Researchers ID genetic cues for a big heart

February 03, 2015

DURHAM, N.C. - Bigger isn't always better, even when it comes to the body's most vital organs. An enlarged or thickened cardiac muscle can actually force the heart to work harder to pump blood throughout the body, weakening the organ until it eventually wears out.

Despite the disastrous consequences of oversized organs, researchers have just begun to uncover the circuitry of signals that govern growth.

What they do know comes in large part from genes of the tiny fruit fly, Drosophila melanogaster. Over the years, biologists have deleted or suppressed tens of thousands of genes in the fly genome, aptly naming each one after the unusual characteristics displayed by the resulting mutants. Deletions in a gene known as Hippo generate flies with unusually large organs. Likewise, defects in a gene called Yorkie create flies with strikingly small organs.

Now, Duke researchers have shown that a different gene, which goes by the decidedly more staid moniker Raf, can act as a type of switch that turns on Yorkie to make fly hearts grow bigger. They discovered that these hearts bulked up by expanding the size of already existing heart cells, rather than adding new cells.

Our genes are similar enough that the fly study gives insight into a dangerous enlargement of the heart in humans called cardiac hypertrophy, which can result from high blood pressure or certain inherited conditions like Noonan syndrome. The work appears Feb. 3 in the journal Science Signaling.

"Our finding helps us to better understand how the human heart responds to disease," said Matthew J. Wolf, M.D., Ph.D., senior author of the study and associate professor of medicine at Duke University School of Medicine. "The question remains, why does it choose to add on mass rather than proliferate new cells? If we could solve that riddle, then we could find ways to manipulate the system to help hearts heal after injury."

During cardiac hypertrophy, the walls of the heart thicken, decreasing the size of the cardiac chambers and eventually restricting the heart's ability to pump blood. If left untreated, hypertrophy can cause heart failure, which is usually fatal.

Wolf modeled this condition by activating the Yorkie gene in fruit flies. Unlike the human heart with its complex array of four chambers, four valves, and multiple vessels, the fruit fly heart is simply a linear tube composed of a single layer of 104 heart cells. Wolf and his colleagues were able to visualize enlargement of the tiny beating heart with a method called optical coherence tomography that is something like the echocardiograms used to diagnose heart failure in humans.

Using this method, the researchers could see that the heart walls of the mutants were thicker than normal, creating a much smaller central chamber through which to pump blood. The mutant flies also had weaker heart muscles and shorter lifespans than normal flies.

The researchers then took out the fly hearts - each of them smaller than the head of a pin -- and counted the number of cells to determine whether the heart growth was the result of more cells or bigger cells. The numbers stayed the same, indicating that the cells were growing larger.

The finding reminded Wolf of a fly he had encountered many years back, one whose growth had been fueled by too much activity of a gene called Raf. In humans, mutations in this gene cause Noonan syndrome, an inherited condition that is characterized by a number of physical defects, including an enlarged heart.

Wolf decided to breed fruit flies with Yorkie and Raf mutations to see how the two were related. He took flies that had thin hearts due to a genetic deletion in Yorkie, and bred them with flies that had thick hearts caused by an activated form of Raf.

By looking at the offspring of these flies, he could determine whether the two genes were connected in the same signaling pathway or if they were acting independently to tell hearts to grow bigger or smaller. To his surprise, the genes cancelled each other out, yielding flies with hearts of perfectly normal size. In other words, Raf couldn't activate organs to grow larger without having Yorkie there to switch on.

Next, Wolf would like to see if these same connections hold true in other models of human disease. He has already acquired a number of transgenic mice and plans to manipulate both Raf and Yorkie to measure their effects on the mouse heart.

"Ultimately, our goal is to try to understand how this pathway influences cardiac hypertrophy, not only within the context of specific conditions like Noonan syndrome, but also in the more general context of hypertension and high blood pressure, with the hopes of finding new targets to treat this disease," said Wolf.
-end-
The research was supported by a grant from the National Institutes of Health (NIH R01 HL116581).

CITATION: "Cardiac hypertrophy induced by active Raf depends on Yorkie-mediated transcription," Lin Yu, Joseph P. Daniels, Huihui Wu, and Matthew J. Wolf. Science Signaling, Feb. 3, 2015. DOI: 10.1126/scisignal.2005719.

Duke University

Related Heart Failure Articles from Brightsurf:

Top Science Tip Sheet on heart failure, heart muscle cells, heart attack and atrial fibrillation results
Newly discovered pathway may have potential for treating heart failure - New research model helps predict heart muscle cells' impact on heart function after injury - New mass spectrometry approach generates libraries of glycans in human heart tissue - Understanding heart damage after heart attack and treatment may provide clues for prevention - Understanding atrial fibrillation's effects on heart cells may help find treatments - New research may lead to therapy for heart failure caused by ICI cancer medication

Machining the heart: New predictor for helping to beat chronic heart failure
Researchers from Kanazawa University have used machine learning to predict which classes of chronic heart failure patients are most likely to experience heart failure death, and which are most likely to develop an arrhythmic death or sudden cardiac death.

Heart attacks, heart failure, stroke: COVID-19's dangerous cardiovascular complications
A new guide from emergency medicine doctors details the potentially deadly cardiovascular complications COVID-19 can cause.

Autoimmunity-associated heart dilation tied to heart-failure risk in type 1 diabetes
In people with type 1 diabetes without known cardiovascular disease, the presence of autoantibodies against heart muscle proteins was associated with cardiac magnetic resonance (CMR) imaging evidence of increased volume of the left ventricle (the heart's main pumping chamber), increased muscle mass, and reduced pumping function (ejection fraction), features that are associated with higher risk of failure in the general population

Transcendental Meditation prevents abnormal enlargement of the heart, reduces chronic heart failure
A randomized controlled study recently published in the Hypertension issue of Ethnicity & Disease found the Transcendental Meditation (TM) technique helps prevent abnormal enlargement of the heart compared to health education (HE) controls.

Beta blocker use identified as hospitalization risk factor in 'stiff heart' heart failure
A new study links the use of beta-blockers to heart failure hospitalizations among those with the common 'stiff heart' heart failure subtype.

Type 2 diabetes may affect heart structure and increase complications and death among heart failure patients of Asian ethnicity
The combination of heart failure and Type 2 diabetes can lead to structural changes in the heart, poorer quality of life and increased risk of death, according to a multi-country study in Asia.

Preventive drug therapy may increase right-sided heart failure risk in patients who receive heart devices
Patients treated preemptively with drugs to reduce the risk of right-sided heart failure after heart device implantation may experience the opposite effect and develop heart failure and post-operative bleeding more often than patients not receiving the drugs.

How the enzyme lipoxygenase drives heart failure after heart attacks
Heart failure after a heart attack is a global epidemic leading to heart failure pathology.

Novel heart pump shows superior outcomes in advanced heart failure
Severely ill patients with advanced heart failure who received a novel heart pump -- the HeartMate 3 left ventricular assist device (LVAD) -- suffered significantly fewer strokes, pump-related blood clots and bleeding episodes after two years, compared with similar patients who received an older, more established pump, according to research presented at the American College of Cardiology's 68th Annual Scientific Session.

Read More: Heart Failure News and Heart Failure Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.