A hipertrofia cardíaca é uma adaptação do coração frente a estímulos de crescimento, sejam eles patológicos e irreversíveis como a sobrecarga de pressão ou de volume, ou fisiológicos e reversíveis como a gravidez e o exercício físico. A hipertrofia derivada de estímulos patológicos é conhecida como mal adaptativa enquanto que a hipertrofia proveniente de estímulos ditos fisiológicos é conhecida como benéfica ou adaptativa. Embora ambas hipertrofias tenham fatores em comum no que diz respeito ao crescimento do cardiomiócito e adaptações moleculares, elas acabam divergindo para desfechos completamente diferentes. A hipertrofia patológica evolui para um quadro de disfunção cardíaca ao passo que a hipertrofia fisiológica não acarreta nenhum dano funcional ao miocárdio. Essa linha tênue entre um fenótipo e outro envolve mecanismos celulares complexos que ainda precisam ser esclarecidos. Dentro deste cenário, os microRNAs aparecem como reguladores de diversos processos celulares, e têm sido associados ao crescimento miocárdico. Portanto, nosso objetivo foi comparar o padrão de expressão de microRNAs entre os modelos de hipertrofia fisiológica, induzido por natação (SWIM), e o modelo de hipertrofia patológica, induzida por bandeamento aórtico transtorácico (TAC). As análises foram realizadas após 28 dias para o modelo de natação, e 35 dias para o modelo de TAC. A comparação foi realizada através da técnica de microarranjo de microRNAs (Affymetrix). Interessantemente, apenas 20 microRNAs apresentaram níveis de expressão distinta entre os dois modelos de hipertrofia. Destes, 12 microRNAs apresentaram aumento de expressão (miR-193a-3p, miR-299a-5p, miR- 127-5p, miR-214-5p, miR-188-5p, miR-326-3p, miR-6395, miR-547-3p, miR-199a-5p, miR-381-3p, miR-223-3p e miR-199b-5p) e 8 estavam com seus níveis diminuídos (miR11 708-5p, miR-30c-1-3p, miR-22-5p, miR-6921-5p, miR-30a-3p, miR-30e-3p, miR-27a-5p and miR-6975-5p) no grupo TAC em relação ao grupo SWIM. Além disso, apenas 3 microRNAs, miR-21a-5p, miR-206-3p e miR-1983, apresentaram aumento de expressão tanto no grupo TAC quanto no grupo SWIM em comparação aos grupos SHAM e Sedentário, respectivamente. Após isso, foi realizada uma busca por possíveis alvos destes microRNAs na base de dados KEGG Pathway que identificou 4 rotas enriquecidas (665 genes) entre os alvos dos microRNAs reduzidos, e 80 rotas (3394 genes) fortemente associadas aos microRNAs que estavam aumentados no grupo TAC comparado ao SWIM. Conclui-se que existem microRNAs específicos para o desenvolvimento da hipertrofia cardíaca fisiológica, bem como patológica conforme os dados obtidos na análise de microarranjo. Além disso, os possíveis alvos destes microRNAs parecem estar envolvidos em rotas bastante envolvidas no crescimento celular, sobrevivência e adaptação cardíaca. / Cardiac hypertrophy is a heart adaptation in response to growth stimuli whether pathological and irreversible such as pressure overload or physiological and reversible as pregnancy and exercise. Hypertrophy because of pathological stimuli is known as mal adaptive while the one that comes from physiological triggers is known as beneficial or adaptive. Although both have similarities about cardiomyocyte growth and molecular adaptations, they diverge to distinct outcomes. The pathological hypertrophy evolves to a pattern of cardiac dysfunction while the physiological one does not cause any damage to the heart. This tenuous line between those phenotypes involves complex cellular mechanisms that need to be clarified. In this context, microRNAs are considered as regulators of many biological processes, and have been associated to myocardial growth. Therefore, our aim was to compare microRNA expression between physiological (swiminduced) and pathological (TAC-induced) hypertrophy. The analysis was performed after 28 days for SWIM protocol and 35 days for TAC model. The comparison was done using microRNA microarray technology (Affymetrix). Interestingly, only 20 microRNAs were differential expressed between both models. Out of those, 12 were up regulated (miR- 193a-3p, miR-299a-5p, miR-127-5p, miR-214-5p, miR-188-5p, miR-326-3p, miR-6395, miR-547-3p, miR-199a-5p, miR-381-3p, miR-223-3p and miR-199b-5p) while 8 were down regulated in TAC group compared to SWIM group. Besides, only 3 microRNAs, miR-21a-5p, miR-206-3p and miR-1983, were upregulated in TAC and SWIM model compared to SHAM and SED groups. After that, a search at KEGG Pathway database retrieved 4 pathways (665 genes) enriched with targets from microRNAs downregulated and 80 pathways (3394 genes) enriched with targets from up-regulated microRNAs in in 13 TAC group compared to SWIM group. In conclusion, there are microRNAs specific committed to the physiological cardiac hypertrophy development as well to the pathological cardiac growth as observed in our microarray data. Furthermore, the possible targets of those microRNAs could be involved in pathways associated with cellular growth, survival and cardiac adaptation.

