PRKAG2 Antibody

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Description

PRKAG2 Gene and Protein Function

The PRKAG2 protein is part of the AMPK heterotrimeric complex, which regulates cellular energy balance by activating catabolic processes (e.g., autophagy) and suppressing anabolic pathways under low-energy conditions . Mutations in PRKAG2 are strongly linked to cardiomyopathies, including Wolff-Parkinson-White syndrome and familial hypertrophic cardiomyopathy, characterized by glycogen accumulation in cardiac tissue .

PRKAG2 in Disease Pathology

Alzheimer’s Disease (AD):

  • Elevated PRKAG2 expression correlates with increased amyloid-beta (Aβ) plaques in AD brains, suggesting a link between autophagy dysregulation and Aβ accumulation .

  • Autophagy markers like LC3B and Cathepsin D showed no significant correlation with Aβ, but PRKAG2 levels strongly associated with Aβ deposits (r = 0.85, p < 0.01) .

Cardiomyopathy:

  • Mutations (e.g., K485E, R302Q) disrupt AMPK activity, leading to aberrant glycogen storage and cardiac hypertrophy .

  • Clinical manifestations include ventricular pre-excitation, conduction defects, and sudden cardiac death, with 100% penetrance in carriers .

Therapeutic Approaches Involving PRKAG2

Antibody-Oligonucleotide Conjugates (AOCs):

  • AOCs employ anti-TfR1 antibodies to deliver siRNA targeting PRKAG2 mRNA in cardiomyopathy models .

  • Preclinical studies in mice and non-human primates show durable PRKAG2 mRNA reduction (75% at 2 months in mice, 85% in NHPs) and reduced glycogen accumulation .

siRNA Therapy:

  • siRNA targeting PRKAG2 achieves potent mRNA reduction (EC50 <10 pM), with efficacy sustained for 6 months post-administration .

Limitations:

  • No direct evidence of antibodies targeting PRKAG2 protein exists in the literature. Current research focuses on RNA-based silencing and delivery systems .

Potential for PRKAG2 Antibodies in Future Research

While no PRKAG2-specific antibodies are described, the gene’s role in AMPK regulation and disease suggests potential applications:

  • Autophagy modulation: Antibodies blocking PRKAG2 could inhibit autophagy, offering a therapeutic angle for AD .

  • Cardiac therapies: Neutralizing PRKAG2 might mitigate glycogen accumulation in cardiomyopathy, though off-target effects on AMPK require careful evaluation .

Product Specs

Buffer
Preservative: 0.03% Proclin 300
Constituents: 50% Glycerol, 0.01M PBS, pH 7.4
Form
Liquid
Lead Time
Made-to-order (12-14 weeks)
Synonyms
PRKAG25'-AMP-activated protein kinase subunit gamma-2 antibody; AMPK gamma2 antibody; AMPK subunit gamma-2 antibody; H91620p antibody
Target Names
Uniprot No.

