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Originally published In Press as doi:10.1074/jbc.M204572200 on August 5, 2002

J. Biol. Chem., Vol. 277, Issue 40, 37670-37677, October 4, 2002
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Akt Signaling Mediates Postnatal Heart Growth in Response to Insulin and Nutritional Status*

Ichiro ShiojimaDagger §, Mikkael Yefremashvili||, Zhengyu Luo§, Yasuko Kureishi§, Akihiro Takahashi§, Jingzang Tao**, Anthony Rosenzweig**Dagger Dagger , C. Ronald Kahn§§, E. Dale Abel||, and Kenneth WalshDagger §¶¶

From the Dagger  Molecular Cardiology/Whitaker Cardiovascular Institute, Boston University School of Medicine, Boston, Massachusetts 02118, § Division of Cardiovascular Research, St. Elizabeth's Medical Center, Boston, Massachusetts 02135, || Program in Human Molecular Biology and Genetics, University of Utah School of Medicine, Salt Lake City, Utah 84112, ** Program in Cardiovascular Gene Therapy, Cardiovascular Research Center, Massachusetts General Hospital-East, Charlestown, Massachusetts 02129, and §§ Research Division, Joslin Diabetes Center and Department of Medicine, Harvard Medical School, Boston, Massachusetts 02215

Akt is a serine-threonine kinase that mediates a variety of cellular responses to external stimuli. During postnatal development, Akt signaling in the heart was up-regulated when the heart was rapidly growing and was down-regulated by caloric restriction, suggesting a role of Akt in nutrient-dependent regulation of cardiac growth. Consistent with this notion, reductions in Akt, 70-kDa S6 kinase 1, and eukaryotic initiation factor 4E-binding protein 1 phosphorylation were observed in mice with cardiac-specific deletion of insulin receptor gene, which exhibit a small heart phenotype. In contrast to wild type animals, caloric restriction in these mice had little effect on Akt phosphorylation in the heart. Furthermore, forced expression of Akt1 in these hearts restored 70-kDa S6 kinase 1 and eukaryotic initiation factor 4E-binding protein 1 phosphorylation to normal levels and rescued the small heart phenotype. Collectively, these results indicate that Akt signaling mediates insulin-dependent physiological heart growth during postnatal development and suggest a mechanism by which heart size is coordinated with overall body size as the nutritional status of the organism is varied.


* This work was supported by National Institutes of Health Grants HL66957, HL50692, AR40197, AG15052, and AG17241 (to K. W.), HL62886 and DK58073 (to E. D. A.), and HL59521 and HL61557 (to A. R.).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.

Supported by a Merck Banyu Fellowship Award, Tanabe Medical Frontier Conference, and an American Heart Association New England Affiliate Fellowship Award.

Dagger Dagger Established investigator of the American Heart Association.

¶¶ To whom correspondence should be addressed: Molecular Cardiology/CVI, Boston University School of Medicine, 715 Albany St., Boston, MA 02118. Tel.: 617-414-2392; Fax: 617-414-2391; E-mail: kxwalsh@bu.edu.


Copyright © 2002 by The American Society for Biochemistry and Molecular Biology, Inc.
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