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Regulatory Variants Modulate Protein Kinase C α (PRKCA) Gene Expression in Human Heart

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Abstract

Purpose

Protein kinase C α (PRKCA) is involved in multiple functions and has been implicated in heart failure risks and treatment outcomes. This study aims to identify regulatory variants affecting PRKCA expression in human heart, and evaluate attributable risk of heart disease.

Methods

mRNA expression quantitative trait loci (eQTLs) were extracted from the Genotype and Tissue Expression Project (GTEx). Allelic mRNA ratios were measured in 51 human heart tissues to identify cis-acting regulatory variants. Potential regulatory regions were tested with luciferase reporter gene assays and further evaluated in GTEx and genome-wide association studies.

Results

Located in a region with robust enhancer activity in luciferase reporter assays, rs9909004 (T > C, minor allele frequency =0.47) resides in a haplotype displaying strong eQTLs for PRKCA in heart (p = 1.2 × 10−23). The minor C allele is associated with both decreased PRKCA mRNA expression and decreased risk of phenotypes characteristic of heart failure in GWAS analyses (QT interval p = 3.0 × 10−14). While rs9909004 is the likely regulatory variant, other variants in high linkage disequilibrium cannot be excluded. Distinct regulatory variants appear to affect expression in other tissues.

Conclusions

The haplotype carrying rs9909004 influences PRKCA expression in the heart and is associated with traits linked to heart failure, potentially affecting therapy of heart failure.

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Abbreviations

ADRB1:

beta-1 adrenergic receptor

AEI:

Allelic expression imbalance

eQTL:

Expression quantitative trait loci

GTEx:

Genotype-Tissue Expression

GWAS:

Genome-wide association studies

LD:

Linkage disequilibrium

MAF:

Minor allele frequency

PLB:

Phospholamban

PRKCA:

Protein kinase C α subunit

SERCA-2:

Sarcoplasmic reticulum Ca2+ ATPase-2

SNPs:

Single nucleotide polymorphisms

TF:

Transcription factors

References

  1. Coussens L, Parker PJ, Rhee L, Yang-Feng TL, Chen E, Waterfield MD, et al. Multiple, distinct forms of bovine and human protein kinase C suggest diversity in cellular signaling pathways. Science. 1986;233(4766):859–66.

    Article  CAS  Google Scholar 

  2. Dempsey EC, Newton AC, Mochly-Rosen D, Fields AP, Reyland ME, Insel PA, et al. Protein kinase C isozymes and the regulation of diverse cell responses. Am J Physiol Lung Cell Mol Physiol. 2000;279(3):L429–38.

    Article  CAS  Google Scholar 

  3. Ma Y, Usuwanthim K, Munawara U, Quach A, Gorgani NN, Abbott CA, et al. Protein kinase cα regulates the expression of complement receptor Ig in human monocyte-derived macrophages. J Immunol. 2015;194(6):2855–61.

    Article  CAS  Google Scholar 

  4. Arking DE, Pulit SL, Crotti L, van der Harst P, Munroe PB, Koopmann TT, et al. Genetic association study of QT interval highlights role for calcium signaling pathways in myocardial repolarization. Nat Genet. 2014;46(8):826–36.

    Article  CAS  Google Scholar 

  5. Turner ST, Boerwinkle E, O’Connell JR, Bailey KR, Gong Y, Chapman AB, et al. Genomic association analysis of common variants influencing antihypertensive response to hydrochlorothiazide. Hypertension. 2013;62(2):391–7.

    Article  CAS  Google Scholar 

  6. Carroll LS, Williams NM, Moskvina V, Russell E, Norton N, Williams HJ, et al. Evidence for rare and common genetic risk variants for schizophrenia at protein kinase C, alpha. Mol Psychiatry. 2010;15(11):1101–11.

    Article  CAS  Google Scholar 

  7. MacLeod CA, Donaldson DI. PRKCA polymorphism changes the neural basis of episodic remembering in healthy individuals. PLoS One. 2014;9(5), e98018.

