Long non-coding RNA CCRR controls cardiac conduction via regulating intercellular coupling

Nat Commun. 2018 Oct 9;9(1):4176. doi: 10.1038/s41467-018-06637-9.

Abstract

Long non-coding RNAs (lncRNAs) have emerged as a new class of gene expression regulators playing key roles in many biological and pathophysiological processes. Here, we identify cardiac conduction regulatory RNA (CCRR) as an antiarrhythmic lncRNA. CCRR is downregulated in a mouse model of heart failure (HF) and in patients with HF, and this downregulation slows cardiac conduction and enhances arrhythmogenicity. Moreover, CCRR silencing induces arrhythmias in healthy mice. CCRR overexpression eliminates these detrimental alterations. HF or CCRR knockdown causes destruction of intercalated discs and gap junctions to slow longitudinal cardiac conduction. CCRR overexpression improves cardiac conduction by blocking endocytic trafficking of connexin43 (Cx43) to prevent its degradation via binding to Cx43-interacting protein CIP85, whereas CCRR silence does the opposite. We identified the functional domain of CCRR, which can reproduce the functional roles and pertinent molecular events of full-length CCRR. Our study suggests CCRR replacement a potential therapeutic approach for pathological arrhythmias.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Arrhythmias, Cardiac / genetics
  • Connexin 43 / metabolism
  • Excitation Contraction Coupling / genetics*
  • Extracellular Space / metabolism*
  • Gap Junctions / metabolism
  • Gene Expression Regulation
  • Gene Knockdown Techniques
  • Heart Conduction System / metabolism*
  • Heart Failure / genetics
  • Humans
  • Male
  • Mice, Inbred C57BL
  • Models, Biological
  • Myocardium / metabolism
  • Myocardium / pathology
  • Myocardium / ultrastructure
  • RNA, Long Noncoding / genetics
  • RNA, Long Noncoding / metabolism*
  • Signal Transduction
  • Subcellular Fractions / metabolism
  • rab GTP-Binding Proteins / metabolism

Substances

  • Connexin 43
  • RNA, Long Noncoding
  • CIP85 protein, mouse
  • rab GTP-Binding Proteins