与心律失常性心肌病相关的患者突变增强了钙蛋白酶介导的桥粒芯糖蛋白降解。

Patient mutations linked to arrhythmogenic cardiomyopathy enhance calpain-mediated desmoplakin degradation.

机构信息

Department of Biomedical Engineering, Yale University, New Haven, Connecticut, USA.

Department of Physiology and Cell Biology and.

出版信息

JCI Insight. 2019 Jun 13;5(14):128643. doi: 10.1172/jci.insight.128643.

Abstract

Arrhythmogenic cardiomyopathy (ACM) is an inherited disorder with variable genetic etiologies. Here we focused on understanding the precise molecular pathology of a single clinical variant in DSP, the gene encoding desmoplakin. We initially identified a novel missense desmoplakin variant (p.R451G) in a patient diagnosed with biventricular ACM. An extensive single-family ACM cohort was assembled, revealing a pattern of coinheritance for R451G desmoplakin and the ACM phenotype. An in vitro model system using patient-derived induced pluripotent stem cell lines showed depressed levels of desmoplakin in the absence of abnormal electrical propagation. Molecular dynamics simulations of desmoplakin R451G revealed no overt structural changes, but a significant loss of intramolecular interactions surrounding a putative calpain target site was observed. Protein degradation assays of recombinant desmoplakin R451G confirmed increased calpain vulnerability. In silico screening identified a subset of 3 additional ACM-linked desmoplakin missense mutations with apparent enhanced calpain susceptibility, predictions that were confirmed experimentally. Like R451G, these mutations are found in families with biventricular ACM. We conclude that augmented calpain-mediated degradation of desmoplakin represents a shared pathological mechanism for select ACM-linked missense variants. This approach for identifying variants with shared molecular pathologies may represent a powerful new strategy for understanding and treating inherited cardiomyopathies.

摘要

致心律失常性心肌病(ACM)是一种具有可变遗传病因的遗传性疾病。在这里,我们专注于了解编码桥粒斑蛋白(desmoplakin)的 DSP 基因中单一临床变异的精确分子病理学。我们最初在一位被诊断为双心室 ACM 的患者中发现了一个新型错义桥粒斑蛋白变异(p.R451G)。我们组建了一个广泛的单一家族 ACM 队列,发现 R451G 桥粒斑蛋白和 ACM 表型存在共遗传模式。使用患者来源的诱导多能干细胞系的体外模型系统显示,在不存在异常电传播的情况下,桥粒斑蛋白水平降低。对桥粒斑蛋白 R451G 的分子动力学模拟显示没有明显的结构变化,但观察到围绕假定钙蛋白酶靶位点的分子内相互作用显著丧失。重组桥粒斑蛋白 R451G 的蛋白降解测定证实了钙蛋白酶易感性增加。计算机筛选确定了一组另外 3 种具有明显增强钙蛋白酶易感性的 ACM 相关桥粒斑蛋白错义突变,这些预测得到了实验的证实。与 R451G 一样,这些突变存在于具有双心室 ACM 的家族中。我们得出结论,钙蛋白酶介导的桥粒斑蛋白降解增加代表了一组特定 ACM 相关错义变异的共同病理机制。这种用于识别具有共同分子病理学的变异的方法可能代表了理解和治疗遗传性心肌病的一种强大的新策略。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索