Cardiomyocyte specific CD38 deletion protects heart from acute myocardial infarction by activating Sirt3 signaling

Ke Wen1,2, Ya-Ting Zhang1,2, Qi-Hang Zhao1

  • 1National Engineering Research Center for Bioengineering Drugs and the Technologies, Institute of Translational Medicine, Jiangxi Medical College, Nanchang University, 999 Xuefu Road, Honggutan District, Nanchang, 330031, Jiangxi, China.

Scientific Reports
|May 17, 2025
PubMed

Insights

Cardiomyocyte-specific CD38 deficiency improves heart function after acute myocardial infarction (AMI). This protection involves reduced fibrosis and apoptosis, mediated by the NAD+/Sirt3 pathway.

Area of Science:

  • Cardiovascular Biology
  • Molecular Cardiology
  • Metabolic Enzyme Research

Background:

  • Acute myocardial infarction (AMI) presents a significant global health challenge.
  • CD38, a metabolic enzyme, is implicated in various diseases, with prior studies showing its role in cardiac hypertrophy and ischemia-reperfusion injury.
  • The specific function of CD38 within cardiomyocytes during AMI remains unelucidated.

Purpose of the Study:

  • To investigate the role of cardiomyocyte-specific CD38 deficiency in the context of acute myocardial infarction.
  • To elucidate the underlying molecular mechanisms by which CD38 influences cardiac function and cell survival during AMI.

Main Methods:

  • Generation of cardiomyocyte-specific CD38-deficient mice (CD38CKO).
  • Assessment of cardiac function and histological analysis in an AMI model.
  • Evaluation of cardiomyocyte apoptosis, mitochondrial protein expression (Bcl2/Bax ratio, Mfn1, Mfn2), and signaling pathways (NAD+/Sirt3) in vivo and in vitro.
  • Pharmacological inhibition of Sirt3 using 3-TYP.

Main Results:

  • Cardiomyocyte-specific CD38 deficiency (CD38CKO) significantly improved cardiac function in AMI.
  • CD38CKO reduced fibrosis in the peri-infarct zone and inhibited cardiomyocyte apoptosis.
  • Protection against apoptosis was linked to an increased Bcl2/Bax ratio, elevated Mfn1/Mfn2 expression, and activation of the NAD+/Sirt3 pathway.
  • Knockdown of CD38 protected cardiomyocytes from hypoxia-induced apoptosis, an effect reversed by Sirt3 inhibition.

Conclusions:

  • Cardiomyocyte-specific CD38 deficiency confers protection against acute myocardial infarction.
  • The protective effects are mediated by the suppression of cardiomyocyte apoptosis through the activation of NAD+/Sirt3 signaling pathways.
  • Targeting CD38 in cardiomyocytes represents a potential therapeutic strategy for managing AMI.

Related Concept Videos