Junming Sun1, Xiaoping Guo1, Ping Yu2, Jinning Liang1, Zhongxiang Mo1, Mingyuan Zhang1, Lichao Yang3, Xuejing Huang1, Bing Hu1, Jiajuan Liu1, Yiqiang Ouyang1, Min He1,3,4. 1. Laboratory Animal Center, Guangxi Medical University, Nanning, Guangxi, China. 2. Department of Cardiology, The Second Affiliated Hospital, Guangxi Medical University, Nanning, Guangxi, China. 3. School of Public Health, Guangxi Medical University, Nanning, China. 4. Ministry of Education, Key Laboratory of High-Incidence-Tumor Prevention & Treatment, (Guangxi Medical University), Nanning, China.
Abstract
Vasorin (VASN) is an important transmembrane protein associated with development and disease. However, it is not clear whether the death of mice with VASN deficiency (VASN-/- ) is related to cardiac dysfunction. The aim of this research was to ascertain whether VASN induces pathological cardiac hypertrophy by targeting myosin light chain 7 (MYL7). VASN-/- mice were produced by CRISPR/Cas9 technology and inbreeding. PCR amplification, electrophoresis, real-time PCR and Western blotting were used to confirm VASN deficiency. Cardiac hypertrophy was examined by blood tests, histological analysis and real-time PCR, and key downstream factors were identified by RNA sequencing and real-time PCR. Western blotting, immunohistochemistry and electron microscopy analysis were used to confirm the downregulation of MYL7 production and cardiac structural changes. Our results showed that sudden death of VASN-/- mice occurred 21-28 days after birth. The obvious increases in cardiovascular risk, heart weight and myocardial volume and the upregulation of hypertrophy marker gene expression indicated that cardiac hypertrophy may be the cause of death in young VASN-/- mice. Transcriptome analysis revealed that VASN deficiency led to MYL7 downregulation, which induced myocardial structure abnormalities and disorders. Our results revealed a pathological phenomenon in which VASN deficiency may lead to cardiac hypertrophy by downregulating MYL7 production. However, more research is necessary to elucidate the underlying mechanism.
Vasorin (VASN) is an important transmembrane protein associated with development and disease. However, it is not clear whether the death of mice with VASN deficiency (VASN-/- ) is related to cardiac dysfunction. The aim of this research was to ascertain whether VASN induces pathological cardiac hypertrophy by targeting myosin light chain 7 (MYL7). VASN-/- mice were produced by CRISPR/Cas9 technology and inbreeding. PCR amplification, electrophoresis, real-time PCR and Western blotting were used to confirm VASN deficiency. Cardiac hypertrophy was examined by blood tests, histological analysis and real-time PCR, and key downstream factors were identified by RNA sequencing and real-time PCR. Western blotting, immunohistochemistry and electron microscopy analysis were used to confirm the downregulation of MYL7 production and cardiac structural changes. Our results showed that sudden death of VASN-/- mice occurred 21-28 days after birth. The obvious increases in cardiovascular risk, heart weight and myocardial volume and the upregulation of hypertrophy marker gene expression indicated that cardiac hypertrophy may be the cause of death in young VASN-/- mice. Transcriptome analysis revealed that VASN deficiency led to MYL7 downregulation, which induced myocardial structure abnormalities and disorders. Our results revealed a pathological phenomenon in which VASN deficiency may lead to cardiac hypertrophy by downregulating MYL7 production. However, more research is necessary to elucidate the underlying mechanism.
Vasorin (VASN), also known as SLIT‐like 2 (slitl2), is a 673‐amino acid transmembrane glycoprotein localized on the cell surface
that is cleaved by a disintegrin and metalloproteinase. VASN is considered a potential biomarker and therapeutic target for cancer.
,
Notably, VASN is highly conserved in many organs from embryonic development to adulthood.
,
There is limited literature on VASN function. In embryonic development, VASN is primarily expressed in the heart and lungs.
