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Acta Physiologica 2009; Volume 197, Supplement 672
The 60th National Congress of the Italian Physiological Society
9/23/2009-9/25/2009
Siena, Italy
HISTONE DEACETYLASE INHIBITORS (HDACI) AMELIORATE CARDIAC ELECTRICAL COMPETENCE IN MDX MOUSE MODEL OF DUCHENNE MUSCULAR DYSTROPHY (DMD)
Abstract number: P56
DELUCCHI1 F, COLUSSI2 C, BERNI1 R, ROSATI3 J, STRAINO3 S, SPALLOTTA3 F, BOCCHI1 L, SAVI1 M, MACCHI1 E, STILLI1 D, QUAINI1 F, CAPOGROSSI3 MC, GAETANO3 C, MUSSO1 E
1Interdepartmental Center for the Study of Biology and Clinical Application of Cardiac Stem Cells (CISTAC), University of Parma
2Laboratory of Vascular Biology and Gene Therapy, Istituto Cardiologico Monzino, Milano
3Laboratory of Vascular Pathology, Istituto Dermopatico dell' Immacolata, Roma; (Italy)[email protected]
To gain mechanistic insight into cardiomyopathy associated with DMD, we compared cardiac electrophysiological, structural and molecular features observed in mdx mice treated with HDACi suberoylanilide hydroxamic acid (5 mg/kg for 90 days, SAHA mice, n=22) to untreated (mdx, n=24) and wild type (WT, n=20) mice. By telemetry ECG recording, a higher proneness to ventricular arrhythmias (Vas) was detected in mdx mice under stress condition (restraint test), mostly prevented by SAHA. Aconitine precipitated VAs by 83% in WT mice, and 11% and 57% in mdx and SAHA mice. Epicardial multiple lead recording revealed a slowing down of impulse propagation and reduced ability to elicit a propagated response in mdx mice in comparison to WT, together with a prolongation of QRS complex. The changes were largely counteracted by SAHA. In addition, SAHA: (i) reverted a marked lateralization of Cx43 in mdx mice and (ii) determined a decrease of Cx40 and up-regulation of Cx37 and 32 while expression levels of Cx43 and 45 as well as dystrophin were unaltered. We propose that SAHA counteract the dystrophin-dependent reduction in the sodium channel Nav1.5 protein level via its ability to inhibit proteasome activity and the ubiquitin-driven degradation of the channel. The SAHA-induced remodelling of Nav1.5 and different connexins suggests a novel HDACi-dependent mechanism of action active in the heart and indicates histone deacetylase as important contributor to arrhythmogenesis in DMD cardiomyopathy.
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Acta Physiologica 2009; Volume 197, Supplement 672 :P56