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Updated: Feb 11, 2026

Assessment of Open Probability of the Mitochondrial Permeability Transition Pore in the Setting of Coenzyme Q Excess
Published on: June 1, 2022
Glycogen synthase kinase-3β opens mitochondrial permeability transition pore through mitochondrial hexokinase II
Takamitsu Tanaka1, Masao Saotome2, Hideki Katoh1
1Internal Medicine III, Hamamatsu University School of Medicine, 1-20-1 Handayama, Higashi-ku, Hamamatsu, 431-3192, Japan.
Abstract:
Accumulating evidence has revealed pivotal roles of glycogen synthase kinase-3β (GSK3β) inactivation on cardiac protection. Because the precise mechanisms of cardiac protection against ischemia/reperfusion (I/R) injury by GSK3β-inactivation remain elusive, we investigated the relationship between GSK3β-mediated mitochondrial hexokinase II (mitoHK-II; a downstream target of GSK3β) dissociation and mitochondrial permeability transition pore (mPTP) opening. In Langendorff-perfused hearts, GSK3β inactivation by SB216763 improved the left ventricular-developed pressure and retained mitoHK-II binding after I/R. In permeabilized myocytes, GSK3β depolarized mitochondrial membrane potential with accelerated mitochondrial calcein release (suggesting GSK3β-mediated mPTP opening) and decreased mitoHK-II bindings. GSK3β-mediated mPTP opening depended on mitoHK-II binding, i.e., it was accelerated by dissociation of mitoHK-II (dicyclohexylcarbodiimide) and attenuated by enhancement of mitoHK-II binding (dextran). However, inactivation of mitoHK-II by glucose-depletion or glucose-6-phosphate inhibited the GSK3β-mediated mPTP opening. We conclude that GSK3β-mediated mPTP opening may be involved in I/R injury and regulated by mitoHK-II binding and activity.
Insights
Glycogen synthase kinase-3β (GSK3β) inactivation protects the heart by regulating mitochondrial hexokinase II (mitoHK-II) binding and preventing mitochondrial permeability transition pore (mPTP) opening during ischemia/reperfusion injury.
Area of Science:
- Cardiology
- Molecular Biology
- Biochemistry
Background:
- Glycogen synthase kinase-3β (GSK3β) inactivation is recognized for its cardiac protective effects.
- The exact mechanisms underlying GSK3β-mediated protection against ischemia/reperfusion (I/R) injury are not fully understood.
Purpose of the Study:
- To investigate the link between GSK3β-inactivation, mitochondrial hexokinase II (mitoHK-II) dissociation, and mitochondrial permeability transition pore (mPTP) opening.
- To elucidate the role of mitoHK-II binding and activity in GSK3β-regulated mPTP opening.
Main Methods:
- Langendorff-perfused heart model to assess cardiac function and mitoHK-II binding post-I/R.
- Permeabilized myocyte experiments to evaluate mitochondrial membrane potential, mPTP opening, and mitoHK-II binding.
- Pharmacological manipulation of GSK3β, mitoHK-II binding, and mitoHK-II activity.
Main Results:
- GSK3β inactivation improved cardiac function and maintained mitoHK-II binding after I/R.
- GSK3β activation led to mitochondrial depolarization, increased mPTP opening, and decreased mitoHK-II binding.
- GSK3β-mediated mPTP opening was modulated by mitoHK-II binding status and activity.
Conclusions:
- GSK3β-mediated mPTP opening appears to contribute to I/R injury.
- MitoHK-II binding and enzymatic activity are key regulators of GSK3β-induced mPTP opening, offering potential therapeutic targets.
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