FGF23/FGFR4-mediated left ventricular hypertrophy is reversible.

dc.contributor.author

Grabner, Alexander

dc.contributor.author

Schramm, Karla

dc.contributor.author

Silswal, Neerupma

dc.contributor.author

Hendrix, Matt

dc.contributor.author

Yanucil, Christopher

dc.contributor.author

Czaya, Brian

dc.contributor.author

Singh, Saurav

dc.contributor.author

Wolf, Myles

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Hermann, Sven

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Stypmann, Jörg

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Di Marco, Giovana Seno

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Brand, Marcus

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Wacker, Michael J

dc.contributor.author

Faul, Christian

dc.date.accessioned

2019-05-01T15:01:07Z

dc.date.available

2019-05-01T15:01:07Z

dc.date.issued

2017-05-16

dc.date.updated

2019-05-01T15:01:04Z

dc.description.abstract

Fibroblast growth factor (FGF) 23 is a phosphaturic hormone that directly targets cardiac myocytes via FGF receptor (FGFR) 4 thereby inducing hypertrophic myocyte growth and the development of left ventricular hypertrophy (LVH) in rodents. Serum FGF23 levels are highly elevated in patients with chronic kidney disease (CKD), and it is likely that FGF23 directly contributes to the high rates of LVH and cardiac death in CKD. It is currently unknown if the cardiac effects of FGF23 are solely pathological, or if they potentially can be reversed. Here, we report that FGF23-induced cardiac hypertrophy is reversible in vitro and in vivo upon removal of the hypertrophic stimulus. Specific blockade of FGFR4 attenuates established LVH in the 5/6 nephrectomy rat model of CKD. Since CKD mimics a form of accelerated cardiovascular aging, we also studied age-related cardiac remodeling. We show that aging mice lacking FGFR4 are protected from LVH. Finally, FGF23 increases cardiac contractility via FGFR4, while known effects of FGF23 on aortic relaxation do not require FGFR4. Taken together, our data highlight a role of FGF23/FGFR4 signaling in the regulation of cardiac remodeling and function, and indicate that pharmacological interference with cardiac FGF23/FGFR4 signaling might protect from CKD- and age-related LVH.

dc.identifier

10.1038/s41598-017-02068-6

dc.identifier.issn

2045-2322

dc.identifier.issn

2045-2322

dc.identifier.uri

https://hdl.handle.net/10161/18484

dc.language

eng

dc.publisher

Springer Science and Business Media LLC

dc.relation.ispartof

Scientific reports

dc.relation.isversionof

10.1038/s41598-017-02068-6

dc.subject

Myocytes, Cardiac

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Animals

dc.subject

Mice, Knockout

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Mice

dc.subject

Rats

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Hypertrophy, Left Ventricular

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Disease Models, Animal

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Fibroblast Growth Factors

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Biopsy

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Diet

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Signal Transduction

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Myocardial Contraction

dc.subject

Receptor, Fibroblast Growth Factor, Type 4

dc.title

FGF23/FGFR4-mediated left ventricular hypertrophy is reversible.

dc.type

Journal article

duke.contributor.orcid

Grabner, Alexander|0000-0002-5544-1896

duke.contributor.orcid

Wolf, Myles|0000-0002-1127-1442

pubs.begin-page

1993

pubs.issue

1

pubs.organisational-group

School of Medicine

pubs.organisational-group

Duke

pubs.organisational-group

Medicine, Nephrology

pubs.organisational-group

Medicine

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Clinical Science Departments

pubs.organisational-group

Duke Clinical Research Institute

pubs.organisational-group

Institutes and Centers

pubs.organisational-group

Population Health Sciences

pubs.organisational-group

Basic Science Departments

pubs.publication-status

Published

pubs.volume

7

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