Department of Morphology, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Department of Biochemistry and Immunology, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
FEBS J. 2019 Jan;286(1):110-123. doi: 10.1111/febs.14706. Epub 2018 Dec 20.
Huntington's disease (HD) is a neurodegenerative genetic disorder. Although described as a brain pathology, there is evidence suggesting that defects in other systems can contribute to disease progression. In line with this, cardiovascular defects are a major cause of death in HD. To date, relatively little is known about the peripheral abnormalities associated with the disease. Here, we applied a range of assays to evaluate cardiac electro-mechanical properties in vivo, using a previously characterized mouse model of HD (BACHD), and in vitro, using cardiomyocytes isolated from the same mice. We observed conduction disturbances including QT interval prolongation in BACHD mice, indicative of cardiac dysfunction. Cardiomyocytes from these mice demonstrated cellular electro-mechanical abnormalities, including a prolonged action potential, arrhythmic contractions, and relaxation disturbances. Cellular arrhythmia was accompanied by an increase in calcium waves and increased Ca /calmodulin-dependent protein kinase II activity, suggesting that disruption of calcium homeostasis plays a key part. We also described structural abnormalities in the mitochondria of BACHD-derived cardiomyocytes, indicative of oxidative stress. Consistent with this, imbalances in superoxide dismutase and glutathione peroxidase activities were detected. Our data provide an in vivo demonstration of cardiac abnormalities in HD together with new insights into the cellular mechanistic basis, providing a possible explanation for the higher cardiovascular risk in HD.
亨廷顿病(HD)是一种神经退行性遗传疾病。尽管被描述为一种大脑病理学,但有证据表明其他系统的缺陷也可能导致疾病进展。与此一致的是,心血管缺陷是 HD 患者死亡的主要原因。迄今为止,人们对与该疾病相关的外周异常相对了解较少。在这里,我们使用先前经过表征的 HD 小鼠模型(BACHD)在体内和从相同小鼠分离的心肌细胞在体外应用了一系列测定法来评估心脏的机电特性。我们观察到 BACHD 小鼠存在传导障碍,包括 QT 间期延长,表明存在心脏功能障碍。这些小鼠的心肌细胞表现出细胞机电异常,包括动作电位延长、心律失常收缩和舒张障碍。细胞心律失常伴随着钙波增加和钙/钙调蛋白依赖性蛋白激酶 II 活性增加,表明钙稳态的破坏起着关键作用。我们还描述了源自 BACHD 的心肌细胞中线粒体的结构异常,表明存在氧化应激。与此一致的是,检测到超氧化物歧化酶和谷胱甘肽过氧化物酶活性的失衡。我们的数据提供了 HD 中心脏异常的体内证据,并提供了对细胞机制基础的新见解,为 HD 中更高的心血管风险提供了可能的解释。