Abstract
Background
In humans, ACTN2 mutations are identified as highly relevant to a range of cardiomyopathies such as DCM and HCM, while their association with sudden cardiac death has been observed in forensic cases. Although ACTN2 has been shown to regulate sarcomere Z-disc organization, a causal relationship between ACTN2 dysregulation and cardiomyopathies under chronic stress has not yet been investigated.
Objective
In this work, we explored the relationship between Actn2 dysregulation and cardiomyopathies under dexamethasone treatment.
Methods
Previous cases of ACTN2 mutations were collected and the conservative analysis was carried out by MEGA 11, the possible impact on the stability and function of ACTN2 affected by these mutations was predicted by Polyphen-2. ACTN2 was suppressed by siRNA in H9c2 cells under dexamethasone treatment to mimic the chronic stress in vitro. Then the cardiac hypertrophic molecular biomarkers were elevated, and the potential pathways were explored by transcriptome analysis.
Results
Actn2 suppression impaired calcium uptake and increased hypertrophy in H9c2 cells under dexamethasone treatment. Concomitantly, hypertrophic molecular biomarkers were also elevated in Actn2-suppressed cells. Further transcriptome analysis and Western blotting data suggested that Actn2 suppression led to the excessive activation of the MAPK pathway and ERK cascade. In vitro pharmaceutical intervention with ERK inhibitors could partially reverse the morphological changes and inhibit the excessive cardiac hypertrophic molecular biomarkers in H9c2 cells.
Conclusion
Our study revealed a functional role of ACTN2 under chronic stress, loss of ACTN2 function accelerated H9c2 hypertrophy through ERK signaling. A commercial drug, Ibudilast, was identified to reverse cell hypertrophy in vitro.
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Data availability
All analyzed data supporting the findings of this study are available within the article. The raw transcriptome data can be obtained from GEO database under the accession code GSE136096.
Abbreviations
- HPA axis:
-
Hypothalamic-Pituitary-Adrenal Axis
- DCM:
-
Dilated Cardiomyopathy
- HCM:
-
Hypertrophic Cardiomyopathy
- SIDS:
-
Sudden infant Death Syndrome
- LVNC:
-
Left Ventricular Non-Compaction
- RCM:
-
Restrictive Cardiomyopathy
- PFA:
-
Polyformaldehyde
- ROS:
-
Reactive Oxygen Species
- TUNEL:
-
Tdt-Mediated Dutp-Biotin Nick End Labeling
- MAPK:
-
Mitogen-Activated Protein Kinase
- ERK:
-
Extracellular Regulated Protein Kinases
- CNS:
-
Central Nervous System
References
Adzhubei IA, Schmidt S, Peshkin L et al (2010) A method and server for predicting damaging missense mutations. Nat Methods 7:248–249. https://doi.org/10.1038/nmeth0410-248
Arvanitis M, Tampakakis E, Zhang Y et al (2020) Genome-wide association and multi-omic analyses reveal ACTN2 as a gene linked to heart failure. Nat Commun 11:1122. https://doi.org/10.1038/s41467-020-14843-7
Barbosa R, Acevedo LA, Marmorstein R (2021) The MEK/ERK Network as a therapeutic target in Human Cancer. Mol Cancer Res 19:361–374. https://doi.org/10.1158/1541-7786.MCR-20-0687
Beggs AH, Byers TJ, Knoll JH et al (1992) Cloning and characterization of two human skeletal muscle alpha-actinin genes located on chromosomes 1 and 11. J Biol Chem 267:9281–9288
Chai RJ, Werner H, Li PY et al (2021) Disrupting the LINC complex by AAV mediated gene transduction prevents progression of Lamin induced cardiomyopathy. Nat Commun 12:4722. https://doi.org/10.1038/s41467-021-24849-4
Fadoni J, Santos A, Cainé L (2022) Post-mortem genetic investigation in sudden cardiac death victims: complete exon sequencing of forty genes using next-generation sequencing. Int J Legal Med 136:483–491. https://doi.org/10.1007/s00414-021-02765-y
Fan L-L, Huang H, ** J-Y et al (2019) Whole-exome sequencing identifies a Novel mutation (p.L320R) of Alpha-Actinin 2 in a Chinese family with dilated cardiomyopathy and ventricular tachycardia. Cytogenet Genome Res 157:148–152. https://doi.org/10.1159/000496077
Garg TK, Chang JY (2003) Oxidative stress causes ERK phosphorylation and cell death in cultured retinal pigment epithelium: prevention of cell death by AG126 and 15-deoxy-delta 12, 14-PGJ2. BMC Ophthalmol 3:5. https://doi.org/10.1186/1471-2415-3-5
Girolami F, Iascone M, Tomberli B et al (2014) Novel α-actinin 2 variant associated with familial hypertrophic cardiomyopathy and juvenile atrial arrhythmias: a massively parallel sequencing study. Circ Cardiovasc Genet 7:741–750. https://doi.org/10.1161/CIRCGENETICS.113.000486
