonstrate that
MyHC protein was easily detectable in 12 nonfailing
hearts.
MyHC protein represented 7.2±3.2% of total
MyHC protein (compared with
35% of the MyHC mRNA), suggesting that
translational regulation may be operative; in contrast, there was
effectively no detectable
MyHC protein in the left ventricles of 10
end-stage failing human hearts.
Key Words: myosin heart failure isoforms
| Introduction |
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and ß) are expressed in mammalian
heart. Myosin consisting of
MyHC has a higher ATPase activity than
myosin composed of ßMyHC,1 and in the rodent heart,
contractile velocity correlates with the relative amount of each MyHC.
Hearts expressing
MyHC have more rapid contractile velocity than
hearts expressing ßMyHC, which allows greater economy in force
generation because the tension-time integral for force per cross-bridge
cycle is greater.2 3 The MyHC composition of the
ventricular myocardium of rodents has been
reported to be >90%
MyHC,4 5 6 whereas that of humans
has been reported to be >95% ßMyHC.7 8 9 10 11 12 13 In the rodent
heart, thyroid hormone elevation and exercise have been shown to
increase
MyHC, whereas thyroid depletion, aging,
cardiomyopathy, and pressure overload have been
shown to increase ßMyHC (see Swynghedauw14 ). Because the
normal human heart was previously thought to be entirely
ßMyHC,7 8 9 10 11 12 13 stimuli that might induce isoform shifts
toward ßMyHC in human heart disease were thought to be
irrelevant.
The MyHC composition of human heart was originally investigated with
immunohistochemistry, because of the difficulty in electrophoretic
separation of the human
MyHC and ßMyHC,9 or by
peptide mapping.7 10 Immunohistochemistry can show the
spatial expression of each isoform, but it is not quantitative because
2 different antibodies cannot be directly compared.15 16
The results of immunohistochemical analysis were quite varied,
with reports ranging from <5% to 88% of myocytes expressing
MyHC.8 11 12 We showed that
MyHC mRNA was expressed
at considerable levels in the nonfailing human left ventricles (LVs)
and was substantially decreased in end-stage failing human
LVs.17 18 The proportion of total MyHC mRNA that is
MyHC mRNA was
30% in nonfailing LVs and was reduced by 15-fold,
to
2%, in end-stage LVs.
Because of the potential functional significance of altered MyHC
composition in contractility and to gain insight into
the molecular mechanisms of changes in gene expression in heart
failure, we quantified
MyHC and ßMyHC proteins in human nonfailing
and failing LVs according to a recently reported gel electrophoretic
method.19 We demonstrate that
MyHC protein is
detectable in nonfailing LVs but is virtually undetectable in failing
LVs.
| Materials and Methods |
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RNA was extracted and analyzed with quantitative polymerase chain reaction as previously described and reported.17 18
Samples for protein gel electrophoresis (15 to 200 mg) were prepared as
described by Caforio et al20 from tissue that had no
visible fat and no connective tissue. Briefly, samples were
homogenized in low-salt buffer (20 mmol/L KCl, 2
mmol/L KH2PO4, 1
mmol/L EGTA, pH 6.8, 1 mmol/L PMSF, 100 µL
N,N-dimethyl formamide). The samples were then
centrifuged at 5000 rpm for 10 minutes at 4°C in a JA-17
rotor (Beckman Instruments). Pellets were suspended in high-salt buffer
(40 mmol/L
Na4P2O7,
1 mmol/L MgCl2, 1 mmol/L EGTA, pH 9.5)
and then centrifuged at 15 000 rpm for 30 minutes at 4°C.