A hipertrofia cardíaca é um mecanismo de adaptação do coração ao aumento de demanda. De acordo com o estímulo, fisiológico ou patológico, a hipertrofia apresenta diferentes características morfológicas e moleculares. Compreender os mecanismos comuns e distintos entre os dois tipos de hipertrofia é um passo importante para o desenvolvimento de estratégias de prevenção e tratamento da IC. Dentre os mecanismos distintos cabe ressaltar a participação das espécies reativas do oxigênio (EROs) que parecem estar presentes em altos níveis na hipertrofia cardíaca patológica e em baixos na fisiológica. Além disso, o papel regulatório dos microRNAs (miRs) tem sido demonstrado nas doenças cardiovasculares. No entanto, a influência das EROs no desenvolvimento da hipertrofia e nas adaptações decorrentes a ela ainda não está estabelecido. Assim, nosso objetivo foi avaliar as diferenças morfológicas e moleculares da hipertrofia cardíaca fisiológica, induzida pelo exercício, e da patológica, induzida por bandeamento aórtico (TAC), e sua modulação pela vitamina E. Os modelos de exercício e TAC desenvolveram hipertrofia cardíaca de forma compatível com o estímulo recebido. Essas adaptações ocorreram conjuntamente com alterações na expressão dos miRs-21, -26b, -150, -210 e -499. A vitamina E inibiu o estímulo angiogênicos, no modelo fisiológico, assim como a expressão dos miRs-21, -150 e -210. No entanto, esses efeitos não alteraram o fenótipo final da hipertrofia cardíaca fisiológica. No modelo patológico, por outro lado, a vitamina E reduziu a fibrose e o dano oxidativo, além de alterar a expressão de miRs já descritos no desenvolvimento da hipertrofia cardíaca patológica. Novamente, esse efeito não foi suficiente para reduzir a hipertrofia cardíaca. Em conjunto, os dados desse estudo sugerem que a vitamina E e/ou sua capacidade antioxidante têm a capacidade de influenciar de forma benéfica a hipertrofia patológica; no entanto, seus efeitos podem ser desfavoráveis no estímulo fisiológico. / Cardiac hypertrophy is an adaptive mechanism of the heart to the increased demand. According to the stimulus, physiological or pathological, cardiac hypertrophy present different morphological and molecular features. Understanding both the unique and the shared features in each type of hypertrophy is an important step to the development of novel approaches in the HF management. Among the unique mechanisms, the participation of reactive oxygen species (ROS) seems to be present at high levels in pathological and at low levels in physiological cardiac hypertrophy. Furthermore, the regulatory role of microRNAs (miRs) have been shown in cardiovascular diseases. However, ROS influence in cardiac hypertrophy development and their adaptations were not established yet. Thus, our objective was to evaluate morphological and molecular differences between physiological cardiac hypertrophy (physical exerciceinduced) and pathological cardiac hypertrophy (transverse aortic constrictioninduced), and its modulation by vitamin E. Exercise and TAC models developed cardiac hypertrophy in a manner consistent with the received stimulus. These adaptations occurred along with changes in miR-21, -26b, -150, -210 and -499 expression. Vitamin E inhibited angiogenic adaptations, as well as miR-21, -150 and -210 expression in physiological model. However, these effects did not change the final physiological cardiac hypertrophy phenotype. On the other hand, in the pathological model, vitamin E reduced oxidative damage and fibrosis, and altered the expression of miRs described in pathological cardiac hypertrophy development. Again, this effect was not sufficient to reduce cardiac hypertrophy. In conclusion, vitamin E and/or its antioxidant capacity have the capacity to influence the pathological hypertrophy in a beneficial way, but its effects can be unfavorable in the physiological stimulus.

