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The long noncoding RNA CARDINAL attenuates cardiac hypertrophy by modulating protein translation
Xin He, … , Da-Zhi Wang, Zhan-Peng Huang
Xin He, … , Da-Zhi Wang, Zhan-Peng Huang
Published May 14, 2024
Citation Information: J Clin Invest. 2024;134(13):e169112. https://doi.org/10.1172/JCI169112.
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Research Article Cardiology Development

The long noncoding RNA CARDINAL attenuates cardiac hypertrophy by modulating protein translation

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Abstract

One of the features of pathological cardiac hypertrophy is enhanced translation and protein synthesis. Translational inhibition has been shown to be an effective means of treating cardiac hypertrophy, although system-wide side effects are common. Regulators of translation, such as cardiac-specific long noncoding RNAs (lncRNAs), could provide new, more targeted therapeutic approaches to inhibit cardiac hypertrophy. Therefore, we generated mice lacking a previously identified lncRNA named CARDINAL to examine its cardiac function. We demonstrate that CARDINAL is a cardiac-specific, ribosome-associated lncRNA and show that its expression was induced in the heart upon pathological cardiac hypertrophy and that its deletion in mice exacerbated stress-induced cardiac hypertrophy and augmented protein translation. In contrast, overexpression of CARDINAL attenuated cardiac hypertrophy in vivo and in vitro and suppressed hypertrophy-induced protein translation. Mechanistically, CARDINAL interacted with developmentally regulated GTP-binding protein 1 (DRG1) and blocked its interaction with DRG family regulatory protein 1 (DFRP1); as a result, DRG1 was downregulated, thereby modulating the rate of protein translation in the heart in response to stress. This study provides evidence for the therapeutic potential of targeting cardiac-specific lncRNAs to suppress disease-induced translational changes and to treat cardiac hypertrophy and heart failure.

Authors

Xin He, Tiqun Yang, Yao Wei Lu, Gengze Wu, Gang Dai, Qing Ma, Mingming Zhang, Huimin Zhou, Tianxin Long, Youchen Yan, Zhuomin Liang, Chen Liu, William T. Pu, Yugang Dong, Jingsong Ou, Hong Chen, John D. Mably, Jiangui He, Da-Zhi Wang, Zhan-Peng Huang

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Figure 2

CARDINAL modulation alters translation.

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CARDINAL modulation alters translation.
(A) Rationale of the SUnSET mea...
(A) Rationale of the SUnSET measurement. (B) Western blot and (C) quantification of puromycin-incorporated protein in NRVCs infected with control virus or Ad-Cardinal and treated by culture medium with or without PE (50 μM) for 24 hours. Cells were treated with 1 μM puromycin for 30 minutes before harvesting (n = 3 for each group). (D) Immunofluorescence images (scale bars: 50 μm) and (E) fluorescence intensity quantification of NRVCs infected with control virus or Ad-Cardinal and treated in culture medium with or without PE (50 μM) for 24 hours by FUNCAT assay. Newly synthesized protein was labeled by Alexa Fluor 594. Violin plots were generated to show the median, 25th and 75th percentiles. At least 100 cells were measured for quantification in each group. (F) Western blot and (G) quantification of puromycin-incorporated protein in adult cardiomyocytes infected with control virus or Ad-Cardinal and treated in culture medium with or without PE (50 μM) for 24 hours. Cells were treated with 1 μM puromycin for 30 minutes before harvesting (n = 3 for each group). **P < 0.01 and ***P < 0.001, by 2-way ANOVA with Tukey’s post hoc test (C, E, and G).

Copyright © 2025 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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