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Disruption of embryonic ROCK signaling reproduces the sarcomeric phenotype of hypertrophic cardiomyopathy
Kate E. Bailey, Guy A. MacGowan, Simon Tual-Chalot, Lauren Phillips, Timothy J. Mohun, Deborah J. Henderson, Helen M. Arthur, Simon D. Bamforth, Helen M. Phillips
Kate E. Bailey, Guy A. MacGowan, Simon Tual-Chalot, Lauren Phillips, Timothy J. Mohun, Deborah J. Henderson, Helen M. Arthur, Simon D. Bamforth, Helen M. Phillips
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Research Article Cardiology

Disruption of embryonic ROCK signaling reproduces the sarcomeric phenotype of hypertrophic cardiomyopathy

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Abstract

Sarcomeric disarray is a hallmark of gene mutations in patients with hypertrophic cardiomyopathy (HCM). However, it is unknown when detrimental sarcomeric changes first occur and whether they originate in the developing embryonic heart. Furthermore, Rho kinase (ROCK) is a serine/threonine protein kinase that is critical for regulating the function of several sarcomeric proteins, and therefore, our aim was to determine whether disruption of ROCK signaling during the earliest stages of heart development would disrupt the integrity of sarcomeres, altering heart development and function. Using a mouse model in which the function of ROCK is specifically disrupted in embryonic cardiomyocytes, we demonstrate a progressive cardiomyopathy that first appeared as sarcomeric disarray during cardiogenesis. This led to abnormalities in the structure of the embryonic ventricular wall and compensatory cardiomyocyte hypertrophy during fetal development. This sarcomeric disruption and hypertrophy persisted throughout adult life, triggering left ventricular concentric hypertrophy with systolic dysfunction, and reactivation of fetal gene expression and cardiac fibrosis, all typical features of HCM. Taken together, our findings establish a mechanism for the developmental origin of the sarcomeric phenotype of HCM and suggest that variants in the ROCK genes or disruption of ROCK signaling could, in part, contribute to its pathogenesis.

Authors

Kate E. Bailey, Guy A. MacGowan, Simon Tual-Chalot, Lauren Phillips, Timothy J. Mohun, Deborah J. Henderson, Helen M. Arthur, Simon D. Bamforth, Helen M. Phillips

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Figure 8

Reduction in binding between ROCK and TnI proteins may account for reduced ph-TnI expression in ROCKDNGata5-Cre mutants, and increased phosphorylation by IBMX rescues the sarcomeric phenotype in vitro.

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Reduction in binding between ROCK and TnI proteins may account for reduc...
(A–C) Immunofluorescence staining of ph-cTnI (green) in Cre-activated/GFP+ cells (red staining) in cardiomyocytes of control E10.5 hearts (yellow arrows). (D–F) There was a reduction in ph-cTnI staining in Cre-activated cardiomyocytes in ROCKDNGata5-Cre hearts (white arrows) compared with control samples (yellow arrows). n = 3 for each genotype. (G and H) Co-IP using protein extracts from whole heart lysates from E16.5 embryos showed that in control hearts, ROCK1 (158kDa) and ROCK2 (161 kDa), bind to cTnT (40 kDa) (G) and to cTnI (26 kDa) and ssTnI (22 kDa) (H). (I) In ROCKDNGata5-Cre mutant hearts, there was a significant reduction in binding between the ROCK proteins and the troponin proteins. Co-IP with TnI showed a significant reduction in expression of ROCK1 and ROCK2, and conversely, in the same samples, co-IP with ROCK1 gave a significant reduction in cTnI and ssTnI expression in ROCKDNGata5-Cre mutants. n = 4 for each genotype. (J–X) Primary cardiomyocytes were cultured from E15.5 control and ROCKDNGata5-Cre mutants. GFP antibody was used to identify the Cre-activated (Cre+ve) cells (red staining), and cTnI antibody confirmed which cells were cardiomyocytes by labeling sarcomeres (green). Addition of IBMX to control cells did not have any effect (M–O). Cre-activated cardiomyocytes from ROCKDNGata5-Cre mutants, lacked sarcomeric structure (P–R). Addition of IBMX rescued the sarcomeric structure in Cre-activated cardiomyocytes from ROCKDNGata5-Cre mutants (S–U). Similar to the control samples, Cre– cells from ROCKDNGata5-Cre mutants had normal sarcomeric organization that was not altered following the addition of IBMX (V–X). (Y) The average number of sarcomeres per cardiomyocyte, from a total of 10 cells per well, was determined. There were no significant differences between control Cre+ cardiomyocytes with and without IBMX. There was a significant difference in sarcomere number between ROCKDNGata5-Cre Cre+ cardiomyocytes without IBMX compared with both control samples. Addition of IBMX to ROCKDNGata5-Cre Cre+ cardiomyocytes significantly increased sarcomeres, to a level that was no longer significantly different relative to both control groups; thus, addition of IBMX rescues the sarcomeric phenotype of ROCKDNGata5-Cre Cre+ cardiomyocytes. n = 3 for each genotype. Data are presented as mean ± SEM. *P < 0.05, **P < 0.01 by unpaired t test (I) and ****P < 0.0001 by 1-way ANOVA with Bonferroni’s correction for multiple comparisons (Y). Scale bars: 50 μm (A–F) and 10 μm (J–X).

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