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Homozygous G650del nexilin variant causes cardiomyopathy in mice
Canzhao Liu, Simone Spinozzi, Wei Feng, Ze’e Chen, Lunfeng Zhang, Siting Zhu, Tongbin Wu, Xi Fang, Kunfu Ouyang, Sylvia M. Evans, Ju Chen
Canzhao Liu, Simone Spinozzi, Wei Feng, Ze’e Chen, Lunfeng Zhang, Siting Zhu, Tongbin Wu, Xi Fang, Kunfu Ouyang, Sylvia M. Evans, Ju Chen
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Research Article Cardiology Genetics

Homozygous G650del nexilin variant causes cardiomyopathy in mice

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Abstract

Nexilin (NEXN) was recently identified as a component of the junctional membrane complex required for development and maintenance of cardiac T-tubules. Loss of Nexn in mice leads to a rapidly progressive dilated cardiomyopathy (DCM) and premature death. A 3 bp deletion (1948–1950del) leading to loss of the glycine in position 650 (G650del) is classified as a variant of uncertain significance in humans and may function as an intermediate risk allele. To determine the effect of the G650del variant on cardiac structure and function, we generated a G645del-knockin (G645del is equivalent to human G650del) mouse model. Homozygous G645del mice express about 30% of the Nexn expressed by WT controls and exhibited a progressive DCM characterized by reduced T-tubule formation, with disorganization of the transverse-axial tubular system. On the other hand, heterozygous Nexn global KO mice and genetically engineered mice encoding a truncated Nexn missing the first N-terminal actin-binding domain exhibited normal cardiac function, despite expressing only 50% and 20% of the Nexn, respectively, expressed by WT controls, suggesting that not only quantity but also quality of Nexn is necessary for a proper function. These findings demonstrated that Nexn G645 is crucial for Nexn’s function in tubular system organization and normal cardiac function.

Authors

Canzhao Liu, Simone Spinozzi, Wei Feng, Ze’e Chen, Lunfeng Zhang, Siting Zhu, Tongbin Wu, Xi Fang, Kunfu Ouyang, Sylvia M. Evans, Ju Chen

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Figure 3

Haploinsufficiency in Nexilin heterozygous gKO mice does not alter cardiac function.

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Haploinsufficiency in Nexilin heterozygous gKO mice does not alter cardi...
(A) Representative whole-heart H&E- and Masson’s trichrome–stained images, 4-chamber views, of longitudinal histological sections from Nexn+/+ and Nexn+/- mice at 10 months of age. Scale bars: 1 mm. (B–G) Transthoracic echocardiographic measurements from Nexn+/+ and Nexn+/- mice at 10 months of age (n ≥ 9): (B) Left ventricular posterior wall end diastole (LVPWd), (C) left ventricular mass-to–body weight ratio (LVM/BW), (D) interventricular septal end diastole (IVSd), (E) left ventricular internal diameter end diastole (LVIDd), (F) left ventricular internal diameter end systole (LVIDs), and (G) percentage of fractional shortening (%FS). (H) Representative Western blotting images from whole-heart lysates of Nexn+/+ and Nexn+/- mice at 10 months of age, and (I) relative quantification normalized to GAPDH. *P < 0.05. Data represent mean ± SEM; differences between groups were analyzed by 2-tailed Student’s t test.

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