Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, 565-0871, Japan.
Department of Cardiovascular Regenerative Medicine, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, 565-0871, Japan.
Sci Rep. 2021 May 14;11(1):10351. doi: 10.1038/s41598-021-89603-8.
Duchenne muscular dystrophy (DMD) is characterized by progressive muscle degeneration accompanied by dilated cardiomyopathy. Recently, abnormality of yes-associated protein (YAP) has been reported as the pathogenesis of muscle degeneration of DMD; however YAP activity remains unclear in dystrophic heart of DMD. Herein, we investigated YAP activity using disease-specific induced pluripotent stem cell (iPSC) derived cardiomyocytes (CMs) in DMD. DMD-iPSCs were generated from DMD patient with exon 48-54 deletion in DMD, and genome-edited (Ed)-DMD-iPSCs with in-frame (Ed-DMD-iPSCs) were created using CRISPR/Cas9. Nuclear translocation of YAP [nuclear (N)/cytoplasmic (C) ratio] was significantly lower in DMD-iPSC-CMs than in Ed-DMD-iPSC-CMs. In addition, Ki67 expression, indicating proliferative ability, was significantly lower in DMD-iPSC-CMs than Ed-DMD-iPSC-CMs. Therefore, immunofluorescent staining showed that actin stress fibers associated with YAP activity by mechanotransduction were disorganized in DMD-iPSC-CMs. Lysophosphatidic acid (LPA), a known lipid mediator on induction of actin polymerization, significantly increased YAP activity and actin dynamics in DMD-iPSC-CMs using live cell imaging. These results suggested that altered YAP activity due to impaired actin dynamics reduced proliferative ability in DMD-iPSC-CMs. Hence, decreased YAP activity in dystrophic heart may contribute to DMD-cardiomyopathy pathogenesis.
杜氏肌营养不良症(DMD)的特征是进行性肌肉退化,伴有扩张型心肌病。最近,研究发现 yes 相关蛋白(YAP)异常是 DMD 肌肉退化的发病机制;然而,DMD 病变心脏中的 YAP 活性尚不清楚。在此,我们使用 DMD 特异性诱导多能干细胞(iPSC)衍生的心肌细胞(CM)研究了 DMD 中的 YAP 活性。从 DMD 患者中生成了 DMD-iPSC,该患者的 DMD 中存在外显子 48-54 缺失,并用 CRISPR/Cas9 构建了框架内(Ed-DMD-iPSC)基因组编辑(Ed-DMD-iPSC)。YAP 的核易位[nuclear (N)/cytoplasmic (C) ratio]在 DMD-iPSC-CM 中明显低于 Ed-DMD-iPSC-CM。此外,Ki67 表达(增殖能力的指标)在 DMD-iPSC-CM 中明显低于 Ed-DMD-iPSC-CM。因此,免疫荧光染色显示,与 YAP 活性通过机械转导相关的肌动蛋白应激纤维在 DMD-iPSC-CM 中排列紊乱。溶血磷脂酸(LPA)是一种已知的诱导肌动蛋白聚合的脂质介质,通过活细胞成像,它可显著增加 DMD-iPSC-CM 中的 YAP 活性和肌动蛋白动力学。这些结果表明,由于肌动蛋白动力学受损导致的 YAP 活性改变降低了 DMD-iPSC-CM 的增殖能力。因此,DMD 病变心脏中 YAP 活性的降低可能导致 DMD 心肌病的发病机制。