A hipertrofia cardíaca é uma adaptação do coração frente a estímulos de crescimento, sejam eles patológicos e irreversíveis como a sobrecarga de pressão ou de volume, ou fisiológicos e reversíveis como a gravidez e o exercício físico. A hipertrofia derivada de estímulos patológicos é conhecida como mal adaptativa enquanto que a hipertrofia proveniente de estímulos ditos fisiológicos é conhecida como benéfica ou adaptativa. Embora ambas hipertrofias tenham fatores em comum no que diz respeito ao crescimento do cardiomiócito e adaptações moleculares, elas acabam divergindo para desfechos completamente diferentes. A hipertrofia patológica evolui para um quadro de disfunção cardíaca ao passo que a hipertrofia fisiológica não acarreta nenhum dano funcional ao miocárdio. Essa linha tênue entre um fenótipo e outro envolve mecanismos celulares complexos que ainda precisam ser esclarecidos. Dentro deste cenário, os microRNAs aparecem como reguladores de diversos processos celulares, e têm sido associados ao crescimento miocárdico. Portanto, nosso objetivo foi comparar o padrão de expressão de microRNAs entre os modelos de hipertrofia fisiológica, induzido por natação (SWIM), e o modelo de hipertrofia patológica, induzida por bandeamento aórtico transtorácico (TAC). As análises foram realizadas após 28 dias para o modelo de natação, e 35 dias para o modelo de TAC. A comparação foi realizada através da técnica de microarranjo de microRNAs (Affymetrix). Interessantemente, apenas 20 microRNAs apresentaram níveis de expressão distinta entre os dois modelos de hipertrofia. Destes, 12 microRNAs apresentaram aumento de expressão (miR-193a-3p, miR-299a-5p, miR- 127-5p, miR-214-5p, miR-188-5p, miR-326-3p, miR-6395, miR-547-3p, miR-199a-5p, miR-381-3p, miR-223-3p e miR-199b-5p) e 8 estavam com seus níveis diminuídos (miR11 708-5p, miR-30c-1-3p, miR-22-5p, miR-6921-5p, miR-30a-3p, miR-30e-3p, miR-27a-5p and miR-6975-5p) no grupo TAC em relação ao grupo SWIM. Além disso, apenas 3 microRNAs, miR-21a-5p, miR-206-3p e miR-1983, apresentaram aumento de expressão tanto no grupo TAC quanto no grupo SWIM em comparação aos grupos SHAM e Sedentário, respectivamente. Após isso, foi realizada uma busca por possíveis alvos destes microRNAs na base de dados KEGG Pathway que identificou 4 rotas enriquecidas (665 genes) entre os alvos dos microRNAs reduzidos, e 80 rotas (3394 genes) fortemente associadas aos microRNAs que estavam aumentados no grupo TAC comparado ao SWIM. Conclui-se que existem microRNAs específicos para o desenvolvimento da hipertrofia cardíaca fisiológica, bem como patológica conforme os dados obtidos na análise de microarranjo. Além disso, os possíveis alvos destes microRNAs parecem estar envolvidos em rotas bastante envolvidas no crescimento celular, sobrevivência e adaptação cardíaca. / Cardiac hypertrophy is a heart adaptation in response to growth stimuli whether pathological and irreversible such as pressure overload or physiological and reversible as pregnancy and exercise. Hypertrophy because of pathological stimuli is known as mal adaptive while the one that comes from physiological triggers is known as beneficial or adaptive. Although both have similarities about cardiomyocyte growth and molecular adaptations, they diverge to distinct outcomes. The pathological hypertrophy evolves to a pattern of cardiac dysfunction while the physiological one does not cause any damage to the heart. This tenuous line between those phenotypes involves complex cellular mechanisms that need to be clarified. In this context, microRNAs are considered as regulators of many biological processes, and have been associated to myocardial growth. Therefore, our aim was to compare microRNA expression between physiological (swiminduced) and pathological (TAC-induced) hypertrophy. The analysis was performed after 28 days for SWIM protocol and 35 days for TAC model. The comparison was done using microRNA microarray technology (Affymetrix). Interestingly, only 20 microRNAs were differential expressed between both models. Out of those, 12 were up regulated (miR- 193a-3p, miR-299a-5p, miR-127-5p, miR-214-5p, miR-188-5p, miR-326-3p, miR-6395, miR-547-3p, miR-199a-5p, miR-381-3p, miR-223-3p and miR-199b-5p) while 8 were down regulated in TAC group compared to SWIM group. Besides, only 3 microRNAs, miR-21a-5p, miR-206-3p and miR-1983, were upregulated in TAC and SWIM model compared to SHAM and SED groups. After that, a search at KEGG Pathway database retrieved 4 pathways (665 genes) enriched with targets from microRNAs downregulated and 80 pathways (3394 genes) enriched with targets from up-regulated microRNAs in in 13 TAC group compared to SWIM group. In conclusion, there are microRNAs specific committed to the physiological cardiac hypertrophy development as well to the pathological cardiac growth as observed in our microarray data. Furthermore, the possible targets of those microRNAs could be involved in pathways associated with cellular growth, survival and cardiac adaptation.

