MCU Up-regulation contributes to myocardial ischemia-reperfusion Injury through calpain/OPA-1-mediated mitochondrial

Lichun Guan1, Zhimei Che2, Xiangdong Meng1

  • 1Department of Cardiovascular Surgery, Shanghai General Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai, China.

Insights

Mitochondrial calcium uniporter (MCU) overactivation worsens heart injury during ischemia/reperfusion (I/R) by disrupting mitochondrial dynamics. Inhibiting MCU protects the heart by restoring mitochondrial balance.

Area of Science:

  • Cardiovascular Research
  • Mitochondrial Biology
  • Cellular Physiology

Background:

  • Mitochondrial dynamics are crucial for cellular health and are implicated in myocardial ischemia/reperfusion (I/R) injury.
  • Disruptions in mitochondrial fission, fusion, and mitophagy contribute to I/R-induced damage.

Purpose of the Study:

  • To investigate the role of the mitochondrial calcium uniporter (MCU) in mitochondrial dynamic imbalance during myocardial I/R.
  • To elucidate the signaling pathways linking MCU to mitochondrial dysfunction and cardiomyocyte apoptosis.

Main Methods:

  • Established mouse myocardial I/R and cardiomyocyte hypoxia/reoxygenation (H/R) models.
  • Utilized MCU inhibitor (Ru360) and enhancer (spermine) to modulate MCU function.
  • Investigated calpain-1/2 and Optic atrophy type 1 (OPA1) expression and activation.
  • Employed transgenic mice overexpressing calpastatin and siRNA for OPA1 knockdown.

Main Results:

  • MCU expression and activity increased during I/R, correlating with myocardial injury, increased fission, and reduced fusion and mitophagy.
  • Inhibition of MCU protected against I/R injury, reducing infarct size and apoptosis, and restoring mitochondrial dynamics.
  • Enhanced MCU function exacerbated injury and mitochondrial imbalance.
  • MCU upregulation promoted calpain-1/2 activation and OPA1 downregulation.
  • Calpain inhibition or OPA1 restoration ameliorated I/R-induced mitochondrial dysfunction and apoptosis.

Conclusions:

  • MCU upregulation during I/R triggers a pathway involving calpain activation and OPA1 downregulation, leading to mitochondrial dynamic imbalance.
  • Targeting MCU or its downstream effectors (calpains, OPA1) represents a potential therapeutic strategy for myocardial I/R injury.

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