Cytoskeletal disarray increases arrhythmogenic vulnerability during sympathetic stimulation in a model of hypertrophic cardiomyopathy

Abstract Familial hypertrophic cardiomyopathy (FHC) patients are advised to avoid strenuous exercise due to increased risk of arrhythmias. Mice expressing the human FHC-causing mutation R403Q in the myosin heavy chain gene (MYH6) recapitulate the human phenotype, including cytoskeletal disarray and...

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Main Authors: Henrietta Cserne Szappanos, Helena M. Viola, Danica W. Ito, Seakcheng Lim, Melissa Mangala, Mira Holliday, Samantha Barratt Ross, Christopher Semsarian, Adam Hill, Rose E. Dixon, Livia C. Hool
Format: Article
Language:English
Published: Nature Portfolio 2023-07-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-38296-2
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author Henrietta Cserne Szappanos
Helena M. Viola
Danica W. Ito
Seakcheng Lim
Melissa Mangala
Mira Holliday
Samantha Barratt Ross
Christopher Semsarian
Adam Hill
Rose E. Dixon
Livia C. Hool
author_facet Henrietta Cserne Szappanos
Helena M. Viola
Danica W. Ito
Seakcheng Lim
Melissa Mangala
Mira Holliday
Samantha Barratt Ross
Christopher Semsarian
Adam Hill
Rose E. Dixon
Livia C. Hool
author_sort Henrietta Cserne Szappanos
collection DOAJ
description Abstract Familial hypertrophic cardiomyopathy (FHC) patients are advised to avoid strenuous exercise due to increased risk of arrhythmias. Mice expressing the human FHC-causing mutation R403Q in the myosin heavy chain gene (MYH6) recapitulate the human phenotype, including cytoskeletal disarray and increased arrhythmia susceptibility. Following in vivo administration of isoproterenol, mutant mice exhibited tachyarrhythmias, poor recovery and fatigue. Arrhythmias were attenuated with the β-blocker atenolol and protein kinase A inhibitor PKI. Mutant cardiac myocytes had significantly prolonged action potentials and triggered automaticity due to reduced repolarization reserve and connexin 43 expression. Isoproterenol shortened cycle length, and escalated electrical instability. Surprisingly isoproterenol did not increase CaV1.2 current. We found alterations in CaV1.2-β1 adrenergic receptor colocalization assessed using super-resolution nanoscopy, and increased CaV1.2 phosphorylation in mutant hearts. Our results reveal for the first time that altered ion channel expression, co-localization and β-adrenergic receptor signaling associated with myocyte disarray contribute to electrical instability in the R403Q mutant heart.
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spelling doaj.art-e1010dcf8ddf4f0397cc92001ff5aa962023-07-16T11:16:25ZengNature PortfolioScientific Reports2045-23222023-07-0113111610.1038/s41598-023-38296-2Cytoskeletal disarray increases arrhythmogenic vulnerability during sympathetic stimulation in a model of hypertrophic cardiomyopathyHenrietta Cserne Szappanos0Helena M. Viola1Danica W. Ito2Seakcheng Lim3Melissa Mangala4Mira Holliday5Samantha Barratt Ross6Christopher Semsarian7Adam Hill8Rose E. Dixon9Livia C. Hool10School of Human Sciences, University of Western AustraliaSchool of Human Sciences, University of Western AustraliaDepartment of Physiology and Membrane Biology, University of CaliforniaAgnes Ginges Centre for Molecular Cardiology, Centenary InstituteVictor Chang Cardiac Research InstituteAgnes Ginges Centre for Molecular Cardiology, Centenary InstituteAgnes Ginges Centre for Molecular Cardiology, Centenary InstituteAgnes Ginges Centre for Molecular Cardiology, Centenary InstituteVictor Chang Cardiac Research InstituteDepartment of Physiology and Membrane Biology, University of CaliforniaSchool of Human Sciences, University of Western AustraliaAbstract Familial hypertrophic cardiomyopathy (FHC) patients are advised to avoid strenuous exercise due to increased risk of arrhythmias. Mice expressing the human FHC-causing mutation R403Q in the myosin heavy chain gene (MYH6) recapitulate the human phenotype, including cytoskeletal disarray and increased arrhythmia susceptibility. Following in vivo administration of isoproterenol, mutant mice exhibited tachyarrhythmias, poor recovery and fatigue. Arrhythmias were attenuated with the β-blocker atenolol and protein kinase A inhibitor PKI. Mutant cardiac myocytes had significantly prolonged action potentials and triggered automaticity due to reduced repolarization reserve and connexin 43 expression. Isoproterenol shortened cycle length, and escalated electrical instability. Surprisingly isoproterenol did not increase CaV1.2 current. We found alterations in CaV1.2-β1 adrenergic receptor colocalization assessed using super-resolution nanoscopy, and increased CaV1.2 phosphorylation in mutant hearts. Our results reveal for the first time that altered ion channel expression, co-localization and β-adrenergic receptor signaling associated with myocyte disarray contribute to electrical instability in the R403Q mutant heart.https://doi.org/10.1038/s41598-023-38296-2
spellingShingle Henrietta Cserne Szappanos
Helena M. Viola
Danica W. Ito
Seakcheng Lim
Melissa Mangala
Mira Holliday
Samantha Barratt Ross
Christopher Semsarian
Adam Hill
Rose E. Dixon
Livia C. Hool
Cytoskeletal disarray increases arrhythmogenic vulnerability during sympathetic stimulation in a model of hypertrophic cardiomyopathy
Scientific Reports
title Cytoskeletal disarray increases arrhythmogenic vulnerability during sympathetic stimulation in a model of hypertrophic cardiomyopathy
title_full Cytoskeletal disarray increases arrhythmogenic vulnerability during sympathetic stimulation in a model of hypertrophic cardiomyopathy
title_fullStr Cytoskeletal disarray increases arrhythmogenic vulnerability during sympathetic stimulation in a model of hypertrophic cardiomyopathy
title_full_unstemmed Cytoskeletal disarray increases arrhythmogenic vulnerability during sympathetic stimulation in a model of hypertrophic cardiomyopathy
title_short Cytoskeletal disarray increases arrhythmogenic vulnerability during sympathetic stimulation in a model of hypertrophic cardiomyopathy
title_sort cytoskeletal disarray increases arrhythmogenic vulnerability during sympathetic stimulation in a model of hypertrophic cardiomyopathy
url https://doi.org/10.1038/s41598-023-38296-2
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