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CARP was originally identified as a YB-1-associating, cardiac-restricted transcription co-repressor in the homeobox NKX2-5 pathway that is involved in cardiac ventricular chamber specification, maturation and morphogenesis,[8][9][10] and whose mRNA levels are exquisitely sensitive to Doxorubicin, mediated through a hydrogen peroxide/ERK/p38MAP kinase-dependent[11][12] as well as M-CAT cis-element-dependent[13] mechanism. Subsequent studies showed that CARP expression in cardiomyocytes is regulated by alpha-adrenergic signaling, in part via the transcription factor GATA4.[14][15] An additional study showed that beta-adrenergic signaling via protein kinase A and CaM kinase induces the expression of CARP, and that CARP may have a negative effect on contractile function.[16] CARP has also been identified as a transcriptional co-activator of tumor suppressor protein p53 for stimulating gene expression in muscle; p53 was found to be an upstream effector of CARP via upregulation of the proximal ANKRD1 promoter.[17] Interestingly, CARP protein has a relatively short half-life being longer in cardiomyocytes than endothelial cells; and CARP is degraded by the 26S proteasome via a PEST degron.[18][19]
In animal models of disease and injury, CARP has been characterized to be a stress-inducible myofibrillar protein. CARP has been shown to play a role in skeletal muscle structure[20] remodeling,[21] and repair, being expressed in skeletal muscle near myotendinous junctions,[22] and in vascular smooth muscle cells, as a downstream target of TGF-beta/Smad sigmaling in response to balloon injury[23] and atherosclerotic plaques.[24] Further studies have identified a role for CARP in initiation and regulation of arteriogenesis.[25][26][27] Decreased expression of CARP in cardiac cells within the ischemic region was detected in a rat model of ischemic injury, and was thought to be linked to the induction of GADD153, an apoptosis-related gene.[28] In cardiomyocytes treated with doxorubicin, a model of anthracycline-induced cardiomyopathy, CARP mRNA and protein levels were depleted, myofilamentgene transcription was attenuated and sarcomeres showed significant disarray.[29]
In a transgenic mouse model of cardiac-specific overexpression of CARP, mice exhibited normal physiology at baseline, but were protected against pathological cardiac hypertrophy induced via pressure-overload or isoproterenol, which could be attributed to the downregulation of the ERK1/2, MEK and TGFbeta-1 pathways.[30] Another study demonstrated that adenoviral overexpression of CARP in cardiomyocytes enhances cardiac hypertrophy induced by Angiotensin II or pressure-overload[31] and promotoes cardiomyocyteapoptosis via p53 activation and mitochondrial dysfunction.[32] However, transgenic knockout models of either CARP alone or CARP in combination with the other muscle ankyrin repeat proteins (MARPs), ANKRD2 and ANKRD23 demonstrated a lack of cardiac phenotype; mice displayed normal cardiac function at baseline and in response to pressure overload-induced cardiac hypertrophy, suggesting that these proteins are not essential.[33]
Interactions between CARP and the sarcomeric proteins myopalladin and titin suggest that it may also be involved in the myofibrillar stretch-sensor system. Passive stretch in fetal cardiomyocytes induced differential CARP distribution at nuclei and I-bandtitin N2A regions.[34] In a mouse model of muscular dystrophy with myositis (mdm) caused by a small deletion in titin, CARP mRNA expression was shown to be 30-fold elevated in skeletal muscle tissue.[35]
Clinical significance
A wide spectrum of clinical features have been associated with ANKRD1/CARP protein. Mutations in ANKRD1 have been associated with dilated cardiomyopathy, two of which result in altered binding with TLN1 and FHL2.[36][37] Mutations in ANKRD1 have also been associated with hypertrophic cardiomyopathy, and have shown to increase binding of CARP to Titin and MYPN.[38] Examination of the functional effects of CARP hypertrophic cardiomyopathy mutations in engineered heart tissue demonstrated that Thr123Met was a gain-of-function mutation exhibiting augmented contractile properties; whereas Pro52Ala and Ile280Val were unstable and failed to incorporate into sarcomeres, an effect that was remedied upon proteasome inhibition via epoxomicin.[39]
A missense mutation in ANKRD1 was shown to be associated with the congenital heart defect, Anomalous pulmonary venous connection.[40] CARP has been found as a sensitive and specific biomarker for the differential diagnosis of rhabdomyosarcoma.[41] Interestingly, ANKRD1mRNA levels correlate with patient platinum sensitivity, thus ANKRD1 associates with platinum-based chemotherapy treatment outcome in ovarian adenocarcinoma patients.[42]
↑Chu W, Burns DK, Swerlick RA, Presky DH (June 1995). "Identification and characterization of a novel cytokine-inducible nuclear protein from human endothelial cells". J. Biol. Chem. 270 (17): 10236–45. doi:10.1074/jbc.270.17.10236. PMID7730328.
