PMID- 37404133 OWN - NLM STAT- MEDLINE DCOM- 20230724 LR - 20230803 IS - 2050-084X (Electronic) IS - 2050-084X (Linking) VI - 12 DP - 2023 Jul 5 TI - Mitochondrial MICOS complex genes, implicated in hypoplastic left heart syndrome, maintain cardiac contractility and actomyosin integrity. LID - 10.7554/eLife.83385 [doi] LID - e83385 AB - Hypoplastic left heart syndrome (HLHS) is a severe congenital heart disease (CHD) with a likely oligogenic etiology, but our understanding of the genetic complexities and pathogenic mechanisms leading to HLHS is limited. We performed whole genome sequencing (WGS) on 183 HLHS patient-parent trios to identify candidate genes, which were functionally tested in the Drosophila heart model. Bioinformatic analysis of WGS data from an index family of a HLHS proband born to consanguineous parents prioritized 9 candidate genes with rare, predicted damaging homozygous variants. Of them, cardiac-specific knockdown (KD) of mitochondrial MICOS complex subunit dCHCHD3/6 resulted in drastically compromised heart contractility, diminished levels of sarcomeric actin and myosin, reduced cardiac ATP levels, and mitochondrial fission-fusion defects. These defects were similar to those inflicted by cardiac KD of ATP synthase subunits of the electron transport chain (ETC), consistent with the MICOS complex's role in maintaining cristae morphology and ETC assembly. Five additional HLHS probands harbored rare, predicted damaging variants in CHCHD3 or CHCHD6. Hypothesizing an oligogenic basis for HLHS, we tested 60 additional prioritized candidate genes from these patients for genetic interactions with CHCHD3/6 in sensitized fly hearts. Moderate KD of CHCHD3/6 in combination with Cdk12 (activator of RNA polymerase II), RNF149 (goliath, E3 ubiquitin ligase), or SPTBN1 (beta-Spectrin, scaffolding protein) caused synergistic heart defects, suggesting the likely involvement of diverse pathways in HLHS. Further elucidation of novel candidate genes and genetic interactions of potentially disease-contributing pathways is expected to lead to a better understanding of HLHS and other CHDs. CI - (c) 2023, Birker, Ge, Kirkland et al. FAU - Birker, Katja AU - Birker K AD - Development, Aging and Regeneration Program, Center for Genetic Disorders & Aging Research, Sanford Burnham Prebys Medical Discovery Institute, San Diego, United States. FAU - Ge, Shuchao AU - Ge S AUID- ORCID: 0000-0002-6590-9050 AD - Development, Aging and Regeneration Program, Center for Genetic Disorders & Aging Research, Sanford Burnham Prebys Medical Discovery Institute, San Diego, United States. FAU - Kirkland, Natalie J AU - Kirkland NJ AD - Department of Bioengineering, Sanford Consortium for Regenerative Medicine, UCSD, School of Medicine, San Diego, United States. FAU - Theis, Jeanne L AU - Theis JL AUID- ORCID: 0000-0002-4494-8683 AD - Cardiovascular Genetics Research Laboratory, Mayo Clinic, Rochester, United States. FAU - Marchant, James AU - Marchant J AD - Development, Aging and Regeneration Program, Center for Genetic Disorders & Aging Research, Sanford Burnham Prebys Medical Discovery Institute, San Diego, United States. FAU - Fogarty, Zachary C AU - Fogarty ZC AUID- ORCID: 0000-0001-5588-3216 AD - Division of Computational Biology, Department of Quantitative Health Sciences, Mayo Clinic, Rochester, United States. FAU - Missinato, Maria A AU - Missinato MA AUID- ORCID: 0000-0001-9055-758X AD - Development, Aging and Regeneration Program, Center for Genetic Disorders & Aging Research, Sanford Burnham Prebys Medical Discovery Institute, San Diego, United