Deprivation of MKK7 in cardiomyocytes provokes heart failure in mice when exposed to pressure overload

There is little doubt that members of mitogen-activated protein kinase (MAPK) families play key roles in the transition from adaptive hypertrophic remodeling to heart failure. Mitogen-activated protein kinase kinase 7 (MKK7) is a critical component of stress-activated MAP kinase signaling pathway. The role of MKK7 plays in mediating cardiac remodeling in response to load stress has yet to be defined. Herein, we investigate the role of MKK7 in regulating cardiac remodeling in response to pressure overload.We generated and examined the phenotype of mice with cardiomyocyte-specific deletion of the mkk7 gene (MKK7cko). Following one week of pressure overload, MKK7cko mice exhibited characteristic phenotypes of heart failure evidenced by deterioration in ventricular function and pulmonary congestion. Cell death assays revealed an increased prevalence of cardiomyocyte apoptosis in the MKK7cko heart, in which elevated p53 levels and attenuated expression of manganese superoxide dismutase (MnSOD) were found. Moreover, extensive interstitial fibrosis was discovered in the knockout heart likely attributable to upregulation of transforming growth factor β (TGF-β) signaling. These results reveal an essential role of MKK7 in cardiomyocytes for protecting the heart from hypertrophic insults thereby preventing the transition to heart failure.

Research highlights
► It shows that MKK7 is essential for cardiomyocyte survival.
► It unravels that MKK7 is required for suppressing extracellular matrix (ECM) deposition.
► The NFAT signalling is involved in MKK7 deficiency-mediated cardiac hypertrophy.