↑Torrado M, Iglesias R, Nespereira B, Centeno A, López E, Mikhailov AT (Jul 2009). "Intron retention generates ANKRD1 splice variants that are co-regulated with the main transcript in normal and failing myocardium". Gene. 440 (1–2): 28–41. doi:10.1016/j.gene.2009.03.017. PMID19341785.
↑ 5.05.1Witt SH, Labeit D, Granzier H, Labeit S, Witt CC (2005). "Dimerization of the cardiac ankyrin protein CARP: implications for MARP titin-based signaling". Journal of Muscle Research and Cell Motility. 26 (6–8): 401–8. doi:10.1007/s10974-005-9022-9. PMID16450059.
↑Laure L, Danièle N, Suel L, Marchand S, Aubert S, Bourg N, Roudaut C, Duguez S, Bartoli M, Richard I (Oct 2010). "A new pathway encompassing calpain 3 and its newly identified substrate cardiac ankyrin repeat protein is involved in the regulation of the nuclear factor-κB pathway in skeletal muscle". The FEBS Journal. 277 (20): 4322–37. doi:10.1111/j.1742-4658.2010.07820.x. PMID20860623.
↑Jasnic-Savovic J, Nestorovic A, Savic S, Karasek S, Vitulo N, Valle G, Faulkner G, Radojkovic D, Kojic S (Jun 2015). "Profiling of skeletal muscle Ankrd2 protein in human cardiac tissue and neonatal rat cardiomyocytes". Histochemistry and Cell Biology. 143 (6): 583–97. doi:10.1007/s00418-015-1307-5. PMID25585647.
↑ 8.08.1Zou Y, Evans S, Chen J, Kuo HC, Harvey RP, Chien KR (Feb 1997). "CARP, a cardiac ankyrin repeat protein, is downstream in the Nkx2-5 homeobox gene pathway". Development. 124 (4): 793–804. PMID9043061.
↑Kuo H, Chen J, Ruiz-Lozano P, Zou Y, Nemer M, Chien KR (Oct 1999). "Control of segmental expression of the cardiac-restricted ankyrin repeat protein gene by distinct regulatory pathways in murine cardiogenesis". Development. 126 (19): 4223–34. PMID10477291.
↑Takimoto E, Mizuno T, Terasaki F, Shimoyama M, Honda H, Shiojima I, Hiroi Y, Oka T, Hayashi D, Hirai H, Kudoh S, Toko H, Kawamura K, Nagai R, Yazaki Y, Komuro I (Apr 2000). "Up-regulation of natriuretic peptides in the ventricle of Csx/Nkx2-5 transgenic mice". Biochemical and Biophysical Research Communications. 270 (3): 1074–9. doi:10.1006/bbrc.2000.2561. PMID10772952.
↑Jeyaseelan R, Poizat C, Baker RK, Abdishoo S, Isterabadi LB, Lyons GE, Kedes L (Sep 1997). "A novel cardiac-restricted target for doxorubicin. CARP, a nuclear modulator of gene expression in cardiac progenitor cells and cardiomyocytes". The Journal of Biological Chemistry. 272 (36): 22800–8. doi:10.1074/jbc.272.36.22800. PMID9278441.