Target Background

Function
The PRKAG2 antibody targets the AMP/ATP-binding subunit of AMP-activated protein kinase (AMPK), an essential energy sensor protein kinase that plays a crucial role in regulating cellular energy metabolism. In response to a decrease in intracellular ATP levels, AMPK activates energy-producing pathways while simultaneously inhibiting energy-consuming processes, including protein, carbohydrate, and lipid biosynthesis, as well as cell growth and proliferation. AMPK exerts its influence through direct phosphorylation of metabolic enzymes and through longer-term effects via phosphorylation of transcription regulators. It also acts as a regulator of cellular polarity by remodeling the actin cytoskeleton, likely by indirectly activating myosin. The gamma non-catalytic subunit mediates binding to AMP, ADP, and ATP, leading to the activation or inhibition of AMPK: AMP-binding results in allosteric activation of the alpha catalytic subunit (PRKAA1 or PRKAA2) both by inducing phosphorylation and preventing dephosphorylation of catalytic subunits. ADP also stimulates phosphorylation, without stimulating already phosphorylated catalytic subunit. ATP promotes dephosphorylation of the catalytic subunit, rendering the AMPK enzyme inactive.
Gene References Into Functions
  1. Molecular screening for PRKAG2 mutations should be considered in patients presenting with cardiac hypertrophy alongside ventricular pre-excitation. CMR offers promising advantages for the evaluation of PRKAG2 cardiomyopathy. PMID: 28546535
  2. PRKAG2-mutated iPSC-CMs exhibited functional and structural abnormalities, which were eliminated by correcting the mutation in the patient's iPSCs using CRISPR technology. PMID: 28917552
  3. Gamma2 AMPK activation downregulates fundamental sinoatrial cell pacemaker mechanisms to lower heart rate, including sarcolemmal hyperpolarization-activated current (I f) and ryanodine receptor-derived diastolic local subsarcolemmal Ca(2+) release. Conversely, the loss of gamma2 AMPK induces a reciprocal phenotype of increased heart rate and prevents the adaptive intrinsic bradycardia of endurance training. PMID: 29097735
  4. Case Report: PRKAG2 missense mutation causing glycogen storage disease and severe biventricular hypertrophy and high-grade atrio-ventricular block. PMID: 27496753
  5. We emphasize the potential for patients with PRKAG2 mutations. PMID: 28801758
  6. This study of patients with PRKAG2 mutations provides a more comprehensive understanding of the natural history of this disease and demonstrates a high risk of cardiac complications. Early identification of this disease appears crucial to enable appropriate management. PMID: 28431061
  7. A novel missense genetic variant of unknown significance (GVUS) was detected in the PRKAG2 gene (c.869A>T, p.K290I). This novel GVUS has not been identified in any global population databases. PMID: 28690312
  8. As observed in patients with PRKAG2 cardiomyopathy, iPS cell and mouse models are protected from cardiac fibrosis, and we define a crosstalk between AMPK and post-transcriptional regulation of TGFbeta isoform signaling, which has implications for fibrotic forms of cardiomyopathy. PMID: 28009297
  9. The study identifies a novel, de novo PRKAG2 mutation (K475E) in the cystathionine beta-synthase 3 repeat, a region critical for AMP binding. This mutation affects AMP-activated protein kinase activity, activates cell growth pathways, and results in cardiac hypertrophy, which can be reversed with rapamycin. PMID: 28550180
  10. PRKAG2 polymorphism may be an important factor in the treatment of hypertensive patients with hydrochlorothiazide. PMID: 27381900
  11. Data suggest that different gamma-isoforms in AMPK can have distinct effects on enzyme activation; here, activation of AMPK by compound 991 is greater if AMPK contains PRKAG2 versus PRKAG1 or PRKAG3. PMID: 28302767
  12. Mice with chronic AMPK activation, resulting from mutation of the AMPK gamma2 subunit, exhibit ghrelin signaling-dependent hyperphagia, obesity, and impaired pancreatic islet insulin secretion. Humans carrying the homologous mutation manifest a congruent phenotype. PMID: 27133129
  13. PRKAG2 cardiac syndrome may present with eccentric distribution of LVH, involving a focal mid-infero-lateral pattern in the early disease stage, and a more diffuse pattern but focusing on the interventricular septum in advanced cases. PMID: 26496977
  14. Overexpression of the G100S mutation in PRKAG2 causes Wolff-Parkinson-White syndrome in transgenic zebrafish. PMID: 23992123
  15. Its mutation causes AMPK signaling abnormality, which leads to cardiac syndrome. PMID: 23778007
  16. The PRKAG2 autosomal dominant cardiac syndrome may be commonly characterized by Left Ventricular Hypertrophy, an accessory pathway, and progression to conduction disease requiring implantation of a pacemaker. PMID: 23810891
  17. Data indicate that except for AMPK-alpha1, expressions of the other five AMPK subunits -alpha2, -beta1, -beta2, -gamma1 and -gamma2 are significantly higher in ovarian carcinomas. PMID: 22897928
  18. Single nucleotide polymorphisms in PRKAG2 are associated with drug response in breast cancer. PMID: 23034890
  19. The authors found that the gene encoding the gamma2 subunit of AMP-activated protein kinase (AMPK) strongly correlated with Zaire Ebolavirus transduction in the tumor cell panel. PMID: 23115293
  20. A significant association was found between the -26C/T polymorphism and cognitive impairment. Moreover, this polymorphism was also related to the presence of diabetes. PMID: 21813245
  21. The mutation in the PRKAG2 gene was identified as being responsible for the familial form of WPW syndrome in this Chinese family. PMID: 20381067
  22. These two individuals can be considered to suffer from a combination of both a classical hypertrophic cardiomyopathy (due to the two mutations in MYBPC3) and a glycogen storage cardiomyopathy (due to the mutation in PRKAG2). PMID: 21409595
  23. No mutations were detected within the coding region of PRKAG2 in Wolff-Parkinson-White syndrome patients. PMID: 20561859
  24. Newly identified polymorphisms (amino acid substitutions) are likely associated with cardiac disease in type 2 diabetic patients. PMID: 20022652
  25. This protein, when transfected into a transgenic mouse, activates and mediates cardiac hypertrophic signaling pathways. PMID: 20005292
  26. PRKAG2 R302Q mutant induces AMPK activation and increases glycogen content in cardiomyocytes. PMID: 20031621
  27. The study identified a novel mutation (Arg531Gly) in the PRKAG2 of AMP-activated protein kinase (AMPK) to be responsible for a syndrome associated with ventricular preexcitation and early onset of atrial fibrillation and conduction disease. PMID: 11748095
  28. The role of the causative gene, gamma-2 regulatory subunit (PRKAG2) of AMP-activated protein kinase, in the regulation of the glucose metabolic pathway in muscle suggests that genetic defects in PRKAG2 may induce a cardiac glycogenosis syndrome. PMID: 12015471
  29. Three of the mutations studied occur within the cystathionine beta-synthase (CBS) domains of gamma(2). Two of these mutations lead to a marked decrease in AMP dependence, whereas the third reduces AMP sensitivity. PMID: 12397075
  30. Unlike familial WPW syndrome, constitutional mutation of PRKAG2 is not commonly associated with sporadic WPW syndrome. PMID: 12716108
  31. Mutations affecting PRKAG2 are likely to confer a specific alteration of AMPK function, which is of particular importance in the myocardium. PMID: 14519435
  32. Transgenic mice expressing the human mutant(TG(R302Q)) PRKAG2 gene with the cardiac-specific promoter alpha-myosin heavy chain have ventricular pre-excitation, prolonged QRS, excess cardiac glycogen, and a distinct AV accessory pathway. PMID: 15611370
  33. The glycogen-storage cardiomyopathy produced by LAMP2 or PRKAG2 mutations resembles hypertrophic cardiomyopathy but is distinguished by electrophysiological abnormalities. PMID: 15673802
  34. The AMP kinase disease is uncommon in HCM and is characterized by progressive conduction disease and cardiac hypertrophy, and includes extracardiac manifestations such as a skeletal myopathy. PMID: 15766830
  35. Biochemical characterization of the recombinant R531Q mutant protein showed >100-fold reduction of binding affinities for the regulatory nucleotides AMP and ATP but an enhanced basal activity and increased phosphorylation of the alpha -subunit. PMID: 15877279
  36. The PRKAG2 N488I mutation causes inappropriate AMPK activation, which leads to glycogen accumulation and heart conduction system disease when transfected into mice. PMID: 16275868
  37. The study describes a 38-year-old man with a new heterozygous PRKAG2 mutation (Ser548Pro) manifesting by hypertrophic cardiomyopathy, severe conduction system abnormalities, and skeletal muscle glycogenosis. PMID: 16487706
  38. AMP-activated protein kinase is regulated by a pseudosubstrate sequence on the gamma subunit. PMID: 17255938
  39. Altered AMPK gamma 2 subunit activity under normal energetic status remodels the cardiac metabolic network to cause a unique form of glycogen storage disease in transgenic mice. PMID: 17431505
  40. Four members of the same family with a very similar ECG pattern characterized by conduction defects and mutations in the PRKAG2 gene. PMID: 17483151
  41. Human mutations that disrupt the nucleotide-binding affinity of the gamma2 subunit lead to a loss of inhibition by ATP and inappropriate activation of AMP-Kinase under resting conditions. PMID: 17990392
  42. Gene analysis identified an R302Q mutation of the gamma2 subunit producing AMP protein kinase, coded by the gene PRKAG2, and associated with a heart conduction defect. PMID: 18033003
  43. Data provide insights into the mechanisms of cardiac PRKAG2 disease and suggest that glycogen-storage cardiomyopathy can be modulated by lowering glycogen content in the heart. PMID: 18158359
  44. REVIEW. Compelling evidence exists that Prkag2 mutations cause a "gain of function" in basal AMPK activity, leading to excessive cellular glucose uptake and pathological glycogen storage in the heart, resulting in a potentially fatal cardiac phenotype. PMID: 18195183
  45. Mutational analysis of PRKAG2, LAMP2, and NKX2-5 genes in a cohort of 125 patients with accessory atrioventricular connection. PMID: 19533775
  46. Preexcitation associated with the R302Q mutation in PRKAG2 is associated with Mahaim fibers. PMID: 19808419

