Eichel, C. A., Louault, F., Dilanian, G., Essers, M., Abriel, H., Coulombe, A., Hatem, S., and Balse, E.
MAGUK proteins are a superfamily of proteins implicated in the anchoring and scaffolding of macromolecular complexes at the plasma membrane. The MAGUK protein CASK differs from other MAGUKs as it possesses an N-terminal calcium/calmodulin-dependant protein kinase domain, a single PDZ domain and has the capacity to translocate to the nucleus, where it acts as a co-activator to induce the transcription of T-element containing genes. However, apart from the fact that it is expressed in the heart, little else is known about its function in this organ. We found that CASK was expressed at the protein level in rat and human myocardia. Immunostainings of myocardial cryosections revealed that CASK was located at the lateral membrane of myocytes in sharp-contrast with the other cardiac MAGUKs, SAP97 and ZO1, which are found at the intercalated disc. CASK belongs to the costamere complex at the lateral membrane as it colocalized with syntrophin/dystrophin. Co-immunoprecipitation experiments performed on heart lysates showed that CASK and dystrophin interact. Moreover, in MDX mice which lack dystrophin, CASK was no longer present at the lateral membrane of myocytes, confirming that CASK participates in the syntrophin/dystrophin costameric complex. We have previously demonstrated that cardiomyocytes express two distinct pools of Nav1.5 channels: one at the intercalated discs interacting with SAP97 and a second at the lateral membrane interacting with the syntrophin/dystrophin complex. Due to its particular location, we hypothesized that CASK was involved in the targeting of the subpopulation of Nav1.5 channels to the lateral membrane. GST pull down experiments performed on heart lysates showed that CASK interacts with Nav1.5. In addition, immunostainings revealed that CASK and Nav1.5 colocalize in freshly isolated myocytes. Furthermore, in a HEK293 cell line stably expressing Nav1.5 channels, whole-cell patch clamp recordings showed that CASK silencing enhanced the sodium current (INa) (at -30mV, -95.1 ± 10.9 pA/pF, n=12 vs control -51.4 ± 5.7 pA/pF, n=13; mean ± SEM, p<0.01) while CASK overexpression decreased INa (at -30mV, -58.6 ± 10.2 pA/pF, n=8 vs control 88.6 ± 10.6 pA/pF, n=6; mean ± SEM, p<0.05). Finally, in cultured rat atrial myocytes where CASK was silenced, INa was also enhanced. In conclusion, CASK is a new cardiac MAGUK protein which shows unique cell localization. Our results indicate that CASK is present at the costamere level where it interacts with dystrophin. Interestingly, CASK is able to regulate the Nav1.5-mediated current suggesting that it is a new partner of the Nav1.5 macromolecular complex specifically at the lateral membrane. These results characterize a previously unreported ion channel partner and provide new insight into the regulation and organization of cardiac ion channels. [ABSTRACT FROM AUTHOR]