THE ROLE OF FLNC IN THE CONTRACTILITY OF THE HEART AND VALVE DEVELOPMENT IN ZEBRAFISH
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Saudi Digital Library
Abstract
Dilated Cardiomyopathy (DCM) is the most common type of cardiomyopathy disease that causes
heart muscle defects. DCM is characterized by a dilated left ventricular chamber and systolic
dysfunction that results in congestive heart failure. Although the cause of DCM is not fully
understood, evidence supports the hypothesis that costameric proteins contribute to muscle
dysfunction linked to cardiomyopathy. In fact, the mutation of FLNC has been linked to many
muscle disease including myofibrila myopathies (MFM) and different types of cardiomyopathy.
However, the mechanisms underlying the variability between MFM and cardiac disease is a filed
of interest. Patients with DCM showen to carry truncating variants whereas patients with
hypwetrophic cardiomyopathy (HCM) carried missense variants. Additionaly, patiants with other
types of cardiomyopathy carried missense or in-frame indel variants(Ader, Groote et al.). This
seems to suggest that different mechanisms may be at play regarding the role of FLNC in cardiac
developmens and they remain unclear. It would be interesting to examine if a similar correlation
holds in animal model like zebrafish. Therefore, our group has developed the zebrafish model for
study of the FLNC contribution to cardiac phenotypes. Here, we used several FLNC mutant lines
to investigate how FLNC directly or indirectly affects development of the atrioventricular (AV)
valve. To date, little data indicate whether or not increased RFF is pathologic. This project will
test the overarching hypothesis that flnc depletion causes changes in RFF, which lead to aberrant
valve development, which in turn affects overall heart function. We find that the cardiac
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morphological phenotype of most single FLNC alleles showed normal heart pharameters such as
heart rate, stroke valume, cardiac output and reverse flow fraction. However, flcnb exon 14-/- allele
exhibited a decreased in stroke volum and cardiac output whereas RFF is intact. Furturemore,
using a immunocytochemistry to examine a correlation that may exist between the strength of
the cardiac phenotype and the presence of valve defects indicate that valve defects presented in
flncb truncation mutants, and suggest that defects in flncbexon35-/- embryos are more severe. In
support of this finding, our qPCR study displayed that expression levels of klf2a and klf2b in
flncaexon1-/- ; flncbexon14-/- double mutant hearts were significantly decreased. In addition, Prior
studies have proposed that massive formation of intracellular protein aggregates imposes toxic
impacts that contribute to the skeletal muscle degeneration observed in myofibrillar myopathy
(Fichna, Maruszak et al. 2018). We demonstrated that the truncated protein either exerts a direct
toxic effect, and/or sequesters wildtype FLNC leading to insufficiency phenotypes.