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Published on: August 8, 2022
Deficiency of cartilage oligomeric matrix protein causes dilated cardiomyopathy
Yaqian Huang1, Jiahong Xia, Jingang Zheng
1Department of Physiology and Pathophysiology, Basic Medical College of Peking University, Peking University, Beijing, 100191, People's Republic of China.
Insights
Cartilage oligomeric matrix protein (COMP) deficiency causes dilated cardiomyopathy (DCM) in mice. COMP maintains cardiac homeostasis by interacting with integrin β1, suggesting a therapeutic target for DCM.
Area of Science:
- Cardiovascular Biology
- Extracellular Matrix Research
- Integrin Signaling
Background:
- Cardiac extracellular matrix alterations are implicated in dilated cardiomyopathy (DCM) and heart failure.
- The matricellular protein cartilage oligomeric matrix protein (COMP) is present in the heart, but its function is unclear.
Purpose of the Study:
- To investigate the role of COMP in cardiac homeostasis and its involvement in DCM.
Main Methods:
- Utilized COMP knockout (COMP-/-) mice to assess cardiac function and structure.
- Analyzed cardiac tissue from COMP-/- mice and human DCM patient samples.
- Investigated the interaction between COMP and integrin β1 signaling pathways.
Main Results:
- COMP-/- mice developed spontaneous DCM with impaired cardiac function and cardiac ultrastructure defects.
- COMP deficiency led to cardiomyocyte apoptosis, myofilament loss, connexin-43 deficiency, and matrix metalloproteinase activation.
- Reduced COMP expression was found in DCM patients; COMP directly binds integrin β1, preventing its degradation and maintaining cardiac homeostasis.
Conclusions:
- COMP is essential for maintaining cardiac homeostasis.
- The COMP-integrin β1 axis is a critical pathway in preventing DCM and represents a potential therapeutic target.
Abstract:
Alterations in cardiac extracellular matrix are involved in dilated cardiomyopathy (DCM) and its progression to heart failure. The matricellular protein cartilage oligomeric matrix protein (COMP) has been indicated localized in the heart. However, the role of COMP in cardiac homeostasis and disease remains elusive. COMP (-/-) mice, both male and female, developed DCM spontaneously at young age (3-5 months), with impaired cardiac function. Assessment of postnatal COMP (-/-) heart at 1 month, although functionally normal, revealed severe cardiac ultrastructure defect, in parallel with cardiomyocyte apoptosis, myofilament loss, connexin-43 deficiency and matrix metalloproteinase activation. Decreased COMP expression was observed in the heart sample of DCM patients compared with donor heart. Mechanistically, COMP (-/-) heart exhibited reduced integrin β1 expression and signaling. Ectopic expression of COMP or integrin β1 rescued COMP-deficiency-induced cardiomyocyte apoptosis, myofilament dissolution, and connexin-43 aberrance. Additionally, COMP directly bonded to the extracellular β-tail domain of integrin β1, prevented integrin β1 ubiquitination/degradation, and maintained the cardiac homeostasis. COMP-integrin β1 axis is a potential target of DCM.
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