1. Mitochondrial thioredoxin-2 maintains HCN4 expression and prevents oxidative stress-mediated sick sinus syndrome
- Author
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Haipeng Xiao, Haifeng Zhang, Bicheng Yang, Lawrence Young, Yanrui Huang, Huanjiao Jenny Zhou, Yan Huang, and Wang Min
- Subjects
Cardiomyopathy, Dilated ,0301 basic medicine ,Bradycardia ,Mitochondrial ROS ,medicine.medical_specialty ,Sinus bradycardia ,030204 cardiovascular system & hematology ,Models, Biological ,Histone Deacetylases ,Mitochondria, Heart ,Sick sinus syndrome ,03 medical and health sciences ,Thioredoxins ,0302 clinical medicine ,Internal medicine ,Hyperpolarization-Activated Cyclic Nucleotide-Gated Channels ,medicine ,Animals ,RNA, Messenger ,Molecular Biology ,Sinoatrial Node ,Mice, Knockout ,Sick Sinus Syndrome ,MEF2 Transcription Factors ,Chemistry ,Sinoatrial node ,Dilated cardiomyopathy ,medicine.disease ,HDAC4 ,Oxidative Stress ,Enhancer Elements, Genetic ,Phenotype ,030104 developmental biology ,medicine.anatomical_structure ,Endocrinology ,medicine.symptom ,Electrical conduction system of the heart ,Reactive Oxygen Species ,Cardiology and Cardiovascular Medicine ,Protein Binding - Abstract
Objective Sick sinus syndrome (SSS) is associated with loss of HCN4 (hyperpolarization-activated cyclic nucleotide-gated potassium channel 4) function in the cardiac conduction system. The underlying mechanism for SSS remains elusive. This study is to investigate how mitochondrial oxidative stress induces HCN4 downregulation associated with in sick sinus syndrome. Methods and results Trx2lox/lox mice were crossed with α-myosin heavy chain (α-Mhc)-Cre and Hcn4-CreERT2 deleter mice to generate Trx2 deletion mice in the whole heart (Trx2cKO) and in the conduction system (Trx2ccsKO), respectively. Echocardiography was applied to measure hemodynamics and heart rhythm. Histological analyses, gene profiling and chromatin immunoprecipitation were performed to define the mechanism by which thioredoxin-2 (Trx2) regulates HCN4 expression and cardiac function. Trx2cKO mice displayed dilated cardiomyopathy, low heart rate, and atrial ventricular block (AVB) phenotypes. Immunofluorescence revealed that HCN4 expression was specifically reduced within the sinoatrial node in Trx2cKO mice. Interestingly, Trx2ccsKO mice displayed low heart rate and AVB without dilated cardiomyopathy. Both mRNA and protein levels of HCN4 were reduced in the sinoatrial node, suggesting transcriptional HCN4 regulation upon Trx2 deletion. ChIP indicated that the binding of MEF2 to the HCN4 enhancer was not altered by Trx2 deletion; however, histone 3 acetylation at the MEF2 binding site was decreased, and expression of histone deacetylase 4 (HDAC4) was elevated following Trx2 deletion. Moreover, HDAC4 binding to the HCN4 enhancer was mediated by MEF2. Mitochondrial ROS were increased by Trx2 deletion and importantly, mitochondria-specific ROS scavenger MitoTEMPO suppressed HDAC4 elevation, HCN4 reduction, and sinus bradycardia in Trx2ccsKO mice. Conclusion In the conduction system, Trx2 is critical for maintaining HCN4-mediated normal heart rate. Loss of Trx2 reduces HCN4 expression via a mitochondrial ROS-HDAC4-MEF2C pathway and subsequently induces sick sinus syndrome in mice.
- Published
- 2020