Laemmlis buffer was added to each sample, and then each sample was
boiled.21 The preparation and composition of the gel
were carried out as described by Reiser and Kline.19 Gel
samples (0.25 to 1 µg) were loaded in a 3-µL volume onto 15-well
gels. The stacking and separating gels (0.75 mm thick) consisted
of 4% and 8% acrylamide, respectively; the stacking gels
included 5% glycerol. The gels were run in a Hoeffer Scientific SE600
instrument at 5°C. The gels were run at a constant voltage of 200 V
for 30 hours. The gels were fixed and silver stained as described
in Blough et al.22 A gel documentation system (Bio-Rad)
was used to scan the stained gels. The abundance of
MyHC and ßMyHC
was determined with quantitative reverse transcriptionpolymerase
chain reaction as previously described.17 18 Protein
samples were subjected to electrophoresis as described earlier and
transferred to 0.2-µm nitrocellulose. The blots were blocked in 10%
nonfat dry milk in PBS for 2 hours at room temperature. Blots were
incubated with a monoclonal antibody against sarcomeric MyHC
(F59)23 or F88.12F8 (Alexis Biochemicals) at a dilution of
1:500 or 1:5000, respectively, in 5% BSA overnight at 4°C. After
primary antibody incubations, 3 washes in PBS were followed by an
incubation in the secondary antibody, peroxidase-conjugated goat
anti-mouse IgG (Jackson Laboratories) diluted 1:5000 in 10% nonfat dry
milk in PBS for 2 hours at room temperature. The blots were then washed
3 times in 0.05% NP-40/PBS. Immunoreactive bands were visualized by
using the Renaissance Western Blot Chemiluminescence Reagent (NEN Life
Sciences).
| Results and Discussion |
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MyHC protein in the nonfailing and failing human hearts
and to determine the relationship between MyHC mRNA and protein levels.
The clinical characteristics and the
MyHC mRNA content of the
patients analyzed in the present study are shown in Tables 1
MyHC mRNA was 10.8% to 55% in
nonfailing LVs and 0% to 8.8% in failing LVs. To identify
MyHC
protein, immunoblot analysis was carried out with a
monoclonal antibody specific to
MyHC protein.15 To
quantify the proportion of
MyHC protein, an electrophoretic
separation protocol was used, followed by silver staining and
densitometry. Figure 1
MyHC and ßMyHC proteins. The gel was probed with
pansarcomeric MyHC antibody F5923 (top) and an
MyHC-specific antibody (bottom).15 Lane 1
represents rabbit skeletal MyHC, used as a control. It was
recognized by the pansarcomeric MyHC antibody but not by the
MyHC-specific antibody.
MyHC was prominently expressed in a right
atrial sample (lane 2), as expected.24 As an additional
control, the right atrial sample was mixed 1:1 with an LV sample (lane
3). Two bands were recognized by the pansarcomeric antibody, but only
the top band was recognized by the
MyHC antibody.
MyHC was easily
detectable in 2 nonfailing LVs (lanes 4 and 5). These results
demonstrate that human
MyHC and ßMyHC can be resolved into 2 bands
and that the slower migrating species is
MyHC. However, this
immunoblot analysis does not provide quantitative
information about
MyHC levels. For that purpose, a high-resolution
gel was run, silver stained, and subjected to laser scanning
densitometry. Figure 2
MyHC and 14% ßMyHC and served as a
positive control24 (Figure 2
MyHC protein was
detected in all 12 nonfailing LVs and corresponded to 7.2±3.2% of
total MyHC ([mean±SD] range 1.2% to 13%). One patients heart
that was originally included in the nonfailing group had no
MyHC
protein. However, when the clinical characteristics were examined in
greater detail, it was found that this patient had a history of
myocardial infarction and exhibited an anterior wall motion
abnormality; data on this patients tissue were subsequently
eliminated from the analysis. However, the finding of no
MyHC protein in a setting of LV dysfunction suggests that changes in
cardiac MyHC expression can precede the development of overt myocardial
failure.
MyHC protein was barely detectable (0.75%) in 1 of 10
failing LVs, from an 18-year-old patient with idiopathic dilated
cardiomyopathy and with 8.8%
MyHC mRNA (Figure 2
MyHC protein was detected in the remaining 9 failing
LV samples.
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Investigation into the molecular and cellular mechanisms of heart
failure has provided some insight into changes in gene expression that
could contribute to contractile dysfunction. Given the potential
functional significance of
MyHC protein in the
myocardium, it was important to determine whether protein
was also present.
