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A common variant in PIK3CG gene associated with the prognosis of heart failure
Dong Hu1,2, Lei Xiao3, Shiyang Li4
1Division of Cardiology, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Insights
Common variants in the Phosphoinositide 3-kinase γ (PI3Kγ) gene (PIK3CG) impact heart failure (HF) prognosis. A specific PIK3CG variant affects gene expression and may offer a therapeutic target for HF treatment.
Area of Science:
- Cardiovascular Biology
- Genetics
- Molecular Medicine
Background:
- Phosphoinositide 3-kinase γ (PI3Kγ) plays a role in myocardial remodeling and heart failure (HF).
- PI3Kγ exhibits both kinase-dependent and kinase-independent activities, influenced by G-protein-coupled receptors.
- Previous research indicates PI3Kγ involvement in conditions like transientאַקטיביטי (TAC) and ischemia/reperfusion (I/R) injury.
Purpose of the Study:
- To investigate the association between common variants in the PI3Kγ gene (PIK3CG) and the prognosis of heart failure (HF).
- To explore the functional mechanisms by which identified genetic variants influence PIK3CG expression and cellular response.
- To assess the potential of PIK3CG as a therapeutic target for HF.
Main Methods:
- Re-sequencing and genotyping of the PIK3CG gene in a Chinese Han population.
- Two-stage population study design to validate genetic associations.
- Functional assays including analysis of microRNA binding (has-miR-133a-3p), mRNA and protein expression, and cellular apoptosis under hypoxia/reoxygenation (H/R) conditions.
Main Results:
- A common variant (rs10215499) in the 3'UTR of PIK3CG was significantly associated with HF prognosis in both study cohorts.
- The rs10215499-A allele suppressed PIK3CG translation by enhancing has-miR-133a-3p binding, leading to lower mRNA and protein levels compared to the GG genotype.
- Overexpression of PIK3CG protected against H/R-induced apoptosis in AC16 cells, while PIK3CG silencing exacerbated it.
Conclusions:
- The common variant rs10215499 in the PIK3CG 3'-UTR may influence HF prognosis by modulating miR-133a-3p binding and subsequent PIK3CG expression.
- PIK3CG demonstrates a protective role against hypoxia/reoxygenation-induced apoptosis in cardiomyocytes.
- PIK3CG represents a potential therapeutic target for future heart failure treatments.
Abstract:
Phosphoinositide 3-kinase γ (PI3Kγ) is G-protein-coupled receptor-activated lipid kinase with both kinase-dependent and kinase-independent activity. Plenty of evidence have demonstrated that PI3Kγ participated in TAC and I/R-induced myocardial remodelling and heart failure (HF). In this study, we tested the hypothesis that common variants in the PI3Kγ gene (PIK3CG) were associated with the prognosis of HF in the Chinese Han population. Through re-sequencing and genotyping, we finally identified a common variant in the 3'UTR of PIK3CG strongly associated with the prognosis of HF in two-stage population: adjusted p = 0.007, hazard ratio = 0.56 (0.36-0.85) in the first cohort and adjusted p = 0.024, hazard ratio = 0.39 (0.17-0.88) in the replicated cohort. A series of functional assays revealed that rs10215499-A allele suppressed PIK3CG translation by facilitating has-miR-133a-3p binding, but not the G allele. Subjects carrying the GG genotype showed higher mRNA and protein level than those with AA and AG genotype. Furthermore, overexpression of PIK3CG could protect AC16 from hypoxia/reoxygenation (H/R)-induced apoptosis, while the case was opposite for PIK3CG silencing. In conclusion, common variant rs10215499 in the 3'-UTR of PIK3CG might affect the prognosis of HF by interfering with miR-133a-3p binding and PIK3CG is a promising target for HF treatment in the future.
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