TMEM175 rescues post-infarct cardiac dysfunction via mTORC1-lysosomal axis modulation

Chen Chen1,2,3, Han Lou1,2,3, An-Ge Hu1,2,3

  • 1State Key Laboratory of Frigid Zone Cardiovascular Diseases (SKLFZCD), Department of Pharmacology, College of Pharmacy; and Department of Cardiology, the Second Affiliated Hospital, Harbin Medical University, Harbin, 150001, China.

Acta Pharmacologica Sinica
|February 25, 2026
PubMed

Insights

Lysosomal transmembrane protein 175 (TMEM175) protects the heart after myocardial infarction (MI) by restoring lysosomal function and improving cellular degradation. TMEM175 deficiency worsens cardiac injury and impairs autophagy.

Area of Science:

  • Cardiovascular Biology
  • Cellular Biology
  • Molecular Medicine

Background:

  • Lysosomal dysfunction contributes to cardiomyocyte damage in myocardial infarction (MI).
  • The role of lysosomal transmembrane protein 175 (TMEM175) in post-infarction cardiac dysfunction is not well understood.
  • TMEM175 is crucial for maintaining lysosomal homeostasis.

Purpose of the Study:

  • To investigate the role of TMEM175 in cardiac dysfunction following MI.
  • To elucidate the molecular mechanisms by which TMEM175 influences lysosomal function and cardioprotection.

Main Methods:

  • Utilized in vivo and in vitro gain- and loss-of-function models of TMEM175.
  • Assessed cardiac injury markers, infarct size, and collagen deposition post-MI.
  • Evaluated lysosomal function, including biogenesis, pH, enzyme activity, and autophagic flux.
  • Investigated the impact of TMEM175 on mTORC1 phosphorylation and TFEB nuclear translocation under hypoxic stress.

Main Results:

  • TMEM175 overexpression demonstrated significant cardioprotection in MI models, reducing infarct size and myocardial injury.
  • Restored lysosomal function, normalized pH, enhanced enzyme activities, and improved autophagic flux were observed with TMEM175 overexpression.
  • TMEM175 knockdown exacerbated cardiac pathologies and lysosomal dysfunction, particularly under hypoxic conditions.
  • Mechanistically, MI-induced TMEM175 reduction led to increased mTORC1 phosphorylation and suppressed TFEB translocation, impairing lysosomal gene regulation.

Conclusions:

  • TMEM175 plays a critical protective role in the post-MI heart by preserving lysosomal function and autophagy.
  • Restoring TMEM175 levels can reverse MI-induced lysosomal dysfunction and ameliorate cardiac injury.
  • TMEM175 deficiency exacerbates cardiac damage through mTORC1/TFEB pathway dysregulation.