Why the study?
It was unclear whether filamin A cross-talks with periostin signaling to promote postnatal heart valve remodeling into mature leaflets.
Does periostin signaling through Pak1 and filamin A promote actin cytoskeletal reorganization and differentiation of valve interstitial cells?
Does periostin signaling through Pak1 and filamin A promote actin cytoskeletal reorganization and differentiation of valve interstitial cells?
The periostin/filamin-A/Pak1 signaling axis is crucial for postnatal heart valve remodeling, and its disruption by specific filamin A mutations is linked to myxomatous mitral valve prolapse.
Hypothesis-generating for periostin-filamin A axis in human valve fibrogenesis; prospective studies needed before therapeutic targeting.
BACKGROUND: Discoveries in the identification of transcription factors, growth factors and extracellular signaling molecules have led to the detection of downstream targets that modulate valvular tissue organization that occurs during development, aging, or disease. Among these, matricellular protein, periostin, and cytoskeletal protein filamin A are highly expressed in developing heart valves. The phenotype of periostin null indicates that periostin promotes migration, survival, and differentiation of valve interstitial cushion cells into fibroblastic lineages necessary for postnatal valve remodeling/maturation. Genetically inhibiting filamin A expression in valve interstitial cushion cells mirrored the phenotype of periostin nulls, suggesting a molecular interaction between these two proteins resulted in poorly remodeled valve leaflets that might be prone to myxomatous over time. We examined whether filamin A has a cross-talk with periostin/signaling that promotes remodeling of postnatal heart valves into mature leaflets. RESULTS: . We found that FLNA phosphorylation (S2152) is activated by Pak1, and this interaction was observed after stimulation with periostin/integrin-β1/Cdc42/Rac1 signaling; consequently, FLNA binding to Pak1 stimulates its kinase activity. Patients with floppy and/or prolapsed mitral valves, when genetically screened, were found to have point mutations in the filamin A gene at P637Q and G288R. Expression of either of these filamin A mutants failed to increase the magnitude of filamin A (S2152) expression, Pak1-kinase activity, actin polymerization, and differentiation of VICs into mature mitral valve leaflets in response to periostin signaling. CONCLUSION: PN-stimulated bidirectional interaction between activated FLNA and Pak1 is essential for actin cytoskeletal reorganization and the differentiation of immature VICs into mature valve leaflets.
No takes yet. Share an insight, caveat, or question.
Misra et al. (2021) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: