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Endocrinology Vol. 142, No. 2 544-550
Copyright © 2001 by The Endocrine Society


ARTICLES

Cardiac Ion Channel Expression and Contractile Function in Mice with Deletion of Thyroid Hormone Receptor {alpha} or ß1

Bernd Gloss, Susanne U. Trost, Wolfgang F. Bluhm, Eric A. Swanson, Robert Clark, Robert Winkfein, Kathryn M. Janzen, Wayne Giles2, Olivier Chassande, Jacques Samarut and Wolfgang H. Dillmann

Division of Endocrinology and Metabolism (B.G., S.U.T., W.F.B., E.A.S., W.H.D.), University of California, San Diego, La Jolla, California 92093; Departments of Physiology and Biophysics and Medicine (R.C., R.W., K.M.J., W.G.), University of Calgary, School of Medicine, Calgary, Alberta T2N 4N1, Canada; and Laboratoire de Biologie Moleculaire et Cellulaire (O.C., J.S.), Centre Nationale de la Recherche Scientifique, Ecole Normale Superieure de Lyon, 69364 Lyon, France

Address all correspondence and requests for reprints to: Wolfgang H. Dillmann, Division of Endocrinology and Metabolism, University of California, San Diego, 9500 Gilman Drive, La Jolla, California 92093-0618. E-mail: wdillman{at}ucsd.edu


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cardiac myocytes express the two thyroid hormone receptors (T3Rs), T3R{alpha} and T3Rß. However, which isoform contributes to specific, T3-induced alterations of cardiac function remains unclear. Here, we used individual T3R isoform knockout (KO) mice to study the effects of T3R{alpha} and T3Rß in the heart. Our findings indicate that potassium channel genes that code for K+ channels involved in action potential repolarization, like KV 4.2 and minK, are T3R{alpha} targets. Both are markedly regulated by thyroid status. The recently identified cyclic nucleotide-gated channels, HCN2 and HCN4, are targets of T3R{alpha} and are unchanged in a euthyroid T3Rß KO. However, these transcripts respond markedly to altered T3 signaling concomitant with bradycardia in T3R{alpha} KO and hypothyroid animals, as well as tachycardia in hyperthyroid T3Rß KO mice. SERCA2a and myosins are T3 regulated and were also targets of T3R{alpha}, and the papillary muscles of {alpha}KO animals showed a slowed rate of force development. Because of the absence of significant cardiac effects in euthyroid T3Rß KO mice, we determined messenger RNA levels for both T3R{alpha} and T3 in the heart. We found that T3Rß is present at a 1:3 ratio to T3R{alpha}1. We conclude that the cardiac phenotype regulated by T3 is predominantly mediated by T3R{alpha} and that the lack of T3R{alpha} cannot be compensated by T3Rß in the heart.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
CHANGES IN THYROID status exert marked influences on the contractile and electrophysiological function of the heart, and corresponding alterations in the expression of some of the genes that underlie these functional changes have been identified (1, 2). However, for other important alterations, the underlying molecular basis remains unclear. For example, hypothyroidism leads to a marked delay in diastolic relaxation of the heart, and this can be linked to decreased expression of the gene coding for one of the calcium pumps of the sarcoplasmic reticulum (3). Hypothyroidism also decreases expression of the myosin heavy chain (MHC) {alpha} gene and increases expression of the MHC ß gene (4, 5). These changes result in a decrease in myosin V1 and an increase in the amount of myosin V3 (which has a lower ATPase activity) and a decreased speed of systolic contraction (6, 7). The molecular basis of alterations in electrophysiological function caused by changes in thyroid hormone status has not been completely explored. However, some specific alterations in ion channel expression or function have been identified. For example, hypothyroidism has been shown to decrease the messenger RNA (mRNA)’s coding for KV 1.5, KV 4.2, and KV 4.3 in rats (8, 9, 10). The calcium-independent transient outward potassium current Ito is carried primarily by the K+ channel KV 4.2 and KV 4.3 in adult rats; and in hypothyroid animals, the transient outward current Ito is diminished (11). Due to the complexity of ion channel expression in different species and region-specific heterogeneity of ion channel expression in the heart, no complete picture has emerged of the thyroid hormone influences on different currents or the genes encoding the respective {alpha}-subunits. Furthermore, the molecular basis of the well-known alterations in chronotropic function leading to thyroid hormone-induced alterations in heart rate have not been studied in detail. Recently, two genes coding for the hyperpolarization-activated current If, which contributes to pacemaker activity, have been cloned (12, 13). They are termed HCN2 and HCN4 for hyperpolarization-activated, cyclic nucleotide-gated current genes 2 or 4. The HCN2 gene product encodes channels responsible for the fast component of the If current, and the HCN4 gene encodes channels responsible for the slow component (14). This report describes, for the first time, changes induced in the HCN2 and HCN4 gene expression by alterations in T3 receptor (T3R) isoform expression in the mouse heart.

