MKK6 deficiency promotes cardiac dysfunction through MKK3-p38γ/δ-mTOR hyperactivation

Rafael Romero-Becerra1, Alfonso Mora1, Elisa Manieri1

  • 1Centro Nacional de Investigaciones Cardiovasculares, Madrid, Spain.

Elife
|August 16, 2022
PubMed

Insights

MKK6 deficiency shortens lifespan and causes cardiac hypertrophy by activating the MKK3-p38γ/δ-mTOR pathway. This cardiac dysfunction is reversible by targeting p38γ/δ or mTOR, suggesting potential cardiotoxicity of p38α inhibitors.

Area of Science:

  • Molecular Biology
  • Cardiovascular Biology
  • Signaling Pathways

Background:

  • Stress-activated p38 kinases are crucial for cellular functions and implicated in diseases like cancer and obesity.
  • Dysregulation of p38 kinases, including p38α, p38β, p38γ, and p38δ, activated by MKK3 and MKK6, is linked to various pathologies.
  • p38 kinases are recognized as potential therapeutic targets.

Purpose of the Study:

  • To investigate the role of MKK6 in mouse lifespan and cardiac function.
  • To elucidate the molecular mechanisms underlying MKK6 deficiency-induced cardiac hypertrophy.
  • To assess the therapeutic potential of targeting specific p38 pathway components or mTOR.

Main Methods:

  • Generation and study of MKK6 knockout (KO) mice.
  • Longitudinal assessment of cardiac function, including hypertrophy, dilatation, and fibrosis.
  • Analysis of p38 kinase activation (p38α, p38γ, p38δ) and mammalian target of rapamycin (mTOR) signaling.
  • Intervention studies involving genetic knockout of p38γ/δ or pharmacological inhibition of mTOR with rapamycin.

Main Results:

  • MKK6 KO mice exhibited reduced lifespan and developed progressive cardiac hypertrophy, dilatation, and fibrosis.
  • Lack of MKK6 led to blunted p38α activation but enhanced MKK3-p38γ/δ phosphorylation and increased mTOR signaling.
  • Cardiac hypertrophy in MKK6 KO mice was ameliorated by knocking out p38γ or p38δ, or by rapamycin treatment.

Conclusions:

  • The MKK3/6-p38γ/δ pathway plays a critical role in the development of cardiac hypertrophy.
  • MKK6 deficiency-induced cardiotoxicity is mediated through p38γ/δ and mTOR signaling.
  • These findings highlight potential cardiotoxicity risks associated with long-term p38α inhibitor use in clinical settings.

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