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Odelin G, Faucherre A, Marchese D, Pinard A, Jaouadi H, Le Scouarnec S, Chiarelli R, Achouri Y, Faure E, Herbane M, Théron A, Avierinos JF, Jopling C, Collod-Béroud G, Rezsohazy R, Zaffran S. Variations in the poly-histidine repeat motif of HOXA1 contribute to bicuspid aortic valve in mouse and zebrafish. Nat Commun 2023; 14:1543. [PMID: 36941270 PMCID: PMC10027860 DOI: 10.1038/s41467-023-37110-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2022] [Accepted: 03/02/2023] [Indexed: 03/23/2023] Open
Abstract
Bicuspid aortic valve (BAV), the most common cardiovascular malformation occurs in 0.5-1.2% of the population. Although highly heritable, few causal mutations have been identified in BAV patients. Here, we report the targeted sequencing of HOXA1 in a cohort of BAV patients and the identification of rare indel variants in the homopolymeric histidine tract of HOXA1. In vitro analysis shows that disruption of this motif leads to a significant reduction in protein half-life and defective transcriptional activity of HOXA1. In zebrafish, targeting hoxa1a ortholog results in aortic valve defects. In vivo assays indicates that these variants behave as dominant negatives leading abnormal valve development. In mice, deletion of Hoxa1 leads to BAV with a very small, rudimentary non-coronary leaflet. We also show that 17% of homozygous Hoxa1-1His knock-in mice present similar phenotype. Genetic lineage tracing in Hoxa1-/- mutant mice reveals an abnormal reduction of neural crest-derived cells in the valve leaflet, which is caused by a failure of early migration of these cells.
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Affiliation(s)
- Gaëlle Odelin
- Aix Marseille Univ, INSERM, MMG, U1251, 13005, Marseille, France
| | - Adèle Faucherre
- Institute of Functional Genomics, University of Montpellier, CNRS, INSERM, Montpellier, France
| | - Damien Marchese
- Animal Molecular and Cellular Biology group, Louvain Institute of Biomolecular Science and Technology, Université catholique de Louvain, 5 (L7.07.10) place Croix du Sud, 1348, Louvain-la-Neuve, Belgium
| | - Amélie Pinard
- Aix Marseille Univ, INSERM, MMG, U1251, 13005, Marseille, France
| | - Hager Jaouadi
- Aix Marseille Univ, INSERM, MMG, U1251, 13005, Marseille, France
| | | | | | - Raphaël Chiarelli
- Animal Molecular and Cellular Biology group, Louvain Institute of Biomolecular Science and Technology, Université catholique de Louvain, 5 (L7.07.10) place Croix du Sud, 1348, Louvain-la-Neuve, Belgium
| | - Younes Achouri
- Transgenesis Platform, de Duve Institute, Université Catholique de Louvain, 1200, Brussels, Belgium
| | - Emilie Faure
- Aix Marseille Univ, INSERM, MMG, U1251, 13005, Marseille, France
| | - Marine Herbane
- Aix Marseille Univ, INSERM, MMG, U1251, 13005, Marseille, France
| | - Alexis Théron
- Aix Marseille Univ, INSERM, MMG, U1251, 13005, Marseille, France
- Service de Chirurgie Cardiaque, AP-HM, Hôpital de la Timone, 13005, Marseille, France
| | - Jean-François Avierinos
- Aix Marseille Univ, INSERM, MMG, U1251, 13005, Marseille, France
- Service de Cardiologie, AP-HM, Hôpital de la Timone, 13005, Marseille, France
| | - Chris Jopling
- Institute of Functional Genomics, University of Montpellier, CNRS, INSERM, Montpellier, France
| | | | - René Rezsohazy
- Animal Molecular and Cellular Biology group, Louvain Institute of Biomolecular Science and Technology, Université catholique de Louvain, 5 (L7.07.10) place Croix du Sud, 1348, Louvain-la-Neuve, Belgium
| | - Stéphane Zaffran
- Aix Marseille Univ, INSERM, MMG, U1251, 13005, Marseille, France.