Guo Y, Cao Y, Jardin BD et al (2021) Sarcomeres regulate murine cardiomyocyte maturation through MRTF-SRF signaling. Proc Natl Acad Sci U S A 118:e2008861118. https://doi.org/10.1073/pnas.2008861118
Gupta V, Discenza M, Guyon JR et al (2012) α-Actinin-2 deficiency results in sarcomeric defects in zebrafish that cannot be rescued by α-actinin-3 revealing functional differences between sarcomeric isoforms. FASEB J 26:1892–1908. https://doi.org/10.1096/fj.11-194548
Hanisch UK, Prinz M, Angstwurm K et al (2001) The protein tyrosine kinase inhibitor AG126 prevents the massive microglial cytokine induction by pneumococcal cell walls. Eur J Immunol 31:2104–2115. https://doi.org/10.1002/1521-4141(200107)31:7%3C2104::aid-immu2104%3E3.0.co;2-3
Hershberger RE, Hedges DJ, Morales A (2013) Dilated cardiomyopathy: the complexity of a diverse genetic architecture. Nat Rev Cardiol 10:531–547. https://doi.org/10.1038/nrcardio.2013.105
Ishibashi J, Saito K, Ishizaki T et al (2021) Ibudilast suppresses MUC5AC mucus production through inhibition of ERK1/2 phosphorylation. Biol Pharm Bull 44:404–409. https://doi.org/10.1248/bpb.b20-00798
Jordan E, Peterson L, Ai T et al (2021) Evidence-based Assessment of genes in dilated cardiomyopathy. Circulation 144:7–19. https://doi.org/10.1161/CIRCULATIONAHA.120.053033
Kishi Y, Ohta S, Kasuya N et al (2001) Ibudilast: a non-selective PDE inhibitor with multiple actions on blood cells and the vascular wall. Cardiovasc Drug Rev 19:215–225. https://doi.org/10.1111/j.1527-3466.2001.tb00066.x
Kraoua L, Jaouadi H, Allouche M et al (2022) Molecular autopsy and clinical family screening in a case of sudden cardiac death reveals ACTN2 mutation related to hypertrophic/dilated cardiomyopathy and a novel LZTR1 variant associated with Noonan syndrome. Mol Genet Genomic Med 10:e1954. https://doi.org/10.1002/mgg3.1954
Larson EJ, Gregorich ZR, Zhang Y et al (2022) Rbm20 ablation is associated with changes in the expression of titin-interacting and metabolic proteins. Mol Omics 18:627–634. https://doi.org/10.1039/d2mo00115b
Leinweber BD, Leavis PC, Grabarek Z et al (1999) Extracellular regulated kinase (ERK) interaction with actin and the calponin homology (CH) domain of actin-binding proteins. Biochem J 344 Pt 1:117–123
Li K, Li Y, Yu Y et al (2021) Bmi-1 alleviates adventitial fibroblast senescence by eliminating ROS in pulmonary hypertension. BMC Pulm Med 21:80. https://doi.org/10.1186/s12890-021-01439-0
Li Z, Liu X, Lin L et al (2023) The grading diagnostic strategy of molecular autopsy combined with pathological autopsy in the forensic diagnosis of cardiomyopathy. Leg Med (Tokyo) 68:102380. https://doi.org/10.1016/j.legalmed.2023.102380
Love MI, Huber W, Anders S (2014) Moderated estimation of Fold change and dispersion for RNA-seq data with DESeq2. Genome Biol 15:550. https://doi.org/10.1186/s13059-014-0550-8
Marian AJ (2021) Molecular genetic basis of hypertrophic cardiomyopathy. Circ Res 128:1533–1553. https://doi.org/10.1161/CIRCRESAHA.121.318346
Mazzarotto F, Tayal U, Buchan RJ et al (2020) Reevaluating the genetic contribution of monogenic dilated cardiomyopathy. Circulation 141:387–398. https://doi.org/10.1161/CIRCULATIONAHA.119.037661
McEwen BS (2008) Central effects of stress hormones in health and disease: understanding the protective and damaging effects of stress and stress mediators. Eur J Pharmacol 583:174–185. https://doi.org/10.1016/j.ejphar.2007.11.071
Ou J, Zhu LJ (2019) trackViewer: a Bioconductor package for interactive and integrative visualization of multi-omics data. Nat Methods 16:453–454. https://doi.org/10.1038/s41592-019-0430-y
Park J, Cho YG, Park HW, Cho JS (2021) Case Report: novel likely pathogenic ACTN2 variant causing heterogeneous phenotype in a Korean Family with Left Ventricular non-compaction. Front Pediatr 9:609389. https://doi.org/10.3389/fped.2021.609389
Ranta-Aho J, Olive M, Vandroux M et al (2022) Mutation update for the ACTN2 gene. Hum Mutat 43:1745–1756. https://doi.org/10.1002/humu.24470
Reading CL, Ahlem CN, Murphy MF (2021) NM101 phase III study of NE3107 in Alzheimer’s disease: rationale, design and therapeutic modulation of neuroinflammation and insulin resistance. Neurodegener Dis Manag 11:289–298. https://doi.org/10.2217/nmt-2021-0022