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Database Links

HGNC: 9386

OMIM: 194200

KEGG: hsa:51422

STRING: 9606.ENSP00000287878

UniGene: Hs.647072

Involvement In Disease
Wolff-Parkinson-White syndrome (WPWS); Cardiomyopathy, familial hypertrophic 6 (CMH6); Glycogen storage disease of heart lethal congenital (GSDH)
Protein Families
5'-AMP-activated protein kinase gamma subunit family
Tissue Specificity
Isoform B is ubiquitously expressed except in liver and thymus. The highest level is detected in heart with abundant expression in placenta and testis.

Q&A

What is the optimal validation approach for PRKAG2 antibodies?

Proper validation of PRKAG2 antibodies requires a multi-faceted approach. Begin with Western blot analysis to confirm specificity by detecting a band at the expected molecular weight (~63 kDa for human PRKAG2). Compare results using positive control samples (cardiac tissue lysates) alongside negative controls. For polyclonal antibodies, peptide competition assays should demonstrate signal reduction when the antibody is pre-incubated with the immunizing peptide .

Immunocytochemistry and immunohistochemistry validation should include:

  • Testing in cell lines with known PRKAG2 expression

  • Comparing staining patterns in wild-type versus PRKAG2 knockout or knockdown models

  • Cross-validation with multiple antibodies targeting different PRKAG2 epitopes

For enhanced validation, verify specificity using tissues from transgenic mouse models overexpressing wild-type or mutant PRKAG2, as these show distinctly different staining patterns .

Which experimental techniques are most suitable for studying PRKAG2 localization in cardiac tissues?

PRKAG2 localization studies benefit from complementary approaches:

  • Immunohistochemistry (IHC) on cardiac tissue sections provides spatial information about PRKAG2 distribution across different regions of the heart. Fixed, paraffin-embedded sections work well, but cryosections may better preserve some epitopes.

  • Immunofluorescence with confocal microscopy offers superior resolution for subcellular localization, particularly when co-staining with markers for:

    • Intercalated discs (connexin 43)

    • Mitochondria (MitoTracker)

    • Glycogen deposits (PAS staining)

  • Immuno-electron microscopy provides ultrastructural localization, critical for determining association with glycogen particles and sarcomeric structures.

For accurate results, tissue fixation must be optimized; 4% paraformaldehyde works well for most applications. When studying pathological specimens, account for background autofluorescence from glycogen accumulation by using appropriate controls and spectral unmixing techniques .

How should researchers differentiate between wild-type and mutant PRKAG2 in experimental systems?

Distinguishing wild-type from mutant PRKAG2 requires strategic approaches:

In transgenic models, the use of epitope tags (such as FLAG or Myc) on the exogenous PRKAG2 allows discrimination from endogenous protein while enabling comparable detection efficiency .

What experimental design best captures the relationship between PRKAG2 mutations and cardiac glycogen accumulation?

