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Publication : Temsirolimus activates autophagy and ameliorates cardiomyopathy caused by lamin A/C gene mutation.

First Author  Choi JC Year  2012
Journal  Sci Transl Med Volume  4
Issue  144 Pages  144ra102
PubMed ID  22837537 Mgi Jnum  J:186774
Mgi Id  MGI:5433233 Doi  10.1126/scitranslmed.3003875
Citation  Choi JC, et al. (2012) Temsirolimus activates autophagy and ameliorates cardiomyopathy caused by lamin a/c gene mutation. Sci Transl Med 4(144):144ra102
abstractText  Mutations in the lamin A/C gene (LMNA), which encodes A-type lamins, cause a diverse range of diseases collectively called laminopathies, the most common of which is dilated cardiomyopathy. Emerging evidence suggests that LMNA mutations cause disease by altering cell signaling pathways, but the specific mechanisms are poorly understood. We show that the AKT-mammalian target of rapamycin pathway is hyperactivated in hearts of mice with cardiomyopathy caused by Lmna mutation and that in vivo administration of the rapamycin analog temsirolimus prevents deterioration of cardiac function. We also show defective autophagy in hearts of these mice and demonstrate that improvement in heart function induced by pharmacological interventions is correlated with enhanced autophagy. These findings provide a rationale for treatment of LMNA cardiomyopathy with rapalogs and implicate defective autophagy as a pathogenic mechanism of cardiomyopathy arising from LMNA mutation.
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