A hipertrofia cardíaca é uma adaptação do coração frente a estímulos de crescimento, sejam eles patológicos e irreversíveis como a sobrecarga de pressão ou de volume, ou fisiológicos e reversíveis como a gravidez e o exercício físico. A hipertrofia derivada de estímulos patológicos é conhecida como mal adaptativa enquanto que a hipertrofia proveniente de estímulos ditos fisiológicos é conhecida como benéfica ou adaptativa. Embora ambas hipertrofias tenham fatores em comum no que diz respeito ao crescimento do cardiomiócito e adaptações moleculares, elas acabam divergindo para desfechos completamente diferentes. A hipertrofia patológica evolui para um quadro de disfunção cardíaca ao passo que a hipertrofia fisiológica não acarreta nenhum dano funcional ao miocárdio. Essa linha tênue entre um fenótipo e outro envolve mecanismos celulares complexos que ainda precisam ser esclarecidos. Dentro deste cenário, os microRNAs aparecem como reguladores de diversos processos celulares, e têm sido associados ao crescimento miocárdico. Portanto, nosso objetivo foi comparar o padrão de expressão de microRNAs entre os modelos de hipertrofia fisiológica, induzido por natação (SWIM), e o modelo de hipertrofia patológica, induzida por bandeamento aórtico transtorácico (TAC). As análises foram realizadas após 28 dias para o modelo de natação, e 35 dias para o modelo de TAC. A comparação foi realizada através da técnica de microarranjo de microRNAs (Affymetrix). Interessantemente, apenas 20 microRNAs apresentaram níveis de expressão distinta entre os dois modelos de hipertrofia. Destes, 12 microRNAs apresentaram aumento de expressão (miR-193a-3p, miR-299a-5p, miR- 127-5p, miR-214-5p, miR-188-5p, miR-326-3p, miR-6395, miR-547-3p, miR-199a-5p, miR-381-3p, miR-223-3p e miR-199b-5p) e 8 estavam com seus níveis diminuídos (miR11 708-5p, miR-30c-1-3p, miR-22-5p, miR-6921-5p, miR-30a-3p, miR-30e-3p, miR-27a-5p and miR-6975-5p) no grupo TAC em relação ao grupo SWIM. Além disso, apenas 3 microRNAs, miR-21a-5p, miR-206-3p e miR-1983, apresentaram aumento de expressão tanto no grupo TAC quanto no grupo SWIM em comparação aos grupos SHAM e Sedentário, respectivamente. Após isso, foi realizada uma busca por possíveis alvos destes microRNAs na base de dados KEGG Pathway que identificou 4 rotas enriquecidas (665 genes) entre os alvos dos microRNAs reduzidos, e 80 rotas (3394 genes) fortemente associadas aos microRNAs que estavam aumentados no grupo TAC comparado ao SWIM. Conclui-se que existem microRNAs específicos para o desenvolvimento da hipertrofia cardíaca fisiológica, bem como patológica conforme os dados obtidos na análise de microarranjo. Além disso, os possíveis alvos destes microRNAs parecem estar envolvidos em rotas bastante envolvidas no crescimento celular, sobrevivência e adaptação cardíaca. / Cardiac hypertrophy is a heart adaptation in response to growth stimuli whether pathological and irreversible such as pressure overload or physiological and reversible as pregnancy and exercise. Hypertrophy because of pathological stimuli is known as mal adaptive while the one that comes from physiological triggers is known as beneficial or adaptive. Although both have similarities about cardiomyocyte growth and molecular adaptations, they diverge to distinct outcomes. The pathological hypertrophy evolves to a pattern of cardiac dysfunction while the physiological one does not cause any damage to the heart. This tenuous line between those phenotypes involves complex cellular mechanisms that need to be clarified. In this context, microRNAs are considered as regulators of many biological processes, and have been associated to myocardial growth. Therefore, our aim was to compare microRNA expression between physiological (swiminduced) and pathological (TAC-induced) hypertrophy. The analysis was performed after 28 days for SWIM protocol and 35 days for TAC model. The comparison was done using microRNA microarray technology (Affymetrix). Interestingly, only 20 microRNAs were differential expressed between both models. Out of those, 12 were up regulated (miR- 193a-3p, miR-299a-5p, miR-127-5p, miR-214-5p, miR-188-5p, miR-326-3p, miR-6395, miR-547-3p, miR-199a-5p, miR-381-3p, miR-223-3p and miR-199b-5p) while 8 were down regulated in TAC group compared to SWIM group. Besides, only 3 microRNAs, miR-21a-5p, miR-206-3p and miR-1983, were upregulated in TAC and SWIM model compared to SHAM and SED groups. After that, a search at KEGG Pathway database retrieved 4 pathways (665 genes) enriched with targets from microRNAs downregulated and 80 pathways (3394 genes) enriched with targets from up-regulated microRNAs in in 13 TAC group compared to SWIM group. In conclusion, there are microRNAs specific committed to the physiological cardiac hypertrophy development as well to the pathological cardiac growth as observed in our microarray data. Furthermore, the possible targets of those microRNAs could be involved in pathways associated with cellular growth, survival and cardiac adaptation.

