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Autophagy deficiency exacerbated hypoxia-reoxygenation induced inflammation and cell death via a mitochondrial
Eddie Tam1, Erfei Song2, Nina Noskovicova3
1Department of Biology, York University, Toronto, Canada.
Aims:
Autophagy is an important cellular process for maintaining physiological homeostasis and is known to protect against cardiovascular diseases including ischemia reperfusion (I/R) injury. The underlying mechanisms behind its protection require further characterization.
Materials And Methods:
Atg7 knock out (AKO) mice were generated and subjected to I/R injury, complemented by Atg7 KO in a H9c2 cardiomyoblast cellular model ± hypoxia-reoxygenation. Subsequently, in both models, inflammation and cell death were studied.
Key Findings:
We confirmed that Atg7 KO led to autophagy, including mitophagy, deficiency. Upon H/R, Atg7 KO cells exhibited increased cell death compared to WT cells. Notably, we found that autophagy deficiency increased stress-induced mitochondrial fission, release of mitochondrial DNA, and sterile inflammation, namely activation of a STING/IRF3 axis leading to elevated interferon-α. Following I/R injury, AKO mice showed elevated cell death which correlated with a gene expression profile indicative of decreased anti-inflammatory responses.
Significance:
Autophagy deficiency in the cardiomyocyte setting results in detrimental effects during I/R injury in mice or H/R injury in cells, mediated in part via mtDNA/IRF3/STING pathway. As such, modulation of this pathway may yield novel and promising therapeutics to treat or prevent I/R injury.
Insights
Autophagy deficiency worsens ischemia reperfusion (I/R) injury by increasing cell death and inflammation. Targeting the mtDNA/IRF3/STING pathway may offer new therapies for I/R injury.
Area of Science:
- Cardiovascular Biology
- Cellular Stress Response
- Immunology
Background:
- Autophagy is crucial for cellular homeostasis and protects against cardiovascular diseases like ischemia reperfusion (I/R) injury.
- The precise mechanisms of autophagy's protective role in I/R injury need further elucidation.
Purpose of the Study:
- To investigate the role of autophagy, specifically Atg7, in cardiomyocyte response to I/R injury.
- To characterize the molecular pathways involved in autophagy-deficient cells during I/R injury.
Main Methods:
- Utilized Atg7 knockout (AKO) mice and H9c2 cardiomyoblast cells subjected to I/R or hypoxia-reoxygenation (H/R) injury.
- Assessed cell death, inflammation, mitochondrial dynamics, and the STING/IRF3 signaling pathway.
Main Results:
- Atg7 knockout led to autophagy deficiency, increased cell death, and heightened sterile inflammation upon H/R.
- Autophagy deficiency promoted mitochondrial fission, mtDNA release, and activation of the STING/IRF3 axis, resulting in elevated interferon-α.
- AKO mice exhibited increased cell death and reduced anti-inflammatory gene expression post-I/R injury.
Conclusions:
- Autophagy deficiency exacerbates I/R injury in cardiomyocytes through the mtDNA/IRF3/STING pathway.
- Modulating this pathway presents a potential therapeutic strategy for preventing or treating I/R injury.
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