States. FAU - Kalvakuri, Sreehari AU - Kalvakuri S AD - Development, Aging and Regeneration Program, Center for Genetic Disorders & Aging Research, Sanford Burnham Prebys Medical Discovery Institute, San Diego, United States. FAU - Grossfeld, Paul AU - Grossfeld P AD - Department of Pediatrics, UCSD School of Medicine, La Jolla, Rady's Hospital MC 5004, San Diego, United States. FAU - Engler, Adam J AU - Engler AJ AD - Department of Bioengineering, Sanford Consortium for Regenerative Medicine, UCSD, School of Medicine, San Diego, United States. FAU - Ocorr, Karen AU - Ocorr K AUID- ORCID: 0000-0003-2593-0119 AD - Development, Aging and Regeneration Program, Center for Genetic Disorders & Aging Research, Sanford Burnham Prebys Medical Discovery Institute, San Diego, United States. FAU - Nelson, Timothy J AU - Nelson TJ AUID- ORCID: 0000-0002-3862-7023 AD - Center for Regenerative Medicine, Division of Pediatric Cardiology, Department of Pediatric and Adolescent Medicine, Division of General Internal Medicine, Department of Molecular and Pharmacology and Experimental Therapeutics, Mayo Clinic, Rochester, United States. FAU - Colas, Alexandre R AU - Colas AR AUID- ORCID: 0000-0001-8489-0570 AD - Development, Aging and Regeneration Program, Center for Genetic Disorders & Aging Research, Sanford Burnham Prebys Medical Discovery Institute, San Diego, United States. FAU - Olson, Timothy M AU - Olson TM AUID- ORCID: 0000-0003-2716-9423 AD - Department of Cardiovascular Medicine, Division of Pediatric Cardiology, Department of Pediatric & Adolescent Medicine, Cardiovascular Genetics Research Laboratory, Mayo Clinic, Rochester, United States. FAU - Vogler, Georg AU - Vogler G AUID- ORCID: 0000-0002-8303-3531 AD - Development, Aging and Regeneration Program, Center for Genetic Disorders & Aging Research, Sanford Burnham Prebys Medical Discovery Institute, San Diego, United States. FAU - Bodmer, Rolf AU - Bodmer R AUID- ORCID: 0000-0001-9087-1210 AD - Development, Aging and Regeneration Program, Center for Genetic Disorders & Aging Research, Sanford Burnham Prebys Medical Discovery Institute, San Diego, United States. LA - eng SI - Dryad/10.5061/dryad.z8w9ghxj1 GR - R01 HL153645/HL/NHLBI NIH HHS/United States GR - R01 HL054732/HL/NHLBI NIH HHS/United States GR - P30 CA030199/CA/NCI NIH HHS/United States GR - R01 AG071464/AG/NIA NIH HHS/United States GR - R01 HL148827/HL/NHLBI NIH HHS/United States GR - R01 HL149992/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20230705 PL - England TA - Elife JT - eLife JID - 101579614 RN - 9013-26-7 (Actomyosin) RN - 8L70Q75FXE (Adenosine Triphosphate) RN - 0 (CHCHD3 protein, human) RN - 0 (Mitochondrial Proteins) SB - IM UOF - doi: 10.1101/2022.06.13.22276366 MH - Humans MH - *Hypoplastic Left Heart Syndrome/genetics MH - Actomyosin MH - *Heart Defects, Congenital MH - Computational Biology MH - Adenosine Triphosphate MH - Mitochondrial Proteins PMC - PMC10361721 OTO - NOTNLM OT - CHCHD3/6 OT - CHD OT - D. melanogaster OT - Drosophila OT - HLHS OT - MICOS OT - genetics OT - genomics OT - human COIS- KB, SG, NK, JT, JM, ZF, MM, SK, PG, AE, KO, TN, AC, TO, GV, RB No competing interests declared EDAT- 2023/07/05 13:05 MHDA- 2023/07/24 06:41 PMCR- 2023/07/05 CRDT- 2023/07/05 09:54 PHST- 2022/09/14 00:00 [received] PHST- 2023/07/04 00:00 [accepted] PHST- 2023/07/24 06:41 [medline] PHST- 2023/07/05 13:05 [pubmed] PHST- 2023/07/05 09:54 [entrez] PHST- 2023/07/05 00:00 [pmc-release] AID - 83385 [pii] AID - 10.7554/eLife.83385 [doi] PST - epublish SO - Elife. 2023 Jul 5;12:e83385. doi: 10.7554/eLife.83385.