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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.
Abstract:
Stress-activated p38 kinases control a plethora of functions, and their dysregulation has been linked to the development of steatosis, obesity, immune disorders, and cancer. Therefore, they have been identified as potential targets for novel therapeutic strategies. There are four p38 family members (p38α, p38β, p38γ, and p38δ) that are activated by MKK3 and MKK6. Here, we demonstrate that lack of MKK6 reduces the lifespan in mice. Longitudinal study of cardiac function in MKK6 KO mice showed that young mice develop cardiac hypertrophy which progresses to cardiac dilatation and fibrosis with age. Mechanistically, lack of MKK6 blunts p38α activation while causing MKK3-p38γ/δ hyperphosphorylation and increased mammalian target of rapamycin (mTOR) signaling, resulting in cardiac hypertrophy. Cardiac hypertrophy in MKK6 KO mice is reverted by knocking out either p38γ or p38δ or by inhibiting the mTOR pathway with rapamycin. In conclusion, we have identified a key role for the MKK3/6-p38γ/δ pathway in the development of cardiac hypertrophy, which has important implications for the clinical use of p38α inhibitors in the long-term treatment since they might result in cardiotoxicity.
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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