Department of Cardiology, Zhongshan Hospital, Fudan University; Shanghai Institute of Cardiovascular Diseases; National Clinical Research Center for Interventional Medicine, Shanghai, 200032, China; Department of Cardiology, Affiliated Hospital of Nantong University, Jiangsu, 226001, China.
Department of Cardiology, Zhongshan Hospital, Fudan University; Shanghai Institute of Cardiovascular Diseases; National Clinical Research Center for Interventional Medicine, Shanghai, 200032, China; Department of Cardiovascular Surgery, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, 430071, China.
Metabolism. 2023 Jun;143:155551. doi: 10.1016/j.metabol.2023.155551. Epub 2023 Mar 21.
Uncorrected obesity is accompanied by unfavorable structural and functional changes in the heart, known as obesity cardiomyopathy. Recent evidence has revealed a crucial role for mitochondria-associated endoplasmic reticulum membranes (MAMs) in obesity-induced cardiac complication. Syntaxin 17 (STX17) serves as a scaffolding molecule localized on MAMs although its role in obesity heart complication remains elusive.
This study examined the role of STX17 in MAMs and mitochondrial Ca homeostasis in HFD-induced obesity cardiomyopathy using tamoxifen-induced cardiac-specific STX17 knockout (STX17) and STX17 overexpression mice using intravenously delivered recombinant adeno-associated virus serotype-9 (AAV9-cTNT-STX17).
STX17 levels were significantly elevated in plasma from obese patients and heart tissues of HFD-fed mice. Our data revealed that cardiac STX17 knockout alleviated cardiac remodeling and dysfunction in obese hearts without eliciting any notable effect itself, while STX17 overexpression aggravated cardiac dysfunction in obese mice. STX17 deletion and STX17 overexpression annihilated and aggravated, respectively, HFD-induced oxidative stress (O production) and mitochondrial injury in the heart. Furthermore, STX17 transfection facilitated obesity-induced MAMs formation in cardiomyocytes and evoked excess mitochondrial Ca influx, dependent upon interaction with mitochondrial Ca uniporter dominant negative β (MCUb) through Habc domain. Our data also suggested that STX17 promoted ubiquitination and degradation of MCUb through the E3 ligase parkin in the face of palmitate challenging.
Taken together, our results identified a novel role for STX17 in facilitating obesity-induced MAMs formation, and subsequently mitochondrial Ca overload, mitochondrial O accumulation, lipid peroxidation, resulting in cardiac impairment. Our findings denoted therapeutic promises of targeting STX17 in obesity.
未经矫正的肥胖会导致心脏结构和功能发生不利变化,即肥胖性心肌病。最近的证据表明,线粒体相关内质网膜(MAMs)在肥胖引起的心脏并发症中起着关键作用。尽管突触结合蛋白 17(STX17)作为一种定位于 MAMs 的支架分子,但它在肥胖性心脏并发症中的作用仍不清楚。
本研究使用他莫昔芬诱导的心脏特异性 STX17 敲除(STX17)和 STX17 过表达小鼠,以及静脉注射重组腺相关病毒血清型 9(AAV9-cTNT-STX17),研究了 STX17 在 MAMs 和肥胖诱导的心肌病中线粒体 Ca 稳态中的作用。
肥胖患者的血浆和高脂肪饮食喂养小鼠的心脏组织中 STX17 水平显著升高。我们的数据显示,心脏 STX17 敲除减轻了肥胖心脏的心脏重构和功能障碍,而本身没有引起任何显著的影响,而 STX17 过表达则加重了肥胖小鼠的心脏功能障碍。STX17 缺失和过表达分别消除和加重了高脂肪饮食诱导的心脏氧化应激(O 产生)和线粒体损伤。此外,STX17 转染促进了肥胖诱导的心肌细胞 MAMs 的形成,并引起了过多的线粒体 Ca 内流,这依赖于与线粒体 Ca 单向转运体显性负 β(MCUb)通过 Habc 结构域的相互作用。我们的数据还表明,STX17 通过 E3 连接酶 parkin 在面对棕榈酸挑战时促进了 MCUb 的泛素化和降解。
总之,我们的研究结果确定了 STX17 在促进肥胖诱导的 MAMs 形成,随后是线粒体 Ca 过载、线粒体 O 积累、脂质过氧化,导致心脏损伤中的新作用。我们的发现表示靶向 STX17 在肥胖症中的治疗前景。