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J. Biol. Chem., Vol. 275, Issue 39, 29927-29930, September 29, 2000
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Protein Kinase C in Pathological Myocardial Hypertrophy
q*
From the Division of Cardiology, University of Cincinnati, Cincinnati, Ohio 45267
Received for publication, June 13, 2000, and in revised form, July 14, 2000
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ABSTRACT |
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The The protein kinase Cs
(PKCs)1 constitute a large
family of ubiquitous phospholipid-dependent
serine-threonine kinases postulated to have diverse effects in the
heart, including mediating cardiac hypertrophy/failure and myocardial
protection (1-3). It has been difficult to establish particular roles
for individual PKC isoforms due to the absence of isoform-specific
agonists and antagonists. Targeted cardiac overexpression of PKC has
been helpful in establishing possible effects of myocardial PKC Transgenic Models--
Details of transgenic mice (FVB/N
background) overexpressing G Western Blot Analysis--
Samples for measurement of transgene
products and PKC expression were prepared as described
previously (12). Briefly, mouse ventricles frozen at Assessment of Cardiac Hypertrophy and Function--
Morphometric
analysis and histological examination of Masson's trichrome-stained
ventricles used standard techniques. Echocardiography was performed to
determine cardiac contractile function in a noninvasive manner; left
ventricular fractional shortening (the proportion of blood ejected
during systole compared with maximal ventricular capacity in diastole)
and left ventricular mass were calculated (14). Cardiac gene expression
was assayed by RNA dot blot analysis using total RNA (3 µg/dot)
extracted from ventricles of nontransgenic and transgenic mice
and 32P-labeled oligonucleotides as probes (11).
Hybridization was quantified using a Storm PhosphorImager (Molecular
Dynamics) and expression of each cardiac gene was normalized to
glyceraldehyde-3-phosphate dehydrogenase.
Statistical Analysis--
All data are expressed as mean ± S.E. Comparisons between G Cardiac-targeted transgenic expression of
isoform of protein kinase C (PKC) has a
critical cardiotrophic function in normal postnatal developing heart as
demonstrated by cardiac-specific transgenic expression of
PKC-selective translocation inhibitor (
V1) and activator
(
RACK) peptides (Mochly-Rosen, D., Wu, G., Hahn, H., Osinska, H.,
Liron, T., Lorenz, J. N., Robbins, J., and Dorn, G. W., II
(2000) Circ. Res. 86, 1173-1179). To define the role of
PKC signaling in pathological myocardial hypertrophy,
V1 or

