Key result
Rheumatic heart disease is linked to PRKCA promoter hypomethylation and altered PRKCA-AS1 expression.
Why the study?
The molecular pathogenesis of rheumatic heart disease involving DNA methylation regulation of PRKCA transcription was not fully understood.
PRKCA hypomethylation in RHD valves should not yet change practice; leaves open hypothesis-generating epigenetic research on valve disease.
In the present study, mitral valve tissues from three mitral stenosis patients with RHD by valve replacement and two healthy donors were harvested and conducted DNA methylation signature on PRKCA by MeDIP-qPCR. The presence of hypomethylated CpG islands at promoter and 5ʹ terminal of PRKCA was observed in RHD accompanied with highly expressed PRKCA and down-regulated antisense long non-coding RNA (lncRNA) PRKCA-AS1 compared to health control. Furthermore, the enrichments of DNMT1/3A/3B on PRKCA were detected by ChIP-qPCR assay in vivo and in human cardiomyocyte AC16 and RL-14 cells exposed to TNF-α in vitro, and both demonstrated that DNMT1 substantially contributed to DNA methylation. Additionally, PRKCA-AS1 was further determined to bind with promoter of PRKCA via 5ʹ terminal and interact with DNMT1 via 3ʹ terminal. Taken together, our results illuminated a novel regulatory mechanism of DNA methylation on regulating PRKCA transcription through lncRNA PRKCA-AS1, and shed light on the molecular pathogenesis of RHD occurrence.
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Xie et al. (2021) studied Rheumatic heart disease (n=5). Rheumatic heart disease vs. Healthy control was evaluated on DNA methylation signature on PRKCA and expression of PRKCA and PRKCA-AS1. Rheumatic heart disease was associated with hypomethylated CpG islands at the PRKCA promoter, highly expressed PRKCA, and down-regulated lncRNA PRKCA-AS1 compared to healthy controls.
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