Department of Pharmacy at The Second Affiliated Hospital, and Department of Pharmacology (The Key Laboratory of Cardiovascular Medicine Research, Ministry of Education) at College of Pharmacy, Harbin Medical University, Harbin 150086, China.
Department of Bioinformatics, Harbin Medical University, Harbin 150086, China.
Theranostics. 2021 Jan 1;11(6):3000-3016. doi: 10.7150/thno.47354. eCollection 2021.
N-methyladenosine (mA) RNA modification, a dynamic and reversible process, is essential for tissue development and pathogenesis. However, the potential involvement of mA in the regulation of cardiomyocyte (CM) proliferation and cardiac regeneration remains unclear. In this study, we aimed to investigate the essential role of mA modification in heart regeneration during postnatal and adult injury. In this study, we identified the downregulation of mA demethylase ALKBH5, an m6A "eraser" that is responsible for increased mA methylation, in the heart after birth. Notably, knockout mice exhibited decreased cardiac regenerative ability and heart function after neonatal apex resection. Conversely, forced expression of ALKBH5 via adeno-associated virus-9 (AAV9) delivery markedly reduced the infarct size, restored cardiac function and promoted CM proliferation after myocardial infarction in juvenile (7 days old) and adult (8-weeks old) mice. Mechanistically, ALKBH5-mediated mA demethylation improved the mRNA stability of YTH N-methyladenosine RNA-binding protein 1 (YTHDF1), thereby increasing its expression, which consequently promoted the translation of Yes-associated protein (YAP). The modulation of ALKBH5 and YTHDF1 expression in human induced pluripotent stem cell-derived cardiomyocytes consistently yielded similar results. Taken together, our findings highlight the vital role of the ALKBH5-mA-YTHDF1-YAP axis in the regulation of CMs to re-enter the cell cycle. This finding suggests a novel potential therapeutic strategy for cardiac regeneration.
N6-甲基腺苷(m6A)RNA 修饰是一个动态可逆的过程,对于组织发育和发病机制至关重要。然而,m6A 修饰在调节心肌细胞(CM)增殖和心脏再生中的潜在作用尚不清楚。在本研究中,我们旨在研究 mA 修饰在出生后和成年损伤期间心脏再生中的重要作用。
在本研究中,我们发现 m6A“橡皮擦”ALKBH5 的 mA 去甲基化酶的表达下调,导致 mA 甲基化增加,在出生后心脏中。值得注意的是,在新生心脏 apex 切除后,ALKBH5 基因敲除小鼠表现出心脏再生能力和心脏功能下降。相反,通过腺相关病毒-9(AAV9)递送强制表达 ALKBH5 可显著减少梗死面积,恢复心功能,并促进幼年(7 天大)和成年(8 周大)小鼠心肌梗死后 CM 增殖。在机制上,ALKBH5 介导的 mA 去甲基化改善了 YTH N6-甲基腺苷 RNA 结合蛋白 1(YTHDF1)的 mRNA 稳定性,从而增加其表达,进而促进 Yes 相关蛋白(YAP)的翻译。在人诱导多能干细胞衍生的心肌细胞中调节 ALKBH5 和 YTHDF1 的表达也得到了类似的结果。
总之,我们的研究结果强调了 ALKBH5-mA-YTHDF1-YAP 轴在调节 CM 重新进入细胞周期中的重要作用。这一发现为心脏再生提供了一种新的潜在治疗策略。
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