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337 Threonine Thyroid Hormone Receptor ß Mutant Derived from the S Family1
Department of Medicine, Division of Endocrinology and Metabolism, University of California-San Diego, La Jolla, California 92093-0618
Address all correspondence and requests for reprints to: Wolfgang H. Dillmann, M.D., Department of Medicine, University of California-San Diego, 9500 Gilman Drive, La Jolla, California 92093-0618. E-mail: wdillman{at}ucsd.edu
The heart has been recognized as a major target of thyroid hormone
action. Our study investigates both the regulation of cardiac-specific
genes and contractile behavior of the heart in the presence of a mutant
thyroid hormone receptor ß1 (T3Rß1-
337T) derived
from the S kindred. The mutant receptor was originally identified in a
patient with generalized resistance to thyroid hormone. Cardiac
expression of the mutant receptor was achieved by a transgenic approach
in mice. As the genes for myosin heavy chains (MHC
and MHCß) and
the cardiac sarcoplasmic reticulum Ca2+ adenosine
triphosphatase (SERCA2) are known to be regulated by T3,
their cardiac expression was analyzed. The messenger RNA levels for
MHC
and SERCA2 were markedly down-regulated, MHCß messenger RNA
was up-regulated. Although T3 levels were normal in these
animals, this pattern of cardiac gene expression mimics a hypothyroid
phenotype. Cardiac muscle contraction was significantly prolonged in
papillary muscles from transgenic mice. The electrocardiogram of
transgenic mice showed a substantial prolongation of the QRS interval.
Changes in cardiac gene expression, cardiac muscle contractility, and
electrocardiogram are compatible with a hypothyroid cardiac phenotype
despite normal T3 levels, indicating a dominant negative
effect of the T3Rß mutant.
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