Flowchart: Preparation: Thyroid Hormone
 

 


Text Box: Thyroid Hormone                  

                                                    

          

 


                                                 

Text Box: Heart Rate
Text Box: P13k
 


                                                     

                                                             

                                               

Text Box: mTOR                                   

Text Box: Akt

J Biol Chem. 2006 May 22; [Epub ahead of print]

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Thyroid hormone stimulates protein synthesis in the cardiomyocyte by activating the Akt-mTOR and p70S6K pathways.

Kenessey A, Ojamaa K.

The Feinstein Institute for Medical Research,
Manhasset, NY 11030.

Thyroid hormones affect cardiac growth and phenotype; however, the mechanisms by which the hormones induce cardiomyocyte hypertrophy remain uncharacterized. Tri-iodo-L-thyronine (T3) treatment of cultured cardiomyocytes for 24 hrs resulted in a 41+/-5% (p<0.001) increase in [(3)H]-leucine incorporation into total cellular protein. This response was abrogated by the phosphatidyl-inositol 3-kinase (PI3K) inhibitor, wortmannin. Co-immunoprecipitation studies showed a direct interaction of cytosol-localized thyroid hormone receptor, TRalpha1, and the p85alpha subunit of PI3K. T3 treatment rapidly increased PI3K activity by 52+/-3% (p<0.005), which resulted in increased phosphorylation of downstream kinases, Akt and mammalian target of rapamycin (mTOR). This effect was abrogated by pre-treatment with wortmannin or LY294002 (LY). Phosphorylation of p70(S6K), a known target of mTOR, occurred rapidly following T3 treatment and was inhibited by rapamycin and wortmannin. In contrast, phosphorylation of the p85 variant of S6K in response to T3 was not blocked by LY, wortmannin or rapamycin, thus supporting a T3-activated pathway independent of PI3K and mTOR. 40S ribosomal protein S6, a target of p70(S6K), and 4E-BP1, a target of mTOR, were both phosphorylated within 15-25 min. of T3 treatment and could be inhibited by wortmannin and rapamycin. Thus, rapid T3-mediated activation of PI3K by cytosolic TRalpha1, and subsequent activation of the Akt-mTOR-S6K signaling pathways may underlie one of the mechanisms by which thyroid hormone regulates physiological cardiac growth.

PMID: 16717100 [PubMed - as supplied by publisher]

Clin Endocrinol (Oxf). 2006 Jun;64(6):611-6.

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Hyperthyroidism is characterized by both increased sympathetic and decreased vagal modulation of heart rate: evidence from spectral analysis of heart rate variability.

Chen JL, Chiu HW, Tseng YJ, Chu WC.

Division of Endocrinology and Metabolism, Department of Medicine,
China Medical University Hospital, Taichung, Taiwan.

Summary Objective The clinical manifestations of hyperthyroidism resemble those of the hyperadrenergic state. This study was designed to evaluate the impact of hyperthyroidism on the autonomic nervous system (ANS) and to investigate the relationship between serum thyroid hormone concentrations and parameters of spectral heart rate variability (HRV) analysis in hyperthyroidism. Design and patients Thirty-two hyperthyroid Graves' disease patients (mean age 31 years) and 32 sex-, age-, and body mass index (BMI)-matched normal control subjects were recruited to receive one-channel electrocardiogram (ECG) recording. Measurements The cardiac autonomic nervous function was evaluated by the spectral analysis of HRV, which indicates the autonomic modulation of the sinus node. The correlation coefficients between serum thyroid hormone concentrations and parameters of the spectral HRV analysis were also computed. Results The hyperthyroid patients revealed significant differences (P < 0.001) compared with the controls in the following HRV parameters: a decrease in total power (TP), very low frequency power (VLF), low frequency power (LF), high frequency power (HF), and HF in normalized units (HF%); and an increase in LF in normalized units (LF%) and in the ratio of LF to HF (LF/HF). After correction of hyperthyroidism in 28 patients, all of the above parameters were restored to levels comparable to those of the controls. In addition, serum thyroid hormone concentrations showed significant correlations with spectral HRV parameters. Conclusions Hyperthyroidism is in a sympathovagal imbalanced state, characterized by both increased sympathetic and decreased vagal modulation of the heart rate. These autonomic dysfunctions can be detected simultaneously by spectral analysis of HRV, and the spectral HRV parameters could reflect the disease severity in hyperthyroid patients.

PMID: 16712661 [PubMed - in process]

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
                                            

                                                    

 


                                                

                                              P70S6k pathways