MyHC protein was detected all 12 nonfailing
LVs but was undetectable in 9 of 10 failing LVs and barely detectable
in the remaining failing LV. Interestingly, in all nonfailing LVs,
there was more
MyHC mRNA than protein (see Table 1
).
Discordance between MyHC mRNA and protein has been demonstrated in
several reports and systems.25 For example, electrical
stimulation of adult cardiac myocyte contraction accelerates MyHC
synthesis by increasing the rate of translation initiation. This occurs
in the absence of an increase in mRNA abundance.26 After 7
days of ascending aortic constriction, ßMyHC protein increases from
5% to 31% of total MyHC in the absence of changes in mRNA
abundance.27 Finally, contractile arrest of cardiac
myocytes has been shown to inhibit MyHC synthesis and to decelerate
MyHC degradation.28 Protein synthesis in the heart is
regulated by changes in efficiency and capacity and has been shown to
vary widely depending on the stimulus.29 30 31 Before
drawing firm conclusions about the degree of discordance between mRNA
and protein, 1 limitation of the silver-staining approach should be
noted: in samples with very low amounts of
MyHC, the ßMyHC band
may obscure a faint
MyHC band. To complement the approach used here
and to be able to determine the absolute quantities of
and ßMyHC,
we are in the process of developing ELISAs.
One question that arises from these observations is whether a
relatively small amount of
MyHC is capable of changing the
contractile properties of the heart. Thus far, the cases in which
shifts in myosin composition have been studied have generally
been at end points where the shift has been quite large. The impact of
small shifts such as those described here have not yet been reported.
However, with the assumption of a 3-fold difference in the velocity of
shortening in muscles expressing the
and ß isoforms, the decrease
in
MyHC from 7.5% to <0.1% could theoretically reduce
systolic function by 12.5%, although the direct relationship
to velocity of contraction would have to be tested directly. In support
of this hypothesis, we recently used transgenesis to express ßMyHC in
the adult mouse heart, which normally expresses exclusively
MyHC.
When only 12% of the total MyHC is ßMyHC, there is a significant
decrease in systolic function and
Ca+2-activated myofibrillar ATPase
activity.32 However, in vitro biochemical mixing
experiments with varying proportions of
and ß myosin show that
ß myosin can have a "slowing" effect on
myosin, suggesting
that the impact of myosin changes in the intact heart may not reflect
the behavior of purified molecules in solution.33
The sensitivity of the cardiac sarcomere to alterations in MyHC
has been emphasized by the discovery of >50 alleles of the ßMyHC
gene found in patients with hypertrophic
cardiomyopathy (see Bonne et al34 ).
Most of these alleles have mutations in the motor domain, and in
vitro biochemical studies have shown that the motor activity is
impaired in at least 3 different alleles.35 36 37
Somewhat surprisingly, the functional differences in the mutant
alleles are less than the difference between wild-type
MyHC and
ßMyHC.37 Further investigation is required to understand
the relationship of decreased myosin motor activity and the
pathogenesis of hypertrophic cardiomyopathy and
heart failure.
In summary, we separated human
MyHC and ßMyHC proteins
through electrophoresis and quantified the relative amounts of
MyHC
and ßMyHC in nonfailing and failing LVs.
MyHC is detectable in
nonfailing LVs but effectively undetectable in failing LVs. Future
experiments will be directed toward a determination of the mechanism of
MyHC mRNA decrease and the relevance of changes in MyHC gene
expression to human cardiac function.
| Acknowledgments |
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| Footnotes |
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Received March 18, 1999; accepted July 7, 1999.
| References |
|---|
|
|
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and ß myosin in normal and
diseased human ventricular myocardium.
Basic Res Cardiol. 1989;84:91102.[Medline]
[Order article via Infotrieve]
myosin
heavy chain in hypertrophed, failing ventricular
myocardium. J Clin Invest. 1997;100:23152324.[Medline]
[Order article via Infotrieve]
- and
ß-cardiac myosin heavy chain isoforms as major autoantigens in
dilated cardiomyopathy. Circulation. 1992;85:17341742.This article has been cited by other articles:
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