Thyroid hormone action in the heart is largely mediated by the binding of T3 to two nuclear thyroid hormone receptors, T3 receptor {alpha}1 (T3R{alpha}1) and T3 receptor ß1 (T3Rß1), which are encoded by two separate genes (15). The T3R{alpha} locus also encodes a separate splice variant, the T3R{alpha}2 gene, which does not bind T3 and has a weak dominant negative effect (16). From the T3Rß locus, a separate splice variant, the T3Rß2 gene, in addition to the T3Rß1 gene, is expressed. Immunohistochemistry revealed T3Rß in most tissues; however, in heart and muscle, the T3Rß isoform is expressed at low levels (17). The T3Rß2 isoform is predominantly expressed in the pituitary and the central nervous system, but some reports have identified T3Rß2 receptor protein in the heart (18). Until recently, it has been unclear whether T3 action in the heart can be mediated by either T3 binding to the T3R{alpha}1 or the T3Rß1 receptor or whether certain distinct effects are exclusively mediated by T3 binding to either T3R{alpha}1 or T3Rß1. Recently published reports indicate that mice with deletion of T3R{alpha}1 (i.e. only expressing the T3Rß gene) have bradycardia (19, 20). In this study, we have used a different line of T3R{alpha} knockout (KO) mice with complete elimination of the T3R{alpha} gene products, T3R{alpha}1 and T3R{alpha}2, generated by deletion of exon 2 from the T3R{alpha} locus (21). Our results show that, in these mice, bradycardia also occurs, and this is linked to decreased levels of HCN2 and HCN4 gene expression. In addition, T3R{alpha} KO mice, in contrast to T3Rß KO mice, have decreased contractile function. Although further details of T3R{alpha} vs. T3Rß function need to be elucidated, it seems that T3 action in the heart is dominated by binding of T3 to the T3R{alpha}1 receptor. Identifying specific T3R{alpha}- and T3Rß-mediated effects in the heart may provide a rational basis for the generation of novel thyroid hormone analogues with preferred binding to only one receptor isoform, resulting in selective alterations of specific T3 effects in the cardiovascular system.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Alteration of thyroid status and thyroid hormone receptor expression
To achieve a hypothyroid status in the experimental animals, mice were fed with iodine-deficient, 0.15% 5-propyl-2-thiouracil (PTU)-containing food pellets (Harlan Teklad, Indianapolis, IN) for 4 weeks; and their circulating total T3 and T4 hormone levels were determined. Hyperthyroid mice were generated by daily ip injection of T4 at a dose of 10 µg per 10 g BW for 8 days (22). Serum analysis was performed at the University of California, San Diego, Medical Center/Clinical Chemistry Laboratory. These procedures were performed in accordance with the guidelines established by the Committee on Animal Research at the University of California, San Diego.

T3R{alpha} KO animals were generated in the laboratory of Jacques Samarut, by either deleting most of exon 2 or exons 5, 6, and 7 (including introns 5, 6, and 7) of the T3R{alpha} gene (21, 23) Both lines of T3R{alpha} KO animals showed the same changes in ion channel expression. T3Rß KO animals were also generated in the laboratory of Jacques Samarut, by deletion of exons 4 and 5 of the T3 gene (24).

RNA extraction and ribonuclease (RNase) protection analysis
Hearts from control animals and experimentally altered mice were dissected after deep anesthesia, and the atrium was removed, before the heart was frozen in liquid nitrogen. Isolation of tissue RNA was performed as described by Chomczynski (25).

