Telomere shortening and metabolic compromise underlie dystrophic cardiomyopathy
Open accessAbstract
Significance: We have found that long telomeres protect mice from genetic cardiac diseases analogous to those found in humans, such as Duchenne muscular dystrophy (DMD). Mice lacking dystrophin, similar to patients with DMD, exhibit only mild disease. In contrast, mice that lack dystrophin and have “humanized” telomere lengths ( mdx 4cv /mTR G2 ) fully manifest both the severe human skeletal muscle wasting and cardiac failure typical of DMD. Remarkably, telomere shortening accompanies cardiac development even after cardiomyocyte division has ceased. This chronic proliferation-independent shortening in dystrophin-deficient cardiomyocytes is associated with induction of a DNA damage response, mitochondrial dysfunction, increased oxidative stress, and metabolic failure. Our findings highlight an interplay between telomere length and mitochondrial homeostasis in the etiology of dystrophic heart failure.
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In mouse models of accelerated telomere shortening, critically short telomeres repress PGC1-α- and β-mediated mitochondrial biogenesis.
“In mouse models of accelerated telomere shortening, critically short telomeres have been shown to repress PGC1‐α‐ and β‐mediated mitochondrial biogenesis (Sahin et al, 2011; Chang et al, 2016).”
From Length-independent telomere damage drives post-mitotic cardiomyocyte senescence (2019) · cites this paper as Chang et al, 2016
Mouse models of accelerated telomere shortening exhibit cardiac dysfunction.
“Short telomeres have been observed in aged murine CMs (Rota et al, 2007) and in cardiomyocytes from individuals with end‐stage hypertrophic or dilated cardiomyopathy (Chang et al, 2018) and mouse models of accelerated telomere shortening exhibit cardiac dysfunction (Chang et al, 2016).”
From Length-independent telomere damage drives post-mitotic cardiomyocyte senescence (2019) · cites this paper as Chang et al, 2016
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- Authors
- Chang, A. C. Y., Ong, S.-G., LaGory, E. L., Kraft, P. E., Giaccia, A. J., Wu, J. C., & Blau, H. M.
- Affiliations
- Stanford Medicine (US)
- Venue
- Proceedings of the National Academy of Sciences
- Publisher
- National Academy of Sciences
- Published
- 2016-10-31
- Volume
- 113
- Issue
- 46
- Pages
- 13120-13125
- ISSN
- 0027-8424 (ISSN-L)
- 1091-6490
- PMC
- PMC5135315
- OpenAlex
- W2543485777
- Cited by
- 81
- References
- 36
- Citations by year
- 2026: 7 · 2025: 6 · 2024: 10 · 2023: 9 · 2022: 8 · 2021: 10 · 2020: 8 · 2019: 9 · 2018: 8 · 2017: 6
- FWCI
- 6.17
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Proceedings of the National Academy of Sciences (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- California Institute for Regenerative Medicine (TT3-05501, RB5-07469)
- HHS | National Institutes of Health (AG044815, AG009521, NS089533, AR063963, AG020961)
- Gouvernement du Canada | Canadian Institutes of Health Research (201411MFE-338745-169197)
- American Heart Association (13POST14480004, 15POST22940013)
- Topics
- Health Sciences › Medicine › Physiology › Telomeres, Telomerase, and Senescence
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Muscle Physiology and Disorders
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiomyopathy and Myosin Studies
- Keywords
- dystrophic cardiomyopathy, dilated cardiomyopathy, Duchenne muscular dystrophy, telomere shortening, DNA damage response, p53, p21, mitochondrial biogenesis, oxidative stress, mitochondrial membrane potential, heart failure
- MeSH terms
- Animals, Cardiomyopathy, Dilated, Cell Cycle, DNA Damage, Male, Mice, Inbred C57BL, Mitochondria, Heart, Mitosis, Muscular Dystrophy, Animal, Reactive Oxygen Species, Mice, Knockout, Muscular Dystrophy, Duchenne, Myocytes, Cardiac, Cell Proliferation, Membrane Potential, Mitochondrial, Telomere Shortening
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