PMID- 23886890 OWN - NLM STAT- MEDLINE DCOM- 20140312 LR - 20231213 IS - 1525-2191 (Electronic) IS - 0002-9440 (Linking) VI - 183 IP - 3 DP - 2013 Sep TI - Molecular and functional alterations in a mouse cardiac model of Friedreich ataxia: activation of the integrated stress response, eIF2alpha phosphorylation, and the induction of downstream targets. PG - 745-57 LID - S0002-9440(13)00455-0 [pii] LID - 10.1016/j.ajpath.2013.05.032 [doi] AB - Friedreich ataxia (FA) is a neurodegenerative and cardiodegenerative disease resulting from marked frataxin deficiency. The condition is characterized by ataxia with fatal cardiomyopathy, but the pathogenic mechanisms are unclear. We investigated the association between gene expression and progressive histopathological and functional changes using the muscle creatine kinase conditional frataxin knockout (KO) mouse; this mouse develops a severe cardiac phenotype that resembles that of FA patients. We examined KO mice from 3 weeks of age, when they are asymptomatic, to 10 weeks of age, when they die of the disease. Positive iron staining was identified in KO mice from 5 weeks of age, with markedly reduced cardiac function from 6 weeks. We identified an early and marked up-regulation of a gene cohort responsible for stress-induced amino acid biosynthesis and observed markedly increased phosphorylation of eukaryotic translation initiation factor 2alpha (p-eIF2alpha), an activator of the integrated stress response, in KO mice at 3 weeks of age, relative to wild-type mice. Importantly, the eIF2alpha-mediated integrated stress response has been previously implicated in heart failure via downstream processes such as autophagy and apoptosis. Indeed, expression of a panel of autophagy and apoptosis markers was enhanced in KO mice. Thus, the pathogenesis of cardiomyopathy in FA correlates with the early and persistent eIF2alpha phosphorylation, which precedes activation of autophagy and apoptosis. CI - Copyright (c) 2013 American Society for Investigative Pathology. Published by Elsevier Inc. All rights reserved. FAU - Huang, Michael Li-Hsuan AU - Huang ML AD - Molecular Pharmacology and Pathology Program, Department of Pathology, University of Sydney, Sydney, Australia. FAU - Sivagurunathan, Sutharshani AU - Sivagurunathan S FAU - Ting, Samantha AU - Ting S FAU - Jansson, Patric J AU - Jansson PJ FAU - Austin, Christopher J D AU - Austin CJ FAU - Kelly, Matthew AU - Kelly M FAU - Semsarian, Christopher AU - Semsarian C FAU - Zhang, Daohai AU - Zhang D FAU - Richardson, Des R AU - Richardson DR LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130722 PL - United States TA - Am J Pathol JT - The American journal of pathology JID - 0370502 RN - 0 (Amino Acids) RN - 0 (Atf4 protein, mouse) RN - 0 (Eukaryotic Initiation Factor-2) RN - 0 (Iron-Binding Proteins) RN - 145891-90-3 (Activating Transcription Factor 4) RN - EC 2.7.- (Protein Kinases) SB - IM MH - Activating Transcription Factor 4/metabolism MH - Amino Acids/biosynthesis MH - Animals MH - Apoptosis MH - Autophagy MH - Cardiomegaly/pathology/physiopathology MH - Disease Models, Animal MH - Eukaryotic Initiation Factor-2/*metabolism MH - Female MH - Friedreich Ataxia/diagnostic imaging/*genetics/*pathology/physiopathology MH - Gene Expression Profiling MH - Heart Function Tests MH - Humans MH - Iron-Binding Proteins/metabolism MH - Male MH - Mice MH - Mice, Knockout MH - Models, Biological MH - Myocardium/metabolism/pathology MH - Myocytes, Cardiac/enzymology/pathology MH - Phenotype MH - Phosphorylation MH - Protein Kinases/metabolism MH - *Signal Transduction/genetics MH - *Stress, Physiological/genetics MH - Ultrasonography MH - Frataxin EDAT- 2013/07/28 06:00 MHDA- 2014/03/13 06:00 CRDT- 2013/07/27 06:00 PHST- 2013/03/27 00:00 [received] PHST- 2013/05/16 00:00 [revised] PHST- 2013/05/31 00:00 [accepted] PHST- 2013/07/27 06:00 [entrez] PHST- 2013/07/28 06:00 [pubmed] PHST- 2014/03/13 06:00 [medline] AID - S0002-9440(13)00455-0 [pii] AID - 10.1016/j.ajpath.2013.05.032 [doi] PST - ppublish SO - Am J Pathol. 2013 Sep;183(3):745-57. doi: 10.1016/j.ajpath.2013.05.032. Epub 2013 Jul 22.