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Publication : Loss of the melanocortin-4 receptor in mice causes dilated cardiomyopathy.

First Author  Litt MJ Year  2017
Journal  Elife Volume  6
PubMed ID  28829041 Mgi Jnum  J:256681
Mgi Id  MGI:6116719 Doi  10.7554/eLife.28118
Citation  Litt MJ, et al. (2017) Loss of the melanocortin-4 receptor in mice causes dilated cardiomyopathy. Elife 6:e28118
abstractText  Haploinsufficiency of the melanocortin-4 receptor, the most common monogenetic obesity syndrome in humans, is associated with a reduction in autonomic tone, bradycardia, and incidence of obesity-associated hypertension. Thus, it has been assumed that melanocortin obesity syndrome may be protective with respect to obesity-associated cardiovascular disease. We show here that absence of the melanocortin-4 receptor (MC4R) in mice causes dilated cardiomyopathy, characterized by reduced contractility and increased left ventricular diameter. This cardiomyopathy is independent of obesity as weight matched diet induced obese mice do not display systolic dysfunction. Mc4r cardiomyopathy is characterized by ultrastructural changes in mitochondrial morphology and cardiomyocyte disorganization. Remarkably, testing of myocardial tissue from Mc4r-/- mice exhibited increased ADP stimulated respiratory capacity. However, this increase in respiration correlates with increased reactive oxygen species production - a canonical mediator of tissue damage. Together this study identifies MC4R deletion as a novel and potentially clinically important cause of heart failure.
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