Abstract Mo123: Post-transcriptional Mechanisms of BAG3 Regulation in Ischemia-Reperfusion Injury

Abstract

The co-chaperone BAG3 is critical for protein quality control at the cardiac sarcomere. BAG3 binds to Hsp70 and coordinates the assembly of the CASA (chaperone-assisted selective autophagy) complex, thus supporting protein homeostasis and cardiomyocyte contractility. Decreased BAG3 levels are associated with heart disease, whereas BAG3 overexpression rescues ventricular function in animal models of heart failure (HF). Despite BAG3’s potential as a therapeutic target, the mechanisms underlying BAG3 regulation are largely unresolved. Here, we investigate the mechanisms of BAG3 downregulation after stress. We found that BAG3 protein is reduced in human cardiomyopathies compared to non-failing hearts, yet there is an increase in bag3 mRNA transcript, suggesting BAG3’s downregulation in heart disease may be controlled post-transcriptionally. To identify these post-transcriptional pathways, we subjected neonatal rat ventricular myocytes (NRVMs) to prolonged hypoxia-reoxygenation (H/R) stress, which recapitulated the decrease in BAG3 levels observed in human heart disease. Notably, disrupting Hsp70 binding to BAG3 in NRVMs via the drug JG-98 decreased BAG3’s half-life by ~90%, suggesting that Hsp70 protects BAG3 from degradation. Loss of Hsp70-mediated protection could contribute to declining BAG3 levels, so we quantified Hsp70 abundance after H/R stress in NRVMs, finding no significant change. We also found that overexpressing inducible Hsp70 did not rescue BAG3 levels. This data suggests that BAG3 downregulation in H/R stress is not caused by loss of Hsp70 binding/protection. To examine BAG3 regulation in vivo, we subjected wildtype mice to ischemia-reperfusion injury. After 24 hours, we observed a decrease in BAG3 levels in the left ventricle and no significant change in Hsp70 abundance. Interestingly, the decline in full-length BAG3 (85 kDa) was accompanied by an increase in a BAG3 cleavage product at 74 kDa. We analyzed this product via mass spectrometry, discovering that it lacks a third of the WW domain, which is involved in autophagy. In future experiments, BAG3 cleavage will be explored as a potential mechanism of BAG3 loss. Such mechanisms will provide insight into how to maintain BAG3 levels, and thus cardiac function, during stress.