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首页> 外文期刊>Proceedings of the National Academy of Sciences of the United States of America >Essential role of GATA-4 in cell survival and drug-induced cardiotoxicity
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Essential role of GATA-4 in cell survival and drug-induced cardiotoxicity

机译:GATA-4在细胞存活和药物诱导的心脏毒性中的重要作用

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In recent years, significant progress has been made in understanding cardiomyocyte differentiation. However, little is known about the regulation of myocyte survival despite the fact that myocyte apoptosis is a leading cause of heart failure. Here we report that transcription factor GATA-4 is a survival factor for differentiated, postnatal cardiomyocytes and an upstream activator of the antiapoptotic gene Bcl-X. An early event in the cardiotoxic effect of the antitumor drug doxorubicin is GATA-4 depletion, which in turn causes cardionnyocyte apoptosis. Mouse heterozygotes for a null Gata4 allele have enhanced susceptibility to doxorubicin cardiotoxicity. Genetic or pharmacologic enhancement of GATA-4 prevents cardionnyocyte apoptosis and drug-induced cardiotoxicity. The results indicate that GATA-4 is an antiapoptotic factor required for the adaptive stress response of the adult heart. Modulation of survival/apoptosis genes by tissue-specific transcription factors may be a general paradigm that can be exploited effectively for cell-specific regulation of apoptosis in disease states.
机译:近年来,在了解心肌细胞分化方面已取得重大进展。然而,尽管肌细胞凋亡是心力衰竭的主要原因,但对肌细胞存活的调控知之甚少。在这里我们报告转录因子GATA-4是分化的,出生后的心肌细胞的生存因子和抗凋亡基因Bcl-X的上游激活剂。抗肿瘤药物阿霉素的心脏毒性作用中的一个早期事件是GATA-4耗竭,这反过来又导致心肌细胞凋亡。无效的Gata4等位基因的小鼠杂合子对阿霉素心脏毒性的敏感性增强。 GATA-4的遗传或药理作用增强可防止心肌细胞凋亡和药物诱导的心脏毒性。结果表明,GATA-4是成年心脏适应性应激反应所需的抗凋亡因子。组织特异性转录因子对存活/凋亡基因的调控可能是一种普遍的范例,可以有效地用于疾病状态下细胞凋亡的细胞特异性调控。

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