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Publication : A calcineurin-dependent transcriptional pathway for cardiac hypertrophy.

First Author  Molkentin JD Year  1998
Journal  Cell Volume  93
Issue  2 Pages  215-28
PubMed ID  9568714 Mgi Jnum  J:93176
Mgi Id  MGI:3056159 Doi  10.1016/s0092-8674(00)81573-1
Citation  Molkentin JD, et al. (1998) A calcineurin-dependent transcriptional pathway for cardiac hypertrophy. Cell 93(2):215-28
abstractText  In response to numerous pathologic stimuli, the myocardium undergoes a hypertrophic response characterized by increased myocardial cell size and activation of fetal cardiac genes. We show that cardiac hypertrophy is induced by the calcium-dependent phosphatase calcineurin, which dephosphorylates the transcription factor NF-AT3, enabling it to translocate to the nucleus. NF-AT3 interacts with the cardiac zinc finger transcription factor GATA4, resulting in synergistic activation of cardiac transcription. Transgenic mice that express activated forms of calcineurin or NF-AT3 in the heart develop cardiac hypertrophy and heart failure that mimic human heart disease. Pharmacologic inhibition of calcineurin activity blocks hypertrophy in vivo and in vitro. These results define a novel hypertrophic signaling pathway and suggest pharmacologic approaches to prevent cardiac hypertrophy and heart failure.
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