RACK were co-expressed in mouse hearts with G
q, a
PKC-linked hypertrophy signal transducer. Compared with
G
q overexpression alone, co-expression of 
RACK
with G
q increased
PKC particulate partitioning by
30 ± 2%, whereas co-expression of
V1 with G
q reduced particulate-associated
PKC by 22 ± 1%. Facilitation
of
PKC translocation by 
RACK in G
q mice
improved cardiac contractile function measured as left ventricular
fractional shortening (30 ± 3% G
q
versus 43 ± 2% 
RACK/G
q,
p < 0.05). Conversely, inhibition of
PKC by
V1
modified the G
q nonfailing hypertrophy phenotype to that
of a lethal dilated cardiomyopathy. These opposing effects of
PKC
translocation activation and inhibition in G
q
hypertrophy indicate that
PKC signaling is a compensatory event in
myocardial hypertrophy, rather than a pathological event, and support
the possible therapeutic efficacy of selective
PKC translocation enhancement in cardiac insufficiency.
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INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS AND DISCUSSION
REFERENCES
signaling (4, 5), but the potential for nonspecific or nonphysiological
signaling of overexpressed enzymes warrants a cautious interpretation
of resulting phenotypes. Based on recent insights into the mechanism
for differential PKC isoform subcellular translocation upon activation
(6), a strategy was developed whereby the effects of endogenous
myocardial PKC isoforms such as
PKC could be elucidated by
cardiac-specific expression of peptides that specifically modulate PKC
isoform translocation/activation (7, 8). These
PKC-derived peptides, 
RACK (HDAPIGYD, rat
PKC amino acids 85-92) and
V1 (the
first variable region of rat
PKC, amino acids 2-144) have
previously been shown to specifically modulate
PKC translocation
(7-9). Compared with transgenic overexpression of PKC, a critical
advantage of translocation modification is that PKC isoforms are
specifically regulated without changing the natural stoichiometric
relationships of PKC to its upstream activators and downstream
substrates. Cardiac transgenic models expressing either the
PKC
translocation inhibitor (
V1) or activator (
RACK) were
previously created with opposing cardiac phenotypes of dilated
cardiomyopathy and physiological hypertrophy, respectively (8),
demonstrating that
PKC signaling is both necessary and sufficient
for normal myocardial growth in the developing young mouse. This
apparently beneficial role for
PKC in normal physiologic cardiac
growth is, however, at odds with the widely held notion that
pathological cardiac hypertrophy is the consequence of
PKC signaling (1, 10-13). In addressing this apparent
contradiction, we hypothesized that the effects of
PKC on a diseased
heart might be different than during normal heart development. We
further considered that these putative pathologic effects could be
identified using
PKC-specific translocation modification in the
context of a form of cardiac hypertrophy where
PKC is thought to be
a pathological mediator, like the cardiac-specific G
q-overexpressing mouse, which develops myocardial
hypertrophy and contractile depression associated with
PKC
translocation (11, 12).
V1 or 
RACK were therefore co-expressed
with G
q by cross-breeding the respective individual
transgenic mice to generate compound transgenic mice.
![]()
EXPERIMENTAL PROCEDURES
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS AND DISCUSSION
REFERENCES
q,
V1, or 
RACK
under control of the full-length mouse 
myosin heavy chain (MHC)
promoter have previously been described (7, 8, 11). G
q
mice express G
q at ~5 times nontransgenic levels (the
line previously described as G
q-40) and develop
nonfailing ventricular hypertrophy with modest contractile depression,
which is unresponsive to
-adrenergic agonists (11). 
RACK
transgenic mice develop mild hypertrophy with normal ventricular
function and normal response to
-adrenergic agonists (7, 8). The
V1low (lowest expressing) mice used herein have normal
cardiac mass and function, whereas higher expressing
V1 lines
develop ventricular dilation with wall thinning, diminished systolic
function, and heart failure (8). Compound transgenic mice
overexpressing
V1 or 
RACK and G
q were obtained
by breeding heterozygous
V1low or 
RACK with
heterozygous G
q-40 mice. Transgenes, alone and in
combination, were identified by genomic Southern analysis of tail clip
DNA. All experiments were performed with comparison of littermates.
80 °C
were homogenized in buffer (50 mM Tris-HCl, pH 7.5, 5 mM EDTA, 10 mM EGTA, 5 mM
dithiothreitol, 10 mM benzamidine, 0.5 mM phenylmethylsulfonyl fluoride, 10 µg/ml pepstatin,
10 µg/ml aprotinin, and 10 µg/ml leupeptin) followed by
centrifugation at 100,000 × g for 1 h. The pellet
was further extracted with buffer containing 1% Triton X-100 for 30 min on ice. Proteins were separated on SDS-polyacrylamide gel
electrophoresis and transferred to polyvinylidene difluoride membrane.
V1 and G
q transgene expression were evaluated by
Western blot analysis using anti-FLAG M2 (Sigma) and
anti-G
q/11 (Santa Cruz) monoclonal antibodies,
respectively. PKC isoform expression was measured by quantitative
immunoblot analysis with anti-
PKC (Santa Cruz) and anti-
PKC
antibodies (Transduction Laboratories) using recombinant human
PKC
and
PKC (Calbiochem) as quantitative standards (8, 12). Protein
loading and transfer efficiency were evaluated by amido black staining
of the membrane after immunoblotting.
q and dual transgenic mice
were evaluated using Student's t test, and the
p value of <0.05 was considered as statistically
significant. Values for nontransgenic (NTG) siblings are also presented
for comparison, but were not included in the statistical analysis.
![]()
RESULTS AND DISCUSSION
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS AND DISCUSSION
REFERENCES
V1 and resulting
inhibition of myocardial
PKC translocation has proven that
PKC activation is necessary for normal physiological myocardial growth in
the postnatal period (8). Complementing this finding is the observation
that enhancing
PKC activation by expression of 
RACK stimulates
growth of normally functioning myocardium (8). Herein, we utilized
in vivo translocation modulation to characterize
PKC
effects in G
q-stimulated cardiac hypertrophy, a form of hypertrophy in which
PKC translocation is increased and in which
PKC has therefore been considered to be a possible pathological mediator (11, 12). Compound transgenic mice were generated and
ventricular expression of
V1 and G
q was compared
between parent mice and dual transgenic progeny by Western blot
analysis (Fig. 1A). Compound transgenic
mice expressed both
V1 and G
q at the same levels as
parent lines, indicating that no cross-talk occurred at the level of
transgene expression. As reported previously, it is not possible to
detect 
RACK expression by Western blot analysis due to the small
molecular weight of the peptide (8). However, Northern blot analysis
showed no change in 
RACK and G
q transgene
expression in compound transgenic mice, compared with parent lines
(data not shown).

