Key result
Dhcr24 overexpression boosts survival by ~33 percentage points in dilated cardiomyopathy mice.
Overexpression of Dhcr24 protects against dilated cardiomyopathy in mice, revealing a potential novel molecular mechanism and therapeutic target.
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Does not yet support Dhcr24 modulation in patients; leaves open its role as a therapeutic target in DCM.
Background 24‐dehydrocholesterol reductase (Dhcr24) catalyzes the last step of cholesterol biosynthesis, which is required for normal development and anti‐apoptotic activities of tissues. We found that Dhcr24 expression decreased in the cTnT R 141W dilated cardiomyopathy ( DCM ) transgenic mice. Therefore, we tested whether rescued expression of Dhcr24 could prevent the development of DCM and its possible mechanism. Methods Heart tissue specific transgenic overexpression mice of Dhcr24 was generated, then was crossed to cTnT R 141W mouse to obtain the double transgenic mouse ( DTG ). The phenotypes were demonstrated by the survival, cardiac geometry and function analysis, as well as microstructural and ultrastructural observations based on echocardiography and histology examination. The pathway and apoptosis were analysed by western blotting and TUNEL assay in vivo and in vitro. Results We find that Dhcr24 decreased in hearts tissues of cTnT R 141W and LMNA E 82K DCM mice. The transgenic overexpression of Dhcr24 significantly improves DCM phenotypes in cTnT R 141W mice, and activates PI 3K/Akt/ HKII pathway, followed by a reduction of the translocation of Bax and release of cytochrome c , caspase‐9 and caspase‐3 activation and myocyte apoptosis. Knockdown the expression of Dhcr24 reduces the activation of PI 3K/Akt/ HKII pathway and inhibition of the mitochondrial‐dependent apoptosis. The anti‐apoptotic effect of Dhcr24 could be completely removed by the inhibition of PI 3K pathway and partly removed by the HKII inhibitor in H9c2 cell line. Conclusion Compensatory expression of Dhcr24 protect against DCM through activated PI 3K/Akt/ HKII pathway and reduce Bax translocation. This is the first investigation for the molecular mechanism of Dhcr24 participate in development of DCM .
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Dong et al. (2018) studied Dilated cardiomyopathy (DCM) (n=76). Dhcr24 transgenic overexpression vs. cTnT R141W mice (without Dhcr24 overexpression) was evaluated on Survival rate at 7 months. Transgenic overexpression of Dhcr24 increased survival to 98% compared to 65% in cTnT R141W mice and improved cardiac geometry and function through activation of the PI3K/Akt/HKII pathway.
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