# Investigating the cardiorespiratory fitness gene COX7A2L in cardiomyocytes: Viability and mitochondrial function

**Authors:** Ada Nilsen Nordeidet, Gurdeep S. A. Marwarha, Øystein Røsand, Victoria Johansen, Karin Garten, Morten A. Høydal, Mette Langaas, Anja Bye

PMC · DOI: 10.1371/journal.pone.0326249 · 2025-06-25

## TL;DR

This study investigates the role of the COX7A2L gene in heart cells and finds no significant impact on cell viability or mitochondrial function.

## Contribution

The study experimentally examines COX7A2L's role in cardiomyocytes under varying energy demands for the first time.

## Key findings

- Altering COX7A2L expression did not significantly affect cell viability in cardiomyocytes.
- Mitochondrial function remained unchanged despite COX7A2L overexpression or knockdown.
- No significant differences were observed under simulated increased energy demand conditions.

## Abstract

Low cardiorespiratory fitness (CRF) is a well-established risk factor for cardiovascular disease (CVD) and all-cause mortality. Since CRF is largely genetically determined, understanding the genetic influences on CRF might reveal the protective mechanisms of high CRF. One gene found to be associated with CRF is COX7A2L. COX7A2L is a mitochondrial supercomplex assembly factor, but its role in cellular metabolism remains a topic of discussion. We hypothesized that COX7A2L could play a role in cellular respiration in cardiomyocytes, affecting cardiac function and CRF. To determine the effect of COX7A2L on cardiomyocyte function, we overexpressed and knocked down COX7A2L in human AC16 cardiomyocytes and performed MTT assays and Seahorse XF Cell Mito Stress Tests to assess cell viability and mitochondrial function. For the mitochondrial function measurements, we stimulated the cells with isoproterenol to investigate if the effect of altering COX7A2L levels would be larger under simulated increased energy demand. Overexpression and knockdown were validated using sandwich ELISA. Our findings showed that altering COX7A2L expression in human AC16 cardiomyocytes did not significantly affect cell viability or mitochondrial function. Further research is necessary to determine whether COX7A2L influences cardiomyocyte function and CRF.

## Linked entities

- **Genes:** COX7A2L (cytochrome c oxidase subunit 7A2 like) [NCBI Gene 9167]
- **Chemicals:** isoproterenol (PubChem CID 3779)
- **Diseases:** cardiovascular disease (MONDO:0004995), cardiomyopathy (MONDO:0004994)
- **Species:** Homo sapiens (taxon 9606)

## Full-text entities

- **Genes:** COX7A2L (cytochrome c oxidase subunit 7A2 like) [NCBI Gene 9167] {aka COX7AR, COX7RP, EB1, SCAF1, SCAFI, SIG81}
- **Diseases:** CVD (MESH:D002318)
- **Chemicals:** MTT (MESH:C070243), isoproterenol (MESH:D007545)
- **Species:** Homo sapiens (human, species) [taxon 9606]
- **Cell lines:** AC16 — Homo sapiens (Human), Transformed cell line (CVCL_HA69)

## Figures

4 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12194157/full.md

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Source: https://tomesphere.com/paper/PMC12194157