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RBM20, a potential target for treatment of cardiomyopathy via titin isoform switching
Wei Guo1,2, Mingming Sun3,4
1Animal Science, University of Wyoming, Laramie, WY, 82071, USA. wguo3@uwyo.edu.
Abstract:
Cardiomyopathy, also known as heart muscle disease, is an unfavorable condition leading to alterations in myocardial contraction and/or impaired ability of ventricular filling. The onset and development of cardiomyopathy have not currently been well defined. Titin is a giant multifunctional sarcomeric filament protein that provides passive stiffness to cardiomyocytes and has been implicated to play an important role in the origin and development of cardiomyopathy and heart failure. Titin-based passive stiffness can be mainly adjusted by isoform switching and post-translational modifications in the spring regions. Recently, genetic mutations of TTN have been identified that can also contribute to variable passive stiffness, though the detailed mechanisms remain unclear. In this review, we will discuss titin isoform switching as it relates to alternative splicing during development stages and differences between species and muscle types. We provide an update on the regulatory mechanisms of TTN splicing controlled by RBM20 and cover the roles of TTN splicing in adjusting the diastolic stiffness and systolic compliance of the healthy and the failing heart. Finally, this review attempts to provide future directions for RBM20 as a potential target for pharmacological intervention in cardiomyopathy and heart failure.
Insights
Titin protein
Area of Science:
- Cardiovascular Biology
- Molecular Cardiology
- Sarcomere Protein Dynamics
Background:
- Cardiomyopathy, or heart muscle disease, involves impaired heart function.
- Titin, a giant sarcomeric protein, influences heart muscle stiffness and is linked to cardiomyopathy.
- Mechanisms of titin's role in heart disease, including genetic mutations and splicing, require further elucidation.
Purpose of the Study:
- To review the role of titin (TTN) isoform switching in cardiomyopathy.
- To explore the regulation of TTN splicing by RBM20.
- To discuss TTN splicing's impact on heart diastolic stiffness and systolic compliance.
Main Methods:
- Literature review focusing on titin biology and cardiomyopathy.
- Analysis of TTN alternative splicing mechanisms.
- Discussion of RBM20's regulatory role in TTN gene expression.
Main Results:
- Titin isoform switching and TTN mutations affect passive myocardial stiffness.
- RBM20 is a key regulator of TTN splicing.
- Altered TTN splicing impacts cardiac diastolic and systolic function in health and disease.
Conclusions:
- Titin's role in cardiomyopathy is multifaceted, involving isoform variation and genetic mutations.
- RBM20-mediated TTN splicing is crucial for regulating cardiac mechanics.
- Targeting RBM20 offers potential therapeutic strategies for cardiomyopathy and heart failure.
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