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In Situ Immunofluorescent Staining of Autophagy in Muscle Stem Cells
Published on: June 12, 2017
Autophagy is an adaptive response in desmin-related cardiomyopathy
Paul Tannous1, Hongxin Zhu, Janet L Johnstone
1Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
Abstract:
A missense mutation in the alphaB-crystallin (CryAB) gene triggers a severe form of desmin-related cardiomyopathy (DRCM) characterized by accumulation of misfolded proteins. We hypothesized that autophagy increases in response to protein aggregates and that this autophagic activity is adaptive. Mutant CryAB (CryAB(R120G)) triggered a >2-fold increase in cardiomyocyte autophagic activity, and blunting autophagy increased the rate of aggregate accumulation and the abundance of insoluble CryAB(R120G)-associated aggregates. Cardiomyocyte-restricted overexpression of CryAB(R120G) in mice induced intracellular aggregate accumulation and systolic heart failure by 12 months. As early as 2 months (well before the earliest declines in cardiac function), we detected robust autophagic activity. To test the functional significance of autophagic activation, we crossed CryAB(R120G) mice with animals harboring heterozygous inactivation of beclin 1, a gene required for autophagy. Blunting autophagy in vivo dramatically hastened heart failure progression with a 3-fold increase in interstitial fibrosis, greater accumulation of polyubiquitinated proteins, larger and more extensive intracellular aggregates, accelerated ventricular dysfunction, and early mortality. This study reports activation of autophagy in DRCM. Further, our findings point to autophagy as an adaptive response in this proteotoxic form of heart disease.
Insights
Autophagy increases in desmin-related cardiomyopathy (DRCM) due to alphaB-crystallin mutations. This autophagic activity is adaptive, as inhibiting it worsens heart failure and protein aggregate accumulation.
Area of Science:
- Cardiovascular Biology
- Molecular Biology
- Cellular Biology
Background:
- Desmin-related cardiomyopathy (DRCM) is a severe heart condition caused by mutations in the alphaB-crystallin (CryAB) gene.
- DRCM is characterized by the accumulation of misfolded proteins and aggregates within cardiomyocytes.
- The role of cellular stress responses, such as autophagy, in DRCM pathogenesis is not fully understood.
Purpose of the Study:
- To investigate the role of autophagy in response to protein aggregates in DRCM.
- To determine if autophagic activity is an adaptive or detrimental response in this proteotoxic cardiomyopathy.
Main Methods:
- Utilized a mouse model with cardiomyocyte-restricted overexpression of mutant alphaB-crystallin (CryAB(R120G)).
- Assessed autophagic activity and protein aggregate levels in cardiomyocytes.
- Examined the impact of blunting autophagy (using beclin 1 heterozygous inactivation) on disease progression and cardiac function.
Main Results:
- Mutant CryAB(R120G) significantly increased cardiomyocyte autophagic activity.
- Inhibition of autophagy led to increased aggregate accumulation, interstitial fibrosis, and accelerated cardiac dysfunction.
- Early and robust autophagic activity was detected in CryAB(R120G) mice before significant cardiac decline.
Conclusions:
- Autophagy is activated in response to proteotoxic stress in desmin-related cardiomyopathy.
- Autophagic activation serves as an adaptive mechanism to mitigate the accumulation of misfolded proteins and slow disease progression.
- Targeting or enhancing autophagy may represent a therapeutic strategy for DRCM.
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