Krenz Maike, Gulick James, Osinska Hanna E, Colbert Melissa C, Molkentin Jeffery D, Robbins Jeffrey
Department of Pediatrics, Division of Molecular Cardiovascular Biology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229-3039, USA.
Proc Natl Acad Sci U S A. 2008 Dec 2;105(48):18930-5. doi: 10.1073/pnas.0806556105. Epub 2008 Nov 18.
Noonan syndrome (NS) is the most common nonchromosomal genetic disorder associated with cardiovascular malformations. The most prominent cardiac defects in NS are pulmonary valve stenosis and hypertrophic cardiomyopathy. Gain-of-function mutations in the protein tyrosine phosphatase Shp2 have been identified in 50% of NS families. We created a NS mouse model with selective overexpression of mutant Shp2 (Q79R-Shp2) in the developing endocardial cushions. In our model, Cre recombinase driven by the Tie2 promoter irreversibly activates transgenic Q79R-Shp2 expression in the endothelial-derived cell lineage. Q79R-Shp2 expression resulted in embryonic lethality by embryonic day 14.5. Importantly, mutant embryos showed significantly enlarged endocardial cushions in the atrioventricular canal and in the outflow tract. In contrast, overexpression of wild-type Shp2 protein at comparable levels did not enhance endocardial cushion growth or alter the morphology of the mature adult valves. Expression of Q79R-Shp2 was accompanied by increased ERK1/2 activation in a subset of cells within the cushion mesenchyme, suggesting that hyperactivation of this signaling pathway may play a pathogenic role. To test this hypothesis in vivo, Q79R-Shp2-expressing mice were crossed with mice carrying either a homozygous ERK1 or a heterozygous ERK2 deletion. Deletion of ERK1 completely rescued the endocardial cushion phenotype, whereas ERK2 protein reduction did not affect endocardial cushion size. Constitutive hyperactivation of ERK1/2 signaling alone with a transgenic approach resulted in a phenocopy of the valvular phenotype. The data demonstrate both necessity and sufficiency of increased ERK activation downstream of Shp2 in mediating abnormal valve development in a NS mouse model.
努南综合征(NS)是最常见的与心血管畸形相关的非染色体遗传性疾病。NS中最突出的心脏缺陷是肺动脉瓣狭窄和肥厚型心肌病。在50%的NS家族中已鉴定出蛋白酪氨酸磷酸酶Shp2的功能获得性突变。我们创建了一个NS小鼠模型,在发育中的心内膜垫中选择性过表达突变型Shp2(Q79R-Shp2)。在我们的模型中,由Tie2启动子驱动的Cre重组酶不可逆地激活内皮衍生细胞系中的转基因Q79R-Shp2表达。Q79R-Shp2表达导致胚胎在胚胎第14.5天死亡。重要的是,突变胚胎在房室管和流出道显示心内膜垫明显增大。相比之下,同等水平的野生型Shp2蛋白过表达并未增强心内膜垫生长或改变成熟成年瓣膜的形态。Q79R-Shp2的表达伴随着心垫间充质中一部分细胞内ERK1/2激活增加,表明该信号通路的过度激活可能起致病作用。为了在体内验证这一假设,将表达Q79R-Shp2的小鼠与携带纯合ERK1缺失或杂合ERK2缺失的小鼠杂交。ERK1的缺失完全挽救了心内膜垫表型,而ERK2蛋白减少并未影响心内膜垫大小。单独用转基因方法组成性过度激活ERK1/2信号导致瓣膜表型的拟表型。数据表明,在NS小鼠模型中介导异常瓣膜发育时,Shp2下游ERK激活增加既有必要性也有充分性。