Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, China.
Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, China; Department of Cardiology, Affiliated Hospital of Zunyi Medical University, Guizhou Province, China.
J Adv Res. 2024 Jul;61:193-209. doi: 10.1016/j.jare.2023.09.004. Epub 2023 Sep 9.
INTRODUCTION: N6-methyladenosine (m6A) methylation produces a marked effect on cardiovascular diseases. The m6A demethylase AlkB homolog 5 (ALKBH5), as an m6A "eraser", is responsible for decreased m6A modification. However, its role in cardiac fibroblasts during the post-myocardial infarction (MI) healing process remains elusive. OBJECTIVES: To investigate the effect of ALKBH5 in cardiac fibroblasts during infarct repair. METHODS: MI was mimicked by permanent left anterior descending artery ligation in global ALKBH5-knockout, ALKBH5-knockin, and fibroblast-specific ALKBH5-knockout mice to study the function of ALKBH5 during post-MI collagen repair. Methylated RNA immunoprecipitation sequencing was performed to explore potential ALKBH5 targets. RESULTS: Dramatic alterations in ALKBH5 expression were observed during the early stages post-MI and in hypoxic fibroblasts. Global ALKBH5 knockin reduced infarct size and ameliorated cardiac function after MI. The global and fibroblast-specific ALKBH5-knockout mice both exhibited low survival rates along with poor collagen repair, impaired cardiac function, and cardiac rupture. Both in vivo and in vitro ALKBH5 loss resulted in impaired fibroblast activation and decreased collagen deposition. Additionally, hypoxia, but not TGF-β1 or Ang II, upregulated ALKBH5 expression in myofibroblasts by HIF-1α-dependent transcriptional regulation. Mechanistically, ALKBH5 promoted the stability of ErbB4 mRNA and the degradation of ST14 mRNA via m6A demethylation. Fibroblast-specific ErbB4 overexpression ameliorated the impaired fibroblast-to-myofibroblast transformation and poor post-MI repair due to ALKBH5 knockout. CONCLUSION: Fibroblast ALKBH5 positively regulates post-MI healing by stabilization of ErbB4 mRNA in an m6A-dependent manner. ALKBH5/ErbB4 might be potential therapeutic targets for post-MI cardiac rupture.
简介:N6-甲基腺嘌呤(m6A)甲基化对心血管疾病有显著影响。m6A 去甲基酶 AlkB 同源物 5(ALKBH5)作为 m6A“橡皮擦”,负责降低 m6A 修饰。然而,其在心肌梗死后(MI)愈合过程中心房成纤维细胞中的作用仍不清楚。 目的:研究 ALKBH5 在梗死修复过程中心房成纤维细胞中的作用。 方法:通过永久性左前降支结扎在全局 ALKBH5 敲除、ALKBH5 敲入和纤维母细胞特异性 ALKBH5 敲除小鼠中模拟 MI,以研究 ALKBH5 在 MI 后胶原修复过程中的功能。进行 m6A 免疫沉淀测序以探索潜在的 ALKBH5 靶标。 结果:在 MI 后早期和缺氧成纤维细胞中观察到 ALKBH5 表达的剧烈变化。全局 ALKBH5 敲入可减少 MI 后的梗死面积并改善心功能。全局和纤维母细胞特异性 ALKBH5 敲除小鼠均表现出低存活率,伴有胶原修复不良、心功能受损和心脏破裂。体内和体外的 ALKBH5 缺失均导致成纤维细胞激活受损和胶原沉积减少。此外,缺氧而非 TGF-β1 或 Ang II 通过 HIF-1α依赖性转录调节上调肌成纤维细胞中的 ALKBH5 表达。在机制上,ALKBH5 通过 m6A 去甲基化促进 ErbB4 mRNA 的稳定性和 ST14 mRNA 的降解。纤维母细胞特异性 ErbB4 过表达可改善由于 ALKBH5 缺失导致的成纤维细胞向肌成纤维细胞转化受损和 MI 后修复不良。 结论:纤维母细胞 ALKBH5 通过以 m6A 依赖的方式稳定 ErbB4 mRNA,正向调节 MI 后愈合。ALKBH5/ErbB4 可能是 MI 后心脏破裂的潜在治疗靶点。
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