Department of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, 710038, Shaanxi, China.
Department of Ambulant Clinic, Political Work Department of People's Republic of China Central Military Commission, Beijing, China.
Cell Death Dis. 2024 May 27;15(5):364. doi: 10.1038/s41419-024-06748-w.
Mitochondrial dysfunction and oxidative stress are important mechanisms for secondary injury after traumatic brain injury (TBI), which result in progressive pathophysiological exacerbation. Although the Fibronectin type III domain-containing 5 (FNDC5) was reported to repress oxidative stress by retaining mitochondrial biogenesis and dynamics, its possible role in the secondary injury after TBI remain obscure. In present study, we observed that the level of serum irisin (the cleavage product of FNDC5) significantly correlated with the neurological outcomes of TBI patients. Knockout of FNDC5 increased the lesion volume and exacerbated apoptosis and neurological deficits after TBI in mice, while FNDC5 overexpression yielded a neuroprotective effect. Moreover, FNDC5 deficiency disrupted mitochondrial dynamics and function. Activation of Sirtuin 3 (SIRT3) alleviated FNDC5 deficiency-induced disruption of mitochondrial dynamics and bioenergetics. In neuron-specific SIRT3 knockout mice, FNDC5 failed to attenuate TBI-induced mitochondrial damage and brain injuries. Mechanically, FNDC5 deficiency led to reduced SIRT3 expression via enhanced ubiquitin degradation of transcription factor Nuclear factor erythroid 2-related factor 2 (NRF2), which contributed to the hyperacetylation and inactivation of key regulatory proteins of mitochondrial dynamics and function, including OPA1 and SOD2. Finally, engineered RVG29-conjugated nanoparticles were generated to selectively and efficiently deliver irisin to the brain of mice, which yielded a satisfactory curative effect against TBI. In conclusion, FNDC5/irisin exerts a protective role against acute brain injury by promoting SIRT3-dependent mitochondrial quality control and thus represents a potential target for neuroprotection after TBI.
线粒体功能障碍和氧化应激是创伤性脑损伤 (TBI) 后继发性损伤的重要机制,导致进行性病理生理恶化。虽然纤连蛋白结构域蛋白 5 (FNDC5) 通过保留线粒体生物发生和动力学来抑制氧化应激,但它在 TBI 后继发性损伤中的可能作用尚不清楚。在本研究中,我们观察到血清鸢尾素(FNDC5 的裂解产物)水平与 TBI 患者的神经预后显著相关。FNDC5 敲除增加了 TBI 后小鼠的病变体积,并加剧了细胞凋亡和神经功能缺损,而过表达 FNDC5 则产生了神经保护作用。此外,FNDC5 缺乏破坏了线粒体动力学和功能。Sirtuin 3 (SIRT3) 的激活缓解了 FNDC5 缺乏引起的线粒体动力学和生物能障碍。在神经元特异性 SIRT3 敲除小鼠中,FNDC5 未能减轻 TBI 诱导的线粒体损伤和脑损伤。机制上,FNDC5 缺乏通过增强转录因子核因子红细胞 2 相关因子 2 (NRF2) 的泛素降解导致 SIRT3 表达减少,这导致线粒体动力学和功能的关键调节蛋白(包括 OPA1 和 SOD2)的乙酰化和失活增加。最后,设计了 RVG29 缀合的纳米颗粒来选择性和有效地将鸢尾素递送到小鼠的大脑,对 TBI 产生了令人满意的治疗效果。总之,FNDC5/鸢尾素通过促进 SIRT3 依赖性线粒体质量控制对急性脑损伤发挥保护作用,因此代表了 TBI 后神经保护的潜在靶点。
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