高葡萄糖通过 Orai1 钙通道诱导 Drp1 介导的线粒体分裂,参与糖尿病心肌细胞肥大。

High glucose induces Drp1-mediated mitochondrial fission via the Orai1 calcium channel to participate in diabetic cardiomyocyte hypertrophy.

机构信息

Guangdong Provincial Key Laboratory of Clinical Pharmacology, Research Center of Medical Sciences, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, 510080, Guangzhou, Guangdong, China.

Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, 510080, Guangzhou, Guangdong, China.

出版信息

Cell Death Dis. 2021 Feb 26;12(2):216. doi: 10.1038/s41419-021-03502-4.

Abstract

Mitochondrial dysfunction and impaired Ca handling are involved in the development of diabetic cardiomyopathy (DCM). Dynamic relative protein 1 (Drp1) regulates mitochondrial fission by changing its level of phosphorylation, and the Orai1 (Ca release-activated calcium channel protein 1) calcium channel is important for the increase in Ca entry into cardiomyocytes. We aimed to explore the mechanism of Drp1 and Orai1 in cardiomyocyte hypertrophy caused by high glucose (HG). We found that Zucker diabetic fat rats induced by administration of a high-fat diet develop cardiac hypertrophy and impaired cardiac function, accompanied by the activation of mitochondrial dynamics and calcium handling pathway-related proteins. Moreover, HG induces cardiomyocyte hypertrophy, accompanied by abnormal mitochondrial morphology and function, and increased Orai1-mediated Ca influx. Mechanistically, the Drp1 inhibitor mitochondrial division inhibitor 1 (Mdivi-1) prevents cardiomyocyte hypertrophy induced by HG by reducing phosphorylation of Drp1 at serine 616 (S616) and increasing phosphorylation at S637. Inhibition of Orai1 with single guide RNA (sgOrai1) or an inhibitor (BTP2) not only suppressed Drp1 activity and calmodulin-binding catalytic subunit A (CnA) and phosphorylated-extracellular signal-regulated kinase (p-ERK1/2) expression but also alleviated mitochondrial dysfunction and cardiomyocyte hypertrophy caused by HG. In addition, the CnA inhibitor cyclosporin A and p-ERK1/2 inhibitor U0126 improved HG-induced cardiomyocyte hypertrophy by promoting and inhibiting phosphorylation of Drp1 at S637 and S616, respectively. In summary, we identified Drp1 as a downstream target of Orai1-mediated Ca entry, via activation by p-ERK1/2-mediated phosphorylation at S616 or CnA-mediated dephosphorylation at S637 in DCM. Thus, the Orai1-Drp1 axis is a novel target for treating DCM.

摘要

线粒体功能障碍和钙处理受损与糖尿病心肌病(DCM)的发展有关。动态相关蛋白 1(Drp1)通过改变其磷酸化水平调节线粒体分裂,而 Orai1(钙释放激活钙通道蛋白 1)钙通道对于增加心肌细胞内的钙进入很重要。我们旨在探讨 Drp1 和 Orai1 在高糖(HG)引起的心肌细胞肥大中的作用机制。我们发现,高脂肪饮食诱导的 Zucker 糖尿病肥胖大鼠发生心脏肥大和心功能障碍,伴随着线粒体动力学和钙处理途径相关蛋白的激活。此外,HG 诱导心肌细胞肥大,伴随着异常的线粒体形态和功能,以及增加的 Orai1 介导的 Ca 内流。在机制上,线粒体分裂抑制剂 1(Mdivi-1)通过降低 Drp1 在丝氨酸 616(S616)的磷酸化和增加 S637 的磷酸化来阻止 HG 诱导的心肌细胞肥大。用单引导 RNA(sgOrai1)或抑制剂(BTP2)抑制 Orai1 不仅抑制了 Drp1 活性和钙调蛋白结合催化亚基 A(CnA)和磷酸化细胞外信号调节激酶(p-ERK1/2)的表达,而且缓解了 HG 引起的线粒体功能障碍和心肌细胞肥大。此外,CnA 抑制剂环孢素 A 和 p-ERK1/2 抑制剂 U0126 通过促进和抑制 Drp1 在 S637 和 S616 的磷酸化,分别改善了 HG 诱导的心肌细胞肥大。总之,我们确定 Drp1 是 Orai1 介导的 Ca 内流的下游靶点,通过 p-ERK1/2 介导的 S616 磷酸化或 CnA 介导的 S637 去磷酸化激活,在 DCM 中。因此,Orai1-Drp1 轴是治疗 DCM 的一个新靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1993/7910592/4553b9791ccd/41419_2021_3502_Fig1_HTML.jpg

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