Cibi Dasan Mary, Bi-Lin Kathleen Wung, Shekeran Shamini Guna, Sandireddy Reddemma, Tee Nicole, Singh Anamika, Wu Yajun, Srinivasan Dinesh Kumar, Kovalik Jean-Paul, Ghosh Sujoy, Seale Patrick, Singh Manvendra K
Program in Cardiovascular and Metabolic Disorders, Duke-NUS Medical School, Singapore 169857.
National Heart Research Institute Singapore, National Heart Center Singapore, Singapore 169609.
Cell Rep. 2020 Oct 20;33(3):108288. doi: 10.1016/j.celrep.2020.108288.
Hypertrophic cardiomyopathy (HCM) is a well-established risk factor for cardiovascular mortality worldwide. Although hypertrophy is traditionally regarded as an adaptive response to physiological or pathological stress, prolonged hypertrophy can lead to heart failure. Here we demonstrate that Prdm16 is dispensable for cardiac development. However, it is required in the adult heart to preserve mitochondrial function and inhibit hypertrophy with advanced age. Cardiac-specific deletion of Prdm16 results in cardiac hypertrophy, excessive ventricular fibrosis, mitochondrial dysfunction, and impaired metabolic flexibility, leading to heart failure. We demonstrate that Prdm16 and euchromatic histone-lysine N-methyltransferase factors (Ehmts) act together to reduce expression of fetal genes reactivated in pathological hypertrophy by inhibiting the functions of the pro-hypertrophic transcription factor Myc. Although young Prdm16 knockout mice show normal cardiac function, they are predisposed to develop heart failure in response to metabolic stress. Our study demonstrates that Prdm16 protects the heart against age-dependent cardiac hypertrophy and heart failure.
肥厚型心肌病(HCM)是全球公认的心血管死亡风险因素。尽管传统上认为心肌肥厚是对生理或病理应激的适应性反应,但长期的心肌肥厚会导致心力衰竭。在此,我们证明Prdm16对心脏发育并非必需。然而,在成年心脏中,它对于维持线粒体功能和抑制衰老过程中的心肌肥厚是必需的。心脏特异性缺失Prdm16会导致心肌肥厚、心室纤维化过度、线粒体功能障碍以及代谢灵活性受损,进而导致心力衰竭。我们证明,Prdm16与常染色质组蛋白赖氨酸N-甲基转移酶因子(Ehmts)共同作用,通过抑制促肥厚转录因子Myc的功能,降低在病理性心肌肥厚中重新激活的胎儿基因的表达。尽管年轻的Prdm16基因敲除小鼠心脏功能正常,但它们在面对代谢应激时易发生心力衰竭。我们的研究表明,Prdm16可保护心脏免受年龄依赖性心肌肥厚和心力衰竭的影响。