1. Exercise triggers CAPN1-mediated AIF truncation, inducing myocyte cell death in arrhythmogenic cardiomyopathy
- Author
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Menotti Ruvo, Brittney Murray, Hugh Calkins, Carlos Bueno Beti, Matthew Miyamoto, Djahida Bedja, Cynthia A. James, Jacopo Agrimi, Gizem Keceli, Edon Melloni, Andrea Carpi, Richard N. Kitsis, Chulan Kwon, Brian O'Rourke, Crystal Tichnell, Fabio Di Lisa, Stephen P. Chelko, Nazareno Paolocci, Peter Andersen, Nunzianna Doti, Daniel P. Judge, An-Chi Wei, Marc K. Halushka, Angeliki Asimaki, Jeffrey E. Saffitz, and Nuria Amat-Codina
- Subjects
0301 basic medicine ,Programmed cell death ,congenital, hereditary, and neonatal diseases and abnormalities ,Necrosis ,Cardiomyopathy ,030204 cardiovascular system & hematology ,Mitochondrion ,Article ,Mice ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Animals ,Myocyte ,Humans ,Cell Death ,Mitochondria ,Myocytes, Cardiac ,Apoptosis Inducing Factor ,Calpain ,Cardiomyopathies ,Physical Conditioning, Animal ,cardiovascular diseases ,Calpastatin ,Myocytes ,Muscle Cells ,Animal ,Chemistry ,General Medicine ,medicine.disease ,Physical Conditioning ,Cell biology ,Protein Transport ,030104 developmental biology ,Death, Sudden, Cardiac ,Apoptosis ,DNA fragmentation ,medicine.symptom ,biological phenomena, cell phenomena, and immunity ,Cardiac - Abstract
Myocyte death occurs in many inherited and acquired cardiomyopathies, including arrhythmogenic cardiomyopathy (ACM), a genetic heart disease plagued by the prevalence of sudden cardiac death. Individuals with ACM and harboring pathogenic desmosomal variants, such as desmoglein-2 (DSG2), often show myocyte necrosis with progression to exercise-associated heart failure. Here, we showed that homozygous Dsg2 mutant mice (Dsg2(mut/mut)), a model of ACM, die prematurely during swimming and display myocardial dysfunction and necrosis. We detected calcium (Ca(2+)) overload in Dsg2(mut/mut) hearts, which induced calpain-1 (CAPN1) activation, association of CAPN1 with mitochondria, and CAPN1-induced cleavage of mitochondrial-bound apoptosis-inducing factor (AIF). Cleaved AIF translocated to the myocyte nucleus triggering large-scale DNA fragmentation and cell death, an effect potentiated by mitochondrial-driven AIF oxidation. Posttranslational oxidation of AIF cysteine residues was due, in part, to a depleted mitochondrial thioredoxin-2 redox system. Hearts from exercised Dsg2(mut/mut) mice were depleted of calpastatin (CAST), an endogenous CAPN1 inhibitor, and overexpressing CAST in myocytes protected against Ca(2+) overload–induced necrosis. When cardiomyocytes differentiated from Dsg2(mut/mut) embryonic stem cells (ES-CMs) were challenged with β-adrenergic stimulation, CAPN1 inhibition attenuated CAPN1-induced AIF truncation. In addition, pretreatment of Dsg2(mut/mut) ES-CMs with an AIF-mimetic peptide, mirroring the cyclophilin-A (PPIA) binding site of AIF, blocked PPIA-mediated AIF-nuclear translocation, and reduced both apoptosis and necrosis. Thus, preventing CAPN1-induced AIF-truncation or barring binding of AIF to the nuclear chaperone, PPIA, may avert myocyte death and, ultimately, disease progression to heart failure in ACM and likely other forms of cardiomyopathies.
- Published
- 2021