Ten micrograms of total RNA were used for hybridization with specific probes that were generated by PCR from mouse complementary DNAs (cDNAs) of KV 4.2, minK, and calsequestrin. The probe for the HCN2 channel was generated by PCR from mouse genomic DNA with primers internal to the second exon of the gene. The positions of the primers in the published mouse cDNA are: 629–649 for the sense primer, and 833–854 for the antisense primer. The probe for the HCN4 channel was derived from a plasmid containing a partial cDNA from the mouse HCN4 clone (a kind gift from Bina Santoro, Columbia University, NY). A PstI/Aat II fragment, spanning positions 770–938 in the published sequence, was subcloned into pBKS II-. To generate probes for T3R{alpha}1, T3R{alpha}2, and T3Rß, PCR primer pairs were designed that could be used with mouse genomic DNA as a template. The T3R{alpha}1/2 probe hybridizes in exon 9 from cDNA position 992-1133, which yields protected fragments of 141 nucleotides (nt) for {alpha}1 and 122 nt for {alpha}2 in length. The T3 probe hybridizes in exon 4 from cDNA position 605–790 that yields a protected fragment of 185 nt in length.

Hybridization conditions, generation of radiolabeled antisense RNA transcripts, and processing of the RNA/RNA hybrids were essentially as described in Current Protocols (26). Usually 2–3 ion channel probes and a control transcript, calsequestrin, were analyzed in one hybridization reaction. The protected fragments were separated on 6% acrylamide sequencing gels. Densitometry of the autoradiographs yielded digital values for each band, which were normalized to the calsequestrin signal. Data from at least three independent experiments were statistically evaluated to give the percent increases or decreases of the message levels for these ion channels.

Isolated papillary muscle experiments
Contractile parameters of papillary muscles were measured as previously described (27). Briefly, left ventricular papillary muscles, from the hearts of six T3R{alpha} KO mice and four wild-type mice or four T3Rß KO mice and four wild-type mice, were excised under oxygenated Tyrode solution (in mM: 136 NaCl, 5.4 KCl, 1 MgCl2, 0.33 NaH2PO4, 10 HEPES, and 10 glucose, pH 7.40) containing 30 mM 2,3-butanedione monoxime and 2.5 mM CaCl2. They were inserted into {Omega}-shaped clamps made from strips of platinum foil, tied with 6.0 braided silk suture, and mounted on hooks of platinum wire in a 0.5-ml muscle chamber.

Muscles were perfused with 2.5 mM Ca2+ Tyrode solution at 37 C and stimulated at 2 Hz and 6 Hz through the platinum clamps (5 V, 0.25-msec duration). Force was measured with an isometric force transducer (OPT1L, Scientific Instruments, Heidelberg, Germany) and recorded on a strip chart recorder. Muscles were stretched, over 30–60 min, to the length at which active force development was maximal. Forces (in mN) were normalized by the muscle cross-sectional areas, to yield stresses (in mN/mm2). The cross-sectional area was calculated, for each muscle, as the ratio of muscle volume (determined by weighing) and muscle length at the length at which active force development was maximal.

The time to peak tension was determined as the time from 10% of tension development to the peak of contraction. Relaxation time was determined as the time from the peak of contraction to 50% of maximum developed stress during relaxation. Data are expressed as mean ± SEM. Statistical comparisons were made by unpaired Student’s t tests.

Electrophysiological measurements in the mouse heart
For electrocardiogram (ECG) measurements, 6 T3R{alpha} KO or 6 T3 KO mice, 10 hypothyroid mice, and 5 age-matched control mice were analyzed. The described procedures were performed in accordance with the guidelines established by the Committee on Animal Research at the University of California, San Diego. When mice were sedated after ip injection of a Ketamine-Xylazine Cocktail, they were kept in a supine position by four limb restrainers. Four needles were placed sc on each limb, close to the trunk, and an ECG with the leads I, II, III, AVR, AVL, and AVF (V, unipolar lead; R, right arm; L, left arm; F, left foot; A, augmented) was obtained. The ECG was acquired, with an analog-to-digital conversion at 2000 Hz, on an IBM-compatible 486 computer using Windaq software (Data Instruments, Akron, OH). The following ECG parameters were measured: 1) duration of atrial depolarization; 2) duration of excitation progression from the atrium to the ventricle; 3) duration of depolarization of the ventricles, and 4) duration of excitation and repolarization of the ventricles. Parameters were measured in each lead and averaged.

Voltage-clamp analysis in right ventricular myocytes
Myocytes were isolated from the right ventricles of control and hypothyroid adult mice (age, 4–6 weeks) using standard methods. Whole-cell, voltage- and current-clamp recordings were made from myocytes, using the following solutions: 1) external: HEPES-buffered Tyrode solution containing (mM): NaCl (140), KCl (5), CaCl2 (1), MgCl2 (1), HEPES (10), glucose (5.5), pH adjusted to 7.4 with NaOH; 2) pipette solution containing (mM): K+ aspartate (110), KCl (20), NaCl (8), CaCl2 (1), MgCl2 (), EGTA (10), K2ATP (4), HEPES (10), pH adjusted to 7.2 with KOH. Pipette series resistance in the whole-cell mode was in the range of 4–8 M{Omega}; 80–90% series resistance compensation was always applied.

