PUBLICATION

Intrinsic myocardial defects underlie an Rbfox-deficient zebrafish model of hypoplastic left heart syndrome

Authors
Huang, M., Akerberg, A.A., Zhang, X., Yoon, H., Joshi, S., Hallinan, C., Nguyen, C., Pu, W.T., Haigis, M.C., Burns, C.G., Burns, C.E.
ID
ZDB-PUB-221007-1
Date
2022
Source
Nature communications   13: 5877 (Journal)
Registered Authors
Burns (Erter), Caroline
Keywords
none
Datasets
GEO:GSE189934
MeSH Terms
  • Animals
  • Humans
  • Hypoplastic Left Heart Syndrome*/genetics
  • Hypoplastic Left Heart Syndrome*/pathology
  • Myocardium/metabolism
  • RNA Splicing Factors/genetics
  • RNA Splicing Factors/metabolism
  • RNA, Messenger/metabolism
  • RNA-Binding Proteins/metabolism
  • Repressor Proteins/metabolism
  • Zebrafish/genetics
  • Zebrafish/metabolism
PubMed
36198703 Full text @ Nat. Commun.
Abstract
Hypoplastic left heart syndrome (HLHS) is characterized by underdevelopment of left sided structures including the ventricle, valves, and aorta. Prevailing paradigm suggests that HLHS is a multigenic disease of co-occurring phenotypes. Here, we report that zebrafish lacking two orthologs of the RNA binding protein RBFOX2, a gene linked to HLHS in humans, display cardiovascular defects overlapping those in HLHS patients including ventricular, valve, and aortic deficiencies. In contrast to current models, we demonstrate that these structural deficits arise secondary to impaired pump function as these phenotypes are rescued when Rbfox is specifically expressed in the myocardium. Mechanistically, we find diminished expression and alternative splicing of sarcomere and mitochondrial components that compromise sarcomere assembly and mitochondrial respiration, respectively. Injection of human RBFOX2 mRNA restores cardiovascular development in rbfox mutant zebrafish, while HLHS-linked RBFOX2 variants fail to rescue. This work supports an emerging paradigm for HLHS pathogenesis that centers on myocardial intrinsic defects.
Genes / Markers
Figures
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Expression
Phenotype
Mutations / Transgenics
Human Disease / Model
Sequence Targeting Reagents
Fish
Antibodies
Orthology
Engineered Foreign Genes
Mapping