Section of Emergency Medicine, Department of Medicine, University of Chicago, Chicago, Illinois, USA.
Section of Pulmonary and Critical Care, Department of Medicine, University of Chicago, Chicago, Illinois, USA.
FASEB J. 2024 Jan;38(1):e23379. doi: 10.1096/fj.202301040RR.
Dynamin-related protein 1 (Drp1) is a cytosolic GTPase protein that when activated translocates to the mitochondria, meditating mitochondrial fission and increasing reactive oxygen species (ROS) in cardiomyocytes. Drp1 has shown promise as a therapeutic target for reducing cardiac ischemia/reperfusion (IR) injury; however, the lack of specificity of some small molecule Drp1 inhibitors and the reliance on the use of Drp1 haploinsufficient hearts from older mice have left the role of Drp1 in IR in question. Here, we address these concerns using two approaches, using: (a) short-term (3 weeks), conditional, cardiomyocyte-specific, Drp1 knockout (KO) and (b) a novel, highly specific Drp1 GTPase inhibitor, Drpitor1a. Short-term Drp1 KO mice exhibited preserved exercise capacity and cardiac contractility, and their isolated cardiac mitochondria demonstrated increased mitochondrial complex 1 activity, respiratory coupling, and calcium retention capacity compared to controls. When exposed to IR injury in a Langendorff perfusion system, Drp1 KO hearts had preserved contractility, decreased reactive oxygen species (ROS), enhanced mitochondrial calcium capacity, and increased resistance to mitochondrial permeability transition pore (MPTP) opening. Pharmacological inhibition of Drp1 with Drpitor1a following ischemia, but before reperfusion, was as protective as Drp1 KO for cardiac function and mitochondrial calcium homeostasis. In contrast to the benefits of short-term Drp1 inhibition, prolonged Drp1 ablation (6 weeks) resulted in cardiomyopathy. Drp1 KO hearts were also associated with decreased ryanodine receptor 2 (RyR2) protein expression and pharmacological inhibition of the RyR2 receptor decreased ROS in post-IR hearts suggesting that changes in RyR2 may have a role in Drp1 KO mediated cardioprotection. We conclude that Drp1-mediated increases in myocardial ROS production and impairment of mitochondrial calcium handling are key mechanisms of IR injury. Short-term inhibition of Drp1 is a promising strategy to limit early myocardial IR injury which is relevant for the therapy of acute myocardial infarction, cardiac arrest, and heart transplantation.
动力相关蛋白 1(Drp1)是一种胞质 GTP 酶蛋白,当被激活时会转移到线粒体,介导线粒体裂变,并增加心肌细胞中的活性氧物种(ROS)。Drp1 已被证明是减少心肌缺血/再灌注(IR)损伤的有希望的治疗靶点;然而,一些小分子 Drp1 抑制剂的缺乏特异性和对使用来自老年小鼠的 Drp1 杂合不足心脏的依赖,使得 Drp1 在 IR 中的作用受到质疑。在这里,我们使用两种方法解决这些问题,使用:(a)短期(3 周)、条件性、心肌细胞特异性 Drp1 敲除(KO)和(b)一种新型、高度特异性 Drp1 GTP 酶抑制剂,Drpitor1a。短期 Drp1 KO 小鼠表现出保留的运动能力和心脏收缩性,其分离的心肌线粒体显示出与对照组相比,线粒体复合物 1 活性、呼吸偶联和钙保留能力增加。当在 Langendorff 灌注系统中暴露于 IR 损伤时,Drp1 KO 心脏保持收缩性,减少活性氧物种(ROS),增强线粒体钙容量,并增加对线粒体通透性转换孔(MPTP)开放的抵抗力。在缺血后但再灌注前用 Drpitor1a 对 Drp1 进行药理学抑制与 Drp1 KO 一样对心脏功能和线粒体钙稳态具有保护作用。与短期 Drp1 抑制的益处相反,长期 Drp1 消融(6 周)导致心肌病。Drp1 KO 心脏也与肌浆网钙释放通道 2(RyR2)蛋白表达减少有关,并且 RyR2 受体的药理学抑制减少了 IR 后心脏中的 ROS,表明 RyR2 的变化可能在 Drp1 KO 介导的心脏保护中起作用。我们得出结论,Drp1 介导的心肌 ROS 产生增加和线粒体钙处理受损是 IR 损伤的关键机制。短期抑制 Drp1 是限制早期心肌 IR 损伤的有前途的策略,这与急性心肌梗死、心脏骤停和心脏移植的治疗有关。
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