Shandong University of Traditional Chinese Medicine, Jinan, Shandong 250355, China.
Guang'anmen Hospital, Chinese Academy of Traditional Chinese Medicine, Beijing 100053, China.
Oxid Med Cell Longev. 2021 Sep 23;2021:5876841. doi: 10.1155/2021/5876841. eCollection 2021.
Myocardial fibrosis represents the primary pathological change associated with diabetic cardiomyopathy and heart failure, and it leads to decreased myocardial compliance with impaired cardiac diastolic and systolic function. Quercetin, an active ingredient in various medicinal plants, exerts therapeutic effects against cardiovascular diseases. Here, we investigate whether SIRT5- and IDH2-related desuccinylation is involved in the underlying mechanism of myocardial fibrosis in heart failure while exploring related therapeutic drugs for mitochondrial quality surveillance. Mouse models of myocardial fibrosis and heart failure, established by transverse aortic constriction (TAC), were administered with quercetin (50 mg/kg) daily for 4 weeks. HL-1 cells were pretreated with quercetin and treated with high glucose (30 mM) . Cardiac function, western blotting, quantitative PCR, enzyme-linked immunosorbent assay, and immunofluorescence analysis were employed to analyze mitochondrial quality surveillance, oxidative stress, and inflammatory response in myocardial cells, whereas IDH2 succinylation levels were detected using immunoprecipitation. Myocardial fibrosis and heart failure incidence increased after TAC, with abnormal cardiac ejection function. Following high-glucose treatment, HL-1 cell activity was inhibited, causing excess production of reactive oxygen species and inhibition of mitochondrial respiratory complex I/III activity and mitochondrial antioxidant enzyme activity, as well as increased oxidative stress and inflammatory response, imbalanced mitochondrial quality surveillance and homeostasis, and increased apoptosis. Quercetin inhibited myocardial fibrosis and improved cardiac function by increasing mitochondrial energy metabolism and regulating mitochondrial fusion/fission and mitochondrial biosynthesis while inhibiting the inflammatory response and oxidative stress injury. Additionally, TAC inhibited SIRT5 expression at the mitochondrial level and increased IDH2 succinylation. However, quercetin promoted the desuccinylation of IDH2 by increasing SIRT5 expression. Moreover, treatment with si-SIRT5 abolished the protective effect of quercetin on cell viability. Hence, quercetin may promote the desuccinylation of IDH2 through SIRT5, maintain mitochondrial homeostasis, protect mouse cardiomyocytes under inflammatory conditions, and improve myocardial fibrosis, thereby reducing the incidence of heart failure.
心肌纤维化是糖尿病心肌病和心力衰竭的主要病理改变,导致心肌顺应性降低,舒张和收缩功能受损。槲皮素是多种药用植物中的一种活性成分,对心血管疾病具有治疗作用。在这里,我们研究了 SIRT5 和 IDH2 相关脱琥珀酰化是否与心力衰竭中心肌纤维化的潜在机制有关,同时探索了与线粒体质量监测相关的治疗药物。通过横主动脉缩窄 (TAC) 建立心肌纤维化和心力衰竭的小鼠模型,每天给予槲皮素 (50mg/kg) 治疗 4 周。用槲皮素预处理 HL-1 细胞,并在高葡萄糖 (30mM) 下处理。采用心脏功能、western blot、qPCR、酶联免疫吸附试验和免疫荧光分析检测心肌细胞中线粒体质量监测、氧化应激和炎症反应,用免疫沉淀检测 IDH2 琥珀酰化水平。TAC 后心肌纤维化和心力衰竭发生率增加,心脏射血功能异常。高葡萄糖处理后,HL-1 细胞活性受到抑制,导致活性氧过量产生,抑制线粒体呼吸复合物 I/III 活性和线粒体抗氧化酶活性,增加氧化应激和炎症反应,使线粒体质量监测和平衡失衡,凋亡增加。槲皮素通过增加线粒体能量代谢,调节线粒体融合/裂变和线粒体生物合成,抑制炎症反应和氧化应激损伤,抑制心肌纤维化,改善心脏功能。此外,TAC 在线粒体水平抑制 SIRT5 表达,增加 IDH2 琥珀酰化。然而,槲皮素通过增加 SIRT5 表达促进 IDH2 的脱琥珀酰化。此外,用 si-SIRT5 处理可消除槲皮素对细胞活力的保护作用。因此,槲皮素可能通过 SIRT5 促进 IDH2 的脱琥珀酰化,维持线粒体稳态,在炎症条件下保护小鼠心肌细胞,并改善心肌纤维化,从而降低心力衰竭的发生率。