Whole-cell recordings were made with a patch-clamp amplifier (EPC7; List Electronics, Darmstadt, Germany). Recorded membrane potentials were corrected, by -10 mV, in software, to compensate for the patch pipette-bath liquid junction potential. Action potentials were evoked by injection through the patch pipette of 3- to 5-millisecond (ms) current steps (0.7 nA) at 1 Hz. A paired-step voltage clamp protocol was used to isolate the transient outward K current, Ito. This consisted of a pair of 750-ms steps to +30 mV, one with a preceding 100-ms step to -40 mV (to inactivate Ito), and the other without the so-called inactivating prepulse. Ito was isolated by subtraction of membrane currents with and without the inactivating prepulse. Membrane currents were normalized to cell capacitance (pA/pF) to allow averaging of values from different myocytes. All measurements were made at room temperature (21–23 C).

Statistical analysis of the data reported here was done using the Microsoft Corp. (Redmond, WA) Excel program’s Student’s t test function, with an unpaired setting.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Changes in heart rate and ion channel expression in cardiac ventricle
Changes in thyroid status lead to marked alterations in the electrophysiological function of the heart; for example, hypothyroidism results in bradycardia, and hyperthyroidism causes tachycardia. Our results demonstrate similar alterations in heart rate in mice of different thyroid status (Table 1Go). Recent evidence indicates that elimination of expression of T3R{alpha}1 in mice, even when the non-T3 binding T3R{alpha}2 isoform is still present, results in bradycardia (28). These mice (with deletion of the T3R{alpha}1 receptor) are euthyroid. We also observed bradycardia in a separate set of mice, in which both T3R{alpha}1 and T3R{alpha}2 were eliminated. In these mice, the T3R{alpha} locus was disrupted by deleting exon 2, resulting in elimination of T3R{alpha}1 and the T3R{alpha}2 gene products. Although thyroid hormone levels were in the normal range, they exhibited marked bradycardia. In contrast, in mice in which expression of the T3Rß gene was eliminated by deletion of exons 4 and 5, no bradycardia was observed. This confirms previous findings in mice with deletion of a functional T3Rß (by elimination of exon 3), which also did not show a decrease in heart rate (29). Animals with deletion of exons 4 and 5 of the T3Rß locus exhibit hyperthyroidism, and these mice have tachycardia. Placing these animals on PTU and a low-iodine diet and subsequent treatment with physiological doses of T3 restores euthyroid status and normal heart rate. To further explore the molecular mechanisms contributing to the bradycardia induced by hypothyroidism or deletion of the T3R{alpha} gene, we determined the level of the mRNA coding for the recently identified so-called pacemaker channel genes HCN2 and HCN4 (12, 13). RNA was prepared from whole hearts (n = 3). In hypothyroid animals, a decrease of HCN2 mRNA by 61 ± 4.5% (P = 0.0001) was observed; and in hyperthyroid animals, this parameter increased by 106 ± 12% (P = 0.0001). In addition, in euthyroid mice with the deletion of T3R{alpha} isoform, HCN2 levels were markedly decreased, by 50 ± 5.5% (P = 0.0001) (Fig. 1AGo). In contrast, in mice with deletion of T3Rß receptor in which a euthyroid status was restored by PTU and T3 treatment, HCN2 mRNA levels were indistinguishable from those in wild-type control animals. Mice with a deletion of T3Rß, but not treated with PTU and T3, are hyperthyroid; and in these mice, HCN2 mRNA levels are increased by 64 ± 12.5% (P = 0.0001). The hyperpolarization-activated cation current If is encoded in heart by two separate gene products, the HCN2 and the HCN4 gene. Quantification of HCN4 mRNA levels revealed changes similar to those observed for HCN2. That is, HCN4 levels were markedly decreased in hypothyroid (45 ± 4%, P = 0.001) and T3R{alpha} KO mice (43 ± 8%, P = 0.0008) and markedly increased in hyperthyroid (60 ± 13%, P = 0.001) and T3 KO mice (44 ± 6%, P = 0.0002), as shown in Fig. 1BGo.