View larger version (36K):
[in a new window]
Fig. 1.
A, Western blot analysis of transgene
G
q and
V1 expression. Representative of three
separate experiments with similar results. B, quantitative
immunoblot analysis of
PKC expression in G
q and
compound transgenic 
RACK/G
q or
V1/G
q mice. Representative of four experiments. Group
data represent mean ± S.E. for n = 6 per group.
C, comparison of
PKC translocation in transgenic hearts.
Representative of four individual experiments. P,
particulate fraction; C, cytosol fraction. *,
p < 0.05 versus G
q
mice.
G
q activates PKC via phospholipase C (15). As expected
from this signaling pathway, myocardial G
q
overexpression results in increased
PKC partitioning to
particulates, i.e. translocation, associated with a decrease
in total
PKC content which is considered to be a consequence of
chronic
PKC activation (11, 12). We measured the effects of

RACK and
V1 on the expression and translocation of
PKC in
G
q overexpressors using quantitative Western blot analysis.
PKC, which is transcriptionally up-regulated but not translocated in G
q overexpressing hearts (12), was also
measured to assay the isoform specificity of
V1 and 
RACK.
Compared with nontransgenic siblings, 
RACK and
V1 transgenic
mice exhibited a 20 ± 3% increase and 15 ± 2% decrease,
respectively, of
PKC translocation (measured as the
paticulate/cytosol ratio) with no change in
PKC content (data not
shown). This is similar to the initial description of these models (7,
8). As shown in Fig. 1B, combined expression of either

RACK or
V1 with G
q did not alter the
characteristically decreased myocardial
PKC content of
G
q overexpressors (12) (NTG 163 ± 8 ng/mg,
G
q 122 ± 9, 
RACK/G
q 120 ± 6, n = 4 in each group, p = not
significant for 
RACK/G
q versus
G
q; NTG 159 ± 9, G
q 113 ± 12 and
V1/G
q 115 ± 10, n = 4 in
each group, p = not significant for
V1/G
q versus G
q). Fig.
1C shows that particulate partitioning of
PKC, which is
increased by G
q overexpression (11, 12), was further augmented 30 ± 2% in 
RACK/G
q mice
(particulate/cytosol ratio: NTG 1.2 ± 0.1, G
q
2.1 ± 0.1, 
RACK/G
q 2.8 ± 0.2, n = 4 in each group, p < 0.05 for

