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Updated: Aug 25, 2025

In Situ Immunofluorescent Staining of Autophagy in Muscle Stem Cells
Published on: June 12, 2017
Autophagy activation can partially rescue proteasome dysfunction-mediated cardiac toxicity
Eleni-Dimitra Papanagnou1, Sentiljana Gumeni1, Aimilia D Sklirou1
1Department of Cell Biology and Biophysics, Faculty of Biology, National and Kapodistrian University of Athens, Athens, Greece.
Abstract:
The ubiquitin-proteasome pathway and its functional interplay with other proteostatic and/or mitostatic modules are crucial for cell viability, especially in post-mitotic cells like cardiomyocytes, which are constantly exposed to proteotoxic, metabolic, and mechanical stress. Consistently, treatment of multiple myeloma patients with therapeutic proteasome inhibitors may induce cardiac failure; yet the effects promoted by heart-targeted proteasome dysfunction are not completely understood. We report here that heart-targeted proteasome knockdown in the fly experimental model results in increased proteome instability and defective mitostasis, leading to disrupted cardiac activity, systemic toxicity, and reduced longevity. These phenotypes were partially rescued by either heart targeted- or by dietary restriction-mediated activation of autophagy. Supportively, activation of autophagy by Rapamycin or Metformin administration in flies treated with proteasome inhibitors reduced proteome instability, partially restored mitochondrial function, mitigated cardiotoxicity, and improved flies' longevity. These findings suggest that autophagic inducers represent a novel promising intervention against proteasome inhibitor-induced cardiovascular complications.
Insights
Heart-targeted proteasome dysfunction causes cardiac issues and reduces lifespan. Activating autophagy, through dietary restriction or drugs like Rapamycin and Metformin, can mitigate these effects and improve longevity.
Area of Science:
- Cellular biology
- Cardiovascular research
- Proteostasis and mitostasis
Background:
- The ubiquitin-proteasome pathway is vital for cell viability, particularly in cardiomyocytes.
- Proteasome inhibitors used in cancer therapy can cause cardiac failure.
- The specific effects of heart-targeted proteasome dysfunction remain unclear.
Purpose of the Study:
- To investigate the consequences of heart-targeted proteasome dysfunction in a model organism.
- To explore the potential of autophagy activation as a therapeutic strategy against proteasome inhibitor-induced cardiotoxicity.
Main Methods:
- Utilized a fly experimental model with heart-targeted proteasome knockdown.
- Assessed proteome instability, mitostasis, cardiac activity, systemic toxicity, and longevity.
- Investigated the rescue effects of autophagy activation via dietary restriction and pharmacological agents (Rapamycin, Metformin).
Main Results:
- Heart-targeted proteasome knockdown led to proteome instability, defective mitostasis, disrupted cardiac activity, systemic toxicity, and reduced longevity.
- Autophagy activation partially rescued these phenotypes.
- Rapamycin and Metformin administration mitigated cardiotoxicity and improved longevity in flies treated with proteasome inhibitors.
Conclusions:
- Heart-targeted proteasome dysfunction significantly impairs cardiac function and overall health.
- Autophagic inducers show promise as a novel intervention for managing proteasome inhibitor-induced cardiovascular complications.
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