Expression of expanded GGC repeats within NOTCH2NLC causes cardiac dysfunction in mouse models

Abstract Background Neuronal intranuclear inclusion disease (NIID) is a rare neurodegenerative disorder characterized by widespread intranuclear inclusions in the nervous system as well as multiple visceral organs. In 2019, expanded GGC repeats within the 5′ untranslated region of the NOTCH2NLC gene...

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Main Authors: Yongcheng Pan, Ying Jiang, Juan Wan, Zhengmao Hu, Hong Jiang, Lu Shen, Beisha Tang, Yun Tian, Qiong Liu
Format: Article
Language:English
Published: BMC 2023-08-01
Series:Cell & Bioscience
Subjects:
Online Access:https://doi.org/10.1186/s13578-023-01111-6
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author Yongcheng Pan
Ying Jiang
Juan Wan
Zhengmao Hu
Hong Jiang
Lu Shen
Beisha Tang
Yun Tian
Qiong Liu
author_facet Yongcheng Pan
Ying Jiang
Juan Wan
Zhengmao Hu
Hong Jiang
Lu Shen
Beisha Tang
Yun Tian
Qiong Liu
author_sort Yongcheng Pan
collection DOAJ
description Abstract Background Neuronal intranuclear inclusion disease (NIID) is a rare neurodegenerative disorder characterized by widespread intranuclear inclusions in the nervous system as well as multiple visceral organs. In 2019, expanded GGC repeats within the 5′ untranslated region of the NOTCH2NLC gene was identified as the causative factor. NIID is a heterogeneous disorder with variable clinical manifestations including cognitive impairment, cerebellar ataxia, parkinsonism, paroxysmal symptoms, autonomic dysfunction, and muscle weakness. Although NIID primarily affects the central and peripheral nervous systems, growing evidence suggests potential cardiac abnormalities in NIID. However, the link between expanded GGC repeats within NOTCH2NLC and cardiac dysfunction remains uncertain. Results In this study, we utilized two transgenic mouse models, expressing NOTCH2NLC-(GGC) 98 ubiquitously or specifically in cardiomyocytes, and identified p62 (also known as sequestosome 1, SQSTM1)-positive intranuclear NOTCH2NLC-polyG inclusions in cardiomyocytes in two mouse models. We observed that both models exhibited cardiac-related pathological and echocardiographic changes, albeit exhibiting varying degrees of severity. Transcriptomic analysis revealed shared downregulation of genes related to ion channels and mitochondria in both models, with the cardiomyocyte-specific mice showing a more pronounced downregulation of mitochondria and energy metabolism-related pathways. Further investigations revealed decreased expression of mitochondria-related genes and electron transport chain activity. At last, we conducted a retrospective review of cardiac-related examination results from NIID patients at our hospital and also identified some cardiac abnormalities in NIID patients. Conclusions Our study provided the first in vivo evidence linking GGC repeat expansions within NOTCH2NLC to cardiac abnormalities and highlighted the contribution of mitochondrial dysfunction in the development of cardiac abnormalities.
