Abnormalities of A-type lamins in the nuclear lamina activate MAPK cascades, possibly via heterotrimeric G-protein receptors or by inducing stress responses by unknown mechanisms (?). This leads to activation of G-proteins (RAS and RAC), protein kinase (RAF), and subsequent enhanced phosphorylation of ERK and JNK1/2, resulting in nuclear translocation. In the nucleus, pERK1/2 and pJNK activate transcription factors such as Elk1, bcl-2, JunD, c-Jun, and Elk4, leading to increased synthesis of these proteins. Increased amounts and activities of transcription factors activated by pJNK and pERK1/2 alter expression of other genes, some encoding components of muscle fibers and sarcomeres. Aberrant expression of these proteins leads to development of cardiomyopathy.