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Théron A, Touil A, Résseguier N, Collod-Beroud G, Norscini G, Simoni AS, Odelin G, Habib G, Collart F, Zaffran S, Avierinos JF. Clinical insights into a tertiary care center cohort of patients with bicuspid aortic valve. Int J Cardiovasc Imaging 2021; 38:51-59. [PMID: 34374902 DOI: 10.1007/s10554-021-02366-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/26/2021] [Accepted: 07/27/2021] [Indexed: 11/29/2022]
Abstract
Although bicuspid aortic valve (BAV) is one of the most common congenital heart diseases, clinical data associated with valve dysfunction are still limited. We evaluated clinical characteristics and echocardiography of French patients with BAV associated with leaking and stenosis degeneration. We initiated a prospective registry from 2014 to 2018 at a tertiary center. A total of 223 patients (168 males [75%], age 53 ± 17 years) were enrolled. Among these patients 83% had left-right coronary cusps fusion, 80% Sievers type 1 BAV and 49% showed aortic dilatation. Twenty-four patients (11%) had normal valve function, 66 patients (31%) had aortic stenosis (AS), 91 patients (41%) had aortic regurgitation (AR) and 40 patients (17%) had AR and AS. BAV phenotype did not predict neither AS nor AR (all p > 0.1). By multivariable analysis, age > 50 (41.6[10.3-248.2], p < 0.001) and presence of raphe/fusion (12.8[2.4-87.4], p < 0.001) were significantly associated with AS, whereas male gender was associated with AR (5[1.6-16.4], p = 0.005). In addition, leaking degeneration was observed at a much younger age than stenosis (44 ± 14 years vs. 66 ± 10 years, p < 0.01) and among patients with valve dysfunction younger age was independently associated with AR (1.9[1.85-1.94], p < 0.001). In this study we confirmed high prevalence of valve dysfunction at first diagnosis of BAV in a referred population. The degenerative process differs according to type of dysfunction and is mainly dependent on age and gender.
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Affiliation(s)
- Alexis Théron
- Aix Marseille Univ, INSERM, Marseille Medical Genetics, U1251, 13005, Marseille, France.,Département de Chirurgie Cardiaque, Hôpital de la Timone, 13005, Marseille, France
| | - Anissa Touil
- Département de Chirurgie Cardiaque, Hôpital de la Timone, 13005, Marseille, France.,Département de Cardiologie, AP-HM, Hôpital de la Timone, 13005, Marseille, France
| | - Noémie Résseguier
- EA 3279, Faculté de Médecine, 27 Bd Jean Moulin, 13005, Marseille, France
| | | | - Giulia Norscini
- Département de Cardiologie, AP-HM, Hôpital de la Timone, 13005, Marseille, France
| | - Anne-Sophie Simoni
- Département de Chirurgie Cardiaque, Hôpital de la Timone, 13005, Marseille, France.,Département de Cardiologie, AP-HM, Hôpital de la Timone, 13005, Marseille, France
| | - Gaëlle Odelin
- Aix Marseille Univ, INSERM, Marseille Medical Genetics, U1251, 13005, Marseille, France
| | - Gilbert Habib
- Département de Cardiologie, AP-HM, Hôpital de la Timone, 13005, Marseille, France
| | - Frédéric Collart
- Département de Chirurgie Cardiaque, Hôpital de la Timone, 13005, Marseille, France
| | - Stéphane Zaffran
- Aix Marseille Univ, INSERM, Marseille Medical Genetics, U1251, 13005, Marseille, France.
| | - Jean-François Avierinos
- Aix Marseille Univ, INSERM, Marseille Medical Genetics, U1251, 13005, Marseille, France. .,Département de Cardiologie, AP-HM, Hôpital de la Timone, 13005, Marseille, France.
