Scientific Sessions 2024
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Ion Channels Biology
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S-nitrosylation of cardiac Cx43 hemichannels at Cys271 promotes arrhythmogenicity and myocardial injury upon cardiac stress in Duchenne Muscular Dystrophy
American Heart Association
2
0
Final ID: MDP74
S-nitrosylation of cardiac Cx43 hemichannels at Cys271 promotes arrhythmogenicity and myocardial injury upon cardiac stress in Duchenne Muscular Dystrophy
Abstract Body (Do not enter title and authors here): Connexin-43 (Cx43) plays a critical role in the propagation of action potentials among cardiomyocytes and proper cardiac contractility. In healthy cardiomyocytes, Cx43 is located at the intercalated disk; however, Cx43 remodeling is observed in cardiac pathologies and is linked with arrhythmogenesis and sudden cardiac death. Utilizing a mouse model of Duchenne muscular dystrophy (DMDmdx), we have previously demonstrated that cardiac Cx43 is laterally localized, forming undocked hemichannels that activate via S-nitrosylation in response to isoproterenol-evoked cardiac stress. This activation leads to the disruption of cardiac membrane permeability, triggered activity, and deadly arrhythmogenic behaviors. To establish the direct role of S-nitrosylated Cx43 in DMD cardiomyopathy, we developed a specific knock-in mouse line in which the single Cx43 site for S-nitrosylation, cysteine 271 (Cys271), was substituted with a serine (C271S+/-). Here, we developed a DMDmdx:C271S+/- line (4–6 months old), exhibiting reduced levels of S-nitrosylated Cx43 after crossing DMDmdx mice and C271S+/- mouse lines to assess the effect of β-adrenergic stimulation-induced cardiac stress and heart dysfunction. We show that cardiac Cx43 remodeling was not prevented in DMDmdx:C271S+/-, similar to what was shown in DMDmdx mice via immunofluorescence analysis. In addition, DMDmdx mice displayed an increased number of deadly arrhythmogenic events, increased Ca2+ signaling, and prolonged action potentials in Langendorff-perfused whole hearts via optical mapping, compared to wild-type and DMDmdx:C271S+/- mice. Similarly, isoproterenol treatment evoked severe myocardial injury, increased levels of plasmatic cardiac troponin I (cTnI), and 40% mortality in DMDmdx mice. Notably, DMDmdx:C271S+/- mice, similar to DMDmdx mice treated with the Cx43 hemichannel blocker Gap19, exhibited cardioprotection compared to the cardiac dysfunction observed in DMDmdx mice. Therefore, these findings strongly suggest that S-nitrosylation of Cx43 proteins at site Cys271 represents a fundamental NO-mediated mechanism involved in the induction of arrhythmias and myocardial injury in DMDmdx after β-adrenergic stress.
Munoz Camus, Manuel
( University of California, Davis
, Davis
, California
, United States
)
Quan, Jonathan
( University of California, Davis
, Davis
, California
, United States
)
Nguyen, Thao
( University of California, Davis
, Davis
, California
, United States
)
Nuno, Janet
( University of California, Davis
, Davis
, California
, United States
)
Sheehy, Adrian
( University of California, Davis
, Davis
, California
, United States
)
Gaete, Pablo
( University of California, Davis
, Davis
, California
, United States
)
Lillo, Mauricio
( Rutgers University
, Newark
, New Jersey
, United States
)
Contreras, Jorge
( University of California, Davis
, Davis
, California
, United States
)
Author Disclosures:
Manuel Munoz Camus:DO NOT have relevant financial relationships
| Jonathan Quan:DO NOT have relevant financial relationships
| Thao Nguyen:DO NOT have relevant financial relationships
| Janet Nuno:No Answer
| Adrian Sheehy:DO NOT have relevant financial relationships
| Pablo Gaete:No Answer
| Mauricio Lillo:DO NOT have relevant financial relationships
| Jorge Contreras:DO NOT have relevant financial relationships