Columbia Researchers Uncover Dangerous Connection Between Serotonin and Heart Valve Disease

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Columbia Researchers Uncover Dangerous Connection Between Serotonin and Heart Valve Disease
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Serotonin can impact the mitral valve of the heart and potentially accelerate a cardiac condition known as degenerative mitral regurgitation, according to a new study led by researchers at Columbia University’s Department of Surgery in collaboration with the Pediatric Heart Valve Center at Children’

This image shows the mitral valve of the heart of a mouse that lacks the serotonin transporter gene. The valve was stained with prico-sirius red to show collagen. SERT knockout mice had a thickened mitral valve compared to normal mice. Credit: Columbia University Irving Medical Center

In DMR, the shape of the mitral valve becomes distorted, preventing the valve from closing completely. This allows blood to leak back toward the lungs , limiting the amount of oxygen-rich blood moving through the heart to the rest of the body. Serotonin binds to specific receptors on the surface of a cell, sending a signal to the cell to act accordingly. A protein known as the serotonin transporter moves serotonin into the cell to be reabsorbed and recycled, a process known as serotonin reuptake.

Using genetic analysis, the researchers identified genetic variants in the SERT gene region 5-HTTLPR that affect SERT activity. They found that a “long” variant of 5-HTTLPR makes SERT less active in the mitral valve cells, especially when there are two copies . DMR patients with the “long-long” variant needed mitral valve surgery more often than those with other variants.

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