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Faucherre A, Moha Ou Maati H, Nasr N, Pinard A, Theron A, Odelin G, Desvignes JP, Salgado D, Collod-Béroud G, Avierinos JF, Lebon G, Zaffran S, Jopling C. Piezo1 is required for outflow tract and aortic valve development. J Mol Cell Cardiol 2020; 143:51-62. [PMID: 32251670 DOI: 10.1016/j.yjmcc.2020.03.013] [Citation(s) in RCA: 39] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/27/2020] [Revised: 03/21/2020] [Accepted: 03/26/2020] [Indexed: 01/26/2023]
Abstract
AIMS During embryogenesis, the onset of circulatory blood flow generates a variety of hemodynamic forces which reciprocally induce changes in cardiovascular development and performance. It has been known for some time that these forces can be detected by as yet unknown mechanosensory systems which in turn promote cardiogenic events such as outflow tract and aortic valve development. PIEZO1 is a mechanosensitive ion channel present in endothelial cells where it serves to detect hemodynamic forces making it an ideal candidate to play a role during cardiac development. We sought to determine whether PIEZO1 is required for outflow tract and aortic valve development. METHODS AND RESULTS By analysing heart development in zebrafish we have determined that piezo1 is expressed in the developing outflow tract where it serves to detect hemodynamic forces. Consequently, disrupting Piezo1 signalling leads to defective outflow tract and aortic valve development and indicates this gene may be involved in the etiology of congenital heart diseases. Based on these findings, we analysed genomic data generated from patients who suffer from left ventricular outflow tract obstructions (LVOTO) and identified 3 probands who each harboured potentially pathogenic variants in PIEZO1. Subsequent in vitro and in vivo assays indicates that these variants behave as dominant negatives leading to an inhibition of normal PIEZO1 mechanosensory activity. Expressing these dominant negative PIEZO1 variants in zebrafish endothelium leads to defective aortic valve development. CONCLUSION These data indicate that the mechanosensitive ion channel piezo1 is required for outflow tract and aortic valve development.
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Affiliation(s)
- Adèle Faucherre
- Institut de Génomique Fonctionnelle, Université de Montpellier, CNRS, INSERM LabEx ICST, Montpellier, France
| | - Hamid Moha Ou Maati
- Institut de Génomique Fonctionnelle, Université de Montpellier, CNRS, INSERM LabEx ICST, Montpellier, France
| | - Nathalie Nasr
- Institut de Génomique Fonctionnelle, Université de Montpellier, CNRS, INSERM LabEx ICST, Montpellier, France
| | - Amélie Pinard
- Aix Marseille Univ, INSERM, MMG UMR1251, 13005 Marseille, France
| | - Alexis Theron
- Aix Marseille Univ, INSERM, MMG UMR1251, 13005 Marseille, France; Service de Chirurgie Cardiaque, AP-HM, Hôpital de la Timone, 13005 Marseille, France
| | - Gaëlle Odelin
- Aix Marseille Univ, INSERM, MMG UMR1251, 13005 Marseille, France
| | | | - David Salgado
- Aix Marseille Univ, INSERM, MMG UMR1251, 13005 Marseille, France
| | | | - Jean-François Avierinos
- Aix Marseille Univ, INSERM, MMG UMR1251, 13005 Marseille, France; Service de Cardiologie, AP-HM, Hôpital de la Timone, 13005 Marseille, France
| | - Guillaume Lebon
- Institut de Génomique Fonctionnelle, Université de Montpellier, CNRS, INSERM LabEx ICST, Montpellier, France
| | - Stéphane Zaffran
- Aix Marseille Univ, INSERM, MMG UMR1251, 13005 Marseille, France.
| | - Chris Jopling
- Institut de Génomique Fonctionnelle, Université de Montpellier, CNRS, INSERM LabEx ICST, Montpellier, France.
