SIRT3-mediated deacetylation of ATP5A1 improves mitochondrial function to attenuate myocardial ischemia-reperfusion

Yuanyuan Chen1, Gaojie Xin2, Huiyu Zhang1

  • 1Institute of Basic Medicine, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, 100091, China.

Insights

Sirtuin 