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American Heart Association

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Final ID: MP2725

A DHX38 Spliceosomal Mutation Impairs MYC Signaling, Cardiac Transcriptome Splicing, and Leads to Diastolic Dysfunction

Abstract Body (Do not enter title and authors here): DHX38, a DEAH-box RNA helicase critical for pre-mRNA splicing, plays an essential role in maintaining transcriptomic fidelity, yet its function in the heart remains poorly characterized. Here, we define the molecular and physiological impact of a pathogenic missense mutation in DHX38 (p.Thr1221Met). Structural modeling and molecular dynamics simulations predict that the mutation induces localized conformational rigidity without gross destabilization of the helicase. Using a knock-in mouse model, multi-omics profiling revealed widespread transcriptomic and splicing dysregulation affecting genes involved in Rho GTPases, nonsense-mediated decay, and mitochondrial function. Notably, MYC signaling emerged as a disrupted regulatory axis, with suppression of canonical MYC targets involved in ribosome biogenesis, glycolysis, and cell cycle control. Proteomic analysis confirmed corresponding changes, including alterations in Rho GTPase regulators, rRNA processing proteins, and sarcomeric components, alongside upregulation of cardiac stress markers (e.g., Nppa, Postn, Mmp2, Fhl1/2). Functionally, homozygous Dhx38T1221M/T1221M mice exhibited diastolic dysfunction despite preserved systolic function, as assessed by echocardiography. Collectively, these data demonstrate that DHX38 maintains cardiac homeostasis by coordinating splicing fidelity with transcriptional and translational control. Disruption of this axis by the p.Thr1221Met variant impairs MYC activity and RNA maturation, leading to diastolic dysfunction. These findings establish DHX38 as a central regulator of cardiac molecular integrity and highlight spliceosome dysfunction as a potential driver of cardiomyopathy.
  • Iwanski, Jessika  ( UTSW Medical Center , Dallas , Texas , United States )
  • Sarvagalla, Sailu  ( Sailu Sarvagalla , Tucson , Arizona , United States )
  • Methawasin, Mei  ( University of Missouri , Columbia , Missouri , United States )
  • Van Den Berg, Marloes  ( University of Arizona , Tucson , Arizona , United States )
  • Churko, Jared  ( University of Arizona , Tucson , Arizona , United States )
  • Author Disclosures:
    Jessika Iwanski: DO NOT have relevant financial relationships | Sailu Sarvagalla: DO NOT have relevant financial relationships | Mei Methawasin: DO NOT have relevant financial relationships | Marloes Van Den Berg: No Answer | Jared Churko: DO NOT have relevant financial relationships
Meeting Info:

Scientific Sessions 2025

2025

New Orleans, Louisiana

Session Info:

Genomic Insights into Heritable Cardiomyopathies: From Disease Development to Novel Therapies

Monday, 11/10/2025 , 12:15PM - 01:15PM

Moderated Digital Poster Session

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