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Odelin G, Faure E, Maurel-Zaffran C, Zaffran S. Krox20 Regulates Endothelial Nitric Oxide Signaling in Aortic Valve Development and Disease. J Cardiovasc Dev Dis 2019; 6:jcdd6040039. [PMID: 31684048 PMCID: PMC6955692 DOI: 10.3390/jcdd6040039] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2019] [Revised: 10/25/2019] [Accepted: 10/31/2019] [Indexed: 12/18/2022] Open
Abstract
Among the aortic valve diseases, the bicuspid aortic valve (BAV) occurs when the aortic valve has two leaflets (cusps), rather than three, and represents the most common form of congenital cardiac malformation, affecting 1–2% of the population. Despite recent advances, the etiology of BAV is poorly understood. We have recently shown that Krox20 is expressed in endothelial and cardiac neural crest derivatives that normally contribute to aortic valve development and that lack of Krox20 in these cells leads to aortic valve defects including partially penetrant BAV formation. Dysregulated expression of endothelial nitric oxide synthase (Nos3) is associated with BAV. To investigate the relationship between Krox20 and Nos3 during aortic valve development, we performed inter-genetic cross. While single heterozygous mice had normal valve formation, the compound Krox20+/−;Nos3+/− mice had BAV malformations displaying an in vivo genetic interaction between these genes for normal valve morphogenesis. Moreover, in vivo and in vitro experiments demonstrate that Krox20 directly binds to Nos3 proximal promoter to activate its expression. Our data suggests that Krox20 is a regulator of nitric oxide in endothelial-derived cells in the development of the aortic valve and concludes on the interaction of Krox20 and Nos3 in BAV formation.
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Affiliation(s)
- Gaëlle Odelin
- Aix Marseille University, INSERM, Marseille Medical Genetics, U1251, 13005 Marseille, France.
| | - Emilie Faure
- Aix Marseille University, INSERM, Marseille Medical Genetics, U1251, 13005 Marseille, France.
| | | | - Stéphane Zaffran
- Aix Marseille University, INSERM, Marseille Medical Genetics, U1251, 13005 Marseille, France.
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Zaffran S, Odelin G, Stefanovic S, Lescroart F, Etchevers HC. Ectopic expression of Hoxb1 induces cardiac and craniofacial malformations. Genesis 2018; 56:e23221. [PMID: 30134070 DOI: 10.1002/dvg.23221] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2018] [Revised: 05/24/2018] [Accepted: 05/25/2018] [Indexed: 12/20/2022]
Abstract
Members of the large family of Hox transcription factors are encoded by genes whose tightly regulated expression in development and in space within different embryonic tissues confer positional identity from the neck to the tips of the limbs. Many structures of the face, head, and heart develop from cell populations expressing few or no Hox genes. Hoxb1 is the member of its chromosomal cluster expressed in the most rostral domain during vertebrate development, but never by the multipotent neural crest cell population anterior to the cerebellum. We have developed a novel floxed transgenic mouse line, CAG-Hoxb1,-EGFP (CAG-Hoxb1), which upon recombination by Cre recombinase conditionally induces robust Hoxb1 and eGFP overexpression. When induced within the neural crest lineage, pups die at birth. A variable phenotype develops from E11.5 on, associating frontonasal hypoplasia/aplasia, micrognathia/agnathia, major ocular and forebrain anomalies, and cardiovascular malformations. Neural crest derivatives in the body appear unaffected. Transcription of effectors of developmental signaling pathways (Bmp, Shh, Vegfa) and transcription factors (Pax3, Sox9) is altered in mutants. These outcomes emphasize that repression of Hoxb1, along with other paralog group 1 and 2 Hox genes, is strictly necessary in anterior cephalic NC for craniofacial, visual, auditory, and cardiovascular development.
