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Circulation. 1999;100:2449-2454

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(Circulation. 1999;100:2449.)
© 1999 American Heart Association, Inc.


Basic Science Reports

Calcineurin Plays a Critical Role in Pressure Overload–Induced Cardiac Hypertrophy

Masaki Shimoyama, MD, PhD; Doubun Hayashi, MD; Eiki Takimoto, MD; Yunzeng Zou, MD, PhD; Toru Oka, MD; Hiroki Uozumi, MD; Sumiyo Kudoh, MD, PhD; Futoshi Shibasaki, MD, PhD; Yoshio Yazaki, MD, PhD; Ryozo Nagai, MD, PhD; Issei Komuro, MD, PhD

From the Department of Cardiovascular Medicine, University of Tokyo, Graduate School of Medicine (M.S., D.H., E.T., Y.Z., T.O., H.U., S.K., Y.Y., I.K.), and the Tokyo Metropolitan Institute of Medical Science (F.S), Tokyo, Japan.

Correspondence to Issei Komuro, MD, PhD, Department of Cardiovascular Medicine, University of Tokyo Graduate School of Medicine, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan. E-mail komuro-tky{at}umin.ac.jp

Background—Cardiac hypertrophy is a fundamental adaptive response to hemodynamic overload; how mechanical load induces cardiac hypertrophy, however, remains elusive. It was recently reported that activation of a calcium-dependent phosphatase, calcineurin, induces cardiac hypertrophy. In the present study, we examined whether calcineurin plays a critical role in pressure overload–induced cardiac hypertrophy.

Methods and Results—Pressure overload produced by constriction of the abdominal aorta increased the activity of calcineurin in the rat heart and induced cardiac hypertrophy, including reprogramming of gene expression. Treatment of rats with a calcineurin inhibitor, FK506, inhibited the activation of calcineurin and prevented the pressure overload–induced cardiac hypertrophy and fibrosis without change of hemodynamic parameters. Load-induced expression of immediate-early-response genes and fetal genes was also suppressed by the FK506 treatment.

Conclusions—The present results suggest that the calcineurin signaling pathway plays a pivotal role in load-induced cardiac hypertrophy and may pave the way for a novel pharmacological approach to prevent cardiac hypertrophy.


Key Words: hypertrophy • pressure • genes • calcineurin




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