Heart-directed expression of a human cardiac isoform of cAMP-response element modulator in transgenic mice

Frank U Müller, Geertje Lewin, Hideo A Baba, Peter Bokník, Larissa Fabritz, Uwe Kirchhefer, Paulus Kirchhof, Karin Loser, Marek Matus, Joachim Neumann, Burkhard Riemann, Wilhelm Schmitz

Research output: Contribution to journalArticlepeer-review

65 Citations (Scopus)


The transcriptional activation mediated by cAMP-response element (CRE) and transcription factors of the CRE-binding protein (CREB)/CRE modulator (CREM) family represents an important mechanism of cAMP-dependent gene regulation possibly implicated in detrimental effects of chronic beta-adrenergic stimulation in end-stage heart failure. We studied the cardiac role of CREM in transgenic mice with heart-directed expression of CREM-IbDeltaC-X, a human cardiac CREM isoform. Transgenic mice displayed atrial enlargement with atrial and ventricular hypertrophy, developed atrial fibrillation, and died prematurely. In vivo hemodynamic assessment revealed increased contractility of transgenic left ventricles probably due to a selective up-regulation of SERCA2, the cardiac Ca(2+)-ATPase of the sarcoplasmic reticulum. In transgenic ventricles, reduced phosphorylation of phospholamban and of the CREB was associated with increased activity of serine-threonine protein phosphatase 1. The density of beta(1)-adrenoreceptor was increased, and messenger RNAs encoding transcription factor dHAND and small G-protein RhoB were decreased in transgenic hearts as compared with wild-type controls. Our results indicate that heart-directed expression of CREM-IbDeltaC-X leads to complex cardiac alterations, suggesting CREM as a central regulator of cardiac morphology, function, and gene expression.

Original languageEnglish
Pages (from-to)6906-14
Number of pages9
JournalJournal of Biological Chemistry
Issue number8
Publication statusPublished - 25 Feb 2005


  • Animals
  • Atrial Fibrillation
  • Cardiomegaly
  • Cyclic AMP Response Element Modulator
  • DNA-Binding Proteins
  • Gene Expression Regulation
  • Humans
  • Mice
  • Mice, Transgenic
  • Mortality
  • Myocardium
  • Phosphorylation
  • Protein Isoforms
  • Transcription Factors
  • Ventricular Dysfunction


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