TMEM43-S358L mutation enhances NF-κB-TGFβ signal cascade in arrhythmogenic right ventricular dysplasia/cardiomyopathy
Open accessAbstract
Arrhythmogenic right ventricular dysplasia/cardiomyopathy (ARVD/C) is a genetic cardiac muscle disease that accounts for approximately 30% sudden cardiac death in young adults. The Ser358Leu mutation of transmembrane protein 43 (TMEM43) was commonly identified in the patients of highly lethal and fully penetrant ARVD subtype, ARVD5. Here, we generated TMEM43 S358L mouse to explore the underlying mechanism. This mouse strain showed the classic pathologies of ARVD patients, including structural abnormalities and cardiac fibrofatty. TMEM43 S358L mutation led to hyper-activated nuclear factor κB (NF-κB) activation in heart tissues and primary cardiomyocyte cells. Importantly, this hyper activation of NF-κB directly drove the expression of pro-fibrotic gene, transforming growth factor beta (TGFβ1), and enhanced downstream signal, indicating that TMEM43 S358L mutation up-regulates NF-κB-TGFβ signal cascade during ARVD cardiac fibrosis. Our study partially reveals the regulatory mechanism of ARVD development.
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Crosstalk between inflammatory pathways and TGF-β may explain the heterogeneous patchiness of fibro-fatty replacement.
“Crosstalk between inflammatory pathways and TGF-β may explain the heterogeneous patchiness of fibro-fatty replacement [86].”
From A Paradigm Shift: Arrhythmogenic Cardiomyopathy Is an Inflammatory Disease (2026) · cites this paper as [86]
The Discussion (page unavailable) reports that NF-κB activation induces TGF-β signaling and promotes cardiac fibrosis in TMEM43-S358L mice. The Results (page unavailable) also report increased fibrosis and fat accumulation, but the paper does not link this signaling to the heterogeneous patchiness of fibro-fatty replacement. It further notes that NF-κB activation did not produce a typical inflammatory response in these mice. (LLM, conf=0.86)
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Sorted by citations
Peretto, G., Villatore, A., & Cooper, L. T. (2026) · Immunological Reviews · doi:10.1111/imr.70105 · Cited by 10 · see citing works
A Paradigm Shift: Arrhythmogenic Cardiomyopathy Is an Inflammatory Disease
Ariyaratne, G. H. D. N., Villatore, A., Peretto, G., & Chelko, S. P. (2026) · Cells · doi:10.3390/cells15100868 · Cited by 2 · see citing works
- Authors
- Zheng, G., Jiang, C., Li, Y., Yang, D., Ma, Y., Zhang, B., Li, X., Zhang, P., Hu, X., Zhao, X., Du, J., & Lin, X.
- Affiliations
- Sun Yat-sen University (CN)
- The University of Texas MD Anderson Cancer Center (US)
- Capital Medical University (CN)
- Tsinghua University (CN)
- Peking University (CN)
- Corresponding author
- Zheng, Guoxing
- Lin, Xin
- ORCID
- Venue
- Protein & Cell
- Publisher
- Oxford University Press (OUP)
- Published
- 2018-07-06
- Volume
- 10
- Issue
- 2
- Pages
- 104-119
- ISSN
- 1674-800X (ISSN-L)
- 1674-8018
- PMC
- PMC6340891
- OpenAlex
- W2831567692
- Cited by
- 48
- References
- 2
- Citations by year
- 2026: 3 · 2025: 9 · 2024: 3 · 2023: 6 · 2022: 8 · 2021: 11 · 2020: 6 · 2019: 2
- FWCI
- 3.59
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Protein & Cell (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Greater South Information System
- Funders
- National Natural Science Foundation of China (81570211)
- China Postdoctoral Science Foundation
- Tsinghua University
- University of Texas MD Anderson Cancer Center
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Effects of Exercise
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiomyopathy and Myosin Studies
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Keywords
- arrhythmogenic right ventricular cardiomyopathy, TMEM43, NF-κB activation, TGF-β1, myocardial fibrosis, sudden cardiac death, mouse model, genetic cardiac disease
- MeSH terms
- Animals, Cell Line, Humans, Membrane Proteins, Mice, Inbred C57BL, Mutation, NF-kappa B, Arrhythmogenic Right Ventricular Dysplasia, Genetic Predisposition to Disease, Mice, Transforming Growth Factor beta1
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