↑Aihara Y, Kurabayashi M, Tanaka T, Takeda SI, Tomaru K, Sekiguchi KI, Ohyama Y, Nagai R (Aug 2000). "Doxorubicin represses CARP gene transcription through the generation of oxidative stress in neonatal rat cardiac myocytes: possible role of serine/threonine kinase-dependent pathways". Journal of Molecular and Cellular Cardiology. 32 (8): 1401–14. doi:10.1006/jmcc.2000.1173. PMID10900167.
↑Aihara Y, Kurabayashi M, Saito Y, Ohyama Y, Tanaka T, Takeda S, Tomaru K, Sekiguchi K, Arai M, Nakamura T, Nagai R (Jul 2000). "Cardiac ankyrin repeat protein is a novel marker of cardiac hypertrophy: role of M-CAT element within the promoter". Hypertension. 36 (1): 48–53. doi:10.1161/01.hyp.36.1.48. PMID10904011.
↑Maeda T, Sepulveda J, Chen HH, Stewart AF (Sep 2002). "Alpha(1)-adrenergic activation of the cardiac ankyrin repeat protein gene in cardiac myocytes". Gene. 297 (1–2): 1–9. doi:10.1016/s0378-1119(02)00924-1. PMID12384280.
↑Zolk O, Marx M, Jäckel E, El-Armouche A, Eschenhagen T (Sep 2003). "Beta-adrenergic stimulation induces cardiac ankyrin repeat protein expression: involvement of protein kinase A and calmodulin-dependent kinase". Cardiovascular Research. 59 (3): 563–72. doi:10.1016/s0008-6363(03)00476-0. PMID14499857.
↑ 17.017.1Kojic S, Nestorovic A, Rakicevic L, Belgrano A, Stankovic M, Divac A, Faulkner G (Oct 2010). "A novel role for cardiac ankyrin repeat protein Ankrd1/CARP as a co-activator of the p53 tumor suppressor protein". Archives of Biochemistry and Biophysics. 502 (1): 60–7. doi:10.1016/j.abb.2010.06.029. PMID20599664.
↑Badi I, Cinquetti R, Frascoli M, Parolini C, Chiesa G, Taramelli R, Acquati F (Aug 2009). "Intracellular ANKRD1 protein levels are regulated by 26S proteasome-mediated degradation". FEBS Letters. 583 (15): 2486–92. doi:10.1016/j.febslet.2009.07.001. PMID19589340.
↑Barash IA, Bang ML, Mathew L, Greaser ML, Chen J, Lieber RL (Jul 2007). "Structural and regulatory roles of muscle ankyrin repeat protein family in skeletal muscle". American Journal of Physiology. Cell Physiology. 293 (1): C218–27. doi:10.1152/ajpcell.00055.2007. PMID17392382.
↑Laure L, Suel L, Roudaut C, Bourg N, Ouali A, Bartoli M, Richard I, Danièle N (Feb 2009). "Cardiac ankyrin repeat protein is a marker of skeletal muscle pathological remodelling". The FEBS Journal. 276 (3): 669–84. doi:10.1111/j.1742-4658.2008.06814.x. PMID19143834.
↑Kanai H, Tanaka T, Aihara Y, Takeda S, Kawabata M, Miyazono K, Nagai R, Kurabayashi M (Jan 2001). "Transforming growth factor-beta/Smads signaling induces transcription of the cell type-restricted ankyrin repeat protein CARP gene through CAGA motif in vascular smooth muscle cells". Circulation Research. 88 (1): 30–6. doi:10.1161/01.res.88.1.30. PMID11139470.
