TRIM28 Is an E3 Ligase of IRP2 Suppressing Ischemia/Reperfusion-Induced Myocardial Ferroptosis

Kun Zhu1, Jing Guo1, Yangli Liu1

  • 1Laboratory of Cardiovascular Science, Beijing Clinical Research Institute (K.Z., J.G., Y. Liu, J.L., X.W., R.D., L.G., J.B., R.C., Z.L., W.Z., Y.Z., Y.W., L.D., Y. Li, D.-S.L., W.A., C.-M.C.), Beijing Friendship Hospital, Capital Medical University, China.

Circulation
|March 9, 2026
PubMed
Abstract

Insights

Tripartite motif-containing 28 (TRIM28) protects the heart from ischemia/reperfusion (I/R) injury by inhibiting ferroptosis. Upregulating TRIM28 may be a therapeutic strategy for I/R injury.

Area of Science:

  • Cardiovascular Biology
  • Cell Death Mechanisms
  • Molecular Cardiology

Background:

  • Myocardial ischemia/reperfusion (I/R) injury is a severe clinical complication with limited therapeutic options.
  • Ferroptosis, an iron-dependent cell death, plays a role in I/R injury, but its underlying mechanisms are unclear.

Purpose of the Study:

  • To investigate the role of tripartite motif-containing 28 (TRIM28) in myocardial I/R injury and ferroptosis.
  • To elucidate the molecular mechanisms by which TRIM28 regulates ferroptosis in cardiomyocytes.

Main Methods:

  • Analysis of transcriptomic data and ferroptosis models in cardiomyocytes and mice.
  • Generation of cardiomyocyte-specific TRIM28 overexpression and knockout models.
  • Utilized RNA sequencing, co-immunoprecipitation, mass spectrometry, and ubiquitinome profiling.
  • Examined human heart samples from patients with ischemic heart disease.

Main Results:

  • TRIM28 expression was reduced in I/R-injured hearts and ferroptotic cardiomyocytes.
  • TRIM28 overexpression protected against I/R injury, while TRIM28 deficiency exacerbated it.
  • TRIM28 acts as an E3 ubiquitin ligase targeting IRP2, reducing iron uptake and ferroptosis.
  • p55γ interacts with and upregulates TRIM28, mitigating ferroptosis.

Conclusions:

  • TRIM28 is a crucial E3 ubiquitin ligase for IRP2, inhibiting ferroptosis via the IRP2-TFR1 signaling pathway.
  • Targeting TRIM28 offers a potential therapeutic strategy for myocardial I/R injury by suppressing ferroptosis.