Key result
Knocking down murf1 activity preserved myofibril integrity in ncx1-deficient zebrafish hearts, revealing a Calcineurin-FoxO-MuRF1-proteosome signaling pathway activated by Ca2+ overload.
Absolute Event Rate: 80% vs 35%
p-value: p=<0.001
This study identifies a novel Calcineurin-FoxO-MuRF1-proteosome signaling pathway through which calcium overload causes sarcomere degradation, offering potential new therapeutic targets for structural heart disease.
Should not change clinical practice; leaves open MuRF1 inhibition as a strategy for Ca2+-driven sarcomere loss.
Altered Ca2+ handling is often present in diseased hearts undergoing structural remodeling and functional deterioration. However, whether Ca2+ directly regulates sarcomere structure has remained elusive. Using a zebrafish ncx1 mutant, we explored the impacts of impaired Ca2+ homeostasis on myofibril integrity. We found that the E3 ubiquitin ligase murf1 is upregulated in ncx1-deficient hearts. Intriguingly, knocking down murf1 activity or inhibiting proteasome activity preserved myofibril integrity, revealing a MuRF1-mediated proteasome degradation mechanism that is activated in response to abnormal Ca2+ homeostasis. Furthermore, we detected an accumulation of the murf1 regulator FoxO in the nuclei of ncx1-deficient cardiomyocytes. Overexpression of FoxO in wild type cardiomyocytes induced murf1 expression and caused myofibril disarray, whereas inhibiting Calcineurin activity attenuated FoxO-mediated murf1 expression and protected sarcomeres from degradation in ncx1-deficient hearts. Together, our findings reveal a novel mechanism by which Ca2+ overload disrupts myofibril integrity by activating a Calcineurin-FoxO-MuRF1-proteosome signaling pathway.
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Shimizu et al. (2017) studied Myofibril disarray and Ca2+ handling defects. murf1a/murf1b knockdown vs. Uninjected or control morpholino-injected ncx1h mutants was evaluated on Intact sarcomeres (periodic alpha-actinin staining) (p=<0.001). Knocking down murf1 activity preserved myofibril integrity in ncx1-deficient zebrafish hearts, revealing a Calcineurin-FoxO-MuRF1-proteosome signaling pathway activated by Ca2+ overload.
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