p53-Park7 信号轴失衡导致阿霉素损伤的心肌细胞中铁离子稳态失衡。
The Imbalance of p53-Park7 Signaling Axis Induces Iron Homeostasis Dysfunction in Doxorubicin-Challenged Cardiomyocytes.
机构信息
Department of Cardiology, Shanghai Ninth People's Hospital, Shanghai JiaoTong University school of Medicine, Shanghai, 200001, P. R. China.
Department of Shanghai Institute of Precision Medicine, Shanghai Ninth People's Hospital, Shanghai JiaoTong University school of Medicine, Shanghai, 200135, P. R. China.
出版信息
Adv Sci (Weinh). 2023 May;10(15):e2206007. doi: 10.1002/advs.202206007. Epub 2023 Mar 26.
Doxorubicin (DOX)-induced cardiotoxicity (DoIC) is a major side effect for cancer patients. Recently, ferroptosis, triggered by iron overload, is demonstrated to play a role in DoIC. How iron homeostasis is dysregulated in DoIC remains to be elucidated. Here, the authors demonstrate that DOX challenge exhibits reduced contractile function and induction of ferroptosis-related phenotype in cardiomyocytes, evidenced by iron overload, lipid peroxide accumulation, and mitochondrial dysfunction. Compared to Ferric ammonium citrate (FAC) induced secondary iron overload, DOX-challenged cardiomyocytes show a dysfunction of iron homeostasis, with decreased cytoplasmic and mitochondrial iron-sulfur (FeS) cluster-mediated aconitase activity and abnormal expression of iron homeostasis-related proteins. Mechanistically, mass spectrometry analysis identified DOX-treatment induces p53-dependent degradation of Parkinsonism associated deglycase (Park7) which results in iron homeostasis dysregulation. Park7 counteracts iron overload by regulating iron regulatory protein family transcription while blocking mitochondrial iron uptake. Knockout of p53 or overexpression of Park7 in cardiomyocytes remarkably restores the activity of FeS cluster and iron homeostasis, inhibits ferroptosis, and rescues cardiac function in DOX treated animals. These results demonstrate that the iron homeostasis plays a key role in DoIC ferroptosis. Targeting of the newly identified p53-Park7 signaling axis may provide a new approach to prevent DoIC.
多柔比星(DOX)诱导的心脏毒性(DoIC)是癌症患者的主要副作用。最近,铁过载引发的铁死亡被证明在 DoIC 中起作用。DoIC 中铁稳态如何失调仍有待阐明。在这里,作者证明 DOX 挑战表现出收缩功能降低和心肌细胞中与铁死亡相关表型的诱导,这表现为铁过载、脂质过氧化物积累和线粒体功能障碍。与 Ferric ammonium citrate(FAC)诱导的继发性铁过载相比,DOX 处理的心肌细胞显示出铁稳态的功能障碍,细胞质和线粒体铁硫(Fe-S)簇介导的 aconitase 活性降低,铁稳态相关蛋白表达异常。从机制上讲,质谱分析表明 DOX 处理诱导帕金森病相关去糖基酶(Park7)依赖 p53 的降解,导致铁稳态失调。Park7 通过调节铁调节蛋白家族转录来对抗铁过载,同时阻止线粒体铁摄取。在心肌细胞中敲除 p53 或过表达 Park7 可显著恢复 Fe-S 簇和铁稳态的活性,抑制铁死亡,并挽救 DOX 处理动物的心脏功能。这些结果表明,铁稳态在 DoIC 铁死亡中起关键作用。靶向新鉴定的 p53-Park7 信号轴可能为预防 DoIC 提供一种新方法。