Perinuclear damage from nuclear envelope deterioration elicits stress responses that contribute to LMNA

Kunal Sikder1, Elizabeth Phillips1, Zhijiu Zhong2

  • 1Center for Translational Medicine, Department of Medicine, Thomas Jefferson University, Philadelphia PA, USA.

Science Advances
|May 8, 2024
PubMed

Insights

Mutations in the lamin A/C gene (LMNA) cause heart disease. This study reveals that perinuclear stress responses, including Golgi and autophagy disruption, drive LMNA cardiomyopathy development in mice.

Area of Science:

  • Cardiovascular Biology
  • Cellular Biology
  • Genetics

Background:

  • Mutations in the LMNA gene cause laminopathies, frequently affecting the heart.
  • The precise mechanisms driving LMNA-associated cardiac dysfunction are not fully understood.

Purpose of the Study:

  • To investigate the cellular and molecular pathogenesis of LMNA-related cardiomyopathy.
  • To identify therapeutic targets for LMNA-associated heart disease.

Main Methods:

  • Conditional cardiomyocyte-specific Lmna deletion in adult mice.
  • Translatome profiling to analyze gene expression changes.
  • Assessment of nuclear, Golgi, and autophagy integrity.
  • Evaluation of therapeutic interventions targeting stress pathways.

Main Results:

  • Mice with cardiomyocyte-specific Lmna deletion rapidly developed cardiomyopathy and pathological remodeling.
  • Nuclear abnormalities, Golgi dilation/fragmentation, and CREB3-mediated stress were observed prior to cardiac dysfunction.
  • Translatome profiling revealed MED25 activation, linked to Golgi stress.
  • Autophagy disruption was evident and could be mimicked by Golgi disruption.
  • Modulators of autophagy or ER stress administration delayed cardiac dysfunction and improved survival.

Conclusions:

  • Stress responses originating from the perinuclear space, involving Golgi and autophagy, are critical in LMNA cardiomyopathy pathogenesis.
  • Targeting autophagy and ER stress pathways shows therapeutic potential for LMNA-related heart conditions.

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