Abstract
Background
Histone deacetylase (HDAC) inhibitors are promising therapeutics for various forms of cardiac diseases. The purpose of this study was to assess cardiac HDAC catalytic activity and expression in children with single ventricle (SV) heart disease of right ventricular morphology, as well as in a rodent model of right ventricular hypertrophy (RVH).
Methods
Homogenates of right ventricle (RV) explants from non-failing controls and children born with a SV were assayed for HDAC catalytic activity and HDAC isoform expression. Postnatal 1-day-old rat pups were placed in hypoxic conditions, and echocardiographic analysis, gene expression, HDAC catalytic activity, and isoform expression studies of the RV were performed.
Results
Class I, IIa, and IIb HDAC catalytic activity and protein expression were elevated in the hearts of children born with a SV. Hypoxic neonatal rats demonstrated RVH, abnormal gene expression, elevated class I and class IIb HDAC catalytic activity, and protein expression in the RV compared with those in the control.
Conclusions
These data suggest that myocardial HDAC adaptations occur in the SV heart and could represent a novel therapeutic target. Although further characterization of the hypoxic neonatal rat is needed, this animal model may be suitable for preclinical investigations of pediatric RV disease and could serve as a useful model for future mechanistic studies.
Similar content being viewed by others
Log in or create a free account to read this content
Gain free access to this article, as well as selected content from this journal and more on nature.com
or
References
Correa-Villasenor A, Ferencz C, Loffredo C, Magee C . Paternal exposures and cardiovascular malformations. The Baltimore-Washington Infant Study Group. J Expo Anal Environ Epidemiol 1993;3 (Suppl 1): 173–85.
Ohye RG, Sleeper LA, Mahony L et al, Comparison of shunt types in the Norwood procedure for single-ventricle lesions. N Engl J Med 2010;362:1980–92.
Kulkarni A, Neugebauer R, Lo Y et al, Outcomes and risk factors for listing for heart transplantation after the Norwood procedure: an analysis of the single ventricle reconstruction trial. J Heart Lung Transplant 2016;35:306–11.
Kirk R, Dipchand AI, Rosenthal DN et al, The International Society for Heart and Lung Transplantation Guidelines for the management of pediatric heart failure: Executive summary. [Corrected]. J Heart Lung Transplant 2014;33:888–909.
Frommelt PC, Gerstenberger E, Cnota JF et al, Impact of initial shunt type on cardiac size and function in children with single right ventricle anomalies before the Fontan procedure: the single ventricle reconstruction extension trial. J Am Coll Cardiol 2014;64:2026–35.
Newburger JW, Sleeper LA, Frommelt PC et al, Transplantation-free survival and interventions at 3 years in the single ventricle reconstruction trial. Circulation 2014;129:2013–20.
Lu J, McKinsey TA, Nicol RL, Olson EN . Signal-dependent activation of the MEF2 transcription factor by dissociation from histone deacetylases. Proc Natl Acad Sci USA 2000;97:4070–5.
Tanno M, Kuno A, Horio Y, Miura T . Emerging beneficial roles of sirtuins in heart failure. Basic Res Cardiol 2012;107:273.
Demos-Davies KM, Ferguson BS, Cavasin MA et al, HDAC6 contributes to pathological responses of heart and skeletal muscle to chronic angiotensin-II signaling. Am J Physiol Heart Circ Physiol 2014;307:H252–8.
Mani SK, Kern CB, Kimbrough D et al, Inhibition of class I histone deacetylase activity represses matrix metalloproteinase-2 and -9 expression and preserves LV function postmyocardial infarction. Am J Physiol Heart Circ Physiol 2015;308:H1391–401.
Cao DJ, Wang ZV, Battiprolu PK et al, Histone deacetylase (HDAC) inhibitors attenuate cardiac hypertrophy by suppressing autophagy. Proc Natl Acad Sci USA 2011;108:4123–8.
Williams SM, Golden-Mason L, Ferguson BS et al, Class I HDACs regulate angiotensin II-dependent cardiac fibrosis via fibroblasts and circulating fibrocytes. J Mol Cell Cardiol 2014;67:112–25.
Antos CL, McKinsey TA, Dreitz M et al, Dose-dependent blockade to cardiomyocyte hypertrophy by histone deacetylase inhibitors. J Biol Chem 2003;278:28930–7.
McKinsey TA . Therapeutic potential for HDAC inhibitors in the heart. Annu Rev Pharmacol Toxicol 2012;52:303–19.
Lemon DD, Horn TR, Cavasin MA et al, Cardiac HDAC6 catalytic activity is induced in response to chronic hypertension. J Mol Cell Cardiol 2011;51:41–50.
Blakeslee WW, Wysoczynski CL, Fritz KS, Nyborg JK, Churchill ME, McKinsey TA . Class I HDAC inhibition stimulates cardiac protein SUMOylation through a post-translational mechanism. Cell Signal 2014;26:2912–20.
Cavasin MA, Demos-Davies K, Horn TR et al, Selective class I histone deacetylase inhibition suppresses hypoxia-induced cardiopulmonary remodeling through an antiproliferative mechanism. Circ Res 2012;110:739–48.
Miyamoto SD, Stauffer BL, Polk J et al, Gene expression and beta-adrenergic signaling are altered in hypoplastic left heart syndrome. J Heart Lung Transplant 2014;33:785–93.
Cevik A, Kula S, Olgunturk R et al, Assessment of pulmonary arterial hypertension and vascular resistance by measurements of the pulmonary arterial flow velocity curve in the absence of a measurable tricuspid regurgitant velocity in childhood congenital heart disease. Pediatr Cardiol 2013;34:646–55.