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Table 1. Summary of values for heart rate, ECG parameters, and serum T4 levels in the experimental mice

 


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Figure 1. Expression of mRNA for the hyperpolarization-activated cyclic nucleotide-dependent cation channels (HCN2 and HNC4) in the heart assessed by RNase protection. Total RNA was prepared from mice that were either hypothyroid, hyperthyroid, or deficient for both {alpha}- or ß-isoforms of the T3Rs. The expression level in the respective control strain of animals was set arbitrarily to 100%, and the levels for the various animals were calculated as a percentage after normalization to the calsequestrin expression. A, Expression levels of HCN2 in the heart were unchanged in euthyroid ß KO animals; B, expression levels of HCN4 paralleled those of HCN2, albeit to a slightly lesser extent; C, total RNA was prepared from the atrium of normal or hypothyroid mice. Note that HCN2 was decreased to the same extent as in the ventricles (a), in contrast to HCN4, which remained unchanged in hypothyroid atria. C, Control, normal wild-type animals of the same mouse strain; Tx, hypothyroid; H, hyperthyroid; {alpha}KO, T3R{alpha} KO, deficient in both {alpha}1 and {alpha}2 isoforms; ßKO, T3Rß KO, deficient in both ß1 and ß2 isoforms with hyperthyroid serum T3 and T4 levels; Eu, experimentally induced euthyroid status of ßKO animals; *, significantly different from C at P < 0.05.

 
HCN2 and HCN4 in mouse atrium
A small region within the anatomical right atrium, the sinoatrial node, is the myogenic pacemaker of the mammalian heart. In hypothyroid mice, the heart rate drops from 472 beats per min to 335 beats per min (Table 1Go). In principle this could be caused by a decrease of HCN2 expression. We therefore have analyzed the thyroid hormone regulation of the pacemaker channels HCN2 and HCN4, in total RNA from the atrium, by RNase protection (Fig. 1CGo). We found that HCN2 is regulated by thyroid hormone in the atrium being reduced by 48 ± 4.5% (P = 0.005) in hypothyroid mice (Fig. 1CGo). In contrast, the mRNA for the HCN4 channel was not significantly changed in the atrium of hypothyroid animals.

Potassium channel regulation in the ventricle
In addition to modulation of heart rate, changes in thyroid status can have marked influences on different phases of the action potential (in particular, action potential repolarization). Accordingly, whole-cell current clamp recordings of action potentials from the right ventricle of control and hypothyroid adult mice were compared. These measurements showed that the durations of action potentials at 50% and 90% repolarization were not significantly different, but the maximum rate of repolarization (i.e. minimum rate of change of membrane potential; dV/dt) of action potentials from hypothyroid mice was significantly smaller than that from controls (Table 2Go). Because dV/dt is a direct measure of the net ionic currents that flow during action potential repolarization, we used whole-cell voltage clamp measurements to gain further insight into which K+ current may have contributed to slowed repolarization in ventricular myocytes from hypothyroid mice. The Ca2+-independent, transient outward current Ito, which contributes significantly to early repolarization in mouse ventricular myocytes (30), was found to be about 50% smaller in right ventricular myocytes from hypothyroid mice, compared with controls (Table 2Go). In line with this decrease in the Ito current, the level of the mRNA coding for KV 4.2 was significantly decreased in hypothyroid hearts (12 ± 6.5%, P = 0.003). In T3R{alpha} KO mice, KV 4.2 mRNA levels showed a significant decrease (24 ± 5.5%, P = 0.001), whereas KV 4.2 mRNA levels were unchanged from the control levels in T3Rß KO mice and hyperthyroid mice (Fig. 2Go).


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Table 2. Comparison of properties of action potentials (a.p.) from control and hypothyroid right ventricular myocytes

 


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Figure 2. Expression levels of KV 4.2 mRNA (underlying the transient outward K+ current, Ito) in ventricular RNA assessed by RNase protection. Total RNA was prepared from mice that were either hypothyroid, hyperthyroid, or deficient for both {alpha} or ß isoforms of the T3Rs. The expression level in the respective control strain of animals was set arbitrarily to 100%, and the levels for the various animals were calculated as a percentage after normalization to the calsequestrin expression. Densitometry of autoradiographs from three independent experiments lead to digital values that were statistically analyzed. {alpha}KO, T3R{alpha} KO, deficient in both {alpha}1 and {alpha}2 isoforms; ßKO, T3Rß KO, deficient in both ß1 and ß2 isoforms naturally hyperthyroid; *, significantly different from C at P < 0.05.