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spelling doaj.art-8767305a81f74d1291f3120b40d47fd22023-11-20T11:03:53ZengBMCCell & Bioscience2045-37012023-08-0113111610.1186/s13578-023-01111-6Expression of expanded GGC repeats within NOTCH2NLC causes cardiac dysfunction in mouse modelsYongcheng Pan0Ying Jiang1Juan Wan2Zhengmao Hu3Hong Jiang4Lu Shen5Beisha Tang6Yun Tian7Qiong Liu8Department of Neurology, Xiangya Hospital, Central South UniversityCentre for Medical Genetics & Hunan Key Laboratory of Medical Genetics, School of Life Sciences, Central South UniversityDepartment of Neurology, Multi-Omics Research Center for Brain Disorders, The First Affiliated Hospital, Hengyang Medical School, University of South ChinaCentre for Medical Genetics & Hunan Key Laboratory of Medical Genetics, School of Life Sciences, Central South UniversityDepartment of Neurology, Xiangya Hospital, Central South UniversityDepartment of Neurology, Xiangya Hospital, Central South UniversityDepartment of Neurology, Xiangya Hospital, Central South UniversityDepartment of Geriatrics, Xiangya Hospital, Central South UniversityDepartment of Neurology, Xiangya Hospital, Central South UniversityAbstract Background Neuronal intranuclear inclusion disease (NIID) is a rare neurodegenerative disorder characterized by widespread intranuclear inclusions in the nervous system as well as multiple visceral organs. In 2019, expanded GGC repeats within the 5′ untranslated region of the NOTCH2NLC gene was identified as the causative factor. NIID is a heterogeneous disorder with variable clinical manifestations including cognitive impairment, cerebellar ataxia, parkinsonism, paroxysmal symptoms, autonomic dysfunction, and muscle weakness. Although NIID primarily affects the central and peripheral nervous systems, growing evidence suggests potential cardiac abnormalities in NIID. However, the link between expanded GGC repeats within NOTCH2NLC and cardiac dysfunction remains uncertain. Results In this study, we utilized two transgenic mouse models, expressing NOTCH2NLC-(GGC) 98 ubiquitously or specifically in cardiomyocytes, and identified p62 (also known as sequestosome 1, SQSTM1)-positive intranuclear NOTCH2NLC-polyG inclusions in cardiomyocytes in two mouse models. We observed that both models exhibited cardiac-related pathological and echocardiographic changes, albeit exhibiting varying degrees of severity. Transcriptomic analysis revealed shared downregulation of genes related to ion channels and mitochondria in both models, with the cardiomyocyte-specific mice showing a more pronounced downregulation of mitochondria and energy metabolism-related pathways. Further investigations revealed decreased expression of mitochondria-related genes and electron transport chain activity. At last, we conducted a retrospective review of cardiac-related examination results from NIID patients at our hospital and also identified some cardiac abnormalities in NIID patients. Conclusions Our study provided the first in vivo evidence linking GGC repeat expansions within NOTCH2NLC to cardiac abnormalities and highlighted the contribution of mitochondrial dysfunction in the development of cardiac abnormalities.https://doi.org/10.1186/s13578-023-01111-6NOTCH2NLC geneGGC repeat expansionNOTCH2NLC-polyG inclusionsCardiomyocyteCardiac dysfunctionMitochondria
spellingShingle Yongcheng Pan
Ying Jiang
Juan Wan
Zhengmao Hu
Hong Jiang
Lu Shen
Beisha Tang
Yun Tian
Qiong Liu
Expression of expanded GGC repeats within NOTCH2NLC causes cardiac dysfunction in mouse models
Cell & Bioscience
NOTCH2NLC gene
GGC repeat expansion
NOTCH2NLC-polyG inclusions
Cardiomyocyte
Cardiac dysfunction
Mitochondria
title Expression of expanded GGC repeats within NOTCH2NLC causes cardiac dysfunction in mouse models
title_full Expression of expanded GGC repeats within NOTCH2NLC causes cardiac dysfunction in mouse models
title_fullStr Expression of expanded GGC repeats within NOTCH2NLC causes cardiac dysfunction in mouse models
title_full_unstemmed Expression of expanded GGC repeats within NOTCH2NLC causes cardiac dysfunction in mouse models
title_short Expression of expanded GGC repeats within NOTCH2NLC causes cardiac dysfunction in mouse models
title_sort expression of expanded ggc repeats within notch2nlc causes cardiac dysfunction in mouse models
topic NOTCH2NLC gene
GGC repeat expansion
NOTCH2NLC-polyG inclusions
Cardiomyocyte
Cardiac dysfunction
Mitochondria
url https://doi.org/10.1186/s13578-023-01111-6
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