↑de Waard V, van Achterberg TA, Beauchamp NJ, Pannekoek H, de Vries CJ (Jan 2003). "Cardiac ankyrin repeat protein (CARP) expression in human and murine atherosclerotic lesions: activin induces CARP in smooth muscle cells". Arteriosclerosis, Thrombosis, and Vascular Biology. 23 (1): 64–8. doi:10.1161/01.atv.0000042218.13101.50. PMID12524226.
↑Boengler K, Pipp F, Fernandez B, Ziegelhoeffer T, Schaper W, Deindl E (Sep 2003). "Arteriogenesis is associated with an induction of the cardiac ankyrin repeat protein (carp)". Cardiovascular Research. 59 (3): 573–81. doi:10.1016/s0008-6363(03)00511-x. PMID14499858.
↑Samaras SE, Shi Y, Davidson JM (Sep 2006). "CARP: fishing for novel mechanisms of neovascularization". The Journal of Investigative Dermatology. Symposium Proceedings. 11 (1): 124–31. doi:10.1038/sj.jidsymp.5650014. PMID17069020.
↑Shen L, Chen C, Wei X, Li X, Luo G, Zhang J, Bin J, Huang X, Cao S, Li G, Liao Y (May 2015). "Overexpression of ankyrin repeat domain 1 enhances cardiomyocyte apoptosis by promoting p53 activation and mitochondrial dysfunction in rodents". Clinical Science. 128 (10): 665–78. doi:10.1042/CS20140586. PMID25511237.
↑Miller MK, Bang ML, Witt CC, Labeit D, Trombitas C, Watanabe K, Granzier H, McElhinny AS, Gregorio CC, Labeit S (Nov 2003). "The muscle ankyrin repeat proteins: CARP, ankrd2/Arpp and DARP as a family of titin filament-based stress response molecules". Journal of Molecular Biology. 333 (5): 951–64. doi:10.1016/j.jmb.2003.09.012. PMID14583192.
↑Witt CC, Ono Y, Puschmann E, McNabb M, Wu Y, Gotthardt M, Witt SH, Haak M, Labeit D, Gregorio CC, Sorimachi H, Granzier H, Labeit S (Feb 2004). "Induction and myofibrillar targeting of CARP, and suppression of the Nkx2.5 pathway in the MDM mouse with impaired titin-based signaling". Journal of Molecular Biology. 336 (1): 145–54. doi:10.1016/j.jmb.2003.12.021. PMID14741210.
↑Duboscq-Bidot L, Charron P, Ruppert V, Fauchier L, Richter A, Tavazzi L, Arbustini E, Wichter T, Maisch B, Komajda M, Isnard R, Villard E (Sep 2009). "Mutations in the ANKRD1 gene encoding CARP are responsible for human dilated cardiomyopathy". European Heart Journal. 30 (17): 2128–36. doi:10.1093/eurheartj/ehp225. PMID19525294.
↑Arimura T, Bos JM, Sato A, Kubo T, Okamoto H, Nishi H, Harada H, Koga Y, Moulik M, Doi YL, Towbin JA, Ackerman MJ, Kimura A (Jul 2009). "Cardiac ankyrin repeat protein gene (ANKRD1) mutations in hypertrophic cardiomyopathy". Journal of the American College of Cardiology. 54 (4): 334–42. doi:10.1016/j.jacc.2008.12.082. PMID19608031.
↑Crocini C, Arimura T, Reischmann S, Eder A, Braren I, Hansen A, Eschenhagen T, Kimura A, Carrier L (May 2013). "Impact of ANKRD1 mutations associated with hypertrophic cardiomyopathy on contraction parameters of engineered heart tissue". Basic Research in Cardiology. 108 (3): 349. doi:10.1007/s00395-013-0349-x. PMID23572067.
↑Cinquetti R, Badi I, Campione M, Bortoletto E, Chiesa G, Parolini C, Camesasca C, Russo A, Taramelli R, Acquati F (Apr 2008). "Transcriptional deregulation and a missense mutation define ANKRD1 as a candidate gene for total anomalous pulmonary venous return". Human Mutation. 29 (4): 468–74. doi:10.1002/humu.20711. PMID18273862.
