Key result
Shank3 overexpression in mice triggers sudden cardiac death in ~40% via arrhythmias and disrupted calcium.
Why the study?
Detailed insights into the cardiac functions of Shank3 remain limited, despite mutations often presenting with organ dysfunctions including the heart.
Shank3 overexpression in mice leads to pathological cardiac remodeling, arrhythmias, and sudden cardiac death due to disrupted calcium homeostasis and altered electrophysiological properties.
Hypothesis-generating for Shank3 in arrhythmogenesis; leaves open human translation and therapeutic relevance.
BACKGROUND AND OBJECTIVES: mutations often exhibit symptoms related to dysfunctions in other organs, including the heart. However, detailed insights into the cardiac functions of Shank3 remain limited. This study aimed to characterize the cardiac phenotypes of Shank3-overexpressing transgenic mice and explore the underlying mechanisms. METHODS: Cardiac histological analysis, electrocardiogram and echocardiogram recordings were conducted on Shank3-overexpressing transgenic mice. Electrophysiological properties, including action potentials and L-type Ca²⁺ channel (LTCC) currents, were measured in isolated cardiomyocytes. Ca²⁺ homeostasis was assessed by analyzing cytosolic Ca²⁺ transients and sarcoplasmic reticulum Ca²⁺ contents. Depolarization-induced cell shortening was examined in cardiomyocytes. Immunoprecipitation followed by mass spectrometry-based identification was employed to identify proteins in the cardiac Shank3 interactome. Western blot and immunocytochemical analyses were conducted to identify changes in protein expression in Shank3-overexpressing transgenic cardiomyocytes. RESULTS: The hearts of Shank3-overexpressing transgenic mice displayed reduced weight and increased fibrosis. In vivo, sudden cardiac death, arrhythmia, and contractility impairments were identified. Shank3-overexpressing transgenic cardiomyocytes showed prolonged action potential duration and increased LTCC current density. Cytosolic Ca²⁺ transients were increased with prolonged decay time, while sarcoplasmic reticulum Ca²⁺ contents remained normal. Cell shortening was augmented in Shank3-overexpressing transgenic cardiomyocytes. The cardiac Shank3 interactome comprised 78 proteins with various functions. Troponin I levels were down-regulated in Shank3-overexpressing transgenic cardiomyocytes. CONCLUSIONS: This study revealed cardiac dysfunction in Shank3-overexpressing transgenic mice, potentially attributed to changes in Ca²⁺ homeostasis and contraction, with a notable reduction in troponin I.
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Ko et al. (2024) studied Cardiac dysfunction associated with SHANK3 mutations (n=300). Shank3 overexpression (EGFP-Shank3 transgenic mice) vs. Wild-type (WT) littermates was evaluated on Sudden cardiac death and cardiac dysfunction. Shank3 overexpression in mice led to sudden cardiac death in over 40% of transgenic mice before 12 weeks of age, accompanied by arrhythmias and disrupted calcium homeostasis in cardiomyocytes.
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