Targeting Cend1-Atp5f1b interaction rescues mitochondrial dysfunction and ameliorates ischemic brain injury

Hao Li1,2,3, Yi Yang4, Meng Zhang3

  • 1Department of Neurology, the Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, Jiangsu, China.

Communications Biology
|December 30, 2025
PubMed

Insights

Cend1 protein deficiency worsens stroke outcomes by impairing mitochondrial function. The drug Tianeptine enhances Cend1 function, boosting ATP levels and offering neuroprotection in acute ischemic stroke.

Area of Science:

  • Neuroscience
  • Mitochondrial Biology
  • Ischemic Stroke Research

Background:

  • Mitochondrial dysfunction contributes significantly to neuronal damage in acute ischemic stroke (AIS).
  • Targeting mitochondrial function is a promising therapeutic avenue for AIS.
  • The role of Cend1 protein in ischemic stroke pathophysiology requires elucidation.

Purpose of the Study:

  • To investigate the role of Cend1 protein in acute ischemic stroke.
  • To elucidate the mechanisms by which Cend1 influences neuronal damage and mitochondrial function.
  • To identify potential therapeutic strategies targeting Cend1 for AIS treatment.

Main Methods:

  • Utilized Cend1 knockout (KO) mice to assess the impact of Cend1 deficiency on cerebral ischemia/reperfusion injury.
  • Evaluated neurological deficits, infarct volume, mitochondrial membrane potential (ΔΨm), mPTP opening, ATP content, and respiratory Complex I and V activities.
  • Investigated Cend1 dimerization mechanisms, its interaction with Atp5f1b, and the effect of Tianeptine (TNT) on Cend1 function and neuroprotection.

Main Results:

  • Cend1 deficiency exacerbated cerebral ischemia/reperfusion injury, leading to larger infarcts and worsened neurological deficits.
  • Cend1 forms dimers via GXXXA motifs to enhance ATP synthesis; mutations disrupting dimerization destabilized Cend1 and abolished its effects.
  • Cend1 interacts with Atp5f1b, a mitochondrial ATP synthase subunit. Tianeptine (TNT) stabilized Cend1 dimers, increased ATP levels, and provided Cend1-dependent neuroprotection.

Conclusions:

  • Cend1 plays a critical role in mitigating neuronal damage during acute ischemic stroke by maintaining mitochondrial function and ATP synthesis.
  • The Cend1/Atp5f1b interaction represents a novel mitochondria-targeted mechanism for enhancing bioenergetic resilience.
  • Tianeptine shows potential as a therapeutic agent for AIS by stabilizing Cend1 and improving mitochondrial ATP production.