EGFR inhibition stabilizes cardiomyocyte cohesion in a murine arrhythmogenic cardiomyopathy model

Arrhythmogenic cardiomyopathy (AC) is a familial heart disease partly caused by impaired desmosome turnover. Thus, stabilization of desmosome integrity may provide potential new treatment options. Desmosomes, apart from cellular cohesion, provide the structural framework of a signaling hub. Here, we investigated the role of the epidermal growth factor receptor (EGFR) in cardiomyocyte cohesion. We inhibited EGFR under physiological and pathophysiological conditions using the murine plakoglobin knockout AC model, in which EGFR was upregulated. EGFR inhibition enhanced cardiomyocyte cohesion. Immunoprecipitation showed an interaction of EGFR and desmoglein 2 (DSG2). Immunostaining and AFM revealed enhanced DSG2 localization and binding at cell borders upon EGFR inhibition. Enhanced area composita length and desmosome assembly were observed upon EGFR inhibition, confirmed by enhanced DSG2 and desmoplakin (DP) recruitment to cell borders. Erlotinib, an EGFR inhibitor, activated ROCK. Erlotinib mediated desmosome assembly and cardiomyocyte cohesion were abolished upon ROCK inhibition. Thus, inhibiting EGFR, thereby stabilizing desmosome integrity, might provide new treatment options for AC. SummaryShoykhet et al. show that EGFR inhibition led ROCK activation enhances cardiomyocyte cohesion via enhanced desmosomal assembly which is evidenced by enhanced DP/DSG2 localization at cell borders. It is the first step towards a novel therapeutic approach for arrhythmogenic cardiomyopathy.