    Article  Google Scholar 

  8. Murphy A, Tantisira KG, Soto-Quirós ME, Avila L, Klanderman BJ, Lake S, et al. PRKCA: a positional candidate gene for body mass index and asthma. Am J Hum Genet. 2009;85(1):87–96.

    Article  CAS  Google Scholar 

  9. Saarela J, Kallio SP, Chen D, Montpetit A, Jokiaho A, Choi E, et al. PRKCA and multiple sclerosis: association in two independent populations. PLoS Genet. 2006;2(3), e42.

    Article  Google Scholar 

  10. Galea GL, Meakin LB, Williams CM, Hulin-Curtis SL, Lanyon LE, Poole AW, et al. Protein kinase Cα (PKCα) regulates bone architecture and osteoblast activity. J Biol Chem. 2014;289(37):25509–22.

    Article  CAS  Google Scholar 

  11. Quack I, Woznowski M, Potthoff SA, Palmer R, Königshausen E, Sivritas S, et al. PKC alpha mediates beta-arrestin2-dependent nephrin endocytosis in hyperglycemia. J Biol Chem. 2011;286(15):12959–70.

    Article  CAS  Google Scholar 

  12. Kopach O, Viatchenko-Karpinski V, Atianjoh FE, Belan P, Tao YX, Voitenko N. PKCα is required for inflammation-induced trafficking of extrasynaptic AMPA receptors in tonically firing lamina II dorsal horn neurons during the maintenance of persistent inflammatory pain. J Pain. 2013;14(2):182–92.

    Article  CAS  Google Scholar 

  13. He J, Kelly TN, Zhao Q, Li H, Huang J, Wang L, et al. Genome-wide association study identifies 8 novel loci associated with blood pressure responses to interventions in Han Chinese. Circ Cardiovasc Genet. 2013;6(6):598–607.

    Article  CAS  Google Scholar 

  14. Paraboschi EM, Rimoldi V, Soldà G, Tabaglio T, Dall’Osso C, Saba E, et al. Functional variations modulating PRKCA expression and alternative splicing predispose to multiple sclerosis. Hum Mol Genet. 2014;23(25):6746–61.

    Article  CAS  Google Scholar 

  15. GTEx Consortium. Human genomics. The Genotype-Tissue Expression (GTEx) pilot analysis: multitissue gene regulation in humans. Science. 2015;348(6235):648–60.

    Article  Google Scholar 

  16. Braz JC, Gregory K, Pathak A, Zhao W, Sahin B, Klevitsky R, et al. PKC-alpha regulates cardiac contractility and propensity toward heart failure. Nat Med. 2004;10(3):248–54.

    Article  CAS  Google Scholar 

  17. Wang D, Johnson AD, Papp AC, Kroetz DL, Sadée W. Multidrug resistance polypeptide 1 (MDR1, ABCB1) variant 3435C > T affects mRNA stability. Pharmacogenet Genomics. 2005;15(10):693–704.

    Article  CAS  Google Scholar 

  18. Johnson AD, Gong Y, Wang D, Langaee TY, Shin J, Cooper-Dehoff RM, et al. Promoter polymorphisms in ACE (angiotensin I-converting enzyme) associated with clinical outcomes in hypertension. Clin Pharmacol Ther. 2009;85(1):36–44.

    Article  CAS  Google Scholar 

  19. Smith RM, Alachkar H, Papp AC, Wang D, Mash DC, Wang JC, et al. Nicotinic α5 receptor subunit mRNA expression is associated with distant 5′ upstream polymorphisms. Eur J Hum Genet. 2011;19(1):76–8.

    Article  CAS  Google Scholar 

  20. Wang D, Chen H, Momary KM, Cavallari LH, Johnson JA, Sadée W. Regulatory polymorphism in vitamin K epoxide reductase complex subunit 1 (VKORC1) affects gene expression and warfarin dose requirement. Blood. 2008;112(4):1013–21.

    Article  CAS  Google Scholar 

  21. Wang D, Guo Y, Wrighton SA, Cooke GE, Sadee W. Intronic polymorphism in CYP3A4 affects hepatic expression and response to statin drugs. Pharmacogenomics J. 2011;11(4):274–86.