 
We also determined the levels of mRNA of KV 1.5, which probably underlie a rapidly activating, slowly inactivating K+ current in mouse ventricle (30). The KV 1.5 mRNA levels showed no significant changes in hypothyroid or hyperthyroid hearts (data not shown). This finding is different from that reported for rats, where a lowering of KV 1.5 mRNA levels was reported in hypothyroid hearts. The heart of hyperthyroid T3Rß KO mice showed slightly diminished KV 1.5 mRNA levels (7.5 ± 5.2%, P = 0.02). The ion channel proteins KV LQT1 and minK underlie the slow delayed rectifier current Iks. The mRNA coding for minK is markedly increased in hypothyroid hearts (45 ± 11.2%, P = 0.002) and in hearts from T3R{alpha} KO mice (251 ± 25%, P = 0.0001) (Fig. 3Go). In contrast, a marked decrease in minK mRNA occurs in hyperthyroid hearts (74 ± 7%, P = 0.0001) and hearts of T3Rß KO mice (59 ± 7.5%, P = 0.0001). When T3Rß KO mice are made euthyroid, minK is decreased to a much lesser degree (Fig. 3Go). It is of interest to note that KV LQT1 is also slightly increased in T3R{alpha} KO mice (15 ± 5%, P < 0.05) but is unchanged in hyperthyroid and T3 KO mice (data not shown). The mRNA level of Kir2.1, which underlies the inward rectifier K+ current IK1, was not influenced by thyroid status or deletion of T3R{alpha} or T3Rß. Previous reports have indicated that IK1 current and the corresponding Kir2.1 channel are not influenced by thyroid status (31).



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Figure 3. Ventricular expression of mRNA for minK, which, together with KV LQT1 gene product, encodes for the slow delayed rectifier K+ current IK,s. RNase protection experiments were carried out with total RNA from mouse heart ventricles. The data show that this gene is regulated reciprocally, in comparison with the HCN2, HCN4, and KV 4.2 transcripts. {alpha}KO, T3R{alpha} KO, deficient in both {alpha}1 and {alpha}2 isoforms; ßKO, T3Rß KO, deficient in both ß1 and ß2 isoforms naturally hyperthyroid; *, significantly different from C at P < 0.05.

 
Changes in contractile function and the levels of mRNA coding for contractile proteins
The contractile function of cardiac muscle was evaluated using isolated papillary muscles from control and hypothyroid hearts. The time to peak tension and the time to 50% relaxation were significantly prolonged, as we have previously reported (32). These alterations can be linked to slowed force development and prolonged diastolic relaxation during cardiac contraction. Similar alterations in papillary muscle function were observed in hearts from homozygous mice with deletions of T3R{alpha} (Table 3Go). In contrast, the contractile function of papillary muscle from mice with deletion of T3 was very similar to that of control animals. The decreased contractile function of cardiac muscle from T3R{alpha} mice is accompanied by decreased expression of the genes coding for some contractile proteins. The level of MHC {alpha} mRNA was significantly decreased, by 22 ± 3% (P < 0.01), in the heart of T3R{alpha} KO mice (data not shown). In the hearts of normal wild-type mice, MHC ß mRNA is not present; but in the hearts of T3Rß KO mice, MHC ß mRNA was clearly detectable. In contrast, in hearts of euthyroid T3 KO mice, MHC {alpha} mRNA and MHC ß mRNA levels were similar to those in the hearts of euthyroid wild-type mice. In addition, SERCA2 mRNA levels showed a marked decrease in T3R{alpha} KO hearts. In contrast, in the hearts of euthyroid T3Rß KO mice, no significant change in SERCA2 mRNA occurred (data not shown).


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Table 3. Time course of contraction of left ventricular papillary muscles

 
Relative predominance of the mRNA for T3R{alpha} and T3Rß in the mouse heart
Because the phenotypes of the T3R{alpha} and T3Rß KO animals, with respect to cardiac parameters, were different, we determined the expression of the T3R{alpha} and T3Rß genes by RNase protection with total heart RNA from wild-type mice and also from T3R{alpha} and T3Rß KO mice. When the protected bands for T3R{alpha}1, T3R{alpha}2, and T3Rß1/T3Rß2 were quantified and the expression of the T3R{alpha}1/2 was set to 100%, the relative expression of T3 in wild-type mice was 11.5 ± 0.5% (P < 0.005), as shown in Fig. 4Go. The expression of T3Rß, relative to the T3R{alpha}1 isoform alone, was 33 ± 4%, shown in Fig. 4Go. The predominance of the T3-activated isoform T3R{alpha}1 was about equal to T3R{alpha}2 mRNA coding for a receptor isoform that is not activated by T3. On the assumption that both mRNAs are translated into protein, the marked predominance of T3R{alpha}1 over T3Rß could, in part, explain the different phenotype of the KO mice and lend support to the hypothesis that the T3R{alpha}1 isoform is functionally predominant in the heart.



