TAB2 deficiency induces dilated cardiomyopathy by promoting mitochondrial calcium overload in human iPSC-derived cardiomyocytes

Abstract Background TGF-β-activated kinase 1 binding protein 2 (TAB2) is an intermediary protein that links Tumor necrosis factor receptor 1 (TNFR1) and other receptor signals to the TGF-β-activated kinase 1 (TAK1) signaling complex. TAB2 frameshift mutations have been linked to dilated cardiomyopat...

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Main Authors: Wenrui Sun, Jianchao Zhang, Shuang Li, Wanrong Fu, Yangyang Liu, Mengduan Liu, Jianzeng Dong, Xiaoyan Zhao, Xiaowei Li
Format: Article
Language:English
Published: BMC 2025-02-01
Series:Molecular Medicine
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Online Access:https://doi.org/10.1186/s10020-025-01103-x
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author Wenrui Sun
Jianchao Zhang
Shuang Li
Wanrong Fu
Yangyang Liu
Mengduan Liu
Jianzeng Dong
Xiaoyan Zhao
Xiaowei Li
author_facet Wenrui Sun
Jianchao Zhang
Shuang Li
Wanrong Fu
Yangyang Liu
Mengduan Liu
Jianzeng Dong
Xiaoyan Zhao
Xiaowei Li
author_sort Wenrui Sun
collection DOAJ
description Abstract Background TGF-β-activated kinase 1 binding protein 2 (TAB2) is an intermediary protein that links Tumor necrosis factor receptor 1 (TNFR1) and other receptor signals to the TGF-β-activated kinase 1 (TAK1) signaling complex. TAB2 frameshift mutations have been linked to dilated cardiomyopathy (DCM), while the exact mechanism needs further investigation. Methods In this study, we generated a TAB2 compound heterozygous knockout cell line in induced pluripotent stem cells (iPSCs) derived from a healthy individual using CRISPR/Cas9 technology. IPSCs are not species-dependent, are readily accessible, and raise fewer ethical concerns. Results TAB2 disruption had no impact on the cardiac differentiation of iPSCs and led to confirmed TAB2 deficiency in human iPSC-derived cardiomyocytes (hiPSC-CMs). TAB2-deficient hiPSC-CMs were found to develop phenotypic features of DCM, such as distorted sarcomeric ultrastructure, decreased contractility and energy production, and mitochondrial damage at day 30 post differentiation. Paradoxically, TAB2 knockout cell lines showed abnormal calcium handling after 40 days, later than reduced contractility, suggesting that the main cause of impaired contractility was abnormal energy production due to mitochondrial damage. As early as day 25, TAB2 knockout cardiomyocytes showed significant mitochondrial calcium overload, which can lead to mitochondrial damage. Furthermore, TAB2 knockout activated receptor-interacting protein kinase 1 (RIPK1), leading to an increase in mitochondrial calcium uniporter (MCU) expression, thereby augmenting the uptake of mitochondrial calcium ions. Finally, the application of the RIPK1 inhibitor Nec-1s prevents the progression of these phenotypes. Conclusions In summary, TAB2 abatement cardiomyocytes mimic dilated cardiomyopathy in vitro. This finding emphasizes the importance of using a human model to study the underlying mechanisms of this specific disease. More importantly, the discovery of a unique pathogenic pathway introduces a new notion for the future management of dilated cardiomyopathy.
