Faculty of Chinese Medicine, Macau University of Science and Technology, Avenida Wai Long, Taipa, Macau, People's Republic of China.
State Key Laboratory of Quality Research in Chinese Medicine (Macau University of Science and Technology), Avenida Wai Long, Taipa, Macau, People's Republic of China.
Cell Biol Toxicol. 2023 Feb;39(1):277-299. doi: 10.1007/s10565-021-09692-z. Epub 2022 Mar 2.
Diabetic cardiomyopathy (DCM) is characterized by lipid accumulation, mitochondrial dysfunction, and aseptic inflammatory activation. Mitochondria-derived cytosolic DNA has been reported to induce inflammation by activating cyclic GMP-AMP synthase (cGAS)/the stimulator of interferon genes (STING) pathway in the adipose, liver, and kidney tissues. However, the role of cytosolic mtDNA in the progression of DCM is unclear. In this study, with an obesity-related DCM mouse model established by feeding db/db mice with a high-fat diet (HFD), we observed increased mtDNA in the cytosol and activated cGAS-STING signaling pathway during DCM, as well as the downstream targets, IRF3, NF-κB, IL-18, and IL-1β. In a further study with a palmitic acid (PA)-induced lipotoxic cell model established in H9C2 cells, we revealed that the cytosolic mtDNA was the result of PA-induced overproduction of mitochondrial ROS, which also led to the activation of the cGAS/STING system and its downstream targets. Notably, treatment of extracted mtDNA alone was sufficient to activate the cGAS-STING signaling pathway in cultured H9C2 cells. Besides, both knockdown of STING in PA-induced H9C2 cells and inhibition of STING by C-176 injection in the DCM mouse model could remarkably block the inflammation and apoptosis of cardiomyocytes. In conclusion, our study elucidated the critical role of cytosolic mtDNA-induced cGAS-STING activation in the pathogenesis of obesity-related DCM and provided preclinical validation for using a STING inhibitor as a new potential therapeutic strategy for the treatment of DCM.
糖尿病心肌病(DCM)的特征是脂质积累、线粒体功能障碍和无菌性炎症激活。已有研究报道,在线粒体、脂肪、肝脏和肾脏组织中,线粒体衍生的胞质 DNA 通过激活环鸟苷酸-腺苷酸合酶(cGAS)/干扰素基因刺激因子(STING)通路诱导炎症。然而,胞质 mtDNA 在 DCM 进展中的作用尚不清楚。在本研究中,通过用高脂肪饮食(HFD)喂养 db/db 小鼠建立肥胖相关的 DCM 小鼠模型,我们观察到 DCM 期间胞质中 mtDNA 增加,并激活了 cGAS-STING 信号通路,以及下游靶标 IRF3、NF-κB、IL-18 和 IL-1β。在进一步的研究中,我们建立了在 H9C2 细胞中用棕榈酸(PA)诱导的脂毒性细胞模型,揭示了胞质 mtDNA 是 PA 诱导的线粒体 ROS 过度产生的结果,这也导致了 cGAS/STING 系统及其下游靶标的激活。值得注意的是,单独提取的 mtDNA 足以激活培养的 H9C2 细胞中的 cGAS-STING 信号通路。此外,在 PA 诱导的 H9C2 细胞中敲低 STING 和在 DCM 小鼠模型中注射 C-176 抑制 STING 均可显著阻断心肌细胞的炎症和凋亡。总之,我们的研究阐明了胞质 mtDNA 诱导的 cGAS-STING 激活在肥胖相关 DCM 发病机制中的关键作用,并为使用 STING 抑制剂作为治疗 DCM 的新潜在治疗策略提供了临床前验证。