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Updated: Jun 7, 2025

Cecal Ligation and Puncture-induced Sepsis as a Model To Study Autophagy in Mice
Published on: February 9, 2014
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.
Abstract:
Septic cardiomyopathy (SCM) is a critical complication of sepsis, primarily attributed to mitochondrial dysfunction and impaired autophagic flux. This study explores the role of translocator protein (TSPO) in SCM pathogenesis and assesses its potential as a therapeutic target. We identified increased TSPO expression in plasma samples from sepsis patients, with further validation in septic rats and LPS-stimulated H9C2 cardiomyocytes. Elevated TSPO disrupted mitochondrial function, leading to increased reactive oxygen species (ROS) production and activation of the RIP1/RIP3 pathway, which hindered p62-positive autophagosome degradation and promoted inflammation. Moreover, exosome release containing TSPO-positive autophagosomes into plasma may exacerbate systemic inflammation. NADH, identified as a TSPO-binding molecule, restored autophagic flux, improved mitochondrial function, and enhanced cardiac performance and survival in septic rats. These findings suggest that targeting TSPO with NADH could alleviate mitochondrial dysfunction and inflammatory responses in SCM, providing a promising therapeutic strategy for sepsis-induced cardiac injury.
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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