VASN is expressed in vascular smooth muscle cells
and umbilical vein endothelial cells.
Soluble VASN protein can bind to TGF‐β, which can inhibit epithelial‐to‐mesenchymal transition.
A previous study showed high VASN expression in human glioblastoma in the context of TNF α‐induced apoptosis.
CRISPR/Cas9 technology could be used to generate a knockout mouse model to further study the function of VASN and its associated signalling pathway. However, unexplained death occurs in VASN
−/− mice shortly after birth,
and it was unclear whether this phenomenon was related to heart damage.Cardiac hypertrophy may lead to heart damage and sudden death
,
,
but is not always pathological (ie associated with cardiac dysfunction). Cardiac hypertrophy is not present under conditions of increased chamber volume but normal cardiac mass. Pathological cardiac hypertrophy is a compensatory change in cardiac overload induced by pathological stimulation
,
that is characterized by increased heart weight or volume, myocardial cell volume and extracellular matrix,
,
properties of the inevitable process by which heart disease progresses to heart failure.
,
The pathogenesis of cardiac hypertrophy is not clear. In a recent study, monogenic mutation of cardiac sarcomeres was shown to cause pathological cardiac hypertrophy.
,
Cardiac myosin is an important structure in cardiac sarcomeres and includes two myosin regulatory light chains (MLC2v and MLC2a).
Myosin light chain 7 (MYL7), also known as MLC2a, is expressed in heart ventricles and atria.
,
MYL7 inactivation leads to embryonic lethality and abnormal cardiac morphogenesis.
,
Based on these studies, a novel pathological phenomenon was hypothesized in which VASN deletion leads to cardiac hypertrophy by affecting MYL7 expression.In this study, we used CRISPR/Cas9 technology to produce VASN‐knockout mice and investigated the changes in cardiac function and cardiac hypertrophy index values. Our results indicated that cardiac hypertrophy may be the cause of death in young VASN‐knockout mice. We found that VASN deficiency downregulated MYL7 expression, resulting in myocardial structure abnormalities and disorders. Our results reveal a pathological phenomenon in which VASN deficiency may lead to cardiac hypertrophy by downregulating MYL7 production.
MATERIALS AND METHODS
Mouse lines and embryo manipulation
All mouse experiments were approved by the ethics committee of Guangxi Medical University. C57BL/6J mice were obtained from the Laboratory Animal Center of Guangxi Medical University [syxk GUI 2020–0004]. Embryonic manipulation was carried out on our custom embryo platform.
C57BL/6J females were subjected to oestrus synchronization and superovulation.
Eight females were mated with eight fertile males each time, and the pronucleus was injected with approximately 10 pL mRNA. Approximately forty injected embryos were transferred into the fallopian tube of each pseudopregnant mouse.
Production of VASN‐knockout mouse
VASN‐knockout mice were created by CRISPR/Cas9 technology.
The VASN gene (GenBank accession number: NM_139307.3; Ensembl: ENSMUSG00000039646) is located on mouse chromosome 16. Two pairs of guide RNA (gRNA) were constructed and confirmed by sequencing (Table 1). Cas9 mRNA and gRNA were coinjected into the pronucleus to produce VASN
−/+ mice. VASN
−/− mice were produced by inbreeding eight pairs of 8 ‐ to 9 ‐week‐old VASN
−/+ females and males. VASN
+/+, VASN
−/+ and VASN
+/+ mice were divided into three groups.