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Affiliation(s)
| | - Gaëlle Odelin
- Aix Marseille Univ, MMG, INSERM, Marseille, U1251, France
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Valdeolivas A, Tichit L, Navarro C, Perrin S, Odelin G, Levy N, Cau P, Remy E, Baudot A. Random walk with restart on multiplex and heterogeneous biological networks. Bioinformatics 2018; 35:497-505. [DOI: 10.1093/bioinformatics/bty637] [Citation(s) in RCA: 111] [Impact Index Per Article: 18.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2017] [Accepted: 07/16/2018] [Indexed: 01/04/2023] Open
Affiliation(s)
- Alberto Valdeolivas
- Aix Marseille Univ, CNRS, Centrale Marseille, I2M, Marseille, France
- ProGeLife, Marseille
| | - Laurent Tichit
- Aix Marseille Univ, CNRS, Centrale Marseille, I2M, Marseille, France
| | - Claire Navarro
- ProGeLife, Marseille
- Aix Marseille Univ, INSERM, MMG, Marseille, France
| | - Sophie Perrin
- ProGeLife, Marseille
- Aix Marseille Univ, INSERM, MMG, Marseille, France
| | - Gaëlle Odelin
- ProGeLife, Marseille
- Aix Marseille Univ, INSERM, MMG, Marseille, France
| | - Nicolas Levy
- Aix Marseille Univ, INSERM, MMG, Marseille, France
| | - Pierre Cau
- ProGeLife, Marseille
- Aix Marseille Univ, INSERM, MMG, Marseille, France
| | - Elisabeth Remy
- Aix Marseille Univ, CNRS, Centrale Marseille, I2M, Marseille, France
| | - Anaïs Baudot
- Aix Marseille Univ, CNRS, Centrale Marseille, I2M, Marseille, France
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Odelin G, Faure E, Coulpier F, Di Bonito M, Bajolle F, Studer M, Avierinos JF, Charnay P, Topilko P, Zaffran S. Krox20 defines a subpopulation of cardiac neural crest cells contributing to arterial valves and bicuspid aortic valve. Development 2018; 145:dev.151944. [PMID: 29158447 DOI: 10.1242/dev.151944] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2017] [Accepted: 11/03/2017] [Indexed: 12/21/2022]
Abstract
Although cardiac neural crest cells are required at early stages of arterial valve development, their contribution during valvular leaflet maturation remains poorly understood. Here, we show in mouse that neural crest cells from pre-otic and post-otic regions make distinct contributions to the arterial valve leaflets. Genetic fate-mapping analysis of Krox20-expressing neural crest cells shows a large contribution to the borders and the interleaflet triangles of the arterial valves. Loss of Krox20 function results in hyperplastic aortic valve and partially penetrant bicuspid aortic valve formation. Similar defects are observed in neural crest Krox20-deficient embryos. Genetic lineage tracing in Krox20-/- mutant mice shows that endothelial-derived cells are normal, whereas neural crest-derived cells are abnormally increased in number and misplaced in the valve leaflets. In contrast, genetic ablation of Krox20-expressing cells is not sufficient to cause an aortic valve defect, suggesting that adjacent cells can compensate this depletion. Our findings demonstrate a crucial role for Krox20 in arterial valve development and reveal that an excess of neural crest cells may be associated with bicuspid aortic valve.
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Affiliation(s)
- Gaëlle Odelin
- Aix Marseille University, INSERM, GMGF, Marseille, France
| | - Emilie Faure
- Aix Marseille University, INSERM, GMGF, Marseille, France
| | - Fanny Coulpier
- INSERM, U1024, IBENS, École normale supérieure, 46 rue d'Ulm, 75005 Paris, France.,CNRS, UMR 8197, IBENS, École normale supérieure, 46 rue d'Ulm, 75005 Paris, France
| | - Maria Di Bonito
- Université Côte d'Azur, CNRS, Inserm, iBV, 06108 Nice cedex 2, France
| | - Fanny Bajolle
- Centre de Référence Malformations Cardiaques Congénitales Complexes (M3C), Hôpital Necker-Enfants-Malades, 75015 Paris, France
| | - Michèle Studer
- Université Côte d'Azur, CNRS, Inserm, iBV, 06108 Nice cedex 2, France
| | - Jean-François Avierinos
- Aix Marseille University, INSERM, GMGF, Marseille, France.,Service de cardiologie, Hôpital de la Timone, 13005 Marseille, France
