Cardiomyocyte OTUD1 drives diabetic cardiomyopathy via directly deubiquitinating AMPKα2 and inducing mitochondrial

Xue Han1,2, Ruyi Zheng1, Jiajia Zhang1,3

  • 1Zhejiang Provincial Key Laboratory of Laboratory Animals and Safety Research, School of Pharmaceutical Sciences, Hangzhou Medical College, Hangzhou, Zhejiang, China.

Nature Communications
|July 19, 2025
PubMed

Insights

Ovarian tumor domain-containing protein 1 (OTUD1) drives diabetic cardiomyopathy (DCM) by inhibiting AMPK signaling in heart cells. Blocking OTUD1 protects against cardiac dysfunction in diabetes.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Cardiology

Background:

  • Protein deubiquitination is crucial in disease pathogenesis.
  • Diabetic cardiomyopathy (DCM) involves complex molecular mechanisms.
  • Ovarian tumor domain-containing protein 1 (OTUD1) is a deubiquitinating enzyme (DUB).

Purpose of the Study:

  • Investigate the role of OTUD1 in diabetic cardiomyopathy (DCM).
  • Elucidate the regulatory mechanism of OTUD1 in cardiac function during diabetes.
  • Determine the OTUD1-AMPK signaling axis in DCM pathogenesis.

Main Methods:

  • Assessed OTUD1 expression in diabetic mouse hearts using quantitative methods.
  • Utilized single-cell RNA sequencing to identify OTUD1 localization in cardiomyocytes.
  • Performed cardiomyocyte-specific OTUD1 knockout in diabetic mouse models.
  • Analyzed AMPK activity, phosphorylation, and mitochondrial function.
  • Investigated protein-protein interactions between OTUD1, AMPKα2, and CAMKK2.

Main Results:

  • OTUD1 expression is significantly increased in diabetic mouse hearts, primarily in cardiomyocytes.
  • Cardiomyocyte-specific OTUD1 knockout ameliorated cardiac hypertrophy and dysfunction in diabetic mice.
  • OTUD1 deficiency restored cardiac AMPK activity and mitochondrial function.
  • OTUD1 directly binds and deubiquitinates AMPKα2, inhibiting its phosphorylation by CAMKK2.
  • Silencing AMPKα2 abrogated the cardioprotective effects of OTUD1 deficiency.

Conclusions:

  • OTUD1 acts as a direct regulator of AMPK in cardiomyocytes.
  • A novel OTUD1-AMPK signaling axis contributes to the pathogenesis of DCM.
  • Targeting OTUD1 may offer a therapeutic strategy for diabetic cardiomyopathy.

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