Division of Cardiology, Department of Internal Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
Int J Mol Sci. 2023 Jan 14;24(2):1667. doi: 10.3390/ijms24021667.
Cuproptosis resulting from copper (Cu) overload has not yet been investigated in diabetic cardiomyopathy (DCM). Advanced glycosylation end products (AGEs) induced by persistent hyperglycemia play an essential role in cardiotoxicity. To clarify whether cuproptosis was involved in AGEs-induced cardiotoxicity, we analyzed the toxicity of AGEs and copper in AC16 cardiomyocytes and in STZ-induced or db/db-diabetic mouse models. The results showed that copper ionophore elesclomol induced cuproptosis in cardiomyocytes. It was only rescued by copper chelator tetrathiomolybdate rather than by other cell death inhibitors. Intriguingly, AGEs triggered cardiomyocyte death and aggravated it when incubated with CuCl or elesclomol-CuCl2. Moreover, AGEs increased intracellular copper accumulation and exhibited features of cuproptosis, including loss of Fe-S cluster proteins (FDX1, LIAS, NDUFS8 and ACO2) and decreased lipoylation of DLAT and DLST. These effects were accompanied by decreased mitochondrial oxidative respiration, including downregulated mitochondrial respiratory chain complex, decreased ATP production and suppressed mitochondrial complex I and III activity. Additionally, AGEs promoted the upregulation of copper importer SLC31A1. We predicted that ATF3 and/or SPI1 might be transcriptional factors of SLC31A1 by online databases and validated that by ATF3/SPI1 overexpression. In diabetic mice, copper and AGEs increases in the blood and heart were observed and accompanied by cardiac dysfunction. The protein and mRNA profile changes in diabetic hearts were consistent with cuproptosis. Our findings showed, for the first time, that excessive AGEs and copper in diabetes upregulated ATF3/SPI1/SLC31A1 signaling, thereby disturbing copper homeostasis and promoting cuproptosis. Collectively, the novel mechanism might be an alternative potential therapeutic target for DCM.
铜(Cu)过载导致的铜死亡在糖尿病心肌病(DCM)中尚未得到研究。持续高血糖诱导的晚期糖基化终产物(AGEs)在心脏毒性中起关键作用。为了阐明铜死亡是否参与 AGEs 诱导的心脏毒性,我们分析了 AGEs 和铜在 AC16 心肌细胞以及 STZ 诱导或 db/db 糖尿病小鼠模型中的毒性。结果表明,铜载体 elesclomol 在心肌细胞中诱导铜死亡。只有铜螯合剂 tetrathiomolybdate 可以挽救铜死亡,而其他细胞死亡抑制剂则不能。有趣的是,AGEs 引发心肌细胞死亡,当与 CuCl 或 elesclomol-CuCl2 孵育时会加重其死亡。此外,AGEs 增加了细胞内铜的积累,并表现出铜死亡的特征,包括铁硫簇蛋白(FDX1、LIAS、NDUFS8 和 ACO2)的丧失和 DLAT 和 DLST 的 lipoylation 减少。这些效应伴随着线粒体氧化呼吸的减少,包括线粒体呼吸链复合物的下调、ATP 产生的减少以及线粒体复合物 I 和 III 活性的抑制。此外,AGEs 促进了铜摄取器 SLC31A1 的上调。我们通过在线数据库预测 ATF3 和/或 SPI1 可能是 SLC31A1 的转录因子,并通过 ATF3/SPI1 过表达验证了这一点。在糖尿病小鼠中,观察到血液和心脏中的铜和 AGEs 增加,并伴有心脏功能障碍。糖尿病心脏中蛋白质和 mRNA 谱的变化与铜死亡一致。我们的研究结果首次表明,糖尿病中过多的 AGEs 和铜上调了 ATF3/SPI1/SLC31A1 信号通路,从而扰乱了铜的稳态并促进了铜死亡。总的来说,这种新的机制可能是 DCM 的另一种潜在治疗靶点。
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