A hipertrofia cardíaca é um mecanismo de adaptação do coração ao aumento de demanda. De acordo com o estímulo, fisiológico ou patológico, a hipertrofia apresenta diferentes características morfológicas e moleculares. Compreender os mecanismos comuns e distintos entre os dois tipos de hipertrofia é um passo importante para o desenvolvimento de estratégias de prevenção e tratamento da IC. Dentre os mecanismos distintos cabe ressaltar a participação das espécies reativas do oxigênio (EROs) que parecem estar presentes em altos níveis na hipertrofia cardíaca patológica e em baixos na fisiológica. Além disso, o papel regulatório dos microRNAs (miRs) tem sido demonstrado nas doenças cardiovasculares. No entanto, a influência das EROs no desenvolvimento da hipertrofia e nas adaptações decorrentes a ela ainda não está estabelecido. Assim, nosso objetivo foi avaliar as diferenças morfológicas e moleculares da hipertrofia cardíaca fisiológica, induzida pelo exercício, e da patológica, induzida por bandeamento aórtico (TAC), e sua modulação pela vitamina E. Os modelos de exercício e TAC desenvolveram hipertrofia cardíaca de forma compatível com o estímulo recebido. Essas adaptações ocorreram conjuntamente com alterações na expressão dos miRs-21, -26b, -150, -210 e -499. A vitamina E inibiu o estímulo angiogênicos, no modelo fisiológico, assim como a expressão dos miRs-21, -150 e -210. No entanto, esses efeitos não alteraram o fenótipo final da hipertrofia cardíaca fisiológica. No modelo patológico, por outro lado, a vitamina E reduziu a fibrose e o dano oxidativo, além de alterar a expressão de miRs já descritos no desenvolvimento da hipertrofia cardíaca patológica. Novamente, esse efeito não foi suficiente para reduzir a hipertrofia cardíaca. Em conjunto, os dados desse estudo sugerem que a vitamina E e/ou sua capacidade antioxidante têm a capacidade de influenciar de forma benéfica a hipertrofia patológica; no entanto, seus efeitos podem ser desfavoráveis no estímulo fisiológico. / Cardiac hypertrophy is an adaptive mechanism of the heart to the increased demand. According to the stimulus, physiological or pathological, cardiac hypertrophy present different morphological and molecular features. Understanding both the unique and the shared features in each type of hypertrophy is an important step to the development of novel approaches in the HF management. Among the unique mechanisms, the participation of reactive oxygen species (ROS) seems to be present at high levels in pathological and at low levels in physiological cardiac hypertrophy. Furthermore, the regulatory role of microRNAs (miRs) have been shown in cardiovascular diseases. However, ROS influence in cardiac hypertrophy development and their adaptations were not established yet. Thus, our objective was to evaluate morphological and molecular differences between physiological cardiac hypertrophy (physical exerciceinduced) and pathological cardiac hypertrophy (transverse aortic constrictioninduced), and its modulation by vitamin E. Exercise and TAC models developed cardiac hypertrophy in a manner consistent with the received stimulus. These adaptations occurred along with changes in miR-21, -26b, -150, -210 and -499 expression. Vitamin E inhibited angiogenic adaptations, as well as miR-21, -150 and -210 expression in physiological model. However, these effects did not change the final physiological cardiac hypertrophy phenotype. On the other hand, in the pathological model, vitamin E reduced oxidative damage and fibrosis, and altered the expression of miRs described in pathological cardiac hypertrophy development. Again, this effect was not sufficient to reduce cardiac hypertrophy. In conclusion, vitamin E and/or its antioxidant capacity have the capacity to influence the pathological hypertrophy in a beneficial way, but its effects can be unfavorable in the physiological stimulus.

A hipertrofia cardíaca é um mecanismo de adaptação do coração ao aumento de demanda. De acordo com o estímulo, fisiológico ou patológico, a hipertrofia apresenta diferentes características morfológicas e moleculares. Compreender os mecanismos comuns e distintos entre os dois tipos de hipertrofia é um passo importante para o desenvolvimento de estratégias de prevenção e tratamento da IC. Dentre os mecanismos distintos cabe ressaltar a participação das espécies reativas do oxigênio (EROs) que parecem estar presentes em altos níveis na hipertrofia cardíaca patológica e em baixos na fisiológica. Além disso, o papel regulatório dos microRNAs (miRs) tem sido demonstrado nas doenças cardiovasculares. No entanto, a influência