    Article  Google Scholar 

  22. Pinsonneault JK, Han DD, Burdick KE, Kataki M, Bertolino A, Malhotra AK, et al. Dopamine transporter gene variant affecting expression in human brain is associated with bipolar disorder. Neuropsychopharmacology. 2011;36(8):1644–55.

    Article  CAS  Google Scholar 

  23. Barrie ES, Weinshenker D, Verma A, Pendergrass SA, Lange LA, Ritchie MD, et al. Regulatory polymorphisms in human DBH affect peripheral gene expression and sympathetic activity. Circ Res. 2014;115(12):1017–25.

    Article  CAS  Google Scholar 

  24. Miller SA, Dykes DD, Polesky HF. A simple salting out procedure for extracting DNA from human nucleated cells. Nucleic Acids Res. 1988;16(3):1215.

    Article  CAS  Google Scholar 

  25. Wang D, Papp AC, Binkley PF, Johnson JA, Sadée W. Highly variable mRNA expression and splicing of L-type voltage-dependent calcium channel alpha subunit 1C in human heart tissues. Pharmacogenet Genomics. 2006;16(10):735–45.

    Article  CAS  Google Scholar 

  26. Li L, Li CJ, Zhang YJ, Zheng L, Jiang HX, Si-Tu B. Simultaneous detection of CYP3A5 and MDR1 polymorphisms based on the SNaPshot assay. Clin Biochem. 2011;44(5-6):418–22.

    Article  CAS  Google Scholar 

  27. Sotoodehnia N, Isaacs A, de Bakker PI, Dörr M, Newton-Cheh C, Nolte IM, et al. Common variants in 22 loci are associated with QRS duration and cardiac ventricular conduction. Nat Genet. 2010;42(12):1068–76.

    Article  CAS  Google Scholar 

  28. Meyer WK, Arbeithuber B, Ober C, Ebner T, Tiemann-Boege I, Hudson RR, et al. Evaluating the evidence for transmission distortion in human pedigrees. Genetics. 2012;191(1):215–32.

    Article  CAS  Google Scholar 

  29. Carty CL, Johnson NA, Hutter CM, Reiner AP, Peters U, Tang H, et al. Genome-wide association study of body height in African Americans: the Women’s Health Initiative SNP Health Association Resource (SHARe). Hum Mol Genet. 2012;21(3):711–20.

    Article  CAS  Google Scholar 

  30. Athanasiadis G, Sabater-Lleal M, Buil A, Souto JC, Borrell M, Lathrop M, et al. Genetic determinants of plasma β2 -glycoprotein I levels: a genome-wide association study in extended pedigrees from Spain. J Thromb Haemost. 2013;11(3):521–8.

    Article  CAS  Google Scholar 

  31. Malovini A, Illario M, Iaccarino G, Villa F, Ferrario A, Roncarati R, et al. Association study on long-living individuals from Southern Italy identifies rs10491334 in the CAMKIV gene that regulates survival proteins. Rejuvenation Res. 2011;14(3):283–91.

    Article  CAS  Google Scholar 

  32. Cai DC, Fonteijn H, Guadalupe T, Zwiers M, Wittfeld K, Teumer A, et al. A genome-wide search for quantitative trait loci affecting the cortical surface area and thickness of Heschl’s gyrus. Genes Brain Behav. 2014;13(7):675–85.

    Article  CAS  Google Scholar 

  33. Wojczynski MK, Li M, Bielak LF, Kerr KF, Reiner AP, Wong ND, et al. Genetics of coronary artery calcification among African Americans, a meta-analysis. BMC Med Genet. 2013;14:75.

    Article  CAS  Google Scholar 

  34. Vasan RS, Glazer NL, Felix JF, Lieb W, Wild PS, Felix SB, et al. Genetic variants associated with cardiac structure and function: a meta-analysis and replication of genome-wide association data. JAMA. 2009;302(2):168–78.

    Article  CAS  Google Scholar 

  35. Xie P, Kranzler HR, Yang C, Zhao H, Farrer LA, Gelernter J. Genome-wide association study identifies new susceptibility loci for posttraumatic stress disorder. Biol Psychiatry. 2013;74(9):656–63.