↑Ishiguro N, Motoi T, Araki N, Ito H, Moriyama M, Yoshida H (Nov 2008). "Expression of cardiac ankyrin repeat protein, CARP, in malignant tumors: diagnostic use of CARP protein immunostaining in rhabdomyosarcoma". Human Pathology. 39 (11): 1673–9. doi:10.1016/j.humpath.2008.04.009. PMID18656235.
↑Scurr LL, Guminski AD, Chiew YE, Balleine RL, Sharma R, Lei Y, Pryor K, Wain GV, Brand A, Byth K, Kennedy C, Rizos H, Harnett PR, deFazio A (Nov 2008). "Ankyrin repeat domain 1, ANKRD1, a novel determinant of cisplatin sensitivity expressed in ovarian cancer". Clinical Cancer Research. 14 (21): 6924–32. doi:10.1158/1078-0432.CCR-07-5189. PMID18980987.
↑Wei YJ, Cui CJ, Huang YX, Zhang XL, Zhang H, Hu SS (Jun 2009). "Upregulated expression of cardiac ankyrin repeat protein in human failing hearts due to arrhythmogenic right ventricular cardiomyopathy". European Journal of Heart Failure. 11 (6): 559–66. doi:10.1093/eurjhf/hfp049. PMID19359327.
↑Nagueh SF, Shah G, Wu Y, Torre-Amione G, King NM, Lahmers S, Witt CC, Becker K, Labeit S, Granzier HL (Jul 2004). "Altered titin expression, myocardial stiffness, and left ventricular function in patients with dilated cardiomyopathy". Circulation. 110 (2): 155–62. doi:10.1161/01.CIR.0000135591.37759.AF. PMID15238456.
↑Zolk O, Frohme M, Maurer A, Kluxen FW, Hentsch B, Zubakov D, Hoheisel JD, Zucker IH, Pepe S, Eschenhagen T (May 2002). "Cardiac ankyrin repeat protein, a negative regulator of cardiac gene expression, is augmented in human heart failure". Biochemical and Biophysical Research Communications. 293 (5): 1377–82. doi:10.1016/S0006-291X(02)00387-X. PMID12054667.
↑Nakamura K, Nakada C, Takeuchi K, Osaki M, Shomori K, Kato S, Ohama E, Sato K, Fukayama M, Mori S, Ito H, Moriyama M (Apr 2003). "Altered expression of cardiac ankyrin repeat protein and its homologue, ankyrin repeat protein with PEST and proline-rich region, in atrophic muscles in amyotrophic lateral sclerosis". Pathobiology. 70 (4): 197–203. doi:10.1159/000069329. PMID12679596.
↑Nakada C, Oka A, Nonaka I, Sato K, Mori S, Ito H, Moriyama M (Oct 2003). "Cardiac ankyrin repeat protein is preferentially induced in atrophic myofibers of congenital myopathy and spinal muscular atrophy". Pathology International. 53 (10): 653–8. doi:10.1046/j.1440-1827.2003.01541.x. PMID14516314.
↑Nakada C, Tsukamoto Y, Oka A, Nonaka I, Takeda S, Sato K, Mori S, Ito H, Moriyama M (May 2003). "Cardiac-restricted ankyrin-repeated protein is differentially induced in duchenne and congenital muscular dystrophy". Laboratory Investigation. 83 (5): 711–9. doi:10.1097/01.lab.0000067484.35298.1a. PMID12746480.
↑Matsuura K, Uesugi N, Hijiya N, Uchida T, Moriyama M (Mar 2007). "Upregulated expression of cardiac ankyrin-repeated protein in renal podocytes is associated with proteinuria severity in lupus nephritis". Human Pathology. 38 (3): 410–9. doi:10.1016/j.humpath.2006.09.006. PMID17239933.
