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The Journal of Clinical Investigation
Article . 2006 . Peer-reviewed
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Suppression of canonical Wnt/ -catenin signaling by nuclear plakoglobin recapitulates phenotype of arrhythmogenic right ventricular cardiomyopathy

Authors: Garcia-Gras E.; Lombardi R.; Giocondo M. J.; Willerson J. T.; Schneider M. D.; Khoury D. S.; Marian A. J.;

Suppression of canonical Wnt/ -catenin signaling by nuclear plakoglobin recapitulates phenotype of arrhythmogenic right ventricular cardiomyopathy

Abstract

Arrhythmogenic right ventricular dysplasia/cardiomyopathy (ARVC) is a genetic disease caused by mutations in desmosomal proteins. The phenotypic hallmark of ARVC is fibroadipocytic replacement of cardiac myocytes, which is a unique phenotype with a yet-to-be-defined molecular mechanism. We established atrial myocyte cell lines expressing siRNA against desmoplakin (DP), responsible for human ARVC. We show suppression of DP expression leads to nuclear localization of the desmosomal protein plakoglobin and a 2-fold reduction in canonical Wnt/beta-catenin signaling through Tcf/Lef1 transcription factors. The ensuing phenotype is increased expression of adipogenic and fibrogenic genes and accumulation of fat droplets. We further show that cardiac-restricted deletion of Dsp, encoding DP, impairs cardiac morphogenesis and leads to high embryonic lethality in the homozygous state. Heterozygous DP-deficient mice exhibited excess adipocytes and fibrosis in the myocardium, increased myocyte apoptosis, cardiac dysfunction, and ventricular arrhythmias, thus recapitulating the phenotype of human ARVC. We believe our results provide for a novel molecular mechanism for the pathogenesis of ARVC and establish cardiac-restricted DP-deficient mice as a model for human ARVC. These findings could provide for the opportunity to identify new diagnostic markers and therapeutic targets in patients with ARVC.

Keywords

Adipogenesis; Animals; Cell Nucleus; Cells, Cultured; Desmoplakins; Electrophysiology; Embryo, Mammalian; Heart Atria; Humans; Mice; Mice, Knockout; Myocytes, Cardiac; Phenotype; RNA, Small Interfering; Signal Transduction; TCF Transcription Factors; Wnt Proteins; beta Catenin; gamma Catenin; Arrhythmogenic Right Ventricular Dysplasia, Cells, Knockout, Small Interfering, Mice, Animals, Humans, Myocytes, Cardiac, Heart Atria, RNA, Small Interfering, Arrhythmogenic Right Ventricular Dysplasia, Cells, Cultured, beta Catenin, Cell Nucleus, Mice, Knockout, Myocytes, Cultured, Adipogenesis, Mammalian, Embryo, Mammalian, Electrophysiology, Wnt Proteins, Phenotype, Desmoplakins, Embryo, RNA, gamma Catenin, TCF Transcription Factors, Cardiac, Signal Transduction

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    528
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    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 1%
    influence
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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 1%
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
528
Top 1%
Top 1%
Top 1%
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