Optimal experimental design requires a multi-level approach:

  • Cellular models:

    • iPSC-derived cardiomyocytes expressing mutant PRKAG2 provide a human-relevant system

    • Measure glycogen content using both biochemical assays (amyloglucosidase digestion) and microscopic techniques (PAS staining)

    • Track glycogen accumulation kinetics over time using time-lapse imaging with fluorescent glycogen sensors

  • Animal models:

    • Transgenic mice overexpressing human mutant PRKAG2 (e.g., N488I mutation) develop significant cardiac glycogen accumulation (up to 30-fold above normal levels)

    • Employ cardiac-specific inducible expression systems to control the timing of mutant PRKAG2 expression

    • Correlate glycogen levels with cardiac function using echocardiography

  • Analytical approaches:

    • Quantify glycogen deposits in cardiac tissue sections using computer-assisted morphometry

    • Employ electron microscopy to characterize glycogen ultrastructure (non-membrane-bound pools)

  • Intervention studies:

    • Test AMPK inhibitors or glycogen synthase inhibitors to prevent accumulation

    • Evaluate siRNA approaches targeting mutant PRKAG2 mRNA

This comprehensive approach allows correlation between PRKAG2 mutation, AMPK activity, glycogen accumulation, and cardiac pathophysiology .

How can researchers effectively analyze the impact of PRKAG2 mutations on cardiac electrophysiology?

Electrophysiological analysis of PRKAG2 mutations requires multi-modal assessment:

  • In vivo electrophysiology:

    • Surface and intracardiac ECG recordings to identify ventricular pre-excitation patterns

    • Programmed electrical stimulation to assess vulnerability to arrhythmias

    • Optical mapping of action potential propagation across the heart surface

    • Telemetric monitoring for spontaneous arrhythmias in animal models

  • Ex vivo approaches:

    • Langendorff-perfused heart preparations to measure conduction parameters

    • Microelectrode recordings from cardiac tissues to assess action potential characteristics

    • Gap junction conductance measurements to evaluate cell-to-cell coupling

  • Histopathological correlation:

    • Map abnormal conduction pathways through serial sectioning and immunostaining

    • Focus on the annulus fibrosis region to identify glycogen-filled myocytes disrupting atrioventricular insulation

    • Correlate glycogen deposition with connexin distribution and organization

  • Molecular analysis:

    • Evaluate ion channel and gap junction protein expression levels

    • Assess phosphorylation status of connexins and sodium channels

This integrated approach helps determine whether electrophysiological abnormalities result from anatomical disruptions of normal conduction pathways rather than discrete accessory pathways .

What methodological approaches best determine PRKAG2 antibody specificity across different experimental conditions?

Enhanced validation strategies for PRKAG2 antibodies include:

  • Genetic model validation:

    • Test antibodies in PRKAG2 knockout models or with CRISPR-mediated PRKAG2 deletion

    • Evaluate antibody performance in tissues from transgenic mice with varied PRKAG2 expression levels

    • Use siRNA knockdown to create gradient expression models for sensitivity testing

  • Cross-platform validation:

    • Compare antibody performance across multiple techniques (WB, IP, IHC, ICC, ELISA)

    • Systematically optimize conditions for each technique (fixation, antigen retrieval, blocking)

    • Evaluate epitope accessibility in native versus denatured states

  • Epitope mapping:

    • Determine the exact binding region through epitope mapping experiments

    • Test antibody cross-reactivity with other PRKAG isoforms (PRKAG1, PRKAG3)

    • Assess potential cross-reactivity with similar structural domains in other proteins

  • Reproducibility testing:

    • Compare multiple antibody lots for consistent results

    • Test in different tissue types with known PRKAG2 expression patterns

    • Establish quantitative metrics for antibody performance across applications

For cardiac research specifically, validate antibodies using both normal cardiac tissue and samples from patients with PRKAG2 mutations to confirm detection across physiological and pathological states .

What are the optimal tissue preparation techniques for PRKAG2 immunohistochemistry in glycogen storage disorders?

