YTHDF2 alleviates diabetic cardiomyopathy by targeting m6A-mediated degradation of lncRNA RMRP and inhibiting

Yanjie Xu1, Wenqi Xiong2, Congcong Xu1

  • 1Department of Cardiovascular Medicine, The Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi 330006, China.

PubMed

Insights

Diabetic cardiomyopathy involves NLRP3 inflammasome activation. This study reveals a new pathway involving lncRNA RMRP and YTHDF2 that regulates NLRP3, offering potential therapeutic targets for diabetic heart disease.

Area of Science:

  • Cardiovascular Biology
  • Molecular Medicine
  • RNA Biology

Background:

  • Diabetic cardiomyopathy (DCM) is a major complication of diabetes, significantly increasing morbidity and mortality.
  • Activation of the NOD-like receptor family pyrin domain containing 3 (NLRP3) inflammasome is a key driver of DCM pathogenesis.
  • Understanding the molecular regulators of NLRP3 inflammasome in DCM is crucial for developing effective therapies.

Purpose of the Study:

  • To elucidate a novel molecular pathway regulating NLRP3 inflammasome activation in diabetic cardiomyopathy.
  • To investigate the roles of long non-coding RNA RMRP (lncRNA RMRP) and YTH domain family protein 2 (YTHDF2) in DCM pathogenesis.
  • To identify potential therapeutic targets for DCM based on the newly discovered regulatory axis.

Main Methods:

  • Assessed lncRNA RMRP expression in high glucose-exposed cardiomyocytes and DCM mouse models.
  • Investigated the functional impact of lncRNA RMRP on pyroptosis, inflammation, and cardiac function.
  • Examined the interaction between YTHDF2 and lncRNA RMRP, including m6A modification and degradation.
  • Performed in vivo rescue experiments to validate the YTHDF2/lncRNA RMRP/NLRP3 axis.

Main Results:

  • lncRNA RMRP expression was significantly upregulated in high glucose conditions and DCM myocardial tissue.
  • lncRNA RMRP exacerbated DCM by stabilizing NLRP3 mRNA and promoting its expression, leading to pyroptosis and cardiac dysfunction.
  • YTHDF2 directly interacted with lncRNA RMRP, promoting its degradation via m6A modification and thereby suppressing NLRP3 expression.
  • YTHDF2 overexpression or lncRNA RMRP knockdown demonstrated cardioprotective effects in vivo, contingent on NLRP3 suppression.

Conclusions:

  • A novel regulatory axis, YTHDF2/lncRNA RMRP/NLRP3, was identified in the pathogenesis of diabetic cardiomyopathy.
  • lncRNA RMRP acts as a crucial mediator in DCM by upregulating NLRP3 inflammasome activation.
  • YTHDF2 functions as a negative regulator of this axis, offering a potential therapeutic strategy for DCM.