TEAD1 trapping by the Q353R-Lamin A/C causes dilated cardiomyopathy

Shintaro Yamada1,2, Toshiyuki Ko1, Masamichi Ito1,3

  • 1Department of Cardiovascular Medicine, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo 113-0033, Japan.

Science Advances
|April 14, 2023
PubMed

Insights

Mutant Lamin A/C protein traps transcription factor TEAD1, hindering cardiomyocyte development and causing Q353R-LMNA dilated cardiomyopathy (DCM). Inhibiting the Hippo pathway may offer a therapeutic strategy for this laminopathy.

Area of Science:

  • Cardiovascular Biology
  • Molecular Genetics
  • Cellular Biology

Background:

  • Mutations in the LMNA gene, encoding Lamin A/C, are linked to laminopathies, including dilated cardiomyopathy (DCM).
  • The precise molecular mechanisms driving LMNA-related DCM remain incompletely understood.
  • Lamin A/C are crucial structural components of the nuclear lamina in cardiomyocytes.

Purpose of the Study:

  • To elucidate the molecular pathogenesis of Q353R-LMNA related dilated cardiomyopathy.
  • To investigate the role of transcription factor TEAD1 in LMNA-mutant cardiomyocyte development.
  • To explore potential therapeutic interventions targeting transcriptional dysregulation.

Main Methods:

  • Single-cell RNA sequencing (RNA-seq) for gene expression profiling.
  • Assay for transposase-accessible chromatin using sequencing (ATAC-seq) to assess chromatin accessibility.
  • Protein array and electron microscopy for structural and molecular analysis.

Main Results:

  • Mutant Lamin A/C sequesters transcription factor TEAD1 at the nuclear membrane, impairing cardiomyocyte structural maturation.
  • TEAD1 trapping leads to dysregulation of cardiac developmental genes in LMNA mutant cardiomyocytes.
  • Inhibition of the Hippo pathway ameliorated TEAD1-mediated gene dysregulation.
  • Analysis of patient-derived cardiac tissues confirmed dysregulated expression of TEAD1 target genes.

Conclusions:

  • TEAD1 sequestration by mutant Lamin A/C is a key mechanism in Q353R-LMNA related DCM pathogenesis.
  • Targeting transcriptional dysregulation via Hippo pathway modulation presents a potential therapeutic avenue for LMNA-related DCM.
  • Further research into TEAD1-Lamin A/C interactions could reveal novel therapeutic targets for laminopathies.