| | - Patrick Charnay
- INSERM, U1024, IBENS, École normale supérieure, 46 rue d'Ulm, 75005 Paris, France.,CNRS, UMR 8197, IBENS, École normale supérieure, 46 rue d'Ulm, 75005 Paris, France
| | - Piotr Topilko
- INSERM, U1024, IBENS, École normale supérieure, 46 rue d'Ulm, 75005 Paris, France.,CNRS, UMR 8197, IBENS, École normale supérieure, 46 rue d'Ulm, 75005 Paris, France
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Papoutsi T, Odelin G, Moore-Morris T, Pucéat M, de la Pompa JL, Robert B, Zaffran S. Msx1CreERT2 knock-In allele: A useful tool to target embryonic and adult cardiac valves. Genesis 2016; 53:337-45. [PMID: 25950518 DOI: 10.1002/dvg.22856] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2015] [Revised: 04/28/2015] [Accepted: 04/29/2015] [Indexed: 11/07/2022]
Abstract
Heart valve development begins with the endothelial-to-mesenchymal transition (EMT) of endocardial cells. Although lineage studies have demonstrated contributions from cardiac neural crest and epicardium to semilunar and atrioventricular (AV) valve formation, respectively, most valve mesenchyme derives from the endocardial EMT. Specific Cre mouse lines for fate-mapping analyses of valve endocardial cells are limited. Msx1 displayed expression in AV canal endocardium and cushion mesenchyme between E9.5 and E11.5, when EMT is underway. Additionally, previous studies have demonstrated that deletion of Msx1 and its paralog Msx2 results in hypoplastic AV cushions and impaired endocardial signaling. A knock-in tamoxifen-inducible Cre line was recently generated (Msx1CreERT2) and characterized during embryonic development and after birth, and was shown to recapitulate the endogenous Msx1 expression pattern. Here, we further analyze this knock-in allele and track the Msx1-expressing cells and their descendants during cardiac development with a particular focus on their contribution to the valves and their precursors. Thus, Msx1CreERT2 mice represent a useful model for lineage tracing and conditional gene manipulation of endocardial and mesenchymal cushion cells essential to understand mechanisms of valve development and remodeling.
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Affiliation(s)
- Tania Papoutsi
- Aix Marseille Université, GMGF, UMR_S910, Faculté de Médecine, 27 Bd Jean Moulin, 13385, Marseille, France.,Inserm, U910, Faculté de Médecine, 27 Bd Jean Moulin, 13005, Marseille, France.,Intercellular Signalling in Cardiovascular Development & Disease Laboratory, Centro Nacional De Investigaciones Cardiovasculares (CNIC), Madrid, Spain
| | - Gaëlle Odelin
- Aix Marseille Université, GMGF, UMR_S910, Faculté de Médecine, 27 Bd Jean Moulin, 13385, Marseille, France.,Inserm, U910, Faculté de Médecine, 27 Bd Jean Moulin, 13005, Marseille, France
| | - Thomas Moore-Morris
- Aix Marseille Université, GMGF, UMR_S910, Faculté de Médecine, 27 Bd Jean Moulin, 13385, Marseille, France.,Inserm, U910, Faculté de Médecine, 27 Bd Jean Moulin, 13005, Marseille, France
| | - Michel Pucéat
- Aix Marseille Université, GMGF, UMR_S910, Faculté de Médecine, 27 Bd Jean Moulin, 13385, Marseille, France.,Inserm, U910, Faculté de Médecine, 27 Bd Jean Moulin, 13005, Marseille, France
| | - José Luis de la Pompa
- Intercellular Signalling in Cardiovascular Development & Disease Laboratory, Centro Nacional De Investigaciones Cardiovasculares (CNIC), Madrid, Spain
| | - Benoît Robert
- Department of Developmental and Stem Cell Biology, Institut Pasteur, Paris, France
| | - Stéphane Zaffran
- Aix Marseille Université, GMGF, UMR_S910, Faculté de Médecine, 27 Bd Jean Moulin, 13385, Marseille, France.,Inserm, U910, Faculté de Médecine, 27 Bd Jean Moulin, 13005, Marseille, France
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9
