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TP53 links mitochondria-endoplasmic reticulum crosstalk and ferroptosis in septic cardiomyopathy: Protective
Jinshuai Lu1, Yuxia Tao2, Jinxian Li3
1Department of Emergency, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi City 830001, Xinjiang, China.
Background:
Septic cardiomyopathy (SCM) is a major contributor to sepsis-related mortality, with limited targeted therapies. Ferroptosis and mitochondria-associated endoplasmic reticulum membranes (MAMs) have emerged as important regulators of cardiac injury. TP53 can influence ferroptosis and MAM function, but its role in SCM remains unclear. This study investigated the involvement of TP53 in MAM-associated ferroptosis and the potential protective effects of nicorandil (Nic).
Methods:
Bioinformatics analyses were performed to identify key SCM-related genes. Functional validation was conducted in LPS-induced H9C2 cells and a rat SCM model using pharmacological and genetic interventions, including Nic, GSK2656157, TP53 overexpression, and TP53 knockdown. Mitochondrial function, oxidative stress, calcium homeostasis, ferroptosis, and ER-mitochondria interactions were assessed.
Results:
TP53 was identified as a hub gene associated with ferroptosis and mitochondrial-related pathways. LPS stimulation increased TP53 expression and transcriptional activity, accompanied by enhanced ER-mitochondria proximity, calcium dysregulation, oxidative stress, and ferroptosis-related changes. Nic significantly attenuated myocardial injury, reduced lipid peroxidation and iron accumulation, and restored GPX4 and SLC7A11 expression (P < 0.01). TP53 overexpression weakened these protective effects, whereas TP53 knockdown alleviated LPS-induced injury and ferroptosis-related changes. In addition, the ferroptosis inhibitor ferrostatin-1 partially recapitulated the protective effects of Nic. Combined treatment with GSK further improved ER stress-related alterations and calcium homeostasis.
Conclusion:
These findings suggest that TP53 is functionally involved in SCM and is associated with MAM-related alterations, calcium dysregulation, and ferroptosis. Nic confers cardioprotective effects in vitro and in vivo, at least in part through modulation of TP53-associated stress signaling and ferroptosis. Targeting TP53-related subcellular stress pathways may represent a potential therapeutic strategy for septic cardiomyopathy.
Insights
Septic cardiomyopathy involves TP53-regulated ferroptosis and ER-mitochondria dysfunction. Nicorandil protects the heart by modulating TP53 signaling and ferroptosis, offering a potential therapeutic strategy.
Area of Science:
- Cardiovascular Biology
- Cellular Stress Response
- Molecular Medicine
Background:
- Septic cardiomyopathy (SCM) significantly contributes to sepsis mortality, lacking targeted therapies.
- Ferroptosis and mitochondria-associated endoplasmic reticulum membranes (MAMs) are implicated in cardiac injury.
- The role of TP53 in SCM, ferroptosis, and MAMs is not well understood.
Purpose of the Study:
- Investigate TP53's role in MAM-associated ferroptosis in SCM.
- Evaluate the cardioprotective effects of nicorandil (Nic) in SCM.
Main Methods:
- Bioinformatics analysis identified key SCM genes.
- Functional studies used LPS-induced H9C2 cells and a rat SCM model.
- Assessed mitochondrial function, oxidative stress, calcium homeostasis, ferroptosis, and ER-mitochondria interactions with pharmacological and genetic interventions.
Main Results:
- TP53 was identified as a hub gene linking ferroptosis and mitochondrial pathways in SCM.
- LPS increased TP53, ER-mitochondria proximity, calcium dysregulation, oxidative stress, and ferroptosis.
- Nic attenuated myocardial injury, reduced ferroptosis markers, and restored protective proteins; TP53 modulation affected these outcomes.
Conclusions:
- TP53 is involved in SCM via MAM alterations, calcium dysregulation, and ferroptosis.
- Nicorandil provides cardioprotection by modulating TP53-associated stress signaling and ferroptosis.
- Targeting TP53-related stress pathways offers a potential therapeutic avenue for SCM.
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