Heart failure & cardiomyopathies

Nonsense Variant PRDM16-Q187X Causes Impaired Myocardial Development and TGF-β Signaling Resulting in Noncompaction Cardiomyopathy in Humans and Mice

Circ Heart FailPublished Mechanistic study

Authors' conclusion

Novel loss-of-function PRDM16 variant impairs myocardial development resulting in noncompaction cardiomyopathy in humans and mice associated with altered TGF-β signaling.

Study context

Population
Individuals with PRDM16 loss-of-function variants and pediatric LV noncompaction cardiomyopathy
Participants
2 probands
Methodological detailsiPSC-derived cardiomyocytes, CRISPR knock-in mouse model, H9c2 cardiomyoblasts
  • iPSC-derived cardiomyocytes
  • CRISPR knock-in mouse model
  • H9c2 cardiomyoblasts

Main finding

As reported in the abstract

  • PRDM16-Q187X proband (LV noncompaction cardiomyopathy) had infant-onset HF
  • Proband iPSC-cardiomyocytes: significantly impaired myocyte proliferation and increased apoptosis, with transcriptional dysregulation of cardiac maturation genes incl. TGF-β-associated transcripts
  • Homozygous Prdm16Q187X/Q187X mice: underdeveloped compact myocardium, embryonically lethal
  • Heterozygous Prdm16Q187X/WT mice: significantly smaller ventricular dimensions, heightened fibrosis, age-dependent loss of TGF-β expression
  • In H9c2 cardiomyoblasts, PRDM16 binds TGFB3 promoter and represses its transcription

Original publication

Nonsense Variant PRDM16-Q187X Causes Impaired Myocardial Development and TGF-β Signaling Resulting in Noncompaction Cardiomyopathy in Humans and Mice. Circ Heart Fail. Published 19 December 2023. doi:10.1161/circheartfailure.122.010351

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