RACK/G
q versus G
q) and
attenuated by 22 ± 1% in
V1/G
q
(particulate/cytosol ratio: NTG 1.2 ± 0.1, G
q 2.3 ± 0.1 and
V1/G
q 1.8 ± 0.2, n = 4 in each group, p < 0.05 for
V1/G
q versus G
q).
Expression and translocation of
PKC, transcriptionally increased in
G
q hearts relative to NTG (12), were not affected in
G
q mice by the
PKC modifying peptides (
PKC content: NTG 852 ± 79 ng/mg, G
q 1259 ± 93 and 
RACK/G
q 1198 ± 121; NTG 847 ± 125, G
q 1368 ± 110 and
V1/G
q
1359 ± 186; particulate/cytosol ratio: NTG 0.44 ± 0.04, G
q 0.42 ± 0.03 and 
RACK/G
q 0.45 ± 0.03; NTG 0.41 ± 0.04, G
q 0.40 ± 0.01, and
V1/G
q 0.40 ± 0.02), confirming the specific
effects of these peptides on
PKC (7, 9).

RACK/G
q mice were healthy when followed for 5 months. Effects of enhanced
PKC translocation/activation on
G
q-mediated cardiac hypertrophy and contractile
dysfunction were assessed in 12-week-old 
RACK/G
q
mice. Compared with G
q transgenic siblings, ventricular
and atrial weights in 
RACK/G
q mice were reduced (Table I). Left ventricular mass of

RACK/G
q mice calculated from noninvasive
echocardiographic analysis was correspondingly decreased (Table
II). Echocardiography further revealed
that 
RACK/G
q hearts had reduced end diastolic and
systolic dimensions, i.e. that the cardiac ventricles were
smaller before or after contraction, with no change in left
ventricular wall thickness (Table II). Thus, the ratio of wall
thickness to ventricular radius (h/r) was increased, which suggests
concentric ventricular remodeling. Perhaps as a consequence of this
more favorable ventricular geometry, 
RACK expression enhanced
left ventricular contractile function of G
q mice,
measured echocardiographically as the proportion of blood volume
ejected per cardiac cycle, or fractional shortening (NTG 51 ± 3%, 
RACK 47 ± 1%, G
q 30 ± 3% and

RACK/G
q 43 ± 2%).
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A molecular marker of cardiac hypertrophy is increased expression of
the embryonic cardiac genes
-skeletal actin,
-MHC, and atrial
netriuretic peptide (ANF) in ventricle (16). These genes are
highly expressed in G
q overexpressing hearts (11, 14),
and Northern analysis revealed that
-skeletal actin gene expression
was selectively reduced in ventricles of 
RACK/G
q mice, whereas ANF and
-MHC gene expression was not changed from their characteristically elevated levels (11) (Fig.
2B). Since inhibition of
PKC with
V1 in normal hearts was previously shown to selectively
increase expression of
-skeletal actin gene (8), the isolated
reduction of this mRNA by 
RACK in the G
q mice suggests a role for
PKC in transcriptionally regulating actin, but
not ANF or
-MHC expression, in the heart. Taken together, the
results with 
RACK/G
q mice indicate that enhanced
PKC translocation improves ventricular function and normalizes
ventricular geometry, but surprisingly, diminishes the extent of
cardiac hypertrophy in G
q overexpressors.
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Heart failure is not typically observed in
G
q-overexpressing mice, although the characteristic
eccentric hypertrophy is associated with measurable contractile
depression (11). Heart failure also is not a feature of
V1low mice in which hearts are functionally and
histologically normal (8). Thus, breeding G
q with
V1low is the equivalent of crossing two nonfailing
cardiac models. Strikingly, combined expression of
V1low
with G
q caused development of lethal heart failure at
14 ± 2 weeks of age (n = 9). At 12 weeks of age,
V1/G
q mice could not tolerate echocardiographic
analysis under even light anesthesia, so a confident assessment of
in vivo ventricular function at an age matching that of the

