TEAD1 trapping by the Q353R-Lamin A/C causes dilated cardiomyopathy

Sci Adv. 2023 Apr 14;9(15):eade7047. doi: 10.1126/sciadv.ade7047. Epub 2023 Apr 14.

Abstract

Mutations in the LMNA gene encoding Lamin A and C (Lamin A/C), major components of the nuclear lamina, cause laminopathies including dilated cardiomyopathy (DCM), but the underlying molecular mechanisms have not been fully elucidated. Here, by leveraging single-cell RNA sequencing (RNA-seq), assay for transposase-accessible chromatin using sequencing (ATAC-seq), protein array, and electron microscopy analysis, we show that insufficient structural maturation of cardiomyocytes owing to trapping of transcription factor TEA domain transcription factor 1 (TEAD1) by mutant Lamin A/C at the nuclear membrane underlies the pathogenesis of Q353R-LMNA-related DCM. Inhibition of the Hippo pathway rescued the dysregulation of cardiac developmental genes by TEAD1 in LMNA mutant cardiomyocytes. Single-cell RNA-seq of cardiac tissues from patients with DCM with the LMNA mutation confirmed the dysregulated expression of TEAD1 target genes. Our results propose an intervention for transcriptional dysregulation as a potential treatment of LMNA-related DCM.

MeSH terms

  • Cardiomyopathy, Dilated* / metabolism
  • Humans
  • Lamin Type A / genetics
  • Mutation
  • Myocytes, Cardiac / metabolism
  • TEA Domain Transcription Factors

Substances

  • Lamin Type A
  • TEAD1 protein, human
  • TEA Domain Transcription Factors