Sangeetha KN, Lakshmi BS, Niranjali Devaraj S (2016) Dexamethasone promotes hypertrophy of H9C2 cardiomyocytes through calcineurin B pathway, independent of NFAT activation. Mol Cell Biochem 411:241–252. https://doi.org/10.1007/s11010-015-2586-9
Schultheiss H-P, Fairweather D, Caforio ALP et al (2019) Dilated cardiomyopathy. Nat Rev Dis Primers 5:32. https://doi.org/10.1038/s41572-019-0084-1
Singh D, Yadav A, Singh C (2021) Autonomous regulation of inducible nitric oxide synthase and cytochrome P450 2E1-mediated oxidative stress in maneb- and paraquat-treated rat polymorphs. Pestic Biochem Physiol 178:104944. https://doi.org/10.1016/j.pestbp.2021.104944
Tamura K, Stecher G, Kumar S (2021) MEGA11: Molecular Evolutionary Genetics Analysis Version 11. Mol Biol Evol 38:3022–3027. https://doi.org/10.1093/molbev/msab120
van den Hoogenhof MMG, Beqqali A, Amin AS et al (2018) RBM20 mutations induce an arrhythmogenic dilated cardiomyopathy related to disturbed Calcium Handling. Circulation 138:1330–1342. https://doi.org/10.1161/CIRCULATIONAHA.117.031947
Verdonschot JAJ, Hazebroek MR, Krapels IPC et al (2020) Implications of genetic testing in dilated cardiomyopathy. Circ Genom Precis Med 13:476–487. https://doi.org/10.1161/CIRCGEN.120.003031
Walsh R, Offerhaus JA, Tadros R, Bezzina CR (2022) Minor hypertrophic cardiomyopathy genes, major insights into the genetics of cardiomyopathies. Nat Rev Cardiol 19:151–167. https://doi.org/10.1038/s41569-021-00608-2
Wang Y, Guo Z, Gao Y et al (2019) Angiotensin II receptor blocker LCZ696 attenuates cardiac remodeling through the inhibition of the ERK signaling pathway in mice with pregnancy-associated cardiomyopathy. Cell Biosci 9:86. https://doi.org/10.1186/s13578-019-0348-1
Watkins SJ, Borthwick GM, Arthur HM (2011) The H9C2 cell line and primary neonatal cardiomyocyte cells show similar hypertrophic responses in vitro. Vitro Cell Dev Biol Anim 47:125–131. https://doi.org/10.1007/s11626-010-9368-1
Weintraub RG, Semsarian C, Macdonald P (2017) Dilated cardiomyopathy. Lancet 390:400–414. https://doi.org/10.1016/S0140-6736(16)31713-5
Zech ATL, Prondzynski M, Singh SR et al (2022) ACTN2 mutant causes Proteopathy in Human iPSC-Derived cardiomyocytes. Cells 11:2745. https://doi.org/10.3390/cells11172745
Zhang L, Tester DJ, Lang D et al (2016) Does Sudden Unexplained Nocturnal Death Syndrome remain the autopsy-negative disorder: a gross, microscopic, and molecular autopsy investigation in Southern China. Mayo Clin Proc 91:1503–1514. https://doi.org/10.1016/j.mayocp.2016.06.031
Zhou Y, Zhou B, Pache L et al (2019) Metascape provides a biologist-oriented resource for the analysis of systems-level datasets. Nat Commun 10:1523. https://doi.org/10.1038/s41467-019-09234-6
Zhou L, Huang J, Li H et al (2023) Impaired cardiomyocyte maturation leading to DCM: a Case Report and Literature Review. Med (Kaunas) 59:1158. https://doi.org/10.3390/medicina59061158
Funding
This work was supported by the National Natural Science Foundation of China grants (No. 82225023, No. 82302082, No. 82200057, No. 82121001, and No. 81922041), the Natural Science Foundation of Jiangsu Province of China (BK20231263, BK20220321), Key research project of Jiangsu Provincial Health Science and Technology Commission (ZD2022046), Key R&D Plan Social Development General Project of Jiangsu Provincial Department of Science and Technology (BE2023837).
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Kang Wang and Ye Wang performed the cell experiments. Hua Wan, Jie Wang, and Li Hu participated in the bioinformatics analysis. Shuainan Huang and Jiayi Wu analyzed and visualized the data. Kang Wang, Hua Wan, and Mingchen Sheng cooperated in writing the original manuscript. Youjia Yu and **ng Han revised the manuscript. This study was conducted under the supervision of Peng Chen and Feng Chen. All authors read and approved the manuscript.
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The object of this study is H9c2 cells, and the transcriptome data sets related to mice were obtained from GEO from the published literature with known ethics approval. Bioinformatics analysis was performed based on the data, additional ethics approval was not required.
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Wang, K., Wang, Y., Wan, H. et al. Actn2 defects accelerates H9c2 hypertrophy via ERK phosphorylation under chronic stress. Genes Genom (2024). https://doi.org/10.1007/s13258-024-01536-4
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DOI: https://doi.org/10.1007/s13258-024-01536-4