Key result
Acute inhibition of ADAM17 by TAPI-1 increased cardiomyocyte cohesion in both wildtype and Jup-/- mice and in HL-1 cardiomyocytes by enhancing DSG2 and DP localization at the cell borders.
Why the study?
Desmosomal stability is impaired in arrhythmogenic cardiomyopathy, and ADAM17 cleaves desmoglein 2, suggesting stabilizing desmosomal contacts could serve as a treatment option.
Acute inhibition of ADAM17 enhances cardiomyocyte cohesion by stabilizing desmosomal adhesion, suggesting a potential therapeutic mechanism for arrhythmogenic cardiomyopathy.
Hypothesis-generating for ADAM17 inhibition in desmosomal cardiomyopathies; leaves open clinical translation pending further validation.
A Disintegrin And Metalloprotease (ADAM) family proteins are involved in several cardiac diseases, and some ADAMs have been associated with cardiomyopathies. ADAM17 is known to cleave desmoglein 2 (DSG2), one of the proteins involved in the pathogenesis of arrhythmogenic cardiomyopathy (AC). Desmosomal stability is impaired in AC, an inheritable genetic disease, the underlying causes of which can be mutations in genes coding for proteins of the desmosome, such as DSG2, desmoplakin (DP), plakoglobin (PG), plakophilin 2 or desmocollin 2. Stabilizing desmosomal contacts can therefore be a treatment option. In the heart of the murine Jup −/− AC model, ( Jup being the gene coding for PG) mice, elevated levels of p38MAPK, an activator of ADAM17, were found. However, ADAM17 levels were unaltered in Jup −/− mice hearts. Nonetheless, inhibition of ADAM17 led to enhanced cardiomyocyte cohesion in both Jup +/+ and Jup −/− mice, and in HL-1 cardiomyocytes. Further, enhanced cohesion in HL-1 cardiomyocytes after acute inhibition of ADAM17 was paralleled by enhanced localization of DSG2 and DP at the membrane, whereas no changes in desmosomal assembly or the desmosomal complex were observed. In conclusion, acute inhibition of ADAM17 might lead to reduced cleavage of DSG2, thereby stabilizing the desmosomal adhesion, evidenced by increased DSG2 and DP localization at cell borders and eventually cardiomyocyte cohesion. We believe that similar mechanisms exist in AC.
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Shoykhet et al. (2023) studied Arrhythmogenic cardiomyopathy. ADAM17 inhibition (TAPI-1) vs. Vehicle/Control was evaluated on Cardiomyocyte cohesion (assessed by dispase-based dissociation assays) (p=≤0.05). Acute inhibition of ADAM17 by TAPI-1 increased cardiomyocyte cohesion in both wildtype and Jup-/- mice and in HL-1 cardiomyocytes by enhancing DSG2 and DP localization at the cell borders.
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