RACK/G
q mice was not obtained. However, gross
pathological examination of 12-week-old hearts revealed ventricular
dilatation, focal ventricular wall thinning, and massively enlarged
atria containing intracavitary blood clots, which are typically
observed in chronic low cardiac output states, i.e. heart
failure (Fig. 2A). These gross pathological findings were
much more striking than the histological appearance which revealed only
areas of mild myocardial fibrosis, as detected by blue staining with
Masson's trichrome (Fig. 2C), Interestingly,
V1
overexpression did not alter the program of ANF,
-MHC, or
-skeletal actin gene expression in G
q mice (Fig.
2B). Since a clear mechanism for development of heart
failure was not readily apparent from these postmortem studies, and as
12-week-old mice were too sick to undergo in vivo
physiological assessment, we performed echocardiographic examination of
apparently healthy 6-week-old
V1/G
q mice to help
define the relevant pathophysiology. At 6 weeks,
V1/G
q hearts exhibited ventricular enlargement and wall thinning with depressed contractile function (fractional shortening) compared with G
q, which at this age have not
yet developed contractile dysfunction (Table II). These findings
suggested that
V1low inhibits myocardial growth in the
young developing G
q mice, as
V1high did
in mice with a normal genetic background (8). This notion was confirmed
by a 27% reduction in dry ventricular weight of
V1/G
q mice, compared with G
q (Table
I). In contrast, atrial weight was increased, which, as noted above,
probably reflects contractile depression. Finally, the ratio of
ventricular wall thickness to ventricular radius (h/r) was
significantly diminished, indicating that dilatory remodeling,
i.e. ventricular wall thinning with chamber enlargement, was
already occurring in 6-week-old
V1/G
q mice. Thus,
inhibition of
PKC translocation, which is already "enhanced" in
the G
q mouse, impairs ventricular function, causes cardiac
enlargement with ventricular dilatation, and reduces ventricular mass.
The reciprocal cardiac phenotypes of 
RACK/G
q and
V1/G
q mice described above unequivocally refute our
hypothesis that
PKC signaling contributes to the pathology
associated with G
q-mediated hypertrophy. Although
PKC
activation occurs in G
q hearts, "superactivation" with 
RACK proved to be therapeutic, whereas even the modest impairment of
PKC translocation caused by
V1low,
essentially "normalization," greatly exaggerated the underlying
G
q pathology. Most surprising is that the opposing
effects on cardiac function were not due to opposite effects on cardiac
"hypertrophy" per se, in that 
RACK and
V1 both
decreased left ventricular mass of G
q mice. Rather, it
is apparently an
PKC effect on ventricular geometry that is the
critical determinant of viability, with benefit accruing from

RACK-induced concentric remodeling (of the eccentrically hypertrophied G
q heart (11)) and
V1-induced
ventricular dilatation proving fatal. These changes in geometry were
surprisingly well defined in that they were not associated with
significant changes in ANF or
-MHC gene expression, which are widely
considered to be indices of cardiac pathology (16). In the context of
our prior study (8), the current results show that the molecular and
morphometric effects of
PKC are similar in nontransgenic and
G
q overexpressing hearts, but the effects of
PKC
activation and inhibition are amplified in the G
q model.
An intriguing difference between the current studies of
PKC in the
G
q background and our previous characterization of
PKC translocation modulation in the normal background is the absence of a "hypertrophic" effect of 
RACK plus G
q. We
previously found a modest increase in ventricular mass of 12-week-old

