Loss of the melanocortin-4 receptor in mice causes dilated cardiomyopathy

Haploinsufficiency of the melanocortin-4 receptor, the most common monogenetic obesity syndrome in humans, is associated with a reduction in autonomic tone, bradycardia, and incidence of obesity-associated hypertension. Thus, it has been assumed that melanocortin obesity syndrome may be protective w...

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Main Authors: Michael J Litt, G Donald Okoye, Daniel Lark, Isin Cakir, Christy Moore, Mary C Barber, James Atkinson, Josh Fessel, Javid Moslehi, Roger D Cone
Format: Article
Language:English
Published: eLife Sciences Publications Ltd 2017-08-01
Series:eLife
Subjects:
Online Access:https://elifesciences.org/articles/28118
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author Michael J Litt
G Donald Okoye
Daniel Lark
Isin Cakir
Christy Moore
Mary C Barber
James Atkinson
Josh Fessel
Javid Moslehi
Roger D Cone
author_facet Michael J Litt
G Donald Okoye
Daniel Lark
Isin Cakir
Christy Moore
Mary C Barber
James Atkinson
Josh Fessel
Javid Moslehi
Roger D Cone
author_sort Michael J Litt
collection DOAJ
description Haploinsufficiency of the melanocortin-4 receptor, the most common monogenetic obesity syndrome in humans, is associated with a reduction in autonomic tone, bradycardia, and incidence of obesity-associated hypertension. Thus, it has been assumed that melanocortin obesity syndrome may be protective with respect to obesity-associated cardiovascular disease. We show here that absence of the melanocortin-4 receptor (MC4R) in mice causes dilated cardiomyopathy, characterized by reduced contractility and increased left ventricular diameter. This cardiomyopathy is independent of obesity as weight matched diet induced obese mice do not display systolic dysfunction. Mc4r cardiomyopathy is characterized by ultrastructural changes in mitochondrial morphology and cardiomyocyte disorganization. Remarkably, testing of myocardial tissue from Mc4r−/− mice exhibited increased ADP stimulated respiratory capacity. However, this increase in respiration correlates with increased reactive oxygen species production – a canonical mediator of tissue damage. Together this study identifies MC4R deletion as a novel and potentially clinically important cause of heart failure.
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spelling doaj.art-be1fdf60b9af4a499d962141b59a7a772022-12-22T03:24:39ZengeLife Sciences Publications LtdeLife2050-084X2017-08-01610.7554/eLife.28118Loss of the melanocortin-4 receptor in mice causes dilated cardiomyopathyMichael J Litt0G Donald Okoye1https://orcid.org/0000-0003-1078-688XDaniel Lark2Isin Cakir3Christy Moore4Mary C Barber5James Atkinson6Josh Fessel7Javid Moslehi8Roger D Cone9https://orcid.org/0000-0003-3333-5651Departments of Molecular Physiology and Biophysics, Vanderbilt University, Nashville, United StatesDivision of Cardiology, Vanderbilt University, Nashville, United States; Cardio-Oncology Program, Department of Medicine, Vanderbilt University, Nashville, United StatesDepartments of Molecular Physiology and Biophysics, Vanderbilt University, Nashville, United StatesLife Sciences Institute, University of Michigan, Ann Arbor, United StatesAllergy Pulmonary and Critical Care, Vanderbilt University Department of Medicine, Nashville, United StatesDivision of Cardiology, Vanderbilt University, Nashville, United States; Cardio-Oncology Program, Department of Medicine, Vanderbilt University, Nashville, United StatesDepartment of Pathology, Vanderbilt University Medical Center, Nashville, United StatesAllergy Pulmonary and Critical Care, Vanderbilt University Department of Medicine, Nashville, United StatesDivision of Cardiology, Vanderbilt University, Nashville, United States; Cardio-Oncology Program, Department of Medicine, Vanderbilt University, Nashville, United StatesDepartments of Molecular Physiology and Biophysics, Vanderbilt University, Nashville, United States; Life Sciences Institute, University of Michigan, Ann Arbor, United States; Department of Molecular and Integrative Physiology, University of Michigan School of Medicine, Ann Arbor, United StatesHaploinsufficiency of the melanocortin-4 receptor, the most common monogenetic obesity syndrome in humans, is associated with a reduction in autonomic tone, bradycardia, and incidence of obesity-associated hypertension. Thus, it has been assumed that melanocortin obesity syndrome may be protective with respect to obesity-associated cardiovascular disease. We show here that absence of the melanocortin-4 receptor (MC4R) in mice causes dilated cardiomyopathy, characterized by reduced contractility and increased left ventricular diameter. This cardiomyopathy is independent of obesity as weight matched diet induced obese mice do not display systolic dysfunction. Mc4r cardiomyopathy is characterized by ultrastructural changes in mitochondrial morphology and cardiomyocyte disorganization. Remarkably, testing of myocardial tissue from Mc4r−/− mice exhibited increased ADP stimulated respiratory capacity. However, this increase in respiration correlates with increased reactive oxygen species production – a canonical mediator of tissue damage. Together this study identifies MC4R deletion as a novel and potentially clinically important cause of heart failure.https://elifesciences.org/articles/28118heartcardiovascularcardiomyopathyMC4Rmelanocortin-4 receptorobesity
spellingShingle Michael J Litt
G Donald Okoye
Daniel Lark
Isin Cakir
Christy Moore
Mary C Barber
James Atkinson
Josh Fessel
Javid Moslehi
Roger D Cone
Loss of the melanocortin-4 receptor in mice causes dilated cardiomyopathy
eLife
heart
cardiovascular
cardiomyopathy
MC4R
melanocortin-4 receptor
obesity
title Loss of the melanocortin-4 receptor in mice causes dilated cardiomyopathy
title_full Loss of the melanocortin-4 receptor in mice causes dilated cardiomyopathy
title_fullStr Loss of the melanocortin-4 receptor in mice causes dilated cardiomyopathy
title_full_unstemmed Loss of the melanocortin-4 receptor in mice causes dilated cardiomyopathy
title_short Loss of the melanocortin-4 receptor in mice causes dilated cardiomyopathy
title_sort loss of the melanocortin 4 receptor in mice causes dilated cardiomyopathy
topic heart
cardiovascular
cardiomyopathy
MC4R
melanocortin-4 receptor
obesity
url https://elifesciences.org/articles/28118
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