das EROs no desenvolvimento da hipertrofia e nas adaptações decorrentes a ela ainda não está estabelecido. Assim, nosso objetivo foi avaliar as diferenças morfológicas e moleculares da hipertrofia cardíaca fisiológica, induzida pelo exercício, e da patológica, induzida por bandeamento aórtico (TAC), e sua modulação pela vitamina E. Os modelos de exercício e TAC desenvolveram hipertrofia cardíaca de forma compatível com o estímulo recebido. Essas adaptações ocorreram conjuntamente com alterações na expressão dos miRs-21, -26b, -150, -210 e -499. A vitamina E inibiu o estímulo angiogênicos, no modelo fisiológico, assim como a expressão dos miRs-21, -150 e -210. No entanto, esses efeitos não alteraram o fenótipo final da hipertrofia cardíaca fisiológica. No modelo patológico, por outro lado, a vitamina E reduziu a fibrose e o dano oxidativo, além de alterar a expressão de miRs já descritos no desenvolvimento da hipertrofia cardíaca patológica. Novamente, esse efeito não foi suficiente para reduzir a hipertrofia cardíaca. Em conjunto, os dados desse estudo sugerem que a vitamina E e/ou sua capacidade antioxidante têm a capacidade de influenciar de forma benéfica a hipertrofia patológica; no entanto, seus efeitos podem ser desfavoráveis no estímulo fisiológico. / Cardiac hypertrophy is an adaptive mechanism of the heart to the increased demand. According to the stimulus, physiological or pathological, cardiac hypertrophy present different morphological and molecular features. Understanding both the unique and the shared features in each type of hypertrophy is an important step to the development of novel approaches in the HF management. Among the unique mechanisms, the participation of reactive oxygen species (ROS) seems to be present at high levels in pathological and at low levels in physiological cardiac hypertrophy. Furthermore, the regulatory role of microRNAs (miRs) have been shown in cardiovascular diseases. However, ROS influence in cardiac hypertrophy development and their adaptations were not established yet. Thus, our objective was to evaluate morphological and molecular differences between physiological cardiac hypertrophy (physical exerciceinduced) and pathological cardiac hypertrophy (transverse aortic constrictioninduced), and its modulation by vitamin E. Exercise and TAC models developed cardiac hypertrophy in a manner consistent with the received stimulus. These adaptations occurred along with changes in miR-21, -26b, -150, -210 and -499 expression. Vitamin E inhibited angiogenic adaptations, as well as miR-21, -150 and -210 expression in physiological model. However, these effects did not change the final physiological cardiac hypertrophy phenotype. On the other hand, in the pathological model, vitamin E reduced oxidative damage and fibrosis, and altered the expression of miRs described in pathological cardiac hypertrophy development. Again, this effect was not sufficient to reduce cardiac hypertrophy. In conclusion, vitamin E and/or its antioxidant capacity have the capacity to influence the pathological hypertrophy in a beneficial way, but its effects can be unfavorable in the physiological stimulus.

Aims Protein Phosphatase Inhibitor 1 (I-1) functions as an amplifier of the β-adrenergic cascade in cardiomyocytes. Once activated via PKA, I-1 specifically blocks PP-1-mediated dephosphorylation of phospholamban and the ryanodine receptor-1. In heart failure I-1 activity as well as its expression is significantly reduced. It is still unclear whether this adaptation is protective or detrimental. This work aims at examining the impact of I-1 depletion on the course of pressure-induced heart failure, more precisely on acute and long-term mortality, on cardiac morphology and function and on expression levels of hypertrophy markers. Results may help evaluating the benefit of putative I-1 inhibiting substances in the therapy of heart failure. Methods and Results 25 I-1KO and 28 WT mice (C57Bl/6J, age- and sex-matched) underwent transverse aortic constriction (TAC). Cardiac function was assessed via transthoracic echocardiography prior to the intervention and weekly afterwards. Additionally, mice were exposed to β-adrenergic stimulation by injection of dobutamine once prior to TAC and two times afterwards, each controlled by echocardiography. For male mice acute survival was significantly increased in WT compared to I-1KO, whereas the mortality of surviving animals did not differ during the investigation period. For female mice no difference was seen in acute mortality after TAC, but during heart failure progression I-1KO revealed