Highly variable mRNA expression and splicing of L-type voltage-dependent calcium channel alpha subunit 1C in human

Danxin Wang1, Audrey C Papp, Philip F Binkley

  • 1Program in Pharmacogenomics, Department of Pharmacology, College of Medicine, The Ohio State University, Columbus, Ohio 43210, USA.

Insights

Interindividual variability in CACNA1C mRNA splicing creates diverse protein isoforms. This splicing variation, not genetic polymorphisms, significantly impacts L-type calcium channel function and drug response.

Area of Science:

  • Cardiovascular genetics
  • Molecular cardiology
  • Pharmacogenomics

Background:

  • The voltage-dependent L-type calcium channel alpha-subunit 1c (Cav1.2, CACNA1C) exhibits extensive mRNA splicing, producing functionally diverse isoforms.
  • L-type calcium channel blockers are crucial for treating hypertension and arrhythmias, yet patient responses exhibit significant interindividual variability.

Purpose of the Study:

  • To investigate the extent of interindividual variability in CACNA1C mRNA expression and splicing patterns.
  • To explore the role of CACNA1C splicing and potential polymorphisms in observed functional variations.

Main Methods:

  • Quantitative polymerase chain reaction (PCR) was employed to measure splice variants across 12 loci of CACNA1C mRNA in 65 human heart tissue samples.
  • Allelic expression ratios for total CACNA1C mRNA and specific splice variants were determined using single nucleotide polymorphisms (SNPs) in exons 4 and 30 to identify functional cis-acting polymorphisms.

Main Results:

  • Total CACNA1C mRNA levels displayed a 50-fold variation between individuals.
  • Significant alternative splicing was observed in six loci, yielding multiple splice variants with distinct functional implications.
  • Splice patterns varied considerably among individuals, with two samples predominantly expressing the smooth muscle isoform instead of the cardiac isoform.
  • The absence of significant allelic expression imbalance for total mRNA and splice variants suggested that CACNA1C polymorphisms are unlikely to be the primary source of variability.

Conclusions:

  • Highly variable CACNA1C mRNA splicing is a major driver of profound phenotypic variations in channel function.
  • These splicing-driven variations may contribute to differential disease susceptibility and variable responses to L-type calcium channel blocker medications.
Abstract

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