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Figure 4. Abundance of mRNA for T3R{alpha} and T3Rß genes in mouse ventricles. RNase protection was carried out with a probe that recognizes both T3R{alpha} isoforms but was processed to different lengths when protected by mRNA of the T3R{alpha}1 or T3R{alpha}2 isoform, and with a probe that recognizes both T3Rß isoforms. The densitometric values for the protected mRNA bands were adjusted to the number of UTP residues in both probes. The expression of both T3R{alpha} isoforms or T3R{alpha}1 alone was set to 100%, and the T3Rß expression was calculated as a fraction thereof. Three experiments with mRNA from three different wild-type animals were done to obtain the data shown. *, Significantly different from C at P < 0.05.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Thyroid hormone influences on specific aspects of the contractile and electrophysiological function of the heart have been identified in a number of species and cardiac tissues. It is not known whether the two predominant nuclear T3R proteins T3R{alpha} and T3 can make distinct contributions to these thyroid hormone-mediated effects and/or cause changes in gene expression. In principle, T3R{alpha} and T3Rß could exert equal and overlapping effects, and deletion of one of the receptors may not then result in functional changes or an altered phenotype. Alternatively, the cross-over or interactions between the two types of receptors could only be partial, resulting in an absolute requirement on only one T3R isoform for some specific T3 effects. Results recently reported from mice with deletion of only T3R{alpha}1 (with the T3R{alpha}2 receptor still present) demonstrate bradycardia, suggesting a preferred action of T3R{alpha}1 in events related to myogenic pacemaker activity, e.g. chronotropic action (19, 20). Alternatively, mice with elimination of T3Rß1 and ß2 are deaf as a result of functional deficiencies in selected K+ channel expression in the hair cells of the inner ear (29, 33).

Our results show that homozygous mice with deletion of exon 2 of the T3R{alpha} locus, leading to elimination of T3R{alpha}1 and T3R{alpha}2, have a decreased heart rate. In addition, we show, for the first time, that a markedly decreased expression of the two genes, termed HCN2 and HCN4, which code for the If (a so-called cardiac pacemaker current) occurs in euthyroid T3R{alpha} KO mice. The decrease in HCN2 and HCN4 mRNA levels is of similar magnitude to that seen in hypothyroid wild-type mice. In contrast, mice with deletion of T3Rß1/2 are hyperthyroid, and they have an increased heart rate and significantly increased levels of HCN2 and HCN4. When these T3Rß KO mice are made euthyroid, both heart rate and levels of HCN2 and HCN4 mRNA return to the normal range. The expression of other ion channel genes, which are thyroid hormone-responsive, show a similar pattern. For example, mRNA for KV 4.2, which codes for the Ca2+-independent transient outward K+ current Ito, is decreased by 13% in hypothyroid mice and 24% in euthyroid T3R{alpha} KO mice. The magnitude of Ito was reduced by about 50% in ventricular myocytes from hypothyroid mice, and reduction of this current contributes to the reduced rate of repolarization of action potentials in ventricular myocytes of hypothyroid mice (Table 2Go). In contrast, mRNA levels for minK are markedly increased, by 45%, in hypothyroid mice and by an even larger increase of 251% in euthyroid T3R{alpha} KO mice. The minK gene product, together with KV LQT1, forms the slow delayed rectifier current IK,s. This current seems to have little role in action potential repolarization in adult mouse ventricle (34). Expression of minK is significantly reduced in T3Rß KO mice because of their hyperthyroid state but is minimally decreased in T3Rß KO mice that we made euthyroid. The detailed mechanisms that are responsible for the marked alterations of the expression of ion channel genes in the T3R{alpha} KO mice remain unclear. Two principal mechanisms could be invoked. One possibility is that T3R{alpha}1 is preferentially expressed in cardiac myocytes, which form the central region of the sinus node where pacemaker depolarization and action potential initiation occur. Alternatively, T3R{alpha}1 receptors might exert preferential effects on the expression of specific genes attributable, for example, to preferred binding to thyroid hormone response elements of a specific configuration or by association with other specific nuclear proteins involved in the transcription of these genes. Differences in the protein structure of T3R{alpha}1 vs. T3Rß1, especially at the N-terminal end, might provide for such T3 isoform specific interactions. Currently, it is not possible to distinguish between these mechanisms or determine their relative importance. Some data are, however, compatible with the hypothesis that sinus node myocytes in the right atrium predominantly express T3R{alpha}1. Patients with the resistance to thyroid hormone syndrome, presenting with elevated thyroid hormone levels and, frequently, a marked tachycardia, seem to express the mutant T3Rß, which exerts a dominant negative action on normal thyroid hormone function in myocytes of the right atrium (35). T3R{alpha}1 exclusively or predominantly expressed in the myocytes of sinus nodes would be unopposed in its activation by the T3Rß mutant. In addition, increased T3 levels will lead to increased occupancy of T3R{alpha}1, resulting in increased HCN2 and HCN4 expression and, partly for this reason, elevated heart rate. T3Rß may be expressed at significant levels, equal to those of T3R{alpha} in other parts of the heart. Previous findings in the rat heart indicate roughly equal levels of T3R{alpha} and T3Rß gene products (18). Our findings in mouse hearts indicate almost 10-fold higher levels of T3R{alpha}1 and T3R{alpha}2 gene expression, at the mRNA level, than T3Rß gene expression. The more marked cardiac phenotype in T3R{alpha} KO mice, compared with T3 KO mice, would be compatible with a much higher T3R{alpha} predominance. The mRNA that we used for most of our studies, to quantify the predominance of ion channel gene expression, is derived from myocytes of the left ventricle, because this part of the heart makes the major contribution to total cardiac RNA. The mRNA coding, for example, for minK, which is part of the delayed IK,s channel derived primarily from such myocytes, also showed distinct changes in T3R{alpha} KO hearts. These findings may indicate that, in addition to preferred expression of T3R{alpha} in myocytes of the sinus node, in left ventricular myocytes, T3R{alpha} may exert preferential influence on the expression of specific genes, like the gene coding for minK. Electrical impulse generation occurs in structures of the cardiac atrium. We found HCN2 mRNA markedly decreased in the atrium of hypothyroid mice, which corresponds to the observed bradycardia.

