Key result
Gene coexpression network analysis of 313 human hearts identified PPP1R3A as a central regulator in heart failure, with its knockdown protecting against pressure-overload heart failure in mice.
Why the study?
Heart failure is a leading cause of mortality, but understanding of the genetic interactions underlying the disease remains incomplete.
Observational (n=313)
Yes
PPP1R3A is identified as a novel central regulator in the transition to heart failure, and its inhibition protects against pressure-overload heart failure in preclinical models.
PPP1R3A inhibition merits exploration in heart failure; hypothesis-generating from animal data and should not yet change practice.
Heart failure is a leading cause of mortality, yet our understanding of the genetic interactions underlying this disease remains incomplete. Here, we harvest 1352 healthy and failing human hearts directly from transplant center operating rooms, and obtain genome-wide genotyping and gene expression measurements for a subset of 313. We build failing and non-failing cardiac regulatory gene networks, revealing important regulators and cardiac expression quantitative trait loci (eQTLs). PPP1R3A emerges as a regulator whose network connectivity changes significantly between health and disease. RNA sequencing after PPP1R3A knockdown validates network-based predictions, and highlights metabolic pathway regulation associated with increased cardiomyocyte size and perturbed respiratory metabolism. Mice lacking PPP1R3A are protected against pressure-overload heart failure. We present a global gene interaction map of the human heart failure transition, identify previously unreported cardiac eQTLs, and demonstrate the discovery potential of disease-specific networks through the description of PPP1R3A as a central regulator in heart failure.
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Cordero et al. (2019) conducted an observational in Heart failure (n=313). Heart failure vs. Nonfailing healthy donor hearts was evaluated on Identification of central regulatory genes in heart failure via coexpression networks. Gene coexpression network analysis of 313 human hearts identified PPP1R3A as a central regulator in heart failure, with its knockdown protecting against pressure-overload heart failure in mice.
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