Key result
CMYA1 overexpression in mice induces myocardial fibrosis and ventricular bigeminy by downregulating Cx43 expression.
CMYA1 overexpression in a mouse model induces structural cardiac damage and ventricular arrhythmias, highlighting its role in cardiomyopathy.
Should not change clinical practice; leaves open CMYA1 as a therapeutic target in human cardiomyopathy.
CMYA1 (cardiomyopathy-associated protein 1, also termed Xin) localizes to the intercalated disks (ICDs) of the myocardium and functions to maintain ICD structural integrity and support signal transduction among cardiomyocytes. Our previous study showed that CMYA1 overexpression impairs the function of gap junction intercellular communication processes. Successful model generation was verified based on PCR, western blot analysis, immunohistochemistry, and immunofluorescence analysis. Myocardial CMYA1 expression was confirmed at both the mRNA and the protein levels in the CMYA1-OE transgenic mice. Masson’s trichrome staining and electron microscopy revealed myocardial fibrosis and uneven bead width or the interruption of ICDs in the hearts of the CMYA1-OE transgenic mice. Furthermore, the Cx43 protein level was reduced in the CMYA1-OE mice, and co-immunoprecipitation assays of heart tissue protein extracts revealed a physical interaction between CMYA1 and Cx43. Electrocardiogram analysis enabled the detection of an obvious ventricular bigeminy for the CMYA1-OE mice. In summary, analysis of our mouse model indicates that elevated CMYA1 levels may induce myocardial fibrosis, impair ICDs, and downregulate the expression of Cx43. The observed ventricular bigeminy in the CMYA1-OE mice may be mediated by the reduced Cx43 protein level.
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Li et al. (2021) studied Myocardial fibrosis and ventricular bigeminy. CMYA1 overexpression was evaluated on Cardiac structure and function (myocardial fibrosis, ICD integrity, Cx43 expression, ECG changes). CMYA1 overexpression in mice induced myocardial fibrosis, impaired intercalated disks, downregulated Cx43 expression, and led to ventricular bigeminy.
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