TABLE 1
List of primer sequences
Genes
Forward/ Reverse
Sequences
gRNA1
‐
TCCCCAGACGGGGACCCGACAGG
gRNA2
‐
GTACTGGATGCACTGGCGGCTGG
gRNA3
‐
ATGTGATCATACCACGACGGTGG
gRNA4
‐
TTCCCTTCAGGGGCGAGACCTGG
P1
‐
ACTTCTGGGGGACAATGCTG
P2
‐
ACTGGAGTTTCTTG CCTTGGT
P3
‐
GCCTCAACAGTCAGCTTCTC
P4
‐
CTGATGGGCACCCTGTACT
VASN
Forward Reverse
CCGGGACCCCGGACCTCTCA TCTTCTGTCCCAGGAGACGACTGCG
BNP
Forward Reverse
TTCTGCTCCTGCTTTTCCTT GCCATTTCCTCTGACTTTTC
MYH7
Forward Reverse
GATGGTGACACGCATCAACG CCATGCCGAAGTCAATAAACG
MYL7
Forward Reverse
CTCATGACCCAGGCAGACAAG CCGTGGGTGATGATGTAGCAG
UCP1
Forward Reverse
CTCAGCCGGAGTTTCAGCTTG GAAGCCTGGCCTTCACCTTG
A2 M
Forward Reverse
CATTTGCTTTGGTGGTGCAGA TCAGCAATTGCCATGTTGGAG
MYL4
Forward Reverse
CCAATGGCTGCATCAACTATGAA CCATGTGAGTCCAATACTCCGTAA
CACNA1D
Forward Reverse
TGCAAGATGACGAGCCAGAAG TGATTGACATGGTTTCCAAGCAG
List of primer sequences
PCR amplification and electrophoresis
Each mouse genotype was identified by PCR amplification and electrophoresis.
DNA was extracted according to the manufacturer's instructions (TransGen, China). DNA polymerase (Vazyme, China) and two primer pairs (Table 1) were used for PCR amplification under the following amplification conditions: 95 °C for 3 min; 35 cycles of 95 °C for 15 s, 60 °C for 15 s and 72 °C for 2.5 min; and 72 °C for 5 min. PCR products were visualized by 1.5% agarose gel electrophoresis (Invitrogen, USA).
Cardiovascular index analysis
The mice in each group (3 mice, 2 biological replicates per group) were anaesthetized with 4% chloral hydrate (0.02 mL g−1). Approximately 400 μL of blood was collected from each mouse and placed at room temperature for 30 min. The resulting supernatant was stored at −20°C. Serum homocysteine (HCY) levels were measured by an AEROSET‐2 000 automatic analyser (Abbott, USA). The levels of serum cardiac enzymes (lactate dehydrogenase (LDH) and creatine kinase (CK)) and myocardial enzymes (creatine kinase isoenzyme (CK‐MB)) were measured by an AU5800 automatic analyser (Beckman Coulter, USA).
Pathological analysis
Haematoxylin and eosin (HE) staining was performed as previously described.
Pathological changes in the heart were detected in mice from each group (3 mice, 5 biological replicates per group). The percentage of mice with cardiac hypertrophy was calculated as the number of mice with cardiac hypertrophy divided by the total number of mice in each group.
Transcriptome sequencing
Transcriptome sequencing of heart tissue from the three groups was completed at the Wuhan Genome Institute (BGI‐Shenzhen). Twelve total RNA samples (4 mice per group) were sequenced. Whole transcriptome data were collected and compared with the ribosome database to identify known transcripts (mRNA), perform quantitative analysis of known and new mRNAs, analyse differences between samples (at least 2 samples) and analyse differences between groups (at least 2 samples and at least 3 biological replicates per group). Differentially expressed genes were analysed using the DAVID database by identifying Gene Ontology (GO) terms and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway maps.
Real‐time quantitative PCR analysis
RNA was extracted from heart tissue from each group (3 samples, 3 biological replicates per group) as previously described.
Reverse transcription and quantitative PCR were carried out in accordance with a previous article.
Primers (Table 1) were produced by Sangon Biotech (Shanghai). Each gene was subjected to 40 cycles of PCR, and this process was repeated three times. Expression of the endogenous gene 18S was used for comparison. The relative expression levels of target genes were calculated by using the 2–△△CT method.
Western blotting analysis
Hearts from mice in each group (2 samples, 4 biological replicates per group) were prepared as previously described.
Primary antibodies against MYL7 (17283–1‐AP, Proteintech, 1:2000), VASN (A16215, ABclonal, 1:1000) and GAPDH (AC001, ABclonal, 1:1000) were used, and the secondary antibody was horseradish peroxidase (HRP)‐conjugated goat anti‐rabbit antibody (AS014, ABclonal, 1:1000). Protein expression was calculated by using an automatic analysis system (Image Lab 6.0). The target protein data were normalized to GAPDH data.
Immunohistochemistry analysis
Hearts from mice in each group (4 samples, 4 biological replicates per group) were prepared as previously described.
The MYL7 primary antibody (17283–1‐AP, Proteintech, 1:1000) and HRP secondary antibody (AS014, ABclonal, 1:1000) were used. Relative MYL7 expression was calculated as integrated optical density (IOD)/area by using a quantitative digital image analysis system (Image‐Pro Plus 6.0).
Electron microscopy analysis
The isolated hearts from mice in each group (2 samples, 2 biological replicates per group) were prepared as previously described.
Heart tissues were fixed in 5% glutaraldehyde for 2 h and 2% osmium tetroxide for 3 h. Next, the tissue samples were immersed in an alcohol gradient (30, 50, 70, 90, 95 and 100%) for 10 min at each percentage, 100% alcohol for another 30 min and anhydrous propylene oxide for 10 min; then, the tissues were immersed in epoxy propane (acetone) and epoxy resin at a ratio of 3:1, 1:1 and 1:3 for 3 h each and, finally, in epoxy resin for 12 h. A catalyst (2%) was added to the epoxy resin, and the samples were baked at 35°C for 12 h, 45°C for 12 h and 60°C for 24 h. The samples were observed under an electron microscope (Thermo). Three random fields of each sample were photographed to count the number of damaged mitochondria and assess myocardial injury.
Statistical analysis
All results are shown as the mean and standard deviation. Data were analysed by Duncan's multiple comparison. p < 0.05 was considered indicative of a significant difference. p < 0.01 was considered highly significant.
RESULTS
Generation of VASN
−/− mice using CRISPR/Cas9 technology
The coding region of mouse VASN has two exons, 1 and 2, of which exon 2 is the main transcription region. We generated VASN heterozygous mice by knockout of exon 2 using CRISPR/Cas9 technology (Figure 1A). We established a heterozygous mouse line with a stable deletion of 2384bp in the targeted VASN site (Figure 1B). We produced homozygous (VASN
−/−) and heterozygous VASN‐knockout (VASN
−/+) and wild‐type (VASN
+/+) mice by inbreeding of VASN
−/+mice (Figure 1C). The mouse genotypes were identified by PCR amplification and electrophoresis (Figure 1D). VASN mRNA and protein levels were dramatically reduced in VASN
−/− mice compared with VASN
−/+ and VASN
+/+ mice (Figure 1E, 1F‐1G).