Specialized tissue preparation is essential for accurate PRKAG2 immunodetection in glycogen-laden hearts:

  • Fixation considerations:

    • Brief fixation (2-4 hours) with 4% paraformaldehyde preserves antigenicity while maintaining structural integrity

    • Avoid ethanol-based fixatives that can extract glycogen

    • For dual analysis of protein and glycogen, consider using Carnoy's fixative to retain both

  • Processing protocols:

    • Process tissues at lower temperatures to prevent glycogen loss

    • Reduce dehydration times in graded alcohols

    • For frozen sections, use OCT embedding and rapid freezing to minimize ice crystal artifacts

  • Sectioning techniques:

    • For paraffin sections, optimal thickness is 4-5 μm

    • For frozen sections, 8-10 μm works best for glycogen visualization

    • Serial sections allow parallel staining with PAS for glycogen and PRKAG2 antibodies

  • Antigen retrieval:

    • Heat-induced epitope retrieval in citrate buffer (pH 6.0) works well for most PRKAG2 antibodies

    • Enzymatic retrieval may damage glycogen deposits and should be avoided

    • Optimize retrieval time carefully to balance epitope exposure and tissue preservation

This approach minimizes artifacts and preserves both PRKAG2 antigenicity and glycogen content for accurate correlation studies .

How can researchers quantitatively assess PRKAG2 protein levels in cardiac samples?

Quantitative assessment of PRKAG2 requires rigorous standardization:

  • Western blot quantification:

    • Use gradient gels (4-12%) for optimal separation

    • Include recombinant PRKAG2 protein standards at known concentrations

    • Normalize to multiple housekeeping proteins (β-actin, GAPDH) as glycogen storage may alter expression of single reference proteins

    • Employ LI-COR infrared detection or chemiluminescence with standard curves

  • ELISA development:

    • Sandwich ELISA using capture and detection antibodies targeting different PRKAG2 epitopes

    • Include standard curves using recombinant PRKAG2

    • Validate sample preparation methods to ensure complete protein extraction

  • Mass spectrometry approaches:

    • Targeted proteomics using selected reaction monitoring (SRM)

    • Isotope-labeled PRKAG2 peptide standards for absolute quantification

    • Analysis of post-translational modifications affecting function

  • Immunohistochemical quantification:

    • Digital image analysis with calibrated standards

    • Measure both intensity and distribution patterns

    • Account for background and autofluorescence from glycogen deposits

These methods should be validated in transgenic mouse models with known PRKAG2 expression levels and compared against mRNA expression data for correlation .

What are the key considerations when designing siRNA experiments targeting PRKAG2 for therapeutic applications?

Designing effective siRNA experiments for PRKAG2 requires careful consideration:

  • siRNA design principles:

    • Target regions unique to PRKAG2 to avoid off-target effects on PRKAG1 or PRKAG3

    • For mutation-specific silencing, design siRNAs with the mutation site at the central position

    • Screen multiple candidates to identify those with EC50 values <10 pM and maximum mRNA reduction >90%

    • Validate knockdown efficiency using both mRNA and protein detection

  • Delivery system optimization:

    • Cardiac-specific delivery vehicles (lipid nanoparticles, adeno-associated viruses)

    • Antibody-oligonucleotide conjugates (AOCs) targeting transferrin receptor (TfR1) for cardiac targeting

    • Evaluate biodistribution to confirm cardiac enrichment versus other tissues

  • Efficacy assessment:

    • Measure PRKAG2 mRNA reduction (aim for >75% reduction)

    • Confirm corresponding protein reduction by Western blot

    • Assess functional outcomes: AMPK activity, glycogen content, electrophysiological parameters

    • Monitor durability of effect (50% reduction maintained at 6 months in mouse models)

  • Safety evaluation:

    • Monitor cardiac function (echocardiography)

    • Assess electrophysiological parameters (ECG)

    • Evaluate potential inflammatory responses

    • Determine effects on non-targeted tissues

This methodological approach has shown promising results in preclinical models, with AOC technology demonstrating 85% reduction of cardiac PRKAG2 mRNA in non-human primates without adverse effects .

