Proteomic screening of TMEM43 binding partners identifies VDAC leading to mitochondrial dysfunction

Qingqing Zhu1, Guoxing Zheng1, Yingsi Lu1

  • 1Scientific Research Center, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, Guangdong, China.

Plos One
|December 18, 2025
PubMed

Insights

The common TMEM43 S358L mutation linked to arrhythmogenic right ventricular cardiomyopathy (ARVC5) disrupts protein interactions, particularly with VDACs. This disruption leads to mitochondrial dysfunction in heart cells.

Area of Science:

  • Molecular Biology
  • Cardiovascular Research
  • Cell Biology

Background:

  • The transmembrane protein 43 (TMEM43) S358L mutation is prevalent in arrhythmogenic right ventricular cardiomyopathy type 5 (ARVC5).
  • Understanding TMEM43 mutant interacting proteins is crucial for elucidating ARVC5 pathogenesis.

Purpose of the Study:

  • To identify and characterize differential binding partners of TMEM43 and its S358L mutant.
  • To investigate the functional consequences of altered protein interactions, particularly concerning mitochondrial function.

Main Methods:

  • Quantitative immunoprecipitation (IP)-mass spectrometry (MS) was employed to screen for TMEM43 binding partners.
  • Immunofluorescence (IF) staining and TurboID proximity-labeling were used for validation.
  • Mitochondrial function assays were performed in cardiac myoblast H9c2 cells.

Main Results:

  • 166 differential protein binding candidates were identified for TMEM43 p.S358L.
  • Enrichment analysis revealed involvement in calcium signaling, lipid metabolism, and cardiovascular diseases.
  • A significant decrease in voltage-dependent anion-selective channel proteins (VDAC1 and VDAC2) binding to the TMEM43 mutant was observed.
  • Reduced VDAC binding correlated with mitochondrial dysfunction in cardiac cells expressing TMEM43 p.S358L.

Conclusions:

  • This study provides a comprehensive interactome of TMEM43 p.S358L.
  • The findings suggest TMEM43 plays a critical role in mitochondrial regulation.
  • Altered VDAC binding by TMEM43 mutants contributes to the pathogenesis of ARVC5.