ALYREF inhibits ferroptosis in vascular endothelial cells and improves atherosclerosis by epigenetic modification of

Jinghai Hua1,2, Ling Yu1,2, Wenjun Xiong1,2

  • 1Department of Cardiology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, No. 17, Yongwai Zheng Street, Nanchang, 330006, Jiangxi, China.

Clinical Epigenetics
|September 24, 2025
PubMed
Abstract

Insights

Methyl-N6-adenosine (m5C) reader ALYREF stabilizes CISD1 mRNA, reducing lipid accumulation and ferroptosis to alleviate atherosclerosis progression. This finding offers a novel therapeutic target for cardiovascular disease.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Cardiovascular Research

Background:

  • Atherosclerosis (AS) involves lipid metabolism dysfunction.
  • Messenger RNA (mRNA) methylation, specifically 5-methylcytosine (m5C), plays a regulatory role in AS progression.
  • The function of the m5C reader protein ALYREF in AS remains largely unexplored.

Purpose of the Study:

  • To investigate the role and underlying mechanism of the m5C reader ALYREF in the development and progression of atherosclerosis.
  • To determine how ALYREF influences lipid metabolism, inflammation, and cell death pathways in the context of AS.

Main Methods:

  • Atherosclerosis models in ApoE-/- mice and human primary coronary artery endothelial cells (HCAEC) exposed to oxidized low-density lipoprotein (ox-LDL).
  • Assessment of aortic plaque, serum lipid levels, vascular inflammation, and cellular ATP production.
  • Analysis of ALYREF, CISD1, and ferroptosis-related protein expression via RT-qPCR and Western blot.
  • Cellular assays for viability, apoptosis, mitochondrial function, reactive oxygen species (ROS), and oxidative stress markers.
  • RNA immunoprecipitation (RIP) assay to confirm ALYREF binding to CISD1 mRNA and m5C RNA immunoprecipitation (MeRIP).

Main Results:

  • ALYREF expression was significantly decreased in AS mouse models and ox-LDL-treated HCAEC.
  • Overexpression of ALYREF ameliorated ox-LDL-induced apoptosis, inflammation, and lipid accumulation in HCAEC.
  • ALYREF attenuated mitochondrial damage and ferroptosis in AS models.
  • ALYREF directly enhanced the stability and expression of CISD1 mRNA through m5C modification.
  • The protective effects of ALYREF were dependent on CISD1 expression, as its reversal negated ALYREF's benefits.

Conclusions:

  • ALYREF plays a protective role in atherosclerosis by enhancing m5C modification of CISD1 mRNA, thereby increasing its stability and expression.
  • This ALYREF-mediated mechanism impedes aberrant lipid metabolism and endothelial cell ferroptosis, alleviating AS-associated pathological changes.
  • Targeting ALYREF-CISD1 interaction presents a potential therapeutic strategy for managing atherosclerosis.