Key result
Acta2 R149C/+ mice did not develop thoracic aortic disease despite decreased aortic contraction, likely due to increased retention of mutant SM α-actin in the TCP1 folding complex.
Why the study?
Pathogenic ACTA2 variants predispose to thoracic aortic disease, but only 60% of p.Arg149Cys carriers experience dissection or aneurysm repair by age 70, leaving the etiology of this reduced penetrance unknown.
The ACTA2 R149C mutation in mice causes defective release of mutant smooth muscle α-actin from the TCP1 folding complex, reducing mutant actin levels and potentially preventing the development of thoracic aortic disease despite impaired smooth muscle function.
Answers are grounded in this paper and cite their sources.
Provides mechanistic insight into ACTA2 variant penetrance; hypothesis-generating and should not yet change practice.
Pathogenic variants of the gene for smooth muscle α-actin ( ACTA2 ), which encodes smooth muscle (SM) α-actin, predispose to heritable thoracic aortic disease. The ACTA2 variant p.Arg149Cys (R149C) is the most common alteration; however, only 60% of carriers have a dissection or undergo repair of an aneurysm by 70 years of age. A mouse model of ACTA2 p.Arg149Cys was generated using CRISPR/Cas9 technology to determine the etiology of reduced penetrance. Acta2 R149C/+ mice had significantly decreased aortic contraction compared with WT mice but did not form aortic aneurysms or dissections when followed to 24 months, even when hypertension was induced. In vitro motility assays found decreased interaction of mutant SM α-actin filaments with SM myosin. Polymerization studies using total internal reflection fluorescence microscopy showed enhanced nucleation of mutant SM α-actin by formin, which correlated with disorganized and reduced SM α-actin filaments in Acta2 R149C/+ smooth muscle cells (SMCs). However, the most prominent molecular defect was the increased retention of mutant SM α-actin in the chaperonin-containing t-complex polypeptide folding complex, which was associated with reduced levels of mutant compared with WT SM α-actin in Acta2 R149C/+ SMCs. These data indicate that Acta2 R149C/+ mice do not develop thoracic aortic disease despite decreased contraction of aortic segments and disrupted SM α-actin filament formation and function in Acta2 R149C/+ SMCs. Enhanced binding of mutant SM α-actin to chaperonin-containing t-complex polypeptide decreases the mutant actin versus WT monomer levels in Acta2 R149C/+ SMCs, thus minimizing the effect of the mutation on SMC function and potentially preventing aortic disease in the Acta2 R149C/+ mice.
No takes yet. Share an insight, caveat, or question.
Chen et al. (2021) studied Thoracic aortic disease. Acta2 R149C/+ mutation vs. Wild-type (WT) mice was evaluated on Aortic aneurysms or dissections. Acta2 R149C/+ mice did not develop thoracic aortic disease despite decreased aortic contraction, likely due to increased retention of mutant SM α-actin in the TCP1 folding complex.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: