LncRNA CHKB-DT Downregulation Enhances Dilated Cardiomyopathy Through ALDH2

Xiang Nie1, Jiahui Fan1, Beibei Dai1,2

  • 1Division of Cardiology, Department of Internal Medicine, Tongji Hospital, Tongji Medical College (X.N., J.F., B.D., Z.W., H.L., C.C., D.W.W.), Huazhong University of Science and Technology, Wuhan, China.

Circulation Research
|February 1, 2024
PubMed

Insights

The long noncoding RNA CHKB-DT is downregulated in dilated cardiomyopathy (DCM). Restoring CHKB-DT improves cardiac function and energy metabolism, suggesting it as a potential therapeutic target for DCM.

Area of Science:

  • Cardiovascular Biology
  • Molecular Genetics
  • Noncoding RNA Research

Background:

  • Dilated cardiomyopathy (DCM) is associated with altered cardiac long noncoding RNA (lncRNA) profiles.
  • The lncRNA CHKB-DT (choline kinase beta divergent transcript) is notably downregulated in human DCM hearts.

Purpose of the Study:

  • To elucidate the functional role of CHKB-DT in the pathogenesis of DCM.
  • To investigate CHKB-DT as a potential therapeutic target for DCM.

Main Methods:

  • Quantitative reverse transcription-polymerase chain reaction and in situ hybridization for lncRNA expression analysis.
  • CRISPR/Cas9-generated CHKB-DT knockout mouse models and adeno-associated virus-mediated gene delivery.
  • Assessment of cardiomyocyte contractility, mitochondrial function (Seahorse XF assay), and ATP production.
  • Mechanistic studies including quantitative proteomics, ribosome profiling, and RNA-protein interaction assays (e.g., RNA pull-down, luciferase assay).

Main Results:

  • CHKB-DT downregulation was confirmed in DCM patients and heart failure mouse models.
  • CHKB-DT heterozygous knockout in cardiomyocytes led to cardiac dilation, dysfunction, and reduced contractility.
  • Mitochondrial dysfunction, decreased ATP production, and impaired cardiac energy metabolism were observed in CHKB-DT knockout models.
  • CHKB-DT directly targets ALDH2 mRNA, influencing its stability and downstream 4-HNE production. Restoring ALDH2 ameliorated cardiac defects in knockout mice.

Conclusions:

  • CHKB-DT is significantly downregulated in DCM and plays a crucial role in maintaining cardiac function and energy metabolism.
  • CHKB-DT acts as an energy metabolism-associated lncRNA and represents a promising therapeutic target for DCM.
Abstract