Phosphoglycerate mutase 5 exacerbates cardiac ischemia-reperfusion injury through disrupting mitochondrial quality

Hang Zhu1, Ying Tan2, Wenjun Du3

  • 1Department of Cardiology, Chinese PLA General Hospital, Beijing, 100853, China.

Redox Biology
|November 9, 2020
PubMed

Insights

Phosphoglycerate mutase 5 (PGAM5) drives necroptosis in cardiac ischemia-reperfusion injury. Deleting PGAM5 protects heart cells from death, improves heart function, and reduces inflammation by regulating mitochondrial quality control.

Area of Science:

  • Cardiovascular Biology
  • Cell Death Mechanisms
  • Mitochondrial Dynamics

Background:

  • Cardiac ischemia-reperfusion (I/R) injury involves cardiomyocyte death via apoptosis and necroptosis.
  • Phosphoglycerate mutase 5 (PGAM5) is a mitochondrial phosphatase implicated in necroptosis, but its role in I/R injury is debated.

Purpose of the Study:

  • To investigate the precise contribution and molecular mechanism of PGAM5 in cardiomyocyte death during cardiac I/R injury.
  • To determine the effect of PGAM5 genetic ablation on I/R-induced pathological changes and cardiac function.

Main Methods:

  • Utilized cardiac-specific PGAM5 knockout (PGAM5CKO) mice and primary cardiomyocyte cultures.
  • Assessed cardiomyocyte death (apoptosis, necroptosis), inflammation, cardiac function, and mitochondrial parameters (DNA copy number, respiration, ROS, mPTP opening, fission/fusion proteins).
  • Examined molecular pathways including Drp1 phosphorylation and mitophagy.

Main Results:

  • PGAM5 expression increased in reperfused myocardium.
  • PGAM5 ablation suppressed I/R-mediated necroptosis but not apoptosis, improving heart function and reducing inflammation.
  • PGAM5 deficiency normalized mitochondrial respiration, repressed ROS production, prevented abnormal mPTP opening, and partially inhibited mitochondrial fission.
  • PGAM5 deletion affected Drp1 phosphorylation and Mfn2/OPA1 levels but did not rescue mitophagy.

Conclusions:

  • PGAM5 is a key inducer of cardiomyocyte necroptosis in cardiac I/R injury.
  • PGAM5 regulates mitochondrial quality control, impacting mitochondrial dynamics and function during I/R.
  • Targeting PGAM5 may offer a therapeutic strategy for mitigating I/R-induced cardiac damage.