Vlahos AP, Feinstein JA, Schiller NB, Silverman NH . Extension of Doppler-derived echocardiographic measures of pulmonary vascular resistance to patients with moderate or severe pulmonary vascular disease. J Am Soc Echocardiogr 2008;21:711–4.
Rossano JW, Shaddy RE . Update on pharmacological heart failure therapies in children: do adult medications work in children and if not, why not? Circulation 2014;129:607–12.
Rossano JW, Dipchand AI, Edwards LB et al, The Registry of the International Society for Heart and Lung Transplantation: Nineteenth Pediatric Heart Transplantation Report-2016; Focus Theme: primary diagnostic indications for transplant. J Heart Lung Transplant 2016;35:1185–95.
Miyamoto SD, Karimpour-Fard A, Peterson V et al, Circulating microRNA as a biomarker for recovery in pediatric dilated cardiomyopathy. J Heart Lung Transplant 2015;34:724–33.
Miyamoto SD, Stauffer BL, Nakano S et al, Beta-adrenergic adaptation in paediatric idiopathic dilated cardiomyopathy. Eur Heart J 2014;35:33–41.
Nakano SJ, Miyamoto SD, Movsesian M, Nelson P, Stauffer BL, Sucharov CC . Age-related differences in phosphodiesterase activity and effects of chronic phosphodiesterase inhibition in idiopathic dilated cardiomyopathy. Circ Heart Fail 2015;8:57–63.
Chen S, Owens GC, Makarenkova H, Edelman DB . HDAC6 regulates mitochondrial transport in hippocampal neurons. PLoS ONE 2010;5:e10848.
Cavasin MA, Stenmark KR, McKinsey TA . Emerging roles for histone deacetylases in pulmonary hypertension and right ventricular remodeling (2013 Grover Conference series). Pulm Circ 2015;5:63–72.
Gillette TG, Hill JA . Readers, writers, and erasers: chromatin as the whiteboard of heart disease. Circ Res 2015;116:1245–53.
Schuetze KB, McKinsey TA, Long CS . Targeting cardiac fibroblasts to treat fibrosis of the heart: focus on HDACs. J Mol Cell Cardiol 2014;70:100–7.
Cardinale JP, Sriramula S, Pariaut R et al, HDAC inhibition attenuates inflammatory, hypertrophic, and hypertensive responses in spontaneously hypertensive rats. Hypertension 2010;56:437–44.
Granger A, Abdullah I, Huebner F et al, Histone deacetylase inhibition reduces myocardial ischemia-reperfusion injury in mice. FASEB J 2008;22:3549–60.
Yang Q, Sun M, Ramchandran R, Raj JU . IGF-1 signaling in neonatal hypoxia-induced pulmonary hypertension: role of epigenetic regulation. Vascul Pharmacol 2015;73:20–31.
Scholz C, Weinert BT, Wagner SA et al, Acetylation site specificities of lysine deacetylase inhibitors in human cells. Nat Biotechnol 2015;33:415–23.
deAlmeida A, Sedmera D . Fibroblast growth factor-2 regulates proliferation of cardiac myocytes in normal and hypoplastic left ventricles in the developing chick. Cardiol Young 2009;19:159–69.
Kowalski WJ, Teslovich NC, Menon PG, Tinney JP, Keller BB, Pekkan K . Left atrial ligation alters intracardiac flow patterns and the biomechanical landscape in the chick embryo. Dev Dyn 2014;243:652–62.
Sedmera D, Hu N, Weiss KM, Keller BB, Denslow S, Thompson RP . Cellular changes in experimental left heart hypoplasia. Anat Rec 2002;267:137–45.
Gupta MP, Samant SA, Smith SH, Shroff SG . HDAC4 and PCAF bind to cardiac sarcomeres and play a role in regulating myofilament contractile activity. J Biol Chem 2008;283:10135–46.
Klimek VM, Fircanis S, Maslak P et al, Tolerability, pharmacodynamics, and pharmacokinetics studies of depsipeptide (romidepsin) in patients with acute myelogenous leukemia or advanced myelodysplastic syndromes. Clin Cancer Res 2008;14:826–32.
Marks PA . The clinical development of histone deacetylase inhibitors as targeted anticancer drugs. Expert Opin Investig Drugs 2010;19:1049–66.
O'Connor OA, Heaney ML, Schwartz L et al, Clinical experience with intravenous and oral formulations of the novel histone deacetylase inhibitor suberoylanilide hydroxamic acid in patients with advanced hematologic malignancies. J Clin Oncol 2006;24:166–73.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare no conflict of interest.
Additional information
Statement of Financial Support
This work was supported by NIH R21 HL113846 to S.D.M., T.A.M and C.S.L. S.D.M. was also supported by NIH (R01 HL126928), the Addison Scott Memorial Fund, the Boedecker Foundation, the Nair Family, and the Millisor Chair in Pediatric Heart Disease. T.A.M. was also supported by NIH (HL116848, HL127240 and AG043822) and the American Heart Association (GIA14510001 and 16SFRN31400013). W.W.B was supported by the University of Colorado-Denver Pharmacology Program NIH T32 Training Grant (GM007635).
Rights and permissions
About this article
Cite this article
Blakeslee, W., Demos-Davies, K., Lemon, D. et al. Histone deacetylase adaptation in single ventricle heart disease and a young animal model of right ventricular hypertrophy. Pediatr Res 82, 642–649 (2017). https://doi.org/10.1038/pr.2017.126
Received:
Accepted:
Published:
Issue date:
DOI: https://doi.org/10.1038/pr.2017.126
This article is cited by
-
Therapeutic effects of histone deacetylase inhibitors on heart disease
Archives of Pharmacal Research (2020)