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Angiotensin II Induces Skeletal Muscle Atrophy by Activating TFEB-Mediated MuRF1 Expression
Philipp Du Bois1, Cristina Pablo Tortola1, Doerte Lodka1
1From the Department of Molecular Cardiology, Experimental and Clinical Research Center (ECRC), a Cooperation between Max-Delbrück-Centrum and Charité Universitätsmedizin Berlin, Campus Buch, Berlin, Germany (P.D.B., C.P.T., D.L., M.K., F.S., S.S., J.F.); Department of Cardiology, Charité Universitätsmedizin Berlin, Campus Virchow, Berlin, Germany (J.F.); and Department of Molecular Biology, University of Texas Southwestern Medical Center, Dallas (K.S., R.B.-D., E.N.O.).
Rationale:
Skeletal muscle wasting with accompanying cachexia is a life threatening complication in congestive heart failure. The molecular mechanisms are imperfectly understood, although an activated renin-angiotensin aldosterone system has been implicated. Angiotensin (Ang) II induces skeletal muscle atrophy in part by increased muscle-enriched E3 ubiquitin ligase muscle RING-finger-1 (MuRF1) expression, which may involve protein kinase D1 (PKD1).
Objective:
To elucidate the molecular mechanism of Ang II-induced skeletal muscle wasting.
Methods And Results:
A cDNA expression screen identified the lysosomal hydrolase-coordinating transcription factor EB (TFEB) as novel regulator of the human MuRF1 promoter. TFEB played a key role in regulating Ang II-induced skeletal muscle atrophy by transcriptional control of MuRF1 via conserved E-box elements. Inhibiting TFEB with small interfering RNA prevented Ang II-induced MuRF1 expression and atrophy. The histone deacetylase-5 (HDAC5), which was directly bound to and colocalized with TFEB, inhibited TFEB-induced MuRF1 expression. The inhibition of TFEB by HDAC5 was reversed by PKD1, which was associated with HDAC5 and mediated its nuclear export. Mice lacking PKD1 in skeletal myocytes were resistant to Ang II-induced muscle wasting.
Conclusion:
We propose that elevated Ang II serum concentrations, as occur in patients with congestive heart failure, could activate the PKD1/HDAC5/TFEB/MuRF1 pathway to induce skeletal muscle wasting.
Insights
Congestive heart failure activates a pathway involving Angiotensin II, PKD1, HDAC5, TFEB, and MuRF1, leading to skeletal muscle wasting. Inhibiting this pathway may prevent muscle loss in heart failure patients.
Area of Science:
- Molecular Biology
- Physiology
- Biochemistry
Background:
- Skeletal muscle wasting and cachexia are life-threatening complications of congestive heart failure (CHF).
- The renin-angiotensin aldosterone system is implicated in CHF-related muscle wasting.
- Angiotensin II (Ang II) induces skeletal muscle atrophy partly via increased muscle RING-finger-1 (MuRF1) expression, potentially involving protein kinase D1 (PKD1).
Purpose of the Study:
- To elucidate the molecular mechanisms underlying Ang II-induced skeletal muscle wasting in the context of CHF.
Main Methods:
- Utilized a cDNA expression screen to identify regulators of the MuRF1 promoter.
- Employed small interfering RNA (siRNA) to inhibit transcription factor EB (TFEB).
- Investigated the interaction and colocalization of histone deacetylase-5 (HDAC5) and TFEB, and the role of PKD1 in this interaction.
- Examined muscle wasting in mice lacking PKD1 in skeletal myocytes.
Main Results:
- Identified TFEB as a novel regulator of the human MuRF1 promoter, crucial for Ang II-induced skeletal muscle atrophy.
- Demonstrated that TFEB transcriptionally controls MuRF1 expression via E-box elements.
- Showed that inhibiting TFEB with siRNA prevented Ang II-induced MuRF1 expression and muscle atrophy.
- Found that HDAC5 binds to and colocalizes with TFEB, inhibiting TFEB-mediated MuRF1 expression.
- Revealed that PKD1 reverses HDAC5-mediated inhibition of TFEB by promoting HDAC5 nuclear export.
- Observed that mice lacking PKD1 in skeletal myocytes were resistant to Ang II-induced muscle wasting.
Conclusions:
- Propose a novel pathway: elevated Ang II in CHF activates PKD1/HDAC5/TFEB/MuRF1 to induce skeletal muscle wasting.
- This pathway offers potential therapeutic targets for preventing muscle wasting in CHF patients.
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