The Role of Pyruvate Dehydrogenase Kinase 4
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THE ROLE OF PYRUVATE DEHYDROGENASE KINASE 4 (PDK4) GENE MUTATION IN THE IMPAIRMENT OF METABOLIC FLEXIBILITY AND DEVELOPMENT OF DILATED CARDIOMYOPATHY IN DOBERMAN PINSCHERS By LUIZ BOLFER A DISSERTATION PRESENTED TO THE GRADUATE SCHOOL OF THE UNIVERSITY OF FLORIDA IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF DOCTOR OF PHILOSOPHY UNIVERSITY OF FLORIDA 2018 © 2018 Luiz Bolfer This work is dedicated to my wife, Lillian, who has been a constant source of support and encouragement during the challenges of graduate school and life. I am truly thankful for having you in my life. This work is also dedicated to my parents, Jose Luiz and Elisabete, who have always loved me unconditionally and whose good examples have taught me to work hard for the things that I aspire to achieve. ACKNOWLEDGMENTS I would like to first thank my primary advisors Dr. Amara Estrada, and Dr. Christina Pacak, for their constant encouragement and support during this long road and huge step on the development of my career. I also would like to thank the University of Florida (UF) Veterinary Clinical Sciences program, and Dr. Ammon Peck and Mrs. Sally O’Connell in the Office of Graduate Studies and Research – I thank you for working to negotiate the logistics of my program and for providing me with the support needed to see my dissertation research through to completion. Furthermore, I would like to thank each of my committee members, Drs. Barry Byrne, Christina Pacak, Naohiro Terada, Peter Stacpoole, Thomas Conlon, and Thomas Vickroy. I thank you all for the expertise, encouragement, and enduring optimism every step of the way. Special thank you to Dr. Pacak for allowing me to develop my project at her laboratory and for spending countless hours helping me troubleshoot the methods – answering my questions at all hours of the days, and even weekends. I cannot thank Dr. Pacak enough for the time and energy she devoted to assisting with my research, and I thoroughly enjoyed being a part of her laboratory team. Many individuals at the University of Florida, College of Veterinary Medicine also touched my life, both personally and professionally, and helped me get to where I am today. Lastly, I would like to thank my parents Jose Luiz and Elisabete, and my brother Guilherme, and Sister Caroline. I am so grateful for the love and encouragement they have always shown me and for their belief in my ability to achieve anything I put my 4 mind to. I also could not have achieved this accomplishment without the patient, understanding, and loving support of my wife, Lillian. She helped to pull me through this experience – sharing in my successes but also bearing the brunt of my stress and frustrations. Lillian encouraged me to push forward and preserve and kept me focused on the end result, and for lending her ear when I needed to vent, and for her snuggles when it was time to procrastinate. Finally, I would like to thank my daughter Lydia, and my son Leonardo, even though they are too young to understand what Daddy went through, they have already changed completely the meaning of my life moving forward. 5 TABLE OF CONTENTS ACKNOWLEDGMENTS ...................................................................................................... 4 LIST OF TABLES ................................................................................................................ 8 LIST OF FIGURES .............................................................................................................. 9 LIST OF ABBREVIATIONS ............................................................................................... 10 CHAPTER 1 INTRODUCTION ........................................................................................................ 13 Familial DCM in DPs ................................................................................................... 14 Similarities to Human DCM Have Led to Several Studies Looking for a Possible Causative Gene in Canines ........................................................................................ 15 Impaired Myocardial Energy Metabolism and Mitochondrial Dysfunction Has Been Associated with DCM in DPs ............................................................................ 16 The Pivotal Role of Pyruvate Dehydrogenase Kinase 4 in Myocardial Fatty Acid and Glucose Oxidation ............................................................................................... 17 Pyruvate Dehydrogenase and the Connection Between Cardiac Remodeling, Metabolic Activity Shift, and Heart Failure ................................................................. 20 Regulation of Pyruvate Dehydrogenase Complex in the Heart Is Dependent on PDK4 as well as PDK2 ............................................................................................... 22 2 A MUTATION IN THE PDK4 GENE LEADS TO A DECREASE GENE EXPRESSION OF EXONS 10 AND 11...................................................................... 25 Materials and Methods ............................................................................................... 29 Animals ................................................................................................................. 30 Inclusion Criteria ................................................................................................... 30 Exclusion Criteria ................................................................................................. 30 Echocardiography ................................................................................................ 31 Holter Recordings................................................................................................. 31 Harvesting of Fibroblasts ..................................................................................... 32 Extracting RNA for PCR ....................................................................................... 32 Quantitative PCR.................................................................................................. 32 Statistical Analysis................................................................................................ 33 Results ........................................................................................................................ 33 Signalment ............................................................................................................ 33 Cardiac Evaluations ............................................................................................. 33 PCR Results ......................................................................................................... 34 Discussion ................................................................................................................... 35 3 A MUTATION IN THE PDK4 GENE LEADS TO A DECREASED EXPRESSION OF PDK4 PROTEIN AND DISRRUPTION OF THE C-TERMINAL DOMAIN .......... 47 6 Materials and Methods ............................................................................................... 48 Enzyme-Linked Immunosorbent Assay (ELISA) ................................................. 48 Statistical Analysis................................................................................................ 49 Results ........................................................................................................................ 49 Discussion ................................................................................................................... 49 4 PYRUVATE DEHYDROGENASE COMPLEX PROTEIN EXPRESSION AND FUNCTION ARE ALTERED IN CANINES WITH PDK4 MUTATION ....................... 55 Materials and Methods ............................................................................................... 58 ELISA Assays ....................................................................................................... 58 Statistical Analysis................................................................................................ 59 Results ........................................................................................................................ 60 Discussion ................................................................................................................... 62 5 PRIMARY SKIN FIBROBLAST ABUNDANCE, MORPHOLOGY AND CYTOSKELETAL STRUCTURE UPON STARVATION IN DIFFERENT PDK4 MUTANT CONDITIONS. ............................................................................................ 69 Materials and Methods ............................................................................................... 72 Fibroblast Isolation and Culture ........................................................................... 72 Viability Assays .................................................................................................... 72 Immunofluorescence ............................................................................................ 72 Data Processing ................................................................................................... 73 Results ........................................................................................................................ 73 Discussion ................................................................................................................... 75 6 MITOCHONDRIA OF MUTANT DOBERMAN PINSCHERS HAVE LOWER METABOLIC POTENTIAL AND FUNCTION ............................................................. 80 Materials and Methods ..............................................................................................