↑ 51.051.1Miller MK, Bang ML, Witt CC, Labeit D, Trombitas C, Watanabe K, Granzier H, McElhinny AS, Gregorio CC, Labeit S (November 2003). "The muscle ankyrin repeat proteins: CARP, ankrd2/Arpp and DARP as a family of titin filament-based stress response molecules". J. Mol. Biol. 333 (5): 951–64. doi:10.1016/j.jmb.2003.09.012. PMID14583192.
↑Torrado M, Nespereira B, López E, Centeno A, Castro-Beiras A, Mikhailov AT (Feb 2005). "ANKRD1 specifically binds CASQ2 in heart extracts and both proteins are co-enriched in piglet cardiac Purkinje cells". Journal of Molecular and Cellular Cardiology. 38 (2): 353–65. doi:10.1016/j.yjmcc.2004.11.034. PMID15698842.
Zolk O, Frohme M, Maurer A, Kluxen FW, Hentsch B, Zubakov D, Hoheisel JD, Zucker IH, Pepe S, Eschenhagen T (2002). "Cardiac ankyrin repeat protein, a negative regulator of cardiac gene expression, is augmented in human heart failure". Biochem. Biophys. Res. Commun. 293 (5): 1377–82. doi:10.1016/S0006-291X(02)00387-X. PMID12054667.
de Waard V, van Achterberg TA, Beauchamp NJ, Pannekoek H, de Vries CJ (2003). "Cardiac ankyrin repeat protein (CARP) expression in human and murine atherosclerotic lesions: activin induces CARP in smooth muscle cells". Arterioscler. Thromb. Vasc. Biol. 23 (1): 64–8. doi:10.1161/01.ATV.0000042218.13101.50. PMID12524226.
Nakamura K, Nakada C, Takeuchi K, Osaki M, Shomori K, Kato S, Ohama E, Sato K, Fukayama M, Mori S, Ito H, Moriyama M (2003). "Altered expression of cardiac ankyrin repeat protein and its homologue, ankyrin repeat protein with PEST and proline-rich region, in atrophic muscles in amyotrophic lateral sclerosis". Pathobiology. 70 (4): 197–203. doi:10.1159/000069329. PMID12679596.
Miller MK, Bang ML, Witt CC, Labeit D, Trombitas C, Watanabe K, Granzier H, McElhinny AS, Gregorio CC, Labeit S (2003). "The muscle ankyrin repeat proteins: CARP, ankrd2/Arpp and DARP as a family of titin filament-based stress response molecules". J. Mol. Biol. 333 (5): 951–64. doi:10.1016/j.jmb.2003.09.012. PMID14583192.
Torrado M, Nespereira B, López E, Centeno A, Castro-Beiras A, Mikhailov AT (2005). "ANKRD1 specifically binds CASQ2 in heart extracts and both proteins are co-enriched in piglet cardiac Purkinje cells". J. Mol. Cell. Cardiol. 38 (2): 353–65. doi:10.1016/j.yjmcc.2004.11.034. PMID15698842.
Park JH, Liu L, Kim IH, Kim JH, You KR, Kim DG (2005). "Identification of the genes involved in enhanced fenretinide-induced apoptosis by parthenolide in human hepatoma cells". Cancer Res. 65 (7): 2804–14. doi:10.1158/0008-5472.CAN-04-2221. PMID15805281.
Witt SH, Labeit D, Granzier H, Labeit S, Witt CC (2005). "Dimerization of the cardiac ankyrin protein CARP: implications for MARP titin-based signaling". J. Muscle Res. Cell. Motil. 26 (6–8): 401–8. doi:10.1007/s10974-005-9022-9. PMID16450059.
Matsuura K, Uesugi N, Hijiya N, Uchida T, Moriyama M (2007). "Upregulated expression of cardiac ankyrin-repeated protein in renal podocytes is associated with proteinuria severity in lupus nephritis". Hum. Pathol. 38 (3): 410–9. doi:10.1016/j.humpath.2006.09.006. PMID17239933.