Key result
Palladin ablation triggers progressive cardiac dilation and systolic dysfunction via intercalated disc disruption.
Why the study?
MYPN mutations cause human cardiomyopathies, but the role of the homologous protein PALLD in the heart remained unknown because constitutive knockout causes embryonic lethality.
Palladin is essential for normal cardiac function in adult hearts, and its ablation leads to dilated cardiomyopathy and intercalated disc abnormalities.
Supports palladin investigation in human cardiomyopathy; leaves open clinical translation from mouse data.
Palladin (PALLD) belongs to the PALLD/myopalladin (MYPN)/myotilin family of actin-associated immunoglobulin-containing proteins in the sarcomeric Z-line. PALLD is ubiquitously expressed in several isoforms, and its longest 200 kDa isoform, predominantly expressed in striated muscle, shows high structural homology to MYPN. MYPN gene mutations are associated with human cardiomyopathies, whereas the role of PALLD in the heart has remained unknown, partly due to embryonic lethality of PALLD knockout mice. In a yeast two-hybrid screening, CARP/Ankrd1 and FHOD1 were identified as novel interaction partners of PALLD’s N-terminal region. To study the role of PALLD in the heart, we generated conditional (cPKO) and inducible (cPKOi) cardiomyocyte-specific PALLD knockout mice. While cPKO mice exhibited no pathological phenotype, ablation of PALLD in adult cPKOi mice caused progressive cardiac dilation and systolic dysfunction, associated with reduced cardiomyocyte contractility, intercalated disc abnormalities, and fibrosis, demonstrating that PALLD is essential for normal cardiac function. Double cPKO and MYPN knockout (MKO) mice exhibited a similar phenotype as MKO mice, suggesting that MYPN does not compensate for the loss of PALLD in cPKO mice. Altered transcript levels of MYPN and PALLD isoforms were found in myocardial tissue from human dilated and ischemic cardiomyopathy patients, whereas their protein expression levels were unaltered.
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Mastrototaro et al. (2023) studied Dilated and ischemic cardiomyopathy (n=46). Cardiomyocyte-specific palladin knockout vs. Control/Wild-type was evaluated on Cardiac morphology and function (development of cardiac dilation and systolic dysfunction). Ablation of palladin in adult mouse hearts caused progressive cardiac dilation and systolic dysfunction associated with reduced cardiomyocyte contractility and intercalated disc abnormalities, demonstrating its essential role in normal cardiac function.
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