Myocyte enhancer factors 2A and 2C induce dilated cardiomyopathy in transgenic mice

Jian Xu1, Nanling L Gong, Ilona Bodi

  • 1Departments of Pharmacology and Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, Ohio 45229, USA.

Insights

Myocyte enhancer factor 2 (MEF2) transcription factors directly cause dilated cardiomyopathy and myocyte lengthening. Overexpression of MEF2A or MEF2C in mice led to heart disease, independent of calcineurin signaling.

Area of Science:

  • Cardiovascular Biology
  • Molecular Cardiology
  • Gene Regulation

Background:

  • Cardiac hypertrophy and dilation involve neuroendocrine factors, mitogens, and mechanical stress signaling.
  • Myocyte enhancer factor 2 (MEF2) transcription factors are key mediators in cardiac transcriptional programs.
  • MEF2 activity is modulated by hypertrophic signaling pathways like calcineurin, CaMK, and MAPKs.

Purpose of the Study:

  • To investigate the role of MEF2 transcription factors in inducing cardiac hypertrophy and dilation.
  • To determine if MEF2 functions independently of the calcineurin signaling pathway in cardiomyopathy.
  • To elucidate the molecular mechanisms underlying MEF2-mediated cardiac dysfunction.

Main Methods:

  • Generation of transgenic mouse lines with cardiac-specific overexpression of MEF2A or MEF2C.
  • Assessment of cardiomyopathy in transgenic mice at baseline and under pressure overload conditions.
  • In vitro studies using cultured cardiomyocytes to examine MEF2 effects on cellular structure and gene expression.
  • Adenoviral transfection of cardiomyocytes to study MEF2-induced changes in ion currents.

Main Results:

  • Cardiac-specific overexpression of MEF2A or MEF2C induced dilated cardiomyopathy and myocyte lengthening in mice.
  • The cardiomyopathic phenotype was observed independently of activated calcineurin signaling.
  • Overexpression of MEF2A, MEF2C, or MEF2-VP16 in cultured cardiomyocytes caused sarcomeric disorganization and elongation.
  • MEF2A and MEF2C altered gene expression profiles related to extracellular matrix remodeling, ion handling, and metabolism.
  • Reduced transient outward K+ currents were observed in MEF2-overexpressing cardiomyocytes, suggesting a proximal mechanism.

Conclusions:

  • MEF2 transcription factors are potent inducers of dilated cardiomyopathy and myocyte elongation.
  • MEF2-mediated cardiomyopathy operates independently of the calcineurin signaling pathway.
  • MEF2A and MEF2C orchestrate significant changes in cardiac gene expression, impacting key cellular functions and contributing to disease pathogenesis.

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