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CARDIOVASCULAR JOURNAL OF AFRICA • Volume 27, No 1, January/February 2016

8

AFRICA

Under normoxic conditions, reciprocal Co-IP experiments failed

to show any physical interaction between KCNE2 and FLNC (Fig.

2a, b). However, during hypoxia an interaction between KCNE2

and FLNC was observed (Fig. 2c, d). These findings suggest that

the induction of stress is essential to the interaction and one could

speculate that hypoxia-induced conformational changes of FLNC

are necessary for the KCNE2–FLNC interaction.

Discussion

This study identified a novel protein–protein interaction between

the cytoplasmic C-terminal domain of KCNE2 and FLNC

during conditions of acute hypoxia. To date, the intracellular

C-terminal domain residues of KCNE2 have been implicated in

modulating HERG current density,

13,41

current deactivation rates,

41

and phosphorylation-dependant channel degradation.

19

However,

studies elaborating on specific regulatory roles for this domain

remain scarce, highlighting the importance of the current findings.

The interactor identified in this study, FLNC, is located in

the cytoplasm at the Z-line of the sarcomere and functions

in the cytoskeleton, where it is involved in crosslinking actin

filaments into networks and anchoring membrane proteins.

32,42

This filamin and its main paralogs, FLNA and FLNB, act as

scaffolding proteins and have been implicated in a number of

cellular stress responses,

32-34,43-46

including several hypoxia-related

effects.

33,34,45,46

FLNC specifically, is predominantly expressed in

muscle tissue and is associated with cardiac abnormalities such

as desminopathy, characterised by muscle weakness, conduction

blocks, arrhythmias and chronic heart failure, frequently resulting

in sudden cardiac death.

35,36

Filamins also play an important part in cell signalling

by disrupting existing interactions or by the introduction of

novel interactions.

32,37,38,47

Interestingly, there are several reports

detailing interactions of filamin family members with ion

channel subunits.

48-50

Particularly noteworthy is a previously

descibed association in neuronal tissue between FLNC and

the potassium voltage-gated channel subfamily D member 2

(KCND2),

48

the

α

-subunit of the Kv4.2 channel. That study

proposed that FLNC mediates the direct link between KCND2

and the actin cytoskeleton and showed that this interaction is

essential for the generation of appropriate current densities.

48

Both neuronal and cardiac tissue contain voltage-gated ion

channels responsible for controlling the excitability of neurons

and cardiomyocytes. These channels allow for communication

between cells in these tissues.

51-53

Furthermore, a KCNE2–

KCND2 interaction has been described, implicating KCNE2 in

the regulation of the rapidly inactivating KCND2

α

-subunit.

54,55

A common theme in the observation of the ion channel

interactions with filamin is the ability of filamin to influence

membrane localisation.

48-50

For FLNC, this process has also been

shown to involve other actin-binding and auxiliary ion channel

proteins.

56

In the present study, the C-terminal of FLNC, specifically

amino acids 2637–2725 (GenBank: NP_001449.3), bound to

the cytoplasmic C-terminal domain of KCNE2, exclusively

during conditions of hypoxic stress. This finding is consistent

with a number of other studies, indicating that the C-terminal

region of filamins is involved in protein interactions.

57

The

FLNC amino acid residues defined to interact with KCNE2

in this investigation correspond to a domain that is responsible

for protein dimer formation and is important for actin filament

bundling and cross-linking activities.

58,59

The introduction of hypoxic stress is known to have profound

effects on the cell.

60

These include the disruption of ionic

homeostasis, mitochondrial dysfunction resulting in impaired

ATP production, induction of cell death by apoptosis or necrosis,

and the generation of reactive oxygen species (ROS).

61

Excess

ROS leads to cardiac cell damage and post-ischaemic contractile

dysfunction by attacking virtually all cellular components.

62

This results in the degradation of intracellular proteins, rupture

of cellular membranes (including the sarcolemma), as well as

intracellular calcium ion overload,

63

however, it has been show

that cells remain viable even after extended periods of hypoxic

stress.

64

In addition to this, the actin cytoskeleton is also severely

compromised and may therefore be a driving force for novel

interactions. Additionally, Kesner

et al

. indicated that stress-

induced conformational changes in filamins could have a direct

effect on existing interactions or may influence the presence of

novel interactions.

47

Co-localisation analysis revealed that KCNE2 and FLNC

co-localise under both normoxic and hypoxic conditions.

However, no physical interaction could be confirmed between

Normoxic

Hypoxic

Fig. 2.

Western blots of Co-IP of KCNE2 and putative interactor FLNC in differentiated H9C2 cardiomyocytes. Reciprocal Co-IP

reactions were performed for each interaction. (a–b) Co-IP under normoxic conditions. (c–d) Co-IP under hypoxic condi-

tions. FLNC: filamin C; IP: immunoprecipitate; KCNE2: potassium voltage-gated ion-channel subfamily E member 2; kDa:

kilo Dalton; Neg: negative control; Prot G: protein G agarose control; WB: Western blot. Note: The Western blot revealed a

larger-than-expected predicted molecular weight band for KCNE2 (50 kD versus 14–20 kDa) (c). This is likely due to previ-

ously described protein modifications and/or protein interactions of KCNE2.

19,77-80