Sex-specific response to A1BG loss results in female dilated cardiomyopathy

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Publicado en:Biology of Sex Differences vol. 16 (2025), p. 1
Autor principal: Emerson, James I
Otros Autores: Shi, Wei, Conlon, Frank L
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Springer Nature B.V.
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Acceso en línea:Citation/Abstract
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022 |a 2042-6410 
024 7 |a 10.1186/s13293-025-00713-8  |2 doi 
035 |a 3201563113 
045 2 |b d20250101  |b d20251231 
084 |a 264943  |2 nlm 
100 1 |a Emerson, James I 
245 1 |a Sex-specific response to A1BG loss results in female dilated cardiomyopathy 
260 |b Springer Nature B.V.  |c 2025 
513 |a Journal Article 
520 3 |a BackgroundCardiac disease often manifests with sex-specific differences in frequency, pathology, and progression. However, the molecular mechanisms underlying these differences remain incompletely understood. The glycoprotein A1BG has emerged as a female-specific regulator of cardiac structure and integrity, yet its precise role in the female heart is not well characterized.MethodsTo investigate the sex-specific role of A1BG in the heart, we generated both a conditional A1bg knockout allele and an A1bg Rosa26 knockin allele. We employed histological analysis, electrocardiography, RNA sequencing (RNA-seq), transmission electron microscopy (TEM), western blotting, mass spectrometry, and immunohistochemistry to assess structural, functional, and molecular phenotypes.ResultsLoss of A1BG in cardiomyocytes leads to persistent structural remodeling in female, but not male, hearts. Despite preserved systolic function in female A1bgCM/CM mice left ventricular dilation and wall thinning are evident and sustained over time, consistent with early-stage dilated cardiomyopathy (DCM). Transcriptomic analyses reveal that A1BG regulates key metabolic pathways in females, including glucose-6-phosphate and acetyl-CoA metabolism. TEM imaging highlights sex-specific disruption of intercalated disc architecture in female cardiomyocytes. These findings suggest that the absence of A1BG initiates chronic pathological remodeling in female hearts, potentially predisposing them to DCM under stress or aging.ConclusionA1BG is essential for maintaining ventricular structural integrity in female, but not male, hearts, leading to a chronic remodeling consistent with early-stage DCM. 
653 |a Gender differences 
653 |a Womens health 
653 |a Glucose metabolism 
653 |a Sex 
653 |a Mutation 
653 |a Heart diseases 
653 |a Heart failure 
653 |a Phenotypes 
653 |a Alleles 
653 |a Cardiomyopathy 
653 |a Molecular modelling 
653 |a EKG 
653 |a Metabolism 
653 |a Transcriptomics 
653 |a Dilated cardiomyopathy 
653 |a Laboratory animals 
653 |a Proteins 
653 |a Cardiac arrhythmia 
653 |a Metabolic pathways 
653 |a Cardiomyocytes 
653 |a Cloning 
653 |a Microscopy 
653 |a Cardiovascular disease 
653 |a Females 
653 |a Immunohistochemistry 
653 |a Transmission electron microscopy 
653 |a Mass spectroscopy 
653 |a Structure-function relationships 
653 |a Ventricle 
653 |a Albinism 
653 |a Cardiac function 
653 |a Males 
653 |a Coronary artery disease 
653 |a Western blotting 
700 1 |a Shi, Wei 
700 1 |a Conlon, Frank L 
773 0 |t Biology of Sex Differences  |g vol. 16 (2025), p. 1 
786 0 |d ProQuest  |t Health & Medical Collection 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3201563113/abstract/embedded/75I98GEZK8WCJMPQ?source=fedsrch 
856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3201563113/fulltext/embedded/75I98GEZK8WCJMPQ?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3201563113/fulltextPDF/embedded/75I98GEZK8WCJMPQ?source=fedsrch