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Updated: Feb 4, 2026

A Doxorubicin-induced Cardiomyopathy Model in Adult Zebrafish
Published on: June 7, 2018
Doxorubicin induces caspase-mediated proteolysis of KV7.1
Anne Strigli1, Christian Raab1, Sabine Hessler2
1Institute of Biochemistry, Christian Albrechts University of Kiel, Otto-Hahn-Platz 9, 24118, Kiel, Germany.
Abstract:
Kv7.1 (KCNQ1) coassembles with KCNE1 to generate the cardiac IKs -channel. Gain- and loss-of-function mutations in KCNQ1 are associated with cardiac arrhthymias, highlighting the importance of modulating IKs activity for cardiac function. Here, we report proteolysis of Kv7.1 as an irreversible posttranslational modification. The identification of two C-terminal fragments of Kv7.1 led us to identify an aspartate critical for the generation of one of the fragments and caspases as responsible for mediating proteolysis. Activating caspases reduces Kv7.1/KCNE1 currents, which is abrogated in cells expressing caspase-resistant channels. Enhanced cleavage of Kv7.1 can be detected for the LQT mutation G460S, which is located adjacent to the cleavage site, whereas a calmodulin-binding-deficient mutation impairs cleavage. Application of apoptotic stimuli or doxorubicin-induced cardiotoxicity provokes caspase-mediated cleavage of endogenous IKs in human cardiomyocytes. In summary, caspases are novel regulatory components of IKs channels that may have important implications for the molecular mechanism of doxorubicin-induced cardiotoxicity.
Insights
Caspases cleave the Kv7.1 (KCNQ1) protein, altering cardiac IKs channel function. This proteolysis is implicated in doxorubicin-induced cardiotoxicity and cardiac arrhythmias.
Area of Science:
- Molecular biology
- Cardiovascular research
- Biochemistry
Background:
- Kv7.1 (KCNQ1) and KCNE1 form the cardiac IKs channel, crucial for heart rhythm.
- Mutations in KCNQ1 are linked to cardiac arrhythmias, underscoring the need to understand IKs regulation.
Purpose of the Study:
- To investigate the role of proteolysis in Kv7.1 regulation.
- To identify the enzymes responsible for Kv7.1 cleavage and their functional consequences.
Main Methods:
- Identification of Kv7.1 C-terminal fragments.
- Site-directed mutagenesis to identify critical residues (e.g., aspartate) and caspase-resistant mutants.
- Electrophysiological recordings of Kv7.1/KCNE1 currents.
- Analysis of Kv7.1 cleavage in response to apoptotic stimuli and doxorubicin in human cardiomyocytes.
Main Results:
- Proteolysis of Kv7.1 was identified as an irreversible posttranslational modification.
- Caspases were identified as the enzymes responsible for Kv7.1 cleavage.
- Caspase activation reduced Kv7.1/KCNE1 currents, an effect blocked by caspase-resistant channels.
- Enhanced Kv7.1 cleavage was observed with the LQT mutation G460S and impaired with a calmodulin-binding-deficient mutation.
- Caspase-mediated cleavage of endogenous IKs occurred in human cardiomyocytes under apoptotic or doxorubicin-induced cardiotoxicity conditions.
Conclusions:
- Caspases represent novel regulators of cardiac IKs channels.
- Kv7.1 proteolysis by caspases may contribute to the molecular mechanisms underlying doxorubicin-induced cardiotoxicity.
- Understanding this cleavage pathway offers insights into cardiac arrhythmia pathogenesis and drug-induced cardiac dysfunction.
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