TSPO exacerbates sepsis-induced cardiac dysfunction by inhibiting p62-Mediated autophagic flux via the

Qiao Guo1, Haitang Liao2, Shuai Hao3

  • 1Department of Anesthesiology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400010, PR China.

PubMed

Insights

Translocator protein (TSPO) exacerbates septic cardiomyopathy by impairing mitochondrial function and autophagy. Targeting TSPO with NADH shows promise for treating sepsis-induced cardiac injury.

Area of Science:

  • Cardiology
  • Molecular Biology
  • Pathophysiology

Background:

  • Septic cardiomyopathy (SCM) is a severe sepsis complication linked to mitochondrial dysfunction and disrupted autophagic flux.
  • Translocator protein (TSPO) is implicated in SCM pathogenesis, but its precise role and therapeutic potential remain unclear.

Purpose of the Study:

  • To investigate the role of TSPO in SCM development.
  • To evaluate TSPO as a therapeutic target for sepsis-induced cardiac injury.

Main Methods:

  • TSPO expression was measured in sepsis patients, septic rats, and LPS-stimulated cardiomyocytes.
  • Mitochondrial function, reactive oxygen species (ROS) production, and the RIP1/RIP3 pathway were assessed.
  • The effect of NADH on TSPO-related pathways and cardiac function was evaluated in septic rats.

Main Results:

  • Increased TSPO expression was observed in sepsis patients and animal models.
  • Elevated TSPO disrupted mitochondrial function, increased ROS, activated RIP1/RIP3, and impaired autophagosome degradation.
  • NADH binding to TSPO restored autophagic flux, improved mitochondrial function, and enhanced cardiac performance and survival in septic rats.

Conclusions:

  • TSPO plays a critical role in SCM pathogenesis by exacerbating mitochondrial dysfunction and inflammation.
  • Targeting TSPO with NADH represents a potential therapeutic strategy to mitigate sepsis-induced cardiac injury.

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