Phosphorylation of CRYAB Induces a Condensatopathy to Worsen Post-Myocardial Infarction Left Ventricular Remodeling

Insights

Protein aggregates in ischemic cardiomyopathy are linked to CRYAB protein phosphorylation. Targeting this phosphorylation pathway offers a potential therapeutic strategy for heart failure.

Area of Science:

  • Cardiovascular Biology
  • Molecular Cardiology
  • Protein Biochemistry

Background:

  • Protein aggregates are implicated in rare heart diseases, but their role in common heart failure syndromes is unclear.
  • Desmin and sarcomeric protein mis-localization to aggregates occurs in human ischemic cardiomyopathy and post-myocardial infarction mouse models.

Purpose of the Study:

  • To investigate the role of the chaperone protein CRYAB and its phosphorylation in ischemic cardiomyopathy.
  • To explore CRYAB phosphorylation-induced condensatopathy as a therapeutic target for heart failure.

Main Methods:

  • Analysis of human and mouse heart tissues with ischemic cardiomyopathy and post-myocardial infarction remodeling.
  • Biochemical fractionation to assess protein partitioning into insoluble aggregates.
  • Generation and analysis of knock-in mouse models with specific CRYAB mutations (S59D and S59A).
  • Assessment of CRYAB condensate properties, protein aggregation, cell death, and cardiac function.

Main Results:

  • Phosphorylation of CRYAB at serine-59 increases its partitioning into insoluble aggregates in both human and mouse hearts.
  • CRYAB S59D mutation mimics disease-causing mutations, leading to reduced condensate fluidity, increased aggregation, and cell death.
  • CRYAB S59A mutation restores condensate fluidity, reduces aggregation, and protects against cell death.
  • S59D CRYAB knock-in mice exhibit desmin mis-localization and myocardial aggregates; S59A CRYAB knock-in mice show improved cardiac function post-myocardial infarction.
  • 25-Hydroxycholesterol reduces CRYAB phosphorylation and mitigates adverse cardiac remodeling post-myocardial infarction.

Conclusions:

  • CRYAB phosphorylation at serine-59 drives protein aggregation and contributes to ischemic cardiomyopathy.
  • Targeting CRYAB phosphorylation-induced condensatopathy presents a promising therapeutic avenue for treating ischemic heart failure.