a significantly better survival. Prior to TAC contractility in I-1KO after application of dobutamine was significantly lower than in WT. This effect was mainly induced by female mice. Overall female mice of both WT and I-1KO showed smaller increases in heart rate (HR) and stroke volume (SV) when stimulated. In contrast, following TAC neither line- nor sex-dependent differences were found according to β-adrenergic stimulation. The comparison of hypertrophy markers in control groups revealed clearly decreased levels for I-1KO compared to WT. Conclusion In pressure-induced heart failure, I-1 knockout alters cardiac contractility and modulates mortality in a phase- and sex-dependent way. The depletion is detrimental for male mice in the acute phase of cardiac stress, whereas it is protective for female mice during heart failure progression. The increased mortality in the acute phase might result from the loss of I-1 as an amplifier of β-adrenergic signaling as this leads to a restriction of contractile adaptation. The increased survival in heart failure progression might be caused by a reduced transmission of pathologically increased sympathetic activity on the SR due to the depletion of I-1. Additionally, hypertrophy marker analyses point to differences in expression levels even under non-pathological conditions. / Ziel Der Proteinphosphatase-Inhibitor I-1 wirkt als ein Verstärker der β-adrenergen Kaskade in Kardiomyozyten. Nach PKA-abhängiger Phosphorylierung hemmt er spezifisch die Dephosphorylierung von PLB und RYR-2 durch die Proteinphosphatase-1. Im Rahmen einer Herzinsuffizienz sind sowohl Aktivität als auch Expression von I-1 deutlich reduziert. Hierbei ist unklar, ob dies eine protektive oder eine schädliche Adaption der β-adrenergen Kaskade darstellt. Diese Arbeit untersucht den Einfluss einer Depletion des I-1 (I-1KO) im Rahmen der druckinduzierten Herzinsuffizienz auf die akute bzw. auf die langfristige Mortalität, auf die kardiale Morphologie und Funktion sowie auf die Expression typischer Hypertrophiemarker. Hieraus sollen Erkenntnisse über den Nutzen der Verwendung putativ I-1 inhibierender Substanzen in der Behandlung der Herzinsuffizienz gewonnen werden. Methoden und Resultate 25 I-1KO- sowie 28 WT-Mäuse (C57Bl/6J, age and sex matched) erhielten eine Transverse Aortic Constriction (TAC). Die kardiale Funktion wurde einmalig vor der Intervention sowie danach wöchentlich mittels TTE untersucht. Zusätzlich wurden die Tiere einmalig vor TAC und zweimalig danach unter echokardiographischer Kontrolle mittels Dobutamin β-adrenerg stimuliert. Für die männlichen Tiere zeigte sich in den ersten Tagen nach TAC eine signifikant erhöhte Überlebensrate des WT gegenüber I-1KO. Die Mortalität der überlebenden männlichen Tiere unterschied sich hingegen nicht über den Versuchszeitraum. Für die weiblichen Tiere bestand kein Unterschied in der akuten Sterblichkeit nach TAC, während sich im Verlauf eine signifikant bessere Überlebensrate der weiblichen I-1KO gegenüber WT zeigte. Vor TAC wurde eine signifikant herabgesetzte Kontraktilität (FAS) des I-1KO unter Dobutamin festgestellt, der im Wesentlichen durch die weiblichen Tiere bewirkt wird. Insgesamt zeigten die weiblichen Tiere beider Linien unter β-adrenerger Stimulation eine geringere Zunahme von Herzfrequenz (HR) und Schlagvolumen (SV). Hingegen waren nach TAC keine linien- oder geschlechtsabhängigen Unterschiede unter Dobutamingabe feststellbar. Ein Vergleich der Hypertrophiemarker in der Kontrollgruppe zeigte für I-1KO ein deutlich vermindertes Niveau der Marker gegenüber WT. Ergebnis Der I-1-Knockout verändert die kardiale Kontraktilität und wirkt sowohl in phasen- als auch in geschlechtsabhängiger Weise auf die Mortalität infolge druckinduzierter Herzinsuffizienz. Er ist nachteilig für männliche Tiere in der akuten Phase kardialer Belastung, während er für weibliche Tiere im weiteren Verlauf protektive Wirkung entfaltet. Eine erhöhte Mortalität in der akuten Phase kann durch den Ausfall der Verstärkerfunktion des I-1 erklärt werden, da hiermit eine Einschränkung der akut notwendigen kontraktilen Adaptionsfähigkeit einhergeht. Ein Überlebensvorteil bei chronischer kardialer Belastung könnte darauf zurückzuführen sein, dass die pathologisch erhöhte sympathische Aktivierung der β-adrenergen Kaskade infolge der I-1-Depletion eine geringere Auswirkung auf die Zielstrukturen des aktivierten I-1 am Sarkoplasmatischen Retikulum hat. Darüber hinaus lassen die Analysen der Hypertrophiemarker eine veränderte Genexpression zwischen I-1KO und WT auch unter nicht-pathologischen Bedingungen vermuten.

