beta(2)-adrenergic receptor overexpression driven by alpha-MHC promoter isdownregulated in hypertrophied and failing myocardium

Objective: The a-myosin heavy chain (alpha-MHC) promoter is frequently used to direct cardiac specific transgene expression. We studied whether transg ene expression controlled by this promoter was altered under conditions of cardiac hypertrophy and failure. Methods: Transgenic (TG) mice overexpressi ng human beta(2)-adrenergic receptors (P,AR) and wild type (WT) controls we re subjected to thoracic aortic constriction (TAC) or sham operation and st udied at I, 3 and 8 weeks after surgery. Results: Sham operated TG mice had higher heart rates and left ventricular (LV) contractility than WT (all P< 0.01), demonstrating enhanced PAR activation. TAC at 1, 3 and 8 weeks produ ced progressive LV hypertrophy which was similar between WT and TG mice. Ev idence of heart failure was more marked in TG mice with a greater increase in weights of the right ventricle and lungs and a higher prevalence of atri al thrombus (P<0.05 in each case). In hypertrophied TG hearts, endogenous a lpha-MHC mRNA transcripts in LV were maintained at 1 and 3 weeks, but were reduced by approximately 40% relative to the sham-operated group at 8 weeks after TAG. Transgene expression, measured as human beta(2)AR mRNA, was red uced by 45% at 1 and 3 weeks and by 70% at 8 weeks after TAG. beta(2)AR bin ding sites were reduced by 35, 47 and 65%, respectively, at 1, 3 and 8 week s. Conclusion: Cardiac hypertrophy and failure cause downregulation of the endogenous alpha-MHC as well as cardiac specific overexpression of the tran sgene directed by an alpha-MHC promoter. (C) 2000 Elsevier Science B.V. All rights reserved.