Heart Center and Beijing Key Laboratory of Hypertension, Beijing Institute of Respiratory Medicine and Beijing Chaoyang Hospital, Capital Medical University, Beijing, 100020, China.
Department of Cardiology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
J Cardiovasc Transl Res. 2024 Feb;17(1):183-196. doi: 10.1007/s12265-023-10423-4. Epub 2023 Aug 21.
Ferroptosis plays a critical role in pulmonary arterial hypertension (PAH)-induced right ventricular (RV) dysfunction, but key genes remain largely unclear. We here identified HMOX1 as an essential ferroptosis-related differentially expressed gene in PAH by bioinformatic analysis using FerrDb, GSE119754, and GSE3675 datasets, respectively. Notably, there were marked increases in HMOX1 and iron levels in RV of monocrotaline-induced PAH rats with reduced TAPSE levels. More importantly, treatment with ferrostatin-1 effectively attenuated RV hypertrophy, remodeling, myocardial fibrosis, and dysfunction in PAH rats. In cultured H9C2 cells and primary neonatal rat cardiomyocytes, pretreatment with ferrostatin-1 and knockdown HMOX1 by siRNA strikingly blunted hypoxia-induced promotion of lipid peroxidation, ferroptosis, and cardiomyocyte injury by potentiating glutathione (GSH) and nitric oxide signaling, respectively. In summary, ferrostatin-1 attenuates RV hypertrophy, fibrosis, and dysfunction in PAH by suppressing the HMOX1/GSH signaling. Targeting HMOX1 ferroptosis signaling functions as a potential therapeutic strategy for patients with PAH.
铁死亡在肺动脉高压(PAH)诱导的右心室(RV)功能障碍中起着关键作用,但关键基因仍很大程度上不清楚。我们通过分别使用 FerrDb、GSE119754 和 GSE3675 数据集的生物信息学分析,确定 HMOX1 是 PAH 中与铁死亡相关的重要差异表达基因。值得注意的是,在野百合碱诱导的 PAH 大鼠中,HMOX1 和铁水平明显升高,而 TAPSE 水平降低。更重要的是,铁死亡抑制剂 1 (ferrostatin-1)的治疗可有效减轻 PAH 大鼠的 RV 肥厚、重构、心肌纤维化和功能障碍。在培养的 H9C2 细胞和原代新生大鼠心肌细胞中,铁死亡抑制剂 1 的预处理和 siRNA 敲低 HMOX1 分别通过增强谷胱甘肽(GSH)和一氧化氮信号,显著减弱了低氧诱导的脂质过氧化、铁死亡和心肌细胞损伤的促进作用。总之,铁死亡抑制剂 1 通过抑制 HMOX1/GSH 信号减轻 PAH 中的 RV 肥厚、纤维化和功能障碍。靶向 HMOX1 铁死亡信号可能是 PAH 患者的一种潜在治疗策略。
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