Key result
Fibroblasts from patients with an LMNA splice-site mutation showed a 7- to 9-fold reduction in IGFBP5 gene expression and involvement of the ERK/MAPK signaling pathway, with no significant differences in Lamin A/C expression.
Why the study?
Understanding of the molecular mechanisms regulating tissue-specific manifestations of laminopathies remains limited.
Answers are grounded in this paper and cite their sources.
Gene expression study reveals downregulated IGFBP5 and altered ERK/MAPK signaling in patient fibroblasts, suggesting cardiac sensitivity to Lamin A/C haploinsufficiency.
BACKGROUND: Intermediate filament proteins that construct the nuclear lamina of a cell include the Lamin A/C proteins encoded by the LMNA gene, and are implicated in fundamental processes such as nuclear structure, gene expression, and signal transduction. LMNA mutations predominantly affect mesoderm-derived cell lineages in diseases collectively termed as laminopathies that include dilated cardiomyopathy with conduction defects, different forms of muscular dystrophies, and premature aging syndromes as Hutchinson-Gilford Progeria Syndrome. At present, our understanding of the molecular mechanisms regulating tissue-specific manifestations of laminopathies are still limited. METHODS: To gain deeper insight into the molecular mechanism of a novel LMNA splice-site mutation (c.357-2A > G) in an affected family with cardiac disease, we conducted deep RNA sequencing and pathway analysis for nine fibroblast samples obtained from three patients with cardiomyopathy, three unaffected family members, and three unrelated, unaffected individuals. We validated our findings by quantitative PCR and protein studies. RESULTS: We identified eight significantly differentially expressed genes between the mutant and non-mutant fibroblasts, that included downregulated insulin growth factor binding factor protein 5 (IGFBP5) in patient samples. Pathway analysis showed involvement of the ERK/MAPK signaling pathway consistent with previous studies. We found no significant differences in gene expression for Lamin A/C and B-type lamins between the groups. In mutant fibroblasts, RNA-seq confirmed that only the LMNA wild type allele predominately was expressed, and Western Blot showed normal Lamin A/C protein levels. CONCLUSIONS: IGFBP5 may contribute in maintaining signaling pathway homeostasis, which may lead to the absence of notable molecular and structural abnormalities in unaffected tissues such as fibroblasts. Compensatory mechanisms from other nuclear membrane proteins were not found. Our results also demonstrate that only one copy of the wild type allele is sufficient for normal levels of Lamin A/C protein to maintain physiological function in an unaffected cell type. This suggests that affected cell types such as cardiac tissues may be more sensitive to haploinsufficiency of Lamin A/C. These results provide insight into the molecular mechanism of disease with a possible explanation for the tissue specificity of LMNA-related dilated cardiomyopathy.
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Widyastuti et al. (2020) studied LMNA-related cardiomyopathy (n=9). LMNA splice-site mutation (c.357-2A > G) vs. Unaffected family members and unrelated healthy controls was evaluated on Differentially expressed genes (RNA-seq) (7- to 9-fold reduction, p=≤0.05). Fibroblasts from patients with an LMNA splice-site mutation showed a 7- to 9-fold reduction in IGFBP5 gene expression and involvement of the ERK/MAPK signaling pathway, with no significant differences in Lamin A/C expression.
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