Abstract
Hypertrophy represents the major physiological response of the heart to adapt to chronically enhanced workload, but is also crucial in the development of heart failure. Although we know of numerous inducers of cardiac hypertrophy, little is known about mechanisms that limit cardiac hypertrophy. Here, we describe the transcriptional repressor NAB1 as an endogenous regulator of cardiac growth. We identified NAB1 as being upregulated in both mouse and human heart failure. Nab1 is highly expressed in mammalian cardiac myocytes and it inhibited cardiomyocyte hypertrophy through repression of its targets, transcription factor Egr. Transgenic mice with cardiac-specific overexpression of Nab1 showed that Nab1 is a potent inhibitor of cardiac growth in response to pathological stimuli in vivo. Nab1 overexpression suppressed adrenergically induced and pressure overload–induced hypertrophy, whereas physiological growth during development and in response to exercise was not affected. These findings implicate the Nab1-Egr1 axis as a crucial regulator of pathological cardiac growth.
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Acknowledgements
These studies were supported by grants from the Deutsche Forschungsgemeinschaft (Leibniz award), the Rudolf-Virchow-Center/DFG-Research Center for Experimental Biomedicine, the Bavarian Ministry of Technology, ProCorde and Sanofi-Aventis. We thank A. Simm (University of Halle) for advice on cardiomyocyte culture, C. Dienesch for help with aortic banding experiments and G. Thiel (University of Homburg) for the Egr-reporter gene construct and suggestions. We would like to thank P. Charnay for providing Egr1-deficient mice and L. Hein (University of Freiburg) for discussion of the manuscript.
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Stegan Engelhardt, Monika Buitrago and Martin J. Lohse have filed a patent regarding the use of NAB/Egr in heart disease.
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Nab1 transgenic mice show normal cardiac function in vivo (PDF 16 kb)
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Buitrago, M., Lorenz, K., Maass, A. et al. The transcriptional repressor Nab1 is a specific regulator of pathological cardiac hypertrophy. Nat Med 11, 837–844 (2005). https://doi.org/10.1038/nm1272
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DOI: https://doi.org/10.1038/nm1272
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