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Impaired cardiac thyroid hormone signaling during heart failure The role of type III deiodinase ISBN: 978-94-6203-042-8 Cover design: Fishtankmedia.nl Printed by: Wöhrmann Print service Financial support for printing of this thesis was kindly provided by Stichting Dondersfonds. The research presented in this thesis was performed at the Department of Physiology, Institute for Cardiovascular Research, VU University Medical Center, Amsterdam, The Netherlands. © 2012 C.J. Pol VRIJE UNIVERSITEIT Impaired cardiac thyroid hormone signaling during heart failure The role of type III deiodinase ACADEMISCH PROEFSCHRIFT ter verkrijging van de graad Doctor aan de Vrije Universiteit Amsterdam, op gezag van de rector magnificus prof.dr. L.M. Bouter, in het openbaar te verdedigen ten overstaan van de promotiecommissie van de Faculteit der Geneeskunde op donderdag 27 september 2012 om 15.45 uur in de aula van de universiteit, De Boelelaan 1105 door Christiana Jantina Pol geboren te Woerden promotor: prof.dr. W.J. Paulus copromotor: dr. W.S. Simonides The research described in this thesis was supported by a grant of the Netherlands Heart Foundation (NHF-2006B240). Financial support by the Netherlands Heart Foundation for the publication of this thesis is gratefully acknowledged. I almost wish I hadn’t gone down that rabbit-hole - and yet - and yet it’s rather curious, you know, this sort of life! Alice in Wonderland, 1865 Overige leden promotiecommissie: prof.dr. A.J.G. Horrevoets prof.dr. H.W.M. Niessen prof.dr. A.C. van Rossum prof.dr. D. Salvatore prof.dr. Ir. T.J. Visser Contents Abbreviations 8 Chapter 1 Introduction 11 Chapter 2 In vivo measurement of T3-dependent transcription activity 35 Chapter 3 Left-ventricular remodeling following myocardial infarction is associated with a cardiomyocyte-specific hypothyroid condition Chapter 4 Effects of exercise training on LV function and post-MI remodeling: role of type III deiodinase? Chapter 5 77 Type III deiodinase expression during early post-MI remodeling and its regulation Chapter 6 51 91 Early post-MI induction of type III deiodinase expression is associated with increased HIF-1 signaling 113 Chapter 7 Cardiac induction of type III deiodinase in human ischemic heart disease 129 Chapter 8 Summary and general discussion 143 Samenvatting – Summary in Dutch 167 Dankwoord – Acknowledgements 173 Author affiliations 176 List of publications 177 Curriculum Vitae 178 Abbreviations ANF/ANP atrial natriuretic factor BNP brain natriuretic peptide CHF congestive heart failure CSA cross-sectional area CVD cardiovascular diseases DFO deferoxamine DIO1 type I deiodinase DIO2 type II deiodinase DIO3 type III deiodinase EDD end-diastolic diameter EDP end-diastolic pressure ERK extracellular signal-regulated kinase ESD end-systolic diameter ESP end-systolic pressure FLuc Firefly luciferase FS fractional shortening HIF-1Į hypoxia-inducible factor-1Į HPRT hypoxanthine-guanine phosporibosyltransferase HRE HIF binding sites ISHD ischemic heart disease JAK/STAT Janus kinase/signal transducer and activator of transcription JNK c-Jun N-terminal kinases LCA left coronary artery LV dP/dtmax maximum rate of rise of LV pressure LV dP/dtmin maximum rates of fall of LV pressure LV dP/dtp30 rate of rise of LV pressure at 30 mmHg LV left ventricle MAPK mitogen-activated protein kinase MHC myosin heavy chain MI myocardial infarction mTOR mammalian target of rapamycin NTIS non-thyroidal illness sydrome PAH pulmonary arterial hypertension PI3K phosphoinositide 3-kinase PLB phospholamban Ptch1 patched-1 receptor RAAS renin-angiotensin-aldosterone system RLuc Renilla luciferase rT3 3,3’,5’-triiodothyronine RV right ventricle SERCA sarco/endoplasmic reticulum Ca2+-ATPase Shh Sonic hedgehog T2 3,3’-diiodothyronine T3 3,5,3’-triiodothyronine T4 3,5,3’,5’-tetraiodothyronine TGFȕ transforming growth factor ȕ TH thyroid hormone TMAs tissue microarrays TR thyroid hormone receptor TRE thyroid hormone response element TSH thyroid-stimulating-hormone VEGF vascular endothelial growth factor IJ time constant of ventricular relaxation