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institution Kabale University
issn 1528-3658
language English
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publisher BMC
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spelling doaj-art-5d351cdb74c74a318e28c7aece5238ca2025-02-09T12:42:13ZengBMCMolecular Medicine1528-36582025-02-0131111710.1186/s10020-025-01103-xTAB2 deficiency induces dilated cardiomyopathy by promoting mitochondrial calcium overload in human iPSC-derived cardiomyocytesWenrui Sun0Jianchao Zhang1Shuang Li2Wanrong Fu3Yangyang Liu4Mengduan Liu5Jianzeng Dong6Xiaoyan Zhao7Xiaowei Li8Department of Cardiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou UniversityDepartment of Cardiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou UniversitySchool of Life Sciences, Zhengzhou UniversityDepartment of Cardiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou UniversityDepartment of Cardiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou UniversityDepartment of Cardiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou UniversityDepartment of Cardiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou UniversityDepartment of Cardiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou UniversityDepartment of Cardiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou UniversityAbstract Background TGF-β-activated kinase 1 binding protein 2 (TAB2) is an intermediary protein that links Tumor necrosis factor receptor 1 (TNFR1) and other receptor signals to the TGF-β-activated kinase 1 (TAK1) signaling complex. TAB2 frameshift mutations have been linked to dilated cardiomyopathy (DCM), while the exact mechanism needs further investigation. Methods In this study, we generated a TAB2 compound heterozygous knockout cell line in induced pluripotent stem cells (iPSCs) derived from a healthy individual using CRISPR/Cas9 technology. IPSCs are not species-dependent, are readily accessible, and raise fewer ethical concerns. Results TAB2 disruption had no impact on the cardiac differentiation of iPSCs and led to confirmed TAB2 deficiency in human iPSC-derived cardiomyocytes (hiPSC-CMs). TAB2-deficient hiPSC-CMs were found to develop phenotypic features of DCM, such as distorted sarcomeric ultrastructure, decreased contractility and energy production, and mitochondrial damage at day 30 post differentiation. Paradoxically, TAB2 knockout cell lines showed abnormal calcium handling after 40 days, later than reduced contractility, suggesting that the main cause of impaired contractility was abnormal energy production due to mitochondrial damage. As early as day 25, TAB2 knockout cardiomyocytes showed significant mitochondrial calcium overload, which can lead to mitochondrial damage. Furthermore, TAB2 knockout activated receptor-interacting protein kinase 1 (RIPK1), leading to an increase in mitochondrial calcium uniporter (MCU) expression, thereby augmenting the uptake of mitochondrial calcium ions. Finally, the application of the RIPK1 inhibitor Nec-1s prevents the progression of these phenotypes. Conclusions In summary, TAB2 abatement cardiomyocytes mimic dilated cardiomyopathy in vitro. This finding emphasizes the importance of using a human model to study the underlying mechanisms of this specific disease. More importantly, the discovery of a unique pathogenic pathway introduces a new notion for the future management of dilated cardiomyopathy.https://doi.org/10.1186/s10020-025-01103-xTAB2 knockoutIPSCsDilated cardiomyopathyMitochondrial calcium overload
spellingShingle Wenrui Sun
Jianchao Zhang
Shuang Li
Wanrong Fu
Yangyang Liu
Mengduan Liu
Jianzeng Dong
Xiaoyan Zhao
Xiaowei Li
TAB2 deficiency induces dilated cardiomyopathy by promoting mitochondrial calcium overload in human iPSC-derived cardiomyocytes
Molecular Medicine
TAB2 knockout
IPSCs
Dilated cardiomyopathy
Mitochondrial calcium overload
title TAB2 deficiency induces dilated cardiomyopathy by promoting mitochondrial calcium overload in human iPSC-derived cardiomyocytes
title_full TAB2 deficiency induces dilated cardiomyopathy by promoting mitochondrial calcium overload in human iPSC-derived cardiomyocytes
title_fullStr TAB2 deficiency induces dilated cardiomyopathy by promoting mitochondrial calcium overload in human iPSC-derived cardiomyocytes
title_full_unstemmed TAB2 deficiency induces dilated cardiomyopathy by promoting mitochondrial calcium overload in human iPSC-derived cardiomyocytes
title_short TAB2 deficiency induces dilated cardiomyopathy by promoting mitochondrial calcium overload in human iPSC-derived cardiomyocytes
title_sort tab2 deficiency induces dilated cardiomyopathy by promoting mitochondrial calcium overload in human ipsc derived cardiomyocytes
topic TAB2 knockout
IPSCs
Dilated cardiomyopathy
Mitochondrial calcium overload
url https://doi.org/10.1186/s10020-025-01103-x
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