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PDGFRα: Expression and Function during Mitral Valve Morphogenesis
Kelsey Moore1, Diana Fulmer1, Lilong Guo1
1Department of Regenerative Medicine and Cell Biology, Medical University of South Carolina, Suite 601 Basic Science Building, 173 Ashley Avenue, Charleston, SC 29425, USA.
Abstract:
Mitral valve prolapse (MVP) is a common form of valve disease and can lead to serious secondary complications. The recent identification of MVP causal mutations in primary cilia-related genes has prompted the investigation of cilia-mediated mechanisms of disease inception. Here, we investigate the role of platelet-derived growth factor receptor-alpha (PDGFRα), a receptor known to be present on the primary cilium, during valve development using genetically modified mice, biochemical assays, and high-resolution microscopy. While PDGFRα is expressed throughout the ciliated valve interstitium early in development, its expression becomes restricted on the valve endocardium by birth and through adulthood. Conditional ablation of Pdgfra with Nfatc1-enhancer Cre led to significantly enlarged and hypercellular anterior leaflets with disrupted endothelial adhesions, activated ERK1/2, and a dysregulated extracellular matrix. In vitro culture experiments confirmed a role in suppressing ERK1/2 activation while promoting AKT phosphorylation. These data suggest that PDGFRα functions to suppress mesenchymal transformation and disease phenotypes by stabilizing the valve endocardium through an AKT/ERK pathway.
Insights
Platelet-derived growth factor receptor-alpha (PDGFRα) stabilizes heart valve endocardium during development. Its absence causes mitral valve prolapse-like defects by promoting cell transformation.
Area of Science:
- Cardiovascular Biology
- Developmental Biology
- Cell Signaling
Background:
- Mitral valve prolapse (MVP) is a common valvular heart disease with potential severe complications.
- Recent findings link MVP to mutations in primary cilia genes, suggesting a role for cilia in disease development.
Purpose of the Study:
- To investigate the role of platelet-derived growth factor receptor-alpha (PDGFRα) in heart valve development.
- To elucidate the mechanisms by which PDGFRα influences valve structure and function.
Main Methods:
- Utilized genetically modified mice with conditional Pdgfra ablation.
- Employed biochemical assays and high-resolution microscopy for detailed analysis.
- Conducted in vitro cell culture experiments to assess signaling pathways.
Main Results:
- PDGFRα expression is dynamic during valve development, initially widespread and later restricted to the endocardium.
- Conditional Pdgfra ablation resulted in enlarged, hypercellular valve leaflets with disrupted endothelial integrity and altered extracellular matrix.
- In vitro studies showed PDGFRα suppresses ERK1/2 activation and promotes AKT phosphorylation.
Conclusions:
- PDGFRα is crucial for stabilizing the valve endocardium during development.
- PDGFRα acts through an AKT/ERK signaling pathway to prevent mesenchymal transformation and mitigate disease phenotypes.
- These findings identify PDGFRα as a key regulator in preventing mitral valve prolapse-related pathologies.
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