Activation of Autophagy Ameliorates Cardiomyopathy in Mybpc3-Targeted Knockin Mice

Sonia R Singh1, Antonia T L Zech1, Birgit Geertz1

  • 1From the Department of Experimental Pharmacology and Toxicology, Cardiovascular Research Center, University Medical Center Hamburg-Eppendorf, Germany (S.R.S., A.T.L.Z., B.G., S.R.-D., M.P., E.K., S.S., L.C.); DZHK (German Centre for Cardiovascular Research), partner site Hamburg/Kiel/Lübeck, Germany (S.R.S., A.T.L.Z., B.G., S.R.-D., M.P., E.K., S.S., L.C.); Department of Pediatrics, The Heart Institute, The Cincinnati Children's Hospital Medical Center, OH (S.R.S., H.O., Q.M., J.R.); Radcliffe Department of Medicine, University of Oxford, United Kingdom (C.R.); Department of Physiology, Institute for Cardiovascular Research, VU University Medical Center, Amsterdam, The Netherlands (J.v.d.V.); and ICIN-Netherlands Heart Institute, Utrecht (J.v.d.V.).

Insights

Activating autophagy improves hypertrophic cardiomyopathy (HCM) in a mouse model with MYBPC3 mutations. This suggests autophagy modulation could treat HCM caused by MYBPC3 gene mutations.

Area of Science:

  • Cardiovascular Research
  • Cell Biology
  • Genetics

Background:

  • Hypertrophic cardiomyopathy (HCM) is often caused by sarcomeric protein gene mutations, with MYBPC3 being the most frequent.
  • While autophagy alterations are known in some HCM types, they haven't been extensively studied in MYBPC3-related HCM.

Purpose of the Study:

  • To investigate autophagy alterations in MYBPC3 mutation-associated HCM.
  • To assess the therapeutic potential of autophagy modulation in a MYBPC3-based HCM mouse model.

Main Methods:

  • Evaluated autophagy markers (LC3-II) and autophagic flux in human HCM samples and a MYBPC3 knockin mouse model.
  • Examined the impact of rapamycin and caloric restriction on cardiomyopathy progression and autophagy in knockin mice.

Main Results:

  • HCM hearts showed increased LC3-II levels, indicating altered autophagy.
  • MYBPC3 knockin mice exhibited impaired autophagic flux, glycogen accumulation, and cardiac dysfunction.
  • Rapamycin treatment or caloric restriction partially reversed cardiac dysfunction and restored autophagic flux.

Conclusions:

  • Autophagy is demonstrably altered and impaired in MYBPC3 mutation-associated HCM.
  • Activating autophagy ameliorated cardiac disease in a preclinical model.
  • Targeting autophagy presents a potential therapeutic strategy for MYBPC3-related HCM.
Abstract