Heme oxygenase-1 expression protects the heart from acute injury caused by inducible Cre recombinase

Lab Invest. 2013 Aug;93(8):868-79. doi: 10.1038/labinvest.2013.74. Epub 2013 Jun 3.

Abstract

The protective effect of heme oxygenase-1 (HO-1) expression in cardiovascular disease has been previously demonstrated using transgenic animal models in which HO-1 is constitutively overexpressed in the heart. However, the temporal requirements for protection by HO-1 induction relative to injury have not been investigated, but are essential to employ HO-1 as a therapeutic strategy in human cardiovascular disease states. Therefore, we generated mice with cardiac-specific, tamoxifen (TAM)-inducible overexpression of a human HO-1 (hHO-1) transgene (myosin heavy chain (MHC)-HO-1 mice) by breeding mice with cardiac-specific expression of a TAM-inducible Cre recombinase (MHC-Cre mice), with mice containing an hHO-1 transgene preceded by a floxed-stop signal. MHC-HO-1 mice overexpress HO-1 mRNA and the enzymatically active protein following TAM administration (40 mg/kg body weight on 2 consecutive days). In MHC-Cre controls, TAM administration leads to severe, acute cardiac toxicity, cardiomyocyte necrosis, and 80% mortality by day 3. This cardiac toxicity is accompanied by a significant increase in inflammatory cells in the heart that are predominantly neutrophils. In MHC-HO-1 mice, HO-1 overexpression ameliorates the depression of cardiac function and high mortality rate observed in MHC-Cre mice following TAM administration and attenuates cardiomyocyte necrosis and neutrophil infiltration. These results highlight that HO-1 induction is sufficient to prevent the depression of cardiac function observed in mice with TAM-inducible Cre recombinase expression by protecting the heart from necrosis and neutrophil infiltration. These findings are important because MHC-Cre mice are widely used in cardiovascular research despite the limitations imposed by Cre-induced cardiac toxicity, and also because inflammation is an important pathological component of many human cardiovascular diseases.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Disease
  • Animals
  • Antineoplastic Agents, Hormonal / pharmacology
  • Disease Models, Animal
  • Enzyme Induction
  • Female
  • Heart / drug effects
  • Heart / physiopathology
  • Heart Diseases / enzymology
  • Heart Diseases / mortality
  • Heart Diseases / pathology
  • Heart Diseases / prevention & control*
  • Heme Oxygenase-1 / genetics
  • Heme Oxygenase-1 / metabolism*
  • Humans
  • Integrases / biosynthesis*
  • Integrases / genetics
  • Longevity / drug effects
  • Male
  • Mice
  • Mice, Transgenic
  • Myocardium / enzymology*
  • Myocardium / pathology
  • Myocytes, Cardiac / enzymology
  • Myocytes, Cardiac / pathology
  • Necrosis / chemically induced
  • Neutrophils / drug effects
  • Neutrophils / pathology
  • Survival Rate
  • Tamoxifen / pharmacology

Substances

  • Antineoplastic Agents, Hormonal
  • Tamoxifen
  • Heme Oxygenase-1
  • Cre recombinase
  • Integrases