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      Unloaded heart in vivo replicates fetal gene expression of cardiac hypertrophy.

      Nature medicine

      Anastomosis, Surgical, Animals, Aorta, Abdominal, surgery, Aorta, Thoracic, Cardiomegaly, genetics, Carnitine O-Palmitoyltransferase, Fetal Heart, metabolism, Gene Expression Regulation, Genes, fos, Glucose Transporter Type 1, Glucose Transporter Type 4, Heart, physiology, physiopathology, Heart Transplantation, Male, Monosaccharide Transport Proteins, Muscle Proteins, Myocardium, Myosin Heavy Chains, Protein Isoforms, Pulmonary Artery, Rats, Rats, Wistar, Reverse Transcriptase Polymerase Chain Reaction, Transcription, Genetic, Transforming Growth Factor beta, Transplantation, Heterotopic, Transplantation, Isogeneic

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          Abstract

          The cardiac response to increased work includes a reactivation of fetal genes. The response to a decrease in cardiac work is not known. Such information is of clinical interest, because mechanical unloading can improve the functional capacity of the failing heart. We compared here the patterns of gene expression in unloaded rat heart with those in hypertrophied rat heart. Both conditions induced a re-expression of growth factors and proto-oncogenes, and a downregulation of the 'adult' isoforms, but not of the 'fetal' isoforms, of proteins regulating myocardial energetics. Therefore, opposite changes in cardiac workload in vivo induce similar patterns of gene response. Reactivation of fetal genes may underlie the functional improvement of an unloaded failing heart.

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          Author and article information

          Journal
          9809550
          10.1038/3253

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