    Article  CAS  Google Scholar 

  36. Bowling N, Walsh RA, Song G, Estridge T, Sandusky GE, Fouts RL, et al. Increased protein kinase C activity and expression of Ca2 + -sensitive isoformsin the failing human heart. Circulation. 1999;99(3):384–91.

    Article  CAS  Google Scholar 

  37. Liu Q, Chen X, Macdonnell SM, Kranias EG, Lorenz JN, Leitges M, et al. Protein kinase Cα, but not PKCβ or PKCγ, regulates contractility and heart failure susceptibility: implications for ruboxistaurin as a novel therapeutic approach. Circ Res. 2009;105(2):194–200.

    Article  CAS  Google Scholar 

  38. Maurano MT, Haugen E, Sandstrom R, Vierstra J, Shafer A, Kaul R, et al. Large-scale identification of sequence variants influencing human transcription factor occupancy in vivo. Nat Genet. 2015;47(12):1393–401.

    Article  CAS  Google Scholar 

  39. Rau T, Düngen HD, Edelmann F, Waagstein F, Lainščak M, Dimković S, et al. Impact of the β1-adrenoceptor Arg389Gly polymorphism on heart-rate responses to bisoprolol and carvedilol in heart-failure patients. Clin Pharmacol Ther. 2012;92(1):21–8.

    Article  CAS  Google Scholar 

  40. Baudhuin LM, Miller WL, Train L, Bryant S, Hartman KA, Phelps M, et al. Relation of ADRB1, CYP2D6, and UGT1A1 polymorphisms with dose of, and response to, carvedilol or metoprolol therapy in patients with chronic heart failure. Am J Cardiol. 2010;106(3):402–8.

    Article  CAS  Google Scholar 

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Acknowledgments and Disclosures

We thank Rosanna Asselta for giving us the primer sequences and PCR condition of rs35476409/rs61762387 and 15 × GCC microsatellite. This study was supported by National Institutes of Health Pharmacogenetics Research Network grant U01 GM092655 (WS), U01-GM074492 (JAJ), the National Institute of Health grant R01HL126969 (DW), and partially by a grant from the National Center for Research Resources (UL1RR025755). We also acknowledge support from the Ohio Supercomputer Center (grant #PAS0885). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health or the National Center for Research Resources. The Genotype-Tissue Expression (GTEx) Project was supported by the Common Fund of the Office of the Director of the National Institutes of Health. Additional funds were provided by the NCI, NHGRI, NHLBI, NIDA, NIMH, and NINDS. Donors were enrolled at Biospecimen Source Sites funded by NCI\SAIC-Frederick, Inc. (SAIC-F) subcontracts to the National Disease Research Interchange (10XS170), Roswell Park Cancer Institute (10XS171), and Science Care, Inc. (X10S172). The Laboratory, Data Analysis, and Coordinating Center (LDACC) was funded through a contract (HHSN268201000029C) to The Broad Institute, Inc. Biorepository operations were funded through an SAIC-F subcontract to Van Andel Institute (10ST1035). Additional data repository and project management were provided by SAIC-F (HHSN261200800001E). The Brain Bank was supported by a supplement to University of Miami grants DA006227 & DA033684 and to contract N01MH000028. Statistical Methods development grants were made to the University of Geneva (MH090941 & MH101814), the University of Chicago (MH090951, MH090937, MH101820, MH101825), the University of North Carolina - Chapel Hill (MH090936 & MH101819), Harvard University (MH090948), Stanford University (MH101782), Washington University St Louis (MH101810), and the University of Pennsylvania (MH101822). The data used for the analyses described in this manuscript were obtained from GTEx Analysis Release V6p, dbGaP Accession phs000424.v6.p1. Disclosures None.

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Correspondence to Danxin Wang.

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Li, L., Zhang, L., Binkley, P.F. et al. Regulatory Variants Modulate Protein Kinase C α (PRKCA) Gene Expression in Human Heart. Pharm Res 34, 1648–1657 (2017). https://doi.org/10.1007/s11095-017-2102-x

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  • DOI: https://doi.org/10.1007/s11095-017-2102-x

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