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Prdm16 Deficiency Leads to Age-Dependent Cardiac Hypertrophy, Adverse Remodeling, Mitochondrial Dysfunction, and
Dasan Mary Cibi1, Kathleen Wung Bi-Lin1, Shamini Guna Shekeran1
1Program in Cardiovascular and Metabolic Disorders, Duke-NUS Medical School, Singapore 169857.
Insights
Prdm16 is crucial for adult heart health, preventing age-related cardiac hypertrophy and heart failure by maintaining mitochondrial function. Its absence leads to fibrosis, dysfunction, and metabolic issues, causing heart failure.
Area of Science:
- Cardiovascular Biology
- Molecular Cardiology
- Aging Research
Background:
- Hypertrophic cardiomyopathy (HCM) is a significant cause of heart failure and mortality.
- While cardiac hypertrophy can be adaptive, prolonged growth leads to pathological remodeling and heart failure.
- The role of specific regulatory factors in maintaining adult cardiac function and preventing age-related decline is not fully understood.
Purpose of the Study:
- To investigate the role of Prdm16 in the adult heart.
- To determine if Prdm16 is required for maintaining cardiac function and preventing age-dependent hypertrophy.
- To elucidate the molecular mechanisms by which Prdm16 protects against pathological cardiac remodeling.
Main Methods:
- Generation of cardiac-specific Prdm16 knockout mouse models.
- Assessment of cardiac structure, function, and mitochondrial health in knockout and wild-type mice.
- Analysis of gene expression, including fetal gene reactivation and hypertrophic markers.
- Investigation of the interaction between Prdm16, Ehmts, and Myc in regulating cardiac gene expression.
Main Results:
- Prdm16 is dispensable for cardiac development but essential for adult heart function.
- Cardiac-specific deletion of Prdm16 causes age-dependent cardiac hypertrophy, fibrosis, mitochondrial dysfunction, and heart failure.
- Prdm16, with Ehmts, inhibits Myc activity to suppress fetal gene expression in pathological hypertrophy.
- Prdm16 knockout mice exhibit impaired metabolic flexibility and are susceptible to heart failure under metabolic stress.
Conclusions:
- Prdm16 is a critical regulator of mitochondrial function and metabolic flexibility in the adult heart.
- Prdm16 acts as a protective factor against age-dependent cardiac hypertrophy and heart failure.
- Targeting Prdm16 may offer a therapeutic strategy for preventing or treating age-related cardiovascular diseases.
Abstract:
Hypertrophic cardiomyopathy (HCM) is a well-established risk factor for cardiovascular mortality worldwide. Although hypertrophy is traditionally regarded as an adaptive response to physiological or pathological stress, prolonged hypertrophy can lead to heart failure. Here we demonstrate that Prdm16 is dispensable for cardiac development. However, it is required in the adult heart to preserve mitochondrial function and inhibit hypertrophy with advanced age. Cardiac-specific deletion of Prdm16 results in cardiac hypertrophy, excessive ventricular fibrosis, mitochondrial dysfunction, and impaired metabolic flexibility, leading to heart failure. We demonstrate that Prdm16 and euchromatic histone-lysine N-methyltransferase factors (Ehmts) act together to reduce expression of fetal genes reactivated in pathological hypertrophy by inhibiting the functions of the pro-hypertrophic transcription factor Myc. Although young Prdm16 knockout mice show normal cardiac function, they are predisposed to develop heart failure in response to metabolic stress. Our study demonstrates that Prdm16 protects the heart against age-dependent cardiac hypertrophy and heart failure.
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