학술대회 안내 사전등록 안내 초록등록 안내 초록등록/관리 숙박및교통 안내


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ǥ : ȣ - 490492   293 
Transfer of β-catenin Gene Reduces Infarct Size through Survivin-mediated Anti-apoptotic Effect and Cell Cycle propagation with Enhanced Expression of VEGF
서울대학교 의과대학 내과학교실¹ 서울대학교병원 임상의학연구소 심혈관연구실²
조현주², 한주용¹ ² 김광일¹ ² 육형선² 강현재¹ ² 김효수¹ ² 김철호¹ 손대원¹ ² 오병희¹ ² 박영배¹ ² 최윤식¹ ²
Objective: β-catenin is a transcriptional regulator of several genes involved in survival and proliferation. We investigated the role of β-catenin and involved mechanisms in cardiomyocytes and fibroblasts, and whether β-catenin gene transfer could reduce myocardial infarction (MI) size. Methods and Results: To enforce b-catenin activity, we produced non-phosphorylatable constitutively active mutant of β-catenin plasmid and the recombinant adenovirus-β-catenin-mutant (Ad-catenin) was successfully constructed. Transfected cells were determined by the co-expression of GFP and adenovirus encoding GFP (Ad-GFP) was used as control viral transfection. In vitro, the effects of constitutively active β-catenin gene transfer were examined on cardiomyocytes and fibroblasts. The transfection of Ad-catenin decreased serum deprivation induced apoptosis in cardiomyocytes and cardiac fibroblasts with increased expression of anti-apoptotic protein, survivin. Although overexpression of β-catenin increased the percentage of cells in the S phase with enhanced expression of cyclin D1 and E2 in both cell types, cell number increased only in fibroblasts. On the contrary, the effect of β-catenin on hypertrophy was more prominent in cardiomyocytes, which showed much more increase of cell size and polyploid cells. Furthermore, transfection of Ad-catenin enhanced the expression of vascular endothelial growth factor (VEGF) in cardiomyocytes and fibroblasts and α-smooth muscle actin in fibroblasts, which meant the transformation into myofibroblasts. In vivo, we transferred Ad-catenin into the border zone of rat MI model. Better preservation of anterior regional wall motion and systolic function was observed, and MI size was smaller in Ad-catenin group compared with Ad-GFP. Apoptosis decreased, and proliferating cardiomyocytes and myofibroblasts were more frequently observed in Ad-catenin group. Immunohistochemistry showed more capillaries and VEGF expression in the Ad-catenin group than the Ad-GFP group. Conclusions: These data suggest that β-catenin plays an important role in the healing process after MI through its control of survival and cell cycle as well as enhanced expression of VEGF.


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