靶向 Rab7-Rilp 介导的微噬脂作用缓解糖尿病心肌病中的脂质毒性。
Targeting Rab7-Rilp Mediated Microlipophagy Alleviates Lipid Toxicity in Diabetic Cardiomyopathy.
机构信息
Department of Cardiology, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, 200001, China.
Shanghai Institute of Precision Medicine, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, 200120, China.
出版信息
Adv Sci (Weinh). 2024 Aug;11(29):e2401676. doi: 10.1002/advs.202401676. Epub 2024 Jun 5.
Diabetic cardiomyopathy (DbCM) is characterized by diastolic dysfunction, which progresses into heart failure and aberrant electrophysiology in diabetic patients. Dyslipidemia in type 2 diabetic patients leads to the accumulation of lipid droplets (LDs) in cardiomyocytes and results in lipid toxicity which has been suggested to drive DbCM. It is aimed to explore potential pathways that may boost LDs degradation in DbCM and restore cardiac function. LDs accumulation resulted in an increase in lipid toxicity in DbCM hearts is confirmed. Microlipophagy pathway, rather than traditional macrolipophagy, is activated in DbCM hearts. RNA-Seq data and Rab7-CKO mice implicate that Rab7 is a major modulator of the microlipophagy pathway. Mechanistically, Rab7 is phosphorylated at Tyrosine 183, which allows the recruitment of Rab-interacting lysosome protein (Rilp) to proceed LDs degradation by lysosome. Treating DbCM mice with Rab7 activator ML-098 enhanced Rilp level and rescued the observed cardiac dysfunction. Overall, Rab7-Rilp-mediated microlipophagy may be a promising target in the treatment of lipid toxicity in DbCM is suggested.
糖尿病心肌病(DbCM)的特征是舒张功能障碍,在糖尿病患者中会进展为心力衰竭和异常电生理学。2 型糖尿病患者的血脂异常导致脂滴(LDs)在心肌细胞中积累,并导致脂质毒性,这被认为是导致 DbCM 的原因。本研究旨在探索可能增强 DbCM 中 LDs 降解并恢复心脏功能的潜在途径。证实了 DbCM 心脏中 LDs 积累导致脂质毒性增加。微脂噬途径而不是传统的巨脂噬途径在 DbCM 心脏中被激活。RNA-Seq 数据和 Rab7-CKO 小鼠表明,Rab7 是微脂噬途径的主要调节剂。在机制上,Rab7 在酪氨酸 183 处被磷酸化,这允许 Rab 相互作用溶酶体蛋白(Rilp)募集到溶酶体进行 LDs 降解。用 Rab7 激活剂 ML-098 治疗 DbCM 小鼠可增强 Rilp 水平并挽救观察到的心脏功能障碍。总之,Rab7-Rilp 介导的微脂噬可能是治疗 DbCM 中脂质毒性的一个有前途的靶点。