Abstract
Pregnancy is associated with substantial physiological changes of the heart, and disruptions in these processes can lead to peripartum cardiomyopathy (PPCM). The molecular processes that cause physiological and pathological changes in the heart during pregnancy are not well characterized. Here, we show that mTORc1 was activated in pregnancy to facilitate cardiac enlargement that was reversed after delivery in mice. mTORc1 activation in pregnancy was negatively regulated by the mRNAdestabilizing protein ZFP36L2 through its degradation of Mdm2 mRNA and P53 stabilization, leading to increased SESN2 and REDD1 expression. This pathway impeded uncontrolled cardiomyocyte hypertrophy during pregnancy, and mice with cardiacspecific Zfp36l2 deletion developed rapid cardiac dysfunction after delivery, while prenatal treatment of these mice with rapamycin improved postpartum cardiac function. Collectively, these data provide what we believe to be a novel pathway for the regulation of mTORc1 through mRNA stabilization of a P53 ubiquitin ligase. This pathway was critical for normal cardiac growth during pregnancy, and its reduction led to PPCM-like adverse remodeling in mice.
Original language | English (US) |
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Article number | e154491 |
Journal | Journal of Clinical Investigation |
Volume | 132 |
Issue number | 10 |
DOIs | |
State | Published - May 16 2022 |
Funding
This work was supported by the Northwestern University Sanger Sequencing Facility. Histology services were provided by the Northwestern University Research Histology and Phenotyping Laboratory, which is supported by National Cancer Institute P30-CA060553, which was awarded to the Robert H. Lurie Comprehensive Cancer Center. RNA-Seq experiments were supported by the Northwestern University NUseq Core. The graphic abstract was created with BioRender.com. This work was made possible through core services and support from the Northwestern University George M. O\u2019Brien Kidney Research Core Center (NU GoKid-ney) and an NIH/National Institute of Diabetes and Digestive and Kidney Diseases funded program (P30 DK114857). Funding for this work was provided from the National Heart, Lung, and Blood Institute (HL127646, HL140973, HL140927, and HL138982); a Leducq grant awarded to HA; and the Intramural Research Program of the National Institute of Environmental Health Sciences, a component of the NIH (to PJB). HK was supported by American Heart Association grant 16POST31020036 and the Japan Heart Foundation/Bayer Yakuhin Research Grant Abroad.
ASJC Scopus subject areas
- General Medicine