How should researchers address inconsistent PRKAG2 antibody staining patterns in cardiac tissue sections?

Troubleshooting inconsistent staining requires systematic optimization:

  • Sample preparation factors:

    • Time from tissue collection to fixation (minimize to <30 minutes)

    • Fixation duration (standardize to 24 hours for consistent results)

    • Processing parameters (temperature, dehydration times, embedding conditions)

    • Section thickness (standardize to 5 μm for optimal results)

  • Immunostaining protocol optimization:

    • Antigen retrieval method comparison (citrate vs. EDTA buffers at different pH values)

    • Blocking protocol enhancement (use cardiac tissue-specific blocking with cardiac powder)

    • Primary antibody conditions (temperature, duration, concentration titration)

    • Detection system selection (polymer-based systems often provide better signal-to-noise)

  • Technical considerations:

    • Include positive control tissues (known PRKAG2-expressing cardiac samples)

    • Run parallel staining with multiple antibodies targeting different PRKAG2 epitopes

    • Employ automated staining platforms for improved reproducibility

    • Standardize image acquisition parameters

  • Glycogen-related artifacts:

    • Implement periodic acid treatment to remove glycogen if it interferes with epitope detection

    • Use specialized mounting media to reduce autofluorescence from glycogen deposits

    • Consider dual brightfield/fluorescence detection methods

These systematic approaches can significantly improve staining consistency across experiments and between laboratories .

What strategies help distinguish true PRKAG2 signal from background in glycogen-rich cardiac specimens?

Differentiating specific PRKAG2 signal requires advanced techniques:

  • Control implementation:

    • Include isotype controls matched to primary antibody species and concentration

    • Use PRKAG2 knockout or knockdown tissues as negative controls

    • Employ peptide competition assays with immunizing peptide

    • Run serial dilutions of primary antibody to identify optimal signal-to-noise ratio

  • Dual labeling strategies:

    • Co-stain with glycogen markers (PAS or glycogen synthase antibodies)

    • Use spectral imaging to separate autofluorescence from specific signal

    • Employ fluorophores with emission spectra distinct from tissue autofluorescence

  • Signal amplification with reduced background:

    • Tyramide signal amplification for enhanced sensitivity

    • Quantum dot conjugates for improved signal stability and reduced autofluorescence

    • Proximity ligation assays to detect PRKAG2 interactions with high specificity

  • Image analysis approaches:

    • Implement automated background subtraction algorithms

    • Use machine learning classification of true signal versus artifact

    • Apply spectral unmixing to separate specific signal from autofluorescence

These techniques are particularly important when examining cardiac specimens from patients with PRKAG2 mutations, where massive glycogen accumulation can significantly complicate antibody-based detection .

How can PRKAG2 antibodies be effectively employed to understand the pathophysiological mechanisms of PRKAG2 cardiomyopathy?

PRKAG2 antibodies enable multi-level investigation of disease mechanisms:

  • Cellular pathophysiology:

    • Track subcellular PRKAG2 localization changes in disease states

    • Monitor AMPK complex formation and stability with co-immunoprecipitation

    • Assess interaction with glycogen synthase and other metabolic enzymes

    • Evaluate post-translational modifications affecting PRKAG2 function

  • Tissue-level analysis:

    • Map the distribution of glycogen accumulation relative to PRKAG2 expression

    • Characterize disruption of the annulus fibrosis by glycogen-laden myocytes

    • Investigate remodeling of gap junctions and conduction system components

    • Correlate PRKAG2 expression with markers of cellular stress

  • Clinical correlation:

    • Compare PRKAG2 expression patterns between different mutation types

    • Correlate protein expression with disease severity and progression

    • Analyze surgical specimens from patients requiring heart transplantation

    • Develop immunohistochemical criteria for diagnosis in uncertain cases

  • Therapeutic evaluation:

    • Monitor PRKAG2 protein levels during experimental therapies

    • Assess normalization of AMPK signaling after intervention

    • Track glycogen clearance following treatment

    • Evaluate restoration of normal electrical conduction

These approaches have revealed that PRKAG2 mutations lead to cardiac hypertrophy through a distinct mechanism involving glycogen accumulation rather than primary sarcomeric protein abnormalities, differentiating it from classic hypertrophic cardiomyopathy .

