Tetrahydroberberrubine retards heart aging in mice by promoting PHB2-mediated mitophagy

Lei Wang1, Xue-Qing Tang1, Yang Shi1

  • 1Department of Pharmacology (the State-Province Key Laboratories of Biomedicine-Pharmaceutics of China, Key Laboratory of Cardiovascular Research, Ministry of Education), College of Pharmacy, Harbin Medical University, Harbin, 150081, China.

Insights

Tetrahydroberberrubine (THBru) and berberine (BBR) show protective effects against heart aging by mitigating cardiac dysfunction and promoting mitophagy. THBru is a potent antiaging compound, inducing prohibitin 2 (PHB2)-mediated mitophagy for potential clinical application.

Area of Science:

  • Cardiovascular Science
  • Gerontology
  • Pharmacology

Background:

  • Heart aging is associated with left ventricular hypertrophy and diastolic dysfunction, leading to cardiovascular diseases.
  • Current therapeutic options for age-related cardiac abnormalities are limited.
  • Berberine (BBR) and its derivative tetrahydroberberrubine (THBru) were investigated for their potential anti-aging effects on the heart.

Purpose of the Study:

  • To investigate the protective effects of BBR and THBru against D-galactose-induced heart aging in mice.
  • To explore the underlying mechanisms, including mitophagy and prohibitin 2 (PHB2) expression, of THBru's anti-aging effects.

Main Methods:

  • Heart aging was induced in mice using D-galactose injections over 12 weeks.
  • Mice were treated with BBR or THBru orally for 12 weeks.
  • Primary neonatal mouse cardiomyocytes were treated with D-galactose, BBR, or THBru in vitro to assess cellular senescence and mitophagy.
  • PHB2 knockdown and overexpression were used to confirm its role in THBru's effects.

Main Results:

  • BBR and THBru treatment significantly alleviated diastolic dysfunction and cardiac remodeling in aging mice.
  • Both compounds inhibited D-galactose-induced senescence in cardiomyocytes; THBru showed higher efficacy.
  • THBru and BBR promoted mitophagy, a process found to be decreased in aging hearts.
  • THBru's mitophagy-inducing effect was linked to increased mRNA stability and protein expression of PHB2.
  • PHB2 manipulation confirmed its critical role in mediating THBru's anti-senescence and mitophagy-promoting effects.

Conclusions:

  • THBru demonstrates potent anti-aging effects on the heart, superior to BBR at equivalent doses.
  • THBru acts by upregulating PHB2, thereby promoting mitophagy and reducing cardiomyocyte senescence.
  • THBru holds promise as a novel therapeutic agent for age-related cardiac dysfunction and warrants further clinical investigation.