Key result
TTN Novex variants bypass RBM20 regulation and show altered expression in DCM and ARVC.
This study identifies novel TTN Novex splicing variants across species, demonstrates they are not regulated by RBM20, and suggests potential associations with dilated and arrhythmogenic right ventricular cardiomyopathies.
Animal findings on TTN Novex variants in DCM/ARVC models; leaves open translation to human cardiomyopathy mechanisms.
Titin (TTN) is a major disease-causing gene in cardiac muscle. Titin (TTN) contains 363 exons in human encoding various sizes of TTN protein due to alternative splicing regulated mainly by RNA binding motif 20 (RBM20). Three isoforms of TTN protein are produced by mutually exclusive exons 45 (Novex 1), 46 (Novex 2), and 48 (Novex 3). Alternatively splicing in Novex isoforms across species and whether Novex isoforms are associated with heart disease remains completely unknown. Cross-species exon comparison with the mVISTA online tool revealed that exon 45 is more highly conserved across all species than exons 46 and 48. Importantly, a conserved region between exons 47 and 48 across species was revealed for the first time. Reverse transcript polymerase chain reaction (RT-PCR) and DNA sequencing confirmed a new exon named as 48′ in Novex 3. In addition, with primer pairs for Novex 1, a new truncated form preserving introns 44 and 45 was discovered. We discovered that Novex 2 is not expressed in the pig, mouse, and rat with Novex 2 primer pairs. Unexpectedly, three truncated forms were identified. One TTN variant with intron 46 retention is mainly expressed in the human and frog heart, another variant with co-expression of exons 45 and 46 exists predominantly in chicken and frog heart, and a third with retention of introns 45 and 46 is mainly expressed in pig, mouse, rat, and chicken. Using Rbm20 knockout rat heart, we revealed that RBM20 is not a splicing regulator of Novex variants. Furthermore, the expression levels of Novex variants in human hearts with cardiomyopathies suggested that Novexes 2 and 3 could be associated with dilated cardiomyopathy (DCM) and/or arrhythmogenic right ventricular cardiomyopathy (ARVC). Taken together, our study reveals that splicing diversity of Novex exons across species and Novex variants might play a role in cardiomyopathy.
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Chen et al. (2018) studied Cardiomyopathy (HCM, DCM, ARVC). Cardiomyopathy and RBM20 knockout vs. Healthy donor hearts and wild-type rats was evaluated on Splicing patterns and expression levels of TTN Novex variants. TTN Novex splicing variants exhibit diverse truncated transcripts across species that are not regulated by RBM20, with altered expression levels observed in dilated cardiomyopathy and ARVC.
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