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J Biol Chem, Vol. 274, Issue 52, 37362-37369, December 24, 1999

Synergistic Roles of Neuregulin-1 and Insulin-like Growth Factor-I in Activation of the Phosphatidylinositol 3-Kinase Pathway and Cardiac Chamber Morphogenesis*

Cecilia M. HertigDagger , Steven W. Kubalak§, Yibin Wang, and Kenneth R. ChienDagger ∥

From the Dagger  University of California, San Diego/Salk Program in Molecular Medicine, Department of Medicine and Center for Molecular Genetics, University of California, San Diego, La Jolla, California 92093-0613, the § Department of Cell Biology and Anatomy, Medical University of South Carolina, Charleston, South Carolina 29425-2204, and the  Department of Physiology, University of Maryland, Baltimore, Maryland 20212

Cardiac chamber morphogenesis requires the coordinated growth of both cardiac muscle and endocardial cell lineages. Paracrine growth factors may modulate the coordinated cellular specification and differentiation during cardiac chamber morphogenesis, as suggested by the essential role of endothelial-derived growth factors, neuregulin-1, and insulin-like growth factor-I. Using the whole mouse embryo culture system for delivery of diffusible factors into the cardiac chamber, neuregulin-1 was shown to promote trabeculation of the ventricular wall. Another factor, insulin-like growth factor-I, had no apparent effect by itself. Combined treatment with neuregulin-1 and insulin-like growth factor-I strongly induced DNA synthesis of cardiomyocytes and expansion of both the ventricular compact zone and the atrioventricular cushions leading to chamber growth and maturation. In cultured cardiomyocytes, combined neuregulin-1 and insulin-like growth factor-I also had a synergistic effect to promote DNA synthesis and cellular growth, which were prevented by wortmannin, an inhibitor of phosphatidylinositol 3-kinase. Adenoviral delivery of dominant negative Rac1, which acts downstream of phosphatidylinositol 3-kinase, blocked the effect of combined neuregulin-1/insulin-like growth factor-I treatment. These studies support the concept that the interaction of neuregulin-1 and insulin-like growth factor-I pathways plays an important role in coordinating cardiac chamber morphogenesis and may occur through convergent activation of phosphatidylinositol 3-kinase.


* This work was supported by grants from the National Institutes of Health (to K. R. C.).The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

∥ To whom correspondence should be addressed: Dept. of Medicine, 0613-C, University of California, San Diego, 9500 Gilman Dr., La Jolla, CA 92093-0613. Tel.: 619-534-6835; Fax: 619-534-8180; E-mail: kchien@ucsd.edu.


Copyright © 1999 by The American Society for Biochemistry and Molecular Biology, Inc.
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