Aims Protein Phosphatase Inhibitor 1 (I-1) functions as an amplifier of the β-adrenergic cascade in cardiomyocytes. Once activated via PKA, I-1 specifically blocks PP-1-mediated dephosphorylation of phospholamban and the ryanodine receptor-1. In heart failure I-1 activity as well as its expression is significantly reduced. It is still unclear whether this adaptation is protective or detrimental. This work aims at examining the impact of I-1 depletion on the course of pressure-induced heart failure, more precisely on acute and long-term mortality, on cardiac morphology and function and on expression levels of hypertrophy markers. Results may help evaluating the benefit of putative I-1 inhibiting substances in the therapy of heart failure. Methods and Results 25 I-1KO and 28 WT mice (C57Bl/6J, age- and sex-matched) underwent transverse aortic constriction (TAC). Cardiac function was assessed via transthoracic echocardiography prior to the intervention and weekly afterwards. Additionally, mice were exposed to β-adrenergic stimulation by injection of dobutamine once prior to TAC and two times afterwards, each controlled by echocardiography. For male mice acute survival was significantly increased in WT compared to I-1KO, whereas the mortality of surviving animals did not differ during the investigation period. For female mice no difference was seen in acute mortality after TAC, but during heart failure progression I-1KO revealed a significantly better survival. Prior to TAC contractility in I-1KO after application of dobutamine was significantly lower than in WT. This effect was mainly induced by female mice. Overall female mice of both WT and I-1KO showed smaller increases in heart rate (HR) and stroke volume (SV) when stimulated. In contrast, following TAC neither line- nor sex-dependent differences were found according to β-adrenergic stimulation. The comparison of hypertrophy markers in control groups revealed clearly decreased levels for I-1KO compared to WT. Conclusion In pressure-induced heart failure, I-1 knockout alters cardiac contractility and modulates mortality in a phase- and sex-dependent way. The depletion is detrimental for male mice in the acute phase of cardiac stress, whereas it is protective for female mice during heart failure progression. The increased mortality in the acute phase might result from the loss of I-1 as an amplifier of β-adrenergic signaling as this leads to a restriction of contractile adaptation. The increased survival in heart failure progression might be caused by a reduced transmission of pathologically increased sympathetic activity on the SR due to the depletion of I-1. Additionally, hypertrophy marker analyses point to differences in expression levels even under non-pathological conditions. / Ziel Der Proteinphosphatase-Inhibitor I-1 wirkt als ein Verstärker der β-adrenergen Kaskade in Kardiomyozyten. Nach PKA-abhängiger Phosphorylierung hemmt er spezifisch die Dephosphorylierung von PLB und RYR-2 durch die Proteinphosphatase-1. Im Rahmen einer Herzinsuffizienz sind sowohl Aktivität als auch Expression von I-1 deutlich reduziert. Hierbei ist unklar, ob dies eine protektive oder eine schädliche Adaption der β-adrenergen Kaskade darstellt. Diese Arbeit untersucht den Einfluss einer Depletion des I-1 (I-1KO) im Rahmen der druckinduzierten Herzinsuffizienz auf die akute bzw. auf die langfristige Mortalität, auf die kardiale Morphologie und Funktion sowie auf die Expression typischer Hypertrophiemarker. Hieraus sollen Erkenntnisse über den Nutzen der Verwendung putativ I-1 inhibierender Substanzen in der Behandlung der Herzinsuffizienz gewonnen werden. Methoden und Resultate 25 I-1KO- sowie 28 WT-Mäuse (C57Bl/6J, age and sex matched) erhielten eine Transverse Aortic Constriction (TAC). Die kardiale Funktion wurde einmalig vor der Intervention sowie danach wöchentlich mittels TTE untersucht. Zusätzlich wurden die Tiere einmalig vor TAC und zweimalig danach unter echokardiographischer Kontrolle mittels Dobutamin β-adrenerg stimuliert. Für die männlichen Tiere zeigte sich in den ersten Tagen nach TAC eine signifikant erhöhte Überlebensrate des WT gegenüber I-1KO. Die Mortalität der überlebenden männlichen Tiere unterschied sich hingegen nicht über den Versuchszeitraum. Für die weiblichen Tiere bestand kein Unterschied in der akuten Sterblichkeit nach TAC, während sich im Verlauf eine signifikant bessere Überlebensrate der weiblichen I-1KO gegenüber WT zeigte. Vor TAC wurde eine signifikant herabgesetzte Kontraktilität (FAS) des I-1KO unter Dobutamin festgestellt, der im Wesentlichen durch die weiblichen Tiere bewirkt wird. Insgesamt zeigten die weiblichen Tiere beider Linien unter β-adrenerger Stimulation eine geringere Zunahme von Herzfrequenz (HR) und Schlagvolumen (SV). Hingegen waren nach TAC keine linien- oder geschlechtsabhängigen Unterschiede unter Dobutamingabe feststellbar. Ein Vergleich der Hypertrophiemarker in der Kontrollgruppe zeigte für I-1KO ein deutlich vermindertes Niveau der Marker gegenüber WT. Ergebnis Der I-1-Knockout verändert die kardiale Kontraktilität und wirkt sowohl in phasen- als auch in geschlechtsabhängiger Weise auf die Mortalität infolge druckinduzierter Herzinsuffizienz. Er ist nachteilig für männliche Tiere in der akuten Phase kardialer Belastung, während er für weibliche Tiere im weiteren Verlauf protektive Wirkung entfaltet. Eine erhöhte Mortalität in der akuten Phase kann durch den Ausfall der Verstärkerfunktion des I-1 erklärt werden, da hiermit eine Einschränkung der akut notwendigen kontraktilen Adaptionsfähigkeit einhergeht. Ein Überlebensvorteil bei chronischer kardialer Belastung könnte darauf zurückzuführen sein, dass die pathologisch erhöhte sympathische Aktivierung der β-adrenergen Kaskade infolge der I-1-Depletion eine geringere Auswirkung auf die Zielstrukturen des aktivierten I-1 am Sarkoplasmatischen Retikulum hat. Darüber hinaus lassen die Analysen der Hypertrophiemarker eine veränderte Genexpression zwischen I-1KO und WT auch unter nicht-pathologischen Bedingungen vermuten.

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