RACK mice, with concentric remodeling. Compared with
G
q, however, 
RACK/G
q ventricles
were concentrically remodeled, but smaller. This suggests that the
intrinsic contractile depression and eccentric remodeling of
G
q mice may itself contribute to the hypertrophic
response. 
RACK improved ventricular geometry and function and as
a consequence diminished the external stimulus for hypertrophy.
A strength of the current studies is that
PKC activity/translocation
was modulated by expressing catalytically inactive peptides rather than
by overexpressing
PKC itself, essentially using transgenesis as a
means of organ-specific drug delivery. However, the effects of
PKC
modulation were measured in the G
q transgenic mouse, which achieves its phenotype by 5-fold increased expression of G
q (11). Thus, concerns regarding stoichiometric excess
and nonspecific activity of overexpressed signaling proteins (which drove our unique approach of PKC isoform translocation modification) apply to the G
q model itself. While the rationale for
choosing the G
q model is strong, i.e. changes
in
PKC translocation, which suggested it as a pathological mediator
(11, 12), the relevance of G
q overexpression to
naturally occurring cardiac disease is uncertain. Additional studies
are therefore ongoing to determine the effects of
V1 and 
RACK
on cardiac hypertrophy and function in hemodynamically stressed hearts.
In conclusion, the current studies contradict the generally accepted
notion that
PKC is a pathophysiological mediator of cardiac disease.
Rather, they support the notion that
PKC translocation, either by
direct administration of 
RACK peptide, by gene therapy, or
through novel pharmacological means, could be used to treat heart
failure in the same manner that induction of "physiological" hypertrophy by exercise or growth factors has proven to be therapeutic (17).
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FOOTNOTES |
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* This work was supported by National Institutes of Health Grants HL58010 and HL52318.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: Division of
Cardiology, University of Cincinnati Medical Center, 231 Bethesda Ave., Cincinnati, OH 45267-0542. Tel.: 513-558-3065; Fax: 513-558-3060; E-mail: dorngw@ucmail.uc.edu.
Published, JBC Papers in Press, July 17, 2000, DOI 10.1074/jbc.C000380200
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ABBREVIATIONS |
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The abbreviations used are: PKC, protein kinase C; MHC, myosin heavy chain; NTG, nontransgenic; ANF, atrial netriuretic peptide.
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REFERENCES |
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E. M. Burkart, M. P. Sumandea, T. Kobayashi, M. Nili, A. F. Martin, E. Homsher, and R. J. Solaro Phosphorylation or Glutamic Acid Substitution at Protein Kinase C Sites on Cardiac Troponin I Differentially Depress Myofilament Tension and Shortening Velocity J. Biol. Chem., March 21, 2003; 278(13): 11265 - 11272. [Abstract] [Full Text] [PDF] |
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E. A. Woodcock, B. H. Wang, J. F. Arthur, A. Lennard, S. J. Matkovich, X.-J. Du, J. H. Brown, and R. D. Hannan Inositol Polyphosphate 1-Phosphatase Is a Novel Antihypertrophic Factor J. Biol. Chem., June 14, 2002; 277(25): 22734 - 22742. [Abstract] [Full Text] [PDF] |
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Y. Iijima, M. Laser, H. Shiraishi, C. D. Willey, B. Sundaravadivel, L. Xu, P. J. McDermott, and D. Kuppuswamy c-Raf/MEK/ERK Pathway Controls Protein Kinase C-mediated p70S6K Activation in Adult Cardiac Muscle Cells J. Biol. Chem., June 14, 2002; 277(25): 23065 - 23075. [Abstract] [Full Text] [PDF] |
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J. M. Pass, J. Gao, W. K. Jones, W. B. Wead, X. Wu, J. Zhang, C. P. Baines, R. Bolli, Y.-T. Zheng, I. G. Joshua, et al. Enhanced PKCbeta II translocation and PKCbeta II-RACK1 interactions in PKCepsilon -induced heart failure: a role for RACK1 Am J Physiol Heart Circ Physiol, December 1, 2001; 281(6): H2500 - H2510. [Abstract] [Full Text] [PDF] |
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B. J. ARONOW, T. TOYOKAWA, A. CANNING, K. HAGHIGHI, U. DELLING, E. KRANIAS, J. D. MOLKENTIN, and G. W. DORN II Divergent transcriptional responses to independent genetic causes of cardiac hypertrophy Physiol Genomics, June 6, 2001; 6(1): 19 - 28. [Abstract] [Full Text] [PDF] |
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G. Wu, M. G. Yussman, T. J. Barrett, H. S. Hahn, H. Osinska, G. M. Hilliard, X. Wang, T. Toyokawa, A. Yatani, R. A. Lynch, et al. Increased Myocardial Rab GTPase Expression: A Consequence and Cause of Cardiomyopathy Circ. Res., December 7, 2001; 89(12): 1130 - 1137. [Abstract] [Full Text] [PDF] |
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