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(Circulation. 2005;112:2930-2939.)
© 2005 American Heart Association, Inc.
Heart Failure |
From the Université Paris 7, Molecular Biology of Differentiation, EA300, Paris, France (A.P., D.P.); Institut Cochin, Université René Descartes-Paris 5, INSERM U567, UMR CNRS 8104, Paris, France (C.C., D.D., D.T.); Faculté de Médecine Xavier-Bichat, Université Paris 7, Assistance Publique-Hôpitaux de Paris, INSERM U426, CEFI IFR02, Paris, France (B.E.); Department of Pediatrics, Childrens Hospital Medical Center, University of Cincinnati, Cincinnati, Ohio (J.D.M.); Hubrecht Laboratory and Interuniversity Cardiology Institute, Utrecht, Netherlands (L.J. De W.); Institut Jacques Monod, UMR 7592, Paris, France (M.L.); and Université Pierre et Marie Curie, Physiology and Physiopathology, UMR 7079, Paris, France (M.M., G.G.-B., Z.L.).
Correspondence to Zhenlin Li, PhD, UMR CNRS 7079, Physiology and Physiopathology, BP256, Université Pierre et Marie Curie, 7 Quai St-Bernard, 75005 Paris, France. E-mail zhenli{at}ccr.jussieu.fr
Received January 5, 2005; revision received July 4, 2005; accepted July 18, 2005.
Background Serum response factor (SRF) is a cardiac transcription factor involved in cell growth and differentiation. We have shown, using the Cre/loxP system, that cardiac-specific disruption of SRF gene in the embryonic heart results in lethal cardiac defects. The role of SRF in adult heart is unknown.
Methods and Results We disrupted SRF in the adult heart using a heart-specific tamoxifen-inducible Cre recombinase. This disruption led to impaired left ventricular function with reduced contractility, subsequently progressing to dilated cardiomyopathy, as demonstrated by serial echocardiography, including tissue Doppler imaging. The cytoarchitecture of cardiomyocytes was altered in the intercalated disks. All mutant mice died from heart failure 10 weeks after treatment. These functional and structural defects were preceded by early alterations in the cardiac gene expression program: major decreases in mRNA levels for cardiac
-actin, muscle creatine kinase, and calcium-handling genes.
Conclusions SRF is crucial for adult cardiac function and integrity. We suggest that the rapid progression to heart failure in SRF mutant mice results primarily from decreased expression of proteins involved in force generation and transmission, low levels of polymerized actin, and changes in cytoarchitecture, without hypertrophic compensation. These cardiac-specific SRF-deficient mice have the morphological and clinical features of acquired dilated cardiomyopathy in humans and may therefore be used as an inducible model of this disorder.
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