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Resistance of Dynamin-related Protein 1 Oligomers to Disassembly Impairs Mitophagy,Resulting in Myocardial Inflammation and Heart Failure
Authors:Thomas J. Cahill  Vincenzo Leo  Matthew Kelly  Alexander Stockenhuber  Nolan W. Kennedy  Leyuan Bao  Grazia Cereghetti  Andrew R. Harper  Gabor Czibik  Chunyan Lao  Mohamed Bellahcene  Violetta Steeples  Safar Ghaffari  Arash Yavari  Alice Mayer  Joanna Poulton  David J. P. Ferguson  Luca Scorrano  Nishani T. Hettiarachchi  Chris Peers  John Boyle  R. Blake Hill  Alison Simmons  Hugh Watkins  T. Neil Dear  Houman Ashrafian
Abstract:We have reported previously that a missense mutation in the mitochondrial fission gene Dynamin-related protein 1 (Drp1) underlies the Python mouse model of monogenic dilated cardiomyopathy. The aim of this study was to investigate the consequences of the C452F mutation on Drp1 protein function and to define the cellular sequelae leading to heart failure in the Python monogenic dilated cardiomyopathy model. We found that the C452F mutation increased Drp1 GTPase activity. The mutation also conferred resistance to oligomer disassembly by guanine nucleotides and high ionic strength solutions. In a mouse embryonic fibroblast model, Drp1 C452F cells exhibited abnormal mitochondrial morphology and defective mitophagy. Mitochondria in C452F mouse embryonic fibroblasts were depolarized and had reduced calcium uptake with impaired ATP production by oxidative phosphorylation. In the Python heart, we found a corresponding progressive decline in oxidative phosphorylation with age and activation of sterile inflammation. As a corollary, enhancing autophagy by exposure to a prolonged low-protein diet improved cardiac function in Python mice. In conclusion, failure of Drp1 disassembly impairs mitophagy, leading to a downstream cascade of mitochondrial depolarization, aberrant calcium handling, impaired ATP synthesis, and activation of sterile myocardial inflammation, resulting in heart failure.
Keywords:cardiomyopathy   heart failure   mitochondria   mitochondrial metabolism   mitophagy
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