What experimental paradigms best evaluate PRKAG2-targeted therapeutic approaches?

Comprehensive evaluation of PRKAG2-targeted therapies requires:

  • Preclinical model selection:

    • iPSC-derived cardiomyocytes from patients with PRKAG2 mutations

    • Transgenic mice expressing specific human PRKAG2 mutations

    • Large animal models (porcine, non-human primate) for translational studies

    • Ex vivo human cardiac tissue slices from explanted hearts

  • Intervention strategies:

    • RNA interference approaches (siRNA, AOCs) targeting mutant PRKAG2

    • AMPK modulators to counteract pathological activation

    • Glycogen metabolism modifiers to reduce accumulation

    • Gene editing approaches to correct specific mutations

  • Outcome measures:

    • Primary molecular endpoints:

      • PRKAG2 mRNA and protein reduction (target >75%)

      • AMPK activity normalization

      • Glycogen content reduction (biochemical and histological)

    • Functional improvements:

      • Cardiac structure (wall thickness, mass)

      • Electrical parameters (conduction velocity, pre-excitation)

      • Mechanical function (ejection fraction, strain)

  • Translational considerations:

    • Durability of effect (6-12 months minimum follow-up)

    • Dose-response relationships

    • Delivery efficiency to cardiac tissue

    • Safety profile across multiple systems

This integrated approach has validated the potential of AOC technology delivering siRNA to significantly reduce PRKAG2 mRNA expression and demonstrated efficacy in both mouse models and non-human primates .

Table 1: PRKAG2 Antibody Performance Characteristics Across Applications

ApplicationRecommended DilutionEpitope AccessibilityDetection SensitivityCommon ArtifactsValidation Controls
Western Blot1:1000-1:2000High10-20 ng proteinNon-specific bands at 40-45 kDaKnockout tissue, blocking peptide
Immunohistochemistry1:100-1:200MediumModerateBackground in glycogen-rich areasIsotype controls, peptide competition
Immunofluorescence1:50-1:100MediumHigh with amplificationAutofluorescence from glycogenSpectral unmixing, negative controls
Immunoprecipitation2-5 μg/mg lysateVariableHigh for complexesHeavy chain interferenceIgG controls, non-denaturing conditions
ELISA1-2 μg/mlHigh0.1-0.5 ng/mlMatrix effectsRecombinant protein standards

Table 2: Glycogen Quantification in PRKAG2 Models

Model SystemGlycogen Content (μg/mg wet weight)Fold Increase vs ControlDetection MethodReference
Wild-type mouse heart1.6 ± 0.7Biochemical assay
TG wt PRKAG2 mouse10.1 ± 1.26.3×Biochemical assay
TG N488I PRKAG2 mouse52.9 ± 3.433×Biochemical assay
Human normal myocardium2-5PAS staining/biochemical
Human PRKAG2 cardiomyopathy30-15015-30×PAS staining/biochemical

Table 3: Cardiac Parameters in PRKAG2 Transgenic Models

ParameterWild-TypeTG wt PRKAG2TG N488I PRKAG2Statistical Significance
Heart weight/Body weight (mg/g)4.8 ± 0.27.0 ± 0.411.5 ± 1.4p<0.001 (N488I vs. WT)
Left ventricular wall thickness (mm)0.90 ± 0.080.99 ± 0.081.22 ± 0.23p=0.03 (N488I vs. WT)
Fractional shortening (%) at 8-10 weeks67.2 ± 7.175.5 ± 5.756.9 ± 9.3p<0.001 (N488I vs. WT)
Fractional shortening (%) at 20 weeks78.1 ± 4.876.3 ± 6.234.4 ± 7.8p<0.001 (N488I vs. WT)

These reference values provide important benchmarks for researchers studying PRKAG2 function and pathophysiology in experimental models .

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