Why the study?
Mutation in TECRL was first reported in catecholaminergic polymorphic ventricular tachycardia associated with sudden cardiac death, but its functional role in cardiomyocytes remained to be elucidated.
TECRL deficiency impairs mitochondrial function and exacerbates cardiac dysfunction, providing a potential mechanistic link and therapeutic target for catecholaminergic polymorphic ventricular tachycardia (CPVT).
Tecrl KO cardiac dysfunction in mice does not yet inform practice; leaves open TECRL pathway validation as a CPVT research target.
Sudden cardiac death (SCD) caused by ventricular arrhythmias is the leading cause of mortality of cardiovascular disease. Mutation in TECRL, an endoplasmic reticulum protein, was first reported in catecholaminergic polymorphic ventricular tachycardia during which a patient succumbed to SCD. Using loss- and gain-of-function approaches, we investigated the role of TECRL in murine and human cardiomyocytes. Tecrl (knockout, KO) mouse shows significantly aggravated cardiac dysfunction, evidenced by the decrease of ejection fraction and fractional shortening. Mechanistically, TECRL deficiency impairs mitochondrial respiration, which is characterized by reduced adenosine triphosphate production, increased fatty acid synthase (FAS) and reactive oxygen species production, along with decreased MFN2, p-AKT (Ser473), and NRF2 expressions. Overexpression of TECRL induces mitochondrial respiration, in PI3K/AKT dependent manner. TECRL regulates mitochondrial function mainly through PI3K/AKT signaling and the mitochondrial fusion protein MFN2. Apoptosis inducing factor (AIF) and cytochrome C (Cyc) is released from the mitochondria into the cytoplasm after siTECRL infection, as demonstrated by immunofluorescent staining and western blotting. Herein, we propose a previously unrecognized TECRL mechanism in regulating CPVT and may provide possible support for therapeutic target in CPVT.
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Hou et al. (2022) studied this question.
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