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.).

Abstract

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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