Key result
Cardiac-specific expression of the SLMAP3 isoform in mice resulted in a 20% decrease in fractional shortening and an 11% decrease in cardiac output at 5 weeks of age.
Why the study?
Mutations in human SLMAP are linked to Brugada syndrome, but the precise roles of the three main SLMAP isoforms expressed in the myocardium remain to be defined.
Absolute Event Rate: 26.8% vs 33.6%
p-value: p=0.003
Cardiac-specific expression of SLMAP3 in mice alters the expression of key ion transport proteins like Nav1.5 and SERCA2a, leading to impaired cardiac function and electrical activity, suggesting a role in conditions like Brugada syndrome.
Highlights SLMAP3 as regulator of murine cardiac performance; leaves open human relevance to arrhythmias or HF.
The sarcolemmal membrane associated proteins (SLMAPs) belong to the super family of tail anchored membrane proteins which serve diverse roles in biology including cell growth, protein trafficking and ion channel regulation. Mutations in human SLMAP have been linked to Brugada syndrome with putative deficits in trafficking of the sodium channel (Nav1.5) to the cell membrane resulting in aberrant electrical activity and heart function. Three main SLMAP isoforms (SLMAP1 (35 kDa), SLMAP2 (45 kDa), and SLMAP3 (91 kDa)) are expressed in myocardium but their precise role remains to be defined. Here we generated transgenic (Tg) mice with cardiac-specific expression of the SLMAP3 isoform during postnatal development which present with a significant decrease (20%) in fractional shortening and (11%) in cardiac output at 5 weeks of age. There was a lack of any notable cardiac remodeling (hypertrophy, fibrosis or fetal gene activation) in Tg hearts but the electrocardiogram indicated a significant increase (14%) in the PR interval and a decrease (43%) in the R amplitude. Western blot analysis indicated a selective and significant decrease (55%) in protein levels of Nav1.5 while 45% drop in its transcript levels were detectable by qRT-PCR. Significant decreases in the protein and transcript levels of the calcium transport system of the sarcoplasmic reticulum (SERCA2a/PLN) were also evident in Tg hearts. These data reveal a novel role for SLMAP3 in the selective regulation of important ion transport proteins at the level of gene expression and suggest that it may be a unique target in cardiovascular function and disease.
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Mlynarova et al. (2019) studied Cardiac dysfunction (n=33). SLMAP3 overexpression vs. Wild-type littermates was evaluated on Fractional shortening (%) (p=0.003). Cardiac-specific expression of the SLMAP3 isoform in mice resulted in a 20% decrease in fractional shortening and an 11% decrease in cardiac output at 5 weeks of age.
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