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Théron A, Odelin G, Faure E, Avierinos JF, Zaffran S. Krox20 heterozygous mice: A model of aortic regurgitation associated with decreased expression of fibrillar collagen genes. Arch Cardiovasc Dis 2015; 109:188-98. [PMID: 26711547 DOI: 10.1016/j.acvd.2015.10.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/11/2015] [Revised: 10/02/2015] [Accepted: 10/05/2015] [Indexed: 11/28/2022]
Abstract
BACKGROUND The mechanism involved in the onset of aortic valve (AoV) disease remains unclear despite its poor prognosis and frequency. Recently, we reported that Krox20 (EGR2 in humans) is involved in AoV development and dysfunction. AIM Analyze Krox20 heterozygous mice (Krox20(+/-)) to discover whether incomplete expression of Krox20 can cause valvular diseases. METHODS Transcriptional levels of Col1a2/COL1A2 and Krox20/EGR2 in AoVs from Krox20(+/-) mice and human patients operated on for severe aortic regurgitation were evaluated by quantitative reverse transcription-polymerase chain reaction (qRT-PCR). Human control valves were obtained from three transplanted patients without AoV disease. Twenty-one heterozygous Krox20(+/-) mice were compared with 35 controls at different ages. Three independent measurements of valve thickness were performed on magnified tissue sections using Image J software. In vivo valve structure and function were evaluated using the high-frequency Vevo(®) 2100 echocardiogram. RESULTS qRT-PCR analysis using AoVs from patients with severe aortic regurgitation showed a decrease in EGR2 expression associated with significant downregulation of COL1A2 expression (P<0.05). Similar results were observed in the AoVs of Krox20(+/-) mice. Anatomical examination revealed that incomplete invalidation of Krox20 caused significant thickening of the aortic leaflet compared with controls (145±22 vs. 75±24μm; P=0.01). Within the mutant group, this thickening worsened significantly over time (Krox20(+/-) mice aged>7 vs.<7months: 136±48 vs. 102±41μm; P<0.001). Moreover, the aortic leaflets of embryonic day 18.5 Krox20(+/-) embryos were significantly more thickened than those from controls, suggesting that this disease begins during embryonic development. Echo-Doppler analysis showed a significant increase in AoV dysfunction in heterozygous versus control mice (53% vs. 17%; P<0.001), suggesting a tight relationship between valve architecture and function. Morphometric analysis revealed that the most severe AoV dysfunction was always associated with the most thickened valves. Classic histological analysis revealed that mutant AoVs had extracellular matrix disorganization, with features of human myxomatous degeneration, including excess of proteoglycan deposition in spongiosa and reduction of collagen fibre in fibrosa, but no calcification. CONCLUSION Decreased expression of Krox20 in mice causes degeneration of the aortic leaflets and disorganization of the extracellular matrix, causing valvular dysfunction.
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Affiliation(s)
- Alexis Théron
- Aix Marseille Université, GMGF UMR_S910, Faculté de Médecine, 27, boulevard Jean-Moulin, 13385 Marseille, France; Inserm, U910, Faculté de Médecine, 13385 Marseille, France; AP-HM, Hôpital de la Timone, Département de Chirurgie Cardiaque, 13005 Marseille, France
| | - Gaëlle Odelin
- Aix Marseille Université, GMGF UMR_S910, Faculté de Médecine, 27, boulevard Jean-Moulin, 13385 Marseille, France; Inserm, U910, Faculté de Médecine, 13385 Marseille, France
| | - Emilie Faure
- Aix Marseille Université, GMGF UMR_S910, Faculté de Médecine, 27, boulevard Jean-Moulin, 13385 Marseille, France; Inserm, U910, Faculté de Médecine, 13385 Marseille, France
| | - Jean-François Avierinos
- Aix Marseille Université, GMGF UMR_S910, Faculté de Médecine, 27, boulevard Jean-Moulin, 13385 Marseille, France; Inserm, U910, Faculté de Médecine, 13385 Marseille, France; AP-HM, Hôpital de la Timone, Département de Cardiologie, 13005 Marseille, France
| | - Stéphane Zaffran
- Aix Marseille Université, GMGF UMR_S910, Faculté de Médecine, 27, boulevard Jean-Moulin, 13385 Marseille, France; Inserm, U910, Faculté de Médecine, 13385 Marseille, France.