The contractile studies that we performed on papillary muscle of T3R{alpha} KO and T3Rß KO mice also point to a predominance of T3R{alpha} action in the left cardiac ventricle. Contractile function in muscle from T3R{alpha} KO mice was significantly diminished, relative to force development and force decay. In contrast, papillary muscle function was normal in muscle obtained from T3Rß KO mice. Corresponding changes occurred in the mRNA for MHC isoform coding proteins that are linked to force generation and in SERCA2 mRNA that is linked to calcium lowering during diastole. Decreased levels of MHC {alpha} mRNA and SERCA2 mRNA may present the cause for slowed force development and prolonged relaxation time.

Previous findings by Johanssen (19) show that bradycardia occurs in T3R{alpha}1 KO mice and is not related to altered sympathetic or parasympathetic innervation. Our findings of decreased papillary muscle function in isolated muscle strips, which is independent of the sympathetic parasympathetic innervation status, makes it very likely that the observed effects occurring in T3R{alpha}1 KO mice are primarily related to decreased T3 action in the cardiac myocyte and are largely independent of the innervation status. The shortened life span of the T3R{alpha} KO mice and their inability to reproduce presented an obstacle to our studies. This prevented the breeding of homozygous T3R{alpha} KO mice in which long-term and more detailed studies could have been performed.

In summary, our findings demonstrate that T3R{alpha}1 exerts a predominant effect on cardiac electrophysiological phenomena like impulse generation and mechanical functions, e.g. systolic force generation and diastolic relaxation. The molecular basis for the predominance of T3R{alpha} action in cardiac myocytes needs to be explored in further detail but is compatible with our finding of a significantly higher predominance of T3R{alpha} encoding mRNA over T3Rß encoding mRNA in the normal mouse heart.


    Acknowledgments
 
We are grateful to Dr. Bina Santoro for the plasmid containing the mouse HCN4 sequence.


    Footnotes
 
1 This work was supported by Grant HL-25022 (to W.H.D.) and by operating grants from the Canadian Medical Research Council and the Heart and Stroke Foundation of Canada (to W.G. and R.C.). Back

2 A Medical Scientist of the Alberta Heritage Foundation for Medical Research. Back

Received August 3, 2000.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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