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Transcriptional bursts and heterogeneity among cardiomyocytes in hypertrophic cardiomyopathy

  • Valentin Burkart*
  • , Kathrin Kowalski
  • , David Aldag-Niebling
  • , Julia Beck
  • , Dirk Alexander Frick
  • , Tim Holler
  • , Ante Radocaj
  • , Birgit Piep
  • , Andre Zeug
  • , Denise Hilfiker-Kleiner
  • , Cristobal G. dos Remedios
  • , Jolanda van der Velden
  • , Judith Montag*
  • , Theresia Kraft
  • *Corresponding author for this work
  • Hannover Medical School
  • University of Marburg
  • Victor Chang Cardiac Research Institute

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Transcriptional bursting is a common expression mode for most genes where independent transcription of alleles leads to different ratios of allelic mRNA from cell to cell. Here we investigated burst-like transcription and its consequences in cardiac tissue from Hypertrophic Cardiomyopathy (HCM) patients with heterozygous mutations in the sarcomeric proteins cardiac myosin binding protein C (cMyBP-C, MYBPC3) and cardiac troponin I (cTnI, TNNI3). Using fluorescence in situ hybridization (RNA-FISH) we found that both, MYBPC3 and TNNI3 are transcribed burst-like. Along with that, we show unequal allelic ratios of TNNI3-mRNA among single cardiomyocytes and unequally distributed wildtype cMyBP-C protein across tissue sections from heterozygous HCM-patients. The mutations led to opposing functional alterations, namely increasing (cMyBP-Cc.927−2A>G) or decreasing (cTnIR145W) calcium sensitivity. Regardless, all patients revealed highly variable calcium-dependent force generation between individual cardiomyocytes, indicating contractile imbalance, which appears widespread in HCM-patients. Altogether, we provide strong evidence that burst-like transcription of sarcomeric genes can lead to an allelic mosaic among neighboring cardiomyocytes at mRNA and protein level. In HCM-patients, this presumably induces the observed contractile imbalance among individual cardiomyocytes and promotes HCM-development.
Original languageEnglish
Article number987889
JournalFrontiers in cardiovascular medicine
Volume9
DOIs
Publication statusPublished - 23 Aug 2022

Keywords

  • burst-like transcription
  • cardiomyocyte heterogeneity
  • cell-to-cell allelic imbalance
  • contractile imbalance
  • hypertrophic cardiomyopathy

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