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Odelin G, Faure E, Kober F, Maurel-Zaffran C, Théron A, Coulpier F, Guillet B, Bernard M, Avierinos JF, Charnay P, Topilko P, Zaffran S. Loss of Krox20 results in aortic valve regurgitation and impaired transcriptional activation of fibrillar collagen genes. Cardiovasc Res 2014; 104:443-55. [PMID: 25344368 DOI: 10.1093/cvr/cvu233] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
AIMS Heart valve maturation is achieved by the organization of extracellular matrix (ECM) and the distribution of valvular interstitial cells. However, the factors that regulate matrix components required for valvular structure and function are unknown. Based on the discovery of its specific expression in cardiac valves, we aimed to uncover the role of Krox20 (Egr-2) during valve development and disease. METHODS AND RESULTS Using series of mouse genetic tools, we demonstrated that loss of function of Krox20 caused significant hyperplasia of the semilunar valves, while atrioventricular valves appeared normal. This defect was associated with an increase in valvular interstitial cell number and ECM volume. Echo Doppler analysis revealed that adult mutant mice had aortic insufficiency. Defective aortic valves (AoVs) in Krox20(-/-) mice had features of human AoV disease, including excess of proteoglycan deposition and reduction of collagen fibres. Furthermore, examination of diseased human AoVs revealed decreased expression of KROX20. To identify downstream targets of Krox20, we examined expression of fibrillar collagens in the AoV leaflets at different stages in the mouse. We found significant down-regulation of Col1a1, Col1a2, and Col3a1 in the semilunar valves of Krox20 mutant mice. Utilizing in vitro and in vivo experiments, we demonstrated that Col1a1 and Col3a1 are direct targets of Krox20 activation in interstitial cells of the AoV. CONCLUSION This study identifies a previously unknown function of Krox20 during heart valve development. These results indicate that Krox20-mediated activation of fibrillar Col1a1 and Col3a1 genes is crucial to avoid postnatal degeneration of the AoV leaflets.
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Affiliation(s)
- Gaëlle Odelin
- Aix Marseille Université, GMGF UMR_S910, Faculté de Médecine, 27 Bd Jean Moulin, 13385 Marseille, France Inserm, U910, Faculté de Médecine, 27 Bd Jean Moulin, 13005 Marseille, France
| | - Emilie Faure
- Aix Marseille Université, GMGF UMR_S910, Faculté de Médecine, 27 Bd Jean Moulin, 13385 Marseille, France Inserm, U910, Faculté de Médecine, 27 Bd Jean Moulin, 13005 Marseille, France
| | - Frank Kober
- Faculté de Médecine, Aix Marseille Université, CNRS, CRMBM UMR7339, Marseille, France
| | | | - Alexis Théron
- Aix Marseille Université, GMGF UMR_S910, Faculté de Médecine, 27 Bd Jean Moulin, 13385 Marseille, France Inserm, U910, Faculté de Médecine, 27 Bd Jean Moulin, 13005 Marseille, France Département de Cardiologie, AP-HM, Hôpital de la Timone, Marseille, France
| | - Fanny Coulpier
- Inserm, U1024, IBENS, École Normale Supérieure, Paris, France CNRS, UMR8197, IBENS, École Normale Supérieure, Paris, France
| | - Benjamin Guillet
- Faculté de Médecine, Aix Marseille Université, CERIMED, Marseille, France
| | - Monique Bernard
- Faculté de Médecine, Aix Marseille Université, CNRS, CRMBM UMR7339, Marseille, France
| | - Jean-François Avierinos
- Aix Marseille Université, GMGF UMR_S910, Faculté de Médecine, 27 Bd Jean Moulin, 13385 Marseille, France Inserm, U910, Faculté de Médecine, 27 Bd Jean Moulin, 13005 Marseille, France Département de Cardiologie, AP-HM, Hôpital de la Timone, Marseille, France
| | - Patrick Charnay
- Inserm, U1024, IBENS, École Normale Supérieure, Paris, France CNRS, UMR8197, IBENS, École Normale Supérieure, Paris, France
| | - Piotr Topilko
- Inserm, U1024, IBENS, École Normale Supérieure, Paris, France CNRS, UMR8197, IBENS, École Normale Supérieure, Paris, France
| | - Stéphane Zaffran
- Aix Marseille Université, GMGF UMR_S910, Faculté de Médecine, 27 Bd Jean Moulin, 13385 Marseille, France Inserm, U910, Faculté de Médecine, 27 Bd Jean Moulin, 13005 Marseille, France
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