FIGURE 1
Characterization of VASN knockout in C57BL/6J mice. (A) VASN‐knockout rule. (B) Criteria for VASN knockout: VASN
−/− gene, 1600 bp; VASN
−/+ gene, 4 000 bp, 1600 bp and 800 bp; VASN
+/+ gene, 4 000 bp and 800 bp. (C) VASN
−/− mice production process. (D) Electrophoretogram of VASN DNA analysis: lanes 2, 5, 8, 10, 14 and 15, VASN
−/− DNA; 3, 7, 11, 12, 13 and 16, VASN
−/+ DNA; 1, 4, 17 and 18, VASN
+/+ DNA; 9 and 19, negative control. (E) Quantitation of the relative expression of VASN. (F) Changes in VASN protein expression. (G) Quantitation of the relative expression of VASN protein. *
p < 0.05 and **
p < 0.01 by one‐way ANOVA
Characterization of VASN knockout in C57BL/6J mice. (A) VASN‐knockout rule. (B) Criteria for VASN knockout: VASN
−/− gene, 1600 bp; VASN
−/+ gene, 4 000 bp, 1600 bp and 800 bp; VASN
+/+ gene, 4 000 bp and 800 bp. (C) VASN
−/− mice production process. (D) Electrophoretogram of VASN DNA analysis: lanes 2, 5, 8, 10, 14 and 15, VASN
−/− DNA; 3, 7, 11, 12, 13 and 16, VASN
−/+ DNA; 1, 4, 17 and 18, VASN
+/+ DNA; 9 and 19, negative control. (E) Quantitation of the relative expression of VASN. (F) Changes in VASN protein expression. (G) Quantitation of the relative expression of VASN protein. *
p < 0.05 and **
p < 0.01 by one‐way ANOVA
VASN‐knockout results in premature death and cardiovascular risk in young mice
To observe the effect of VASN knockout on mice, we analysed the survival time of mice with different genotypes. VASN
−/− mice died by 28 days, and half of them died 21–28 days after birth (Figure 2A1). The survival rate of VASN
−/− mice sharply decreased over time since birth (Figure 2A2). Premature death was not observed in VASN
−/+ and VASN
+/+ mice (Figure 2A3). Aspartate aminotransferase (AST) levels were significantly decreased in VASN
−/− mice compared with VASN
+/+ mice (Figure 2B1), whereas HCY and LDH levels were significantly increased in VASN
−/− mice compared with VASN
+/+ mice Figure 2B1‐B2) In addition, VASN
−/− mice were observed to be listless and wobbly. These results suggest that heart pathology may be the cause of sudden death in young VASN
−/− mice.
FIGURE 2
Survival and cardiovascular risk in young mice. (A1) Distribution of time of death among VASN
−/−mice. (A2) Changes in the relationship between death and time in VASN
−/− mice. (A3) Death rate of different VASN‐knockout mice over 28 days. (B1‐B3) Changes in cardiovascular risk factors (aspartate aminotransferase, homocysteine and lactate dehydrogenase levels) in different VASN‐knockout mice. **
p < 0.01 by one‐way ANOVA
Survival and cardiovascular risk in young mice. (A1) Distribution of time of death among VASN
−/−mice. (A2) Changes in the relationship between death and time in VASN
−/− mice. (A3) Death rate of different VASN‐knockout mice over 28 days. (B1‐B3) Changes in cardiovascular risk factors (aspartate aminotransferase, homocysteine and lactate dehydrogenase levels) in different VASN‐knockout mice. **
p < 0.01 by one‐way ANOVA
VASN deficiency leads to cardiac hypertrophy in young mice
To explore whether the cause of death of VASN
−/− mice is related to the heart, we detected pathological changes in this organ. VASN
−/−mice exhibited increased heart volume (Figure 3A1), reduced body weight (Figure 3A2)) and an increased heart weight/body weight ratio compared with VASN
+/+ mice (Figure 3A3)). HE staining showed that cardiomyocyte volume was significantly larger in VASN
−/− mice than in VASN
−/+ and VASN
+/+ mice (Figure 3B1). Approximately 70% of VASN
−/− mice had cardiac hypertrophy; this percentage was higher than that in VASN
−/+ and VASN
+/+ mice (Figure 3B2). The expression of cardiac hypertrophy marker genes (BNP and MYH7) was significantly upregulated in VASN
−/− mice compared with VASN
+/+ mice (Figure 3B3‐B4). These results show that VASN deficiency induces cardiac hypertrophy in young mice.
