Molecular mechanisms linking missense ACTG2 mutations to visceral myopathy

Rachel H Ceron1,2, Faviolla A Báez-Cruz1,3, Nicholas J Palmer1,3

  • 1Department of Physiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.

Science Advances
|May 31, 2024
PubMed

Insights

Mutations in smooth muscle gamma-actin (ACTG2) cause visceral myopathy. Specific ACTG2 mutations disrupt actin polymerization and filament stability, leading to disease severity that correlates with biochemical and structural changes.

Area of Science:

  • Genetics
  • Molecular Biology
  • Biochemistry

Background:

  • Visceral myopathy is a severe condition causing muscle weakness in internal organs.
  • Mutations in the smooth muscle gamma-actin (ACTG2) gene are the primary cause of visceral myopathy.
  • The precise molecular mechanisms underlying ACTG2 mutation-induced muscle dysfunction remain unclear.

Purpose of the Study:

  • To investigate how four common ACTG2 mutations (R40C, R148C, R178C, R257C) affect actin function and protein interactions.
  • To correlate the biochemical and structural properties of these ACTG2 mutations with varying disease severities.
  • To explore the impact of heterozygous mutations and potential rescue mechanisms.

Main Methods:

  • Biochemical assays to assess actin polymerization and interactions with actin-binding proteins.
  • Analysis of mutant ACTG2 in 50/50 mixtures with wild-type (WT) ACTG2.
  • Cryo-electron microscopy to determine the structural impact of mutations on actin filaments.
  • Investigating the effect of smooth muscle tropomyosin isoform Tpm1.4 as a potential therapeutic agent.

Main Results:

  • R178C mutation led to premature protein degradation.
  • R148C mutation impaired interactions with key actin-binding proteins.
  • R40C mutation inhibited actin polymerization, while R257C destabilized actin filaments.
  • Heterozygous WT/R40C mutations disrupted leiomodin 1-mediated filament nucleation.
  • WT/R257C mutations resulted in filaments susceptible to fragmentation by smooth muscle myosin.
  • Cryo-EM revealed disrupted intersubunit contacts in R40C and R257C mutant filaments.
  • Tpm1.4 partially rescued the functional defects caused by R40C and R257C mutations.

Conclusions:

  • Specific ACTG2 mutations exhibit distinct molecular defects, including degradation, impaired protein interactions, inhibited polymerization, and filament destabilization.
  • The observed biochemical and structural alterations in ACTG2 mutants directly correlate with the clinical severity of visceral myopathy.
  • Understanding these mutation-specific mechanisms provides insights into disease pathogenesis and potential therapeutic strategies targeting actin dynamics.

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