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Published on: July 13, 2018
The Multi-Faceted Nature of Renalase for Mitochondrial Dysfunction Improvement in Cardiac Disease
Dijana Stojanovic1, Miodrag Stojanovic2,3, Jelena Milenkovic1
1Department of Pathophysiology, Faculty of Medicine, University of Nis, 18000 Nis, Serbia.
Insights
Renalase may protect heart cells by improving mitochondrial function in cardiac disease. This molecule shows potential as a "guardian of mitochondria," offering broad benefits for heart patients.
Area of Science:
- Cardiovascular Medicine
- Mitochondrial Biology
- Molecular Cardiology
Background:
- Cardiac disease pathophysiology involves complex cellular mechanisms and signaling networks, hindering effective therapies.
- Mitochondrial dysfunction is a critical factor in cardiomyocyte injury and a key therapeutic target.
- A multi-faceted approach is needed to address the diverse causes of mitochondria-induced heart damage.
Purpose of the Study:
- To explore the potential of renalase as a therapeutic agent for mitochondrial dysfunction in cardiac disease.
- To review the diverse functions of renalase in improving mitochondrial health and cardiomyocyte function.
- To highlight renalase's role in combating the heterogeneity of mitochondrial abnormalities in heart failure.
Main Methods:
- Review of existing literature and original perspectives on renalase's functionality.
- Analysis of renalase's effects on mitochondrial integrity, dynamics, and bioenergetics.
- Examination of renalase's antioxidant, anti-apoptotic, and anti-inflammatory properties.
Main Results:
- Renalase preserves mitochondrial integrity and dynamics by preventing mitochondrial membrane potential collapse.
- It enhances ATP production, increases mtDNA copy numbers, and upregulates oxidative phosphorylation genes.
- Renalase exhibits antioxidant, anti-apoptotic, anti-inflammatory effects, and promotes cellular vitality.
Conclusions:
- Renalase demonstrates multifaceted capabilities in mitigating mitochondrial dysfunction within the context of cardiac disease.
- Its potential as a 'guardian of mitochondria' suggests significant therapeutic promise for heart failure patients.
- Further verification could establish renalase as a broadly applicable treatment for diverse cardiac conditions.
Abstract:
The cellular mechanisms and signaling network that guide the cardiac disease pathophysiology are inextricably intertwined, which explains the current scarcity of effective therapy and to date remains the greatest challenge in state-of-the-art cardiovascular medicine. Accordingly, a novel concept has emerged in which cardiomyocytes are the centerpiece of therapeutic targeting, with dysregulated mitochondria as a critical point of intervention. Mitochondrial dysfunction pluralism seeks a multi-faceted molecule, such as renalase, to simultaneously combat the pathophysiologic heterogeneity of mitochondria-induced cardiomyocyte injury. This review provides some original perspectives and, for the first time, discusses the functionality spectrum of renalase for mitochondrial dysfunction improvement within cardiac disease, including its ability to preserve mitochondrial integrity and dynamics by suppressing mitochondrial ΔΨm collapse; overall ATP content amelioration; a rise of mtDNA copy numbers; upregulation of mitochondrial genes involved in oxidative phosphorylation and cellular vitality promotion; mitochondrial fission inhibition; NAD+ supplementation; sirtuin upregulation; and anti-oxidant, anti-apoptotic, and anti-inflammatory traits. If verified that renalase, due to its multi-faceted nature, behaves like the "guardian of mitochondria" by thwarting pernicious mitochondrial dysfunction effects and exerting therapeutic potential to target mitochondrial abnormalities in failing hearts, it may provide large-scale benefits for cardiac disease patients, regardless of the underlying causes.
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