FIGURE 3
Typical pathological indexes of cardiac hypertrophy in young mice. (A1) Hearts from different VASN‐knockout mice; Scale bar, 5 mm. (A2) Changes in body weight of different VASN‐knockout mice. (A3) Changes in heart weight/body weight ratio of different VASN‐knockout mice. (B1) HE staining showing pathological changes in cardiac hypertrophy in different VASN‐knockout mice. (B2) The rate of cardiac hypertrophy in different VASN‐knockout mice. (B3‐B4) Quantitation of the relative expression of cardiac hypertrophy marker genes (BNP and MYH7) in different VASN‐knockout mice. *
p < 0.05 and **
p < 0.01 by one‐way ANOVA
Typical pathological indexes of cardiac hypertrophy in young mice. (A1) Hearts from different VASN‐knockout mice; Scale bar, 5 mm. (A2) Changes in body weight of different VASN‐knockout mice. (A3) Changes in heart weight/body weight ratio of different VASN‐knockout mice. (B1) HE staining showing pathological changes in cardiac hypertrophy in different VASN‐knockout mice. (B2) The rate of cardiac hypertrophy in different VASN‐knockout mice. (B3‐B4) Quantitation of the relative expression of cardiac hypertrophy marker genes (BNP and MYH7) in different VASN‐knockout mice. *
p < 0.05 and **
p < 0.01 by one‐way ANOVA
VASN deficiency reduces MYL7 expression in young mice
To investigate the changes in potential downstream genes caused by VASN deficiency, we performed transcriptome analysis of hearts from VASN
−/−, VASN
−/+ and VASN
+/+ mice using RNA sequencing. According to standard expression value ≥100 and log absolute value ≥2, we identified 61 upregulated genes and 82 downregulated genes (Figure 4A‐4B). VASN was among the most drastically downregulated genes. KEGG analysis revealed that VASN deficiency affected signalling pathways (Figure 4C). We selected genes for qRT‐PCR verification and validated MYL7 among the genes following the selected trend with a high correlation (Figure 4D). Real‐time PCR analysis further confirmed that MYL7 expression in the heart was significantly downregulated in VASN
−/− mice compared to VASN
−/+ and VASN
+/+ mice (Figure 4E). These data suggest that VASN deficiency regulates MYL7 expression.
FIGURE 4
Sequencing and quantitation of the relative expression of related genes in young VASN‐knockout mice. (A) Hotspot map. (B) Volcano map. (C) Signalling pathways identified by KEGG and GO analyses. The box indicates that the signalling pathway contains a common MYL7 gene. (D) Quantitative verification of the relative expression of enriched genes. (E) Quantitative verification of the relative expression of UCP1, MYL7, A2 M and MYL4. *
p < 0.05 and **
p < 0.01 by one‐way ANOVA
Sequencing and quantitation of the relative expression of related genes in young VASN‐knockout mice. (A) Hotspot map. (B) Volcano map. (C) Signalling pathways identified by KEGG and GO analyses. The box indicates that the signalling pathway contains a common MYL7 gene. (D) Quantitative verification of the relative expression of enriched genes. (E) Quantitative verification of the relative expression of UCP1, MYL7, A2 M and MYL4. *
p < 0.05 and **
p < 0.01 by one‐way ANOVA
VASN deficiency induces cardiac hypertrophy by downregulating MYL7 expression
To further study the potential molecular mechanism by which VASN deficiency leads to cardiac hypertrophy, we studied whether changes in MYL7 expression affect myocardial fibre structure. Western blotting analysis showed that MYL7 protein expression was significantly lower in VASN
−/− mice hearts than in VASN
−/+ and VASN
+/+ mice hearts (Figure 5A1‐A2). The relative density of MYL7 in VASN
−/− mice hearts was significantly lower than that in VASN
−/+ and VASN
+/+ mice hearts (Figure 5B1‐B4).
FIGURE 5
Changes in MYL7 protein in young VASN‐knockout mice. (A1) Changes in MYL7 protein expression. (A2) Quantitation of changes in the relative expression of MYL7 protein. (B1‐B3) Immunohistochemical analysis of MYL7. (B4) Changes in the relative density of MYL7. *
p < 0.05 and **
p < 0.01 by one‐way ANOVA
Changes in MYL7 protein in young VASN‐knockout mice. (A1) Changes in MYL7 protein expression. (A2) Quantitation of changes in the relative expression of MYL7 protein. (B1‐B3) Immunohistochemical analysis of MYL7. (B4) Changes in the relative density of MYL7. *
p < 0.05 and **
p < 0.01 by one‐way ANOVAIn addition, electron microscopy showed that more damage and vacuoles in mitochondria of VASN
−/− mice than in those of VASN
−/+ and VASN
+/+ mice (Figure 6A1‐A4). Few mitochondrial cristae in VASN
−/+ mice appeared sparse or destroyed. Mitochondrial crista density, cell membrane integrity, a lack of swelling and intact structures were observed in VASN
+/+ mice. Myocardial fibres in VASN
−/− mice were disordered and irregular, while those in VASN
−/+ and VASN
+/+ mice were orderly and regular with clear Z lines (Figure 6B1‐B4). This result implies that the downregulation of MYL7 production causes abnormal myocardial structure. Taken together, these findings show that VASN deficiency reduces MYL7 expression, which leads to cardiac hypertrophy (Figure 7, mechanism diagram).
FIGURE 6
Effect of downregulated MYL7 expression on myocardial injury in young VASN‐knockout mice. (A1‐A3) Changes in mitochondrial structure were detected with an electron microscope; the arrows indicate mitochondrial structure. The arrows indicate severely damaged mitochondria in the VASN
−/− figure, slightly damaged mitochondria in the VASN
−/+ figure, and normal mitochondria in the VASN
+/+ Figure 1(A4). Changes in the number of dissolved mitochondria. (B1‐B3) Changes in cardiac muscle breakage induced by MYL7 downregulation as observed by electron microscopy. The arrow indicates changes in myocardial fibres. The arrow indicates myocardial fibre rupture in the VASN
−/−figure and normal and continuous myocardial fibres in the VASN
−/+ and VASN
+/+ (B4) Changes in the number of broken myocardial fibres. Scale bar, 500 nm. *
p < 0.05 and **
p < 0.01 by one‐way ANOVA
FIGURE 7
Diagram of the mechanism by which VASN deficiency induces cardiac hypertrophy by downregulating MYL7 expression
Effect of downregulated MYL7 expression on myocardial injury in young VASN‐knockout mice. (A1‐A3) Changes in mitochondrial structure were detected with an electron microscope; the arrows indicate mitochondrial structure. The arrows indicate severely damaged mitochondria in the VASN
−/− figure, slightly damaged mitochondria in the VASN
−/+ figure, and normal mitochondria in the VASN
+/+ Figure 1(A4). Changes in the number of dissolved mitochondria. (B1‐B3) Changes in cardiac muscle breakage induced by MYL7 downregulation as observed by electron microscopy. The arrow indicates changes in myocardial fibres. The arrow indicates myocardial fibre rupture in the VASN
−/−figure and normal and continuous myocardial fibres in the VASN
−/+ and VASN
+/+ (B4) Changes in the number of broken myocardial fibres. Scale bar, 500 nm. *
p < 0.05 and **
p < 0.01 by one‐way ANOVADiagram of the mechanism by which VASN deficiency induces cardiac hypertrophy by downregulating MYL7 expression
DISCUSSION
In zebrafish gastrula, VASN is diffusely expressed in the brain and central nervous system.
In the early stage of mouse embryonic development, VASN is strongly expressed in the hindbrain and neural tube midline.
In adult mice, VASN is expressed in the heart, liver, kidney and inner follicle,
,
and in humans, VASN is expressed in umbilical vein endothelial cells,
periodontal ligament cells
and follicular fluid.
VASN deficiency causes unknown death within 3 weeks.
Our data corresponded with those in previous studies showing sudden death in young VASN
−/− mice (Figure 2). Our unpublished studies also showed that VASN deficiency induces inflammation and pathology in the lung, kidney and liver. Thus, VASN is closely related to the development of various organs and diseases.The third generation of artificial endonucleases for use in the CRISP/Cas9 system has been successfully developed. Due to its high mutation efficiency, simple production and low cost, this system is considered a molecular tool for genome site‐specific modification with broad application prospects. At present, this technology has been successfully applied to the precise genome modification of human cells,
zebrafish
and mice.
In this study, we used CRISP/Cas9 technology to study VASN function. We generated a 2384‐nucleobase deletion affecting the transcription region that could be inherited stably (Figure 1). Our CRISPR/Cas9 system achieved rapid, efficient and accurate gene editing, as shown in previous studies.Systemic VASN deficiency may lead to pathological changes in various organs and tissues. We performed transcriptome analysis to investigate the changes in potential downstream genes caused by VASN deficiency. Our RNA sequencing results revealed that VASN deficiency induced obvious changes in multiple signalling pathways, including ECM‐receptor interactions, the PPAR signalling pathway, cardiac muscle contraction and dilated cardiomyopathy (Figure 4). To the best of our knowledge, it was not known how VASN causes heart disease. Our findings indicate that the VASN‐knockout mouse model combined with transcriptome sequencing can be used to study the important mechanisms of organ and disease development.Hypertrophic cardiomyopathy is the most common cause of sudden death and can lead to heart failure and stroke.
,
,
To date, it has not been reported whether VASN deficiency causes cardiac hypertrophy. Our experimental results indicated that MYL7 is a possible downstream protein of VASN (Figures 3, 4 and 5). MYL7 (MLC2a or RLCa) is an RLC family member that is expressed in both ventricles and atria.
,
Many studies have reported the important role of MYL7 in early cardiac development. Deletion of MYL7 led to abnormal atrial contraction and early embryonic death,
and MYL7 mutations resulted in myocardial dysfunction and abnormal vessel remodelling.
,
Moreover, MYL7 deficiency resulted in enlarged, nonfunctional atria and secondary defects in vessel patterning,
and MYL7‐deficient hearts showed abnormal myocardial organization and embryonic atrial function.
Our results showed that MYL7 downregulation caused abnormal myocardial structure, as reported in previous studies (Figure 6). Therefore, these studies suggest that the downregulation of MYL7 expression may lead to impaired cardiac development and damaged myocardial structure. However, the mechanism by which VASN regulates MYL7 expression must be further explored. These results will contribute to understanding the pathogenesis of hypertrophic cardiomyopathy and identifying treatment strategies (Figure 7).In summary, this study revealed that VASN plays a novel and vital role in cardiac hypertrophy. Mechanistically, we discovered that VASN deficiency downregulated MYL7 expression, which induced myocardial structure abnormalities and disorders, resulting in cardiac hypertrophy. Cardiac hypertrophy may be the cause of death in young VASN‐knockout mice. Therefore, our results reveal a pathological phenomenon in which VASN deficiency may lead to cardiac hypertrophy by downregulating MYL7 expression.
Authors: Teresa M Lee; Daphne T Hsu; Paul Kantor; Jeffrey A Towbin; Stephanie M Ware; Steven D Colan; Wendy K Chung; John L Jefferies; Joseph W Rossano; Chesney D Castleberry; Linda J Addonizio; Ashwin K Lal; Jacqueline M Lamour; Erin M Miller; Philip T Thrush; Jason D Czachor; Hiedy Razoky; Ashley Hill; Steven E Lipshultz Journal: Circ Res Date: 2017-09-15 Impact factor: 17.367
Authors: Nicolas G Clavere; Ali Alqallaf; Kerry A Rostron; Andrew Parnell; Robert Mitchell; Ketan Patel; Samuel Y Boateng Journal: Dis Model Mech Date: 2022-05-09 Impact factor: 5.732