[HTML][HTML] Slow progressive conduction and contraction defects in loss of Nkx2-5 mice after cardiomyocyte terminal differentiation

M Takeda, LE Briggs, H Wakimoto, MH Marks… - Laboratory …, 2009 - nature.com
M Takeda, LE Briggs, H Wakimoto, MH Marks, SA Warren, JT Lu, EO Weinberg…
Laboratory investigation, 2009nature.com
Mutations in homeoprotein NKX2-5 are linked to human congenital heart disease, resulting
in various cardiac anomalies, as well as in postnatal progressive conduction defects and
occasional left ventricular dysfunction; yet the function of Nkx2-5 in the postnatal period is
largely unexplored. In the heart, the majority of cardiomyocytes are believed to complete cell-
cycle withdrawal shortly after birth, which is generally accompanied by a re-organization of
chromatin structure shown in other tissues. We reasoned that the effects of the loss of Nkx2 …
Abstract
Mutations in homeoprotein NKX2-5 are linked to human congenital heart disease, resulting in various cardiac anomalies, as well as in postnatal progressive conduction defects and occasional left ventricular dysfunction; yet the function of Nkx2-5 in the postnatal period is largely unexplored. In the heart, the majority of cardiomyocytes are believed to complete cell-cycle withdrawal shortly after birth, which is generally accompanied by a re-organization of chromatin structure shown in other tissues. We reasoned that the effects of the loss of Nkx2-5 in mice may be different after cell-cycle withdrawal compared with those of the perinatal loss of Nkx2-5, which results in rapid conduction and contraction defects within 4 days after the deletion of Nkx2-5 alleles (Circ Res. 2008; 103: 580). In this study, floxed-Nkx2-5 alleles were deleted using tamoxifen-inducible Cre transgene (Cre-ER) beginning at 2 weeks of age. The loss of Nkx2-5 beginning at 2 weeks of age resulted in conduction and contraction defects similar to the perinatal loss of Nkx2-5, however, with a substantially slower disease progression shown by 1 atrioventricular block at 6 weeks of age (4 weeks after tamoxifen injections) and heart enlargement after 12 weeks of age (10 weeks after tamoxifen injections). The phenotypes were accompanied by a slower and smaller degree of reduction of several critical Nkx2-5 downstream targets that were observed in mice with a perinatal loss of Nkx2-5. These results suggest that Nkx2-5 is necessary for proper conduction and contraction after 2 weeks of age, but with a substantially distinct level of necessity at 2 weeks of age compared with that in the perinatal period.
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