Key result
Junctophilin mutations and deficits cause cardiomyopathies and HF by disrupting subcellular membrane junctions.
Why the study?
To provide an overview of the junctophilin (JPH) gene family, their functional roles in membrane junctions of excitable cells, and the contribution of JPH deficits to human disease pathogenesis.
This review highlights the critical structural and signaling roles of junctophilin proteins in excitable cells and their pathophysiological implications in cardiovascular and neuromuscular diseases.
Answers are grounded in this paper and cite their sources.
Junctophilin deficits may contribute to cardiomyopathies; leaves open targeted therapies pending clinical validation.
Junctophilins (JPHs) comprise a family of structural proteins that connect the plasma membrane to intracellular organelles such as the endo/sarcoplasmic reticulum (ER/SR). Tethering of these membrane structures results in the formation of highly organized subcellular junctions that play important signaling roles in all excitable cell types. There are four JPH isoforms, expressed primarily in muscle and neuronal cell types. Each JPH protein consists of six membrane occupation and recognition nexus (MORN) motifs, a joining region connecting these to another set of two MORN motifs, a putative alpha-helical region, a divergent region exhibiting low homology between JPH isoforms, and a carboxy-terminal transmembrane region anchoring into the ER/SR membrane. JPH isoforms play essential roles in developing and maintaining subcellular membrane junctions. Conversely, inherited mutations in JPH2 cause hypertrophic or dilated cardiomyopathy, while trinucleotide expansions in the JPH3 gene cause Huntington Disease-Like 2. Loss of JPH1 protein levels can cause skeletal myopathy, while loss of cardiac JPH2 levels causes heart failure and atrial fibrillation, among other disease. This review will provide a comprehensive overview of the JPH gene family, phylogeny, and evolutionary analysis of JPH genes and other MORN domain proteins. JPH biogenesis, membrane tethering, and binding partners will be discussed, as well as functional roles of JPH isoforms in excitable cells. Finally, potential roles of JPH isoform deficits in human disease pathogenesis will be reviewed.
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Lehnart et al. (2022) conducted a review in Junctophilin-related diseases (e.g., cardiomyopathy, heart failure, skeletal myopathy). Junctophilin proteins (JPH isoforms) was evaluated. Junctophilin proteins play essential roles in maintaining subcellular membrane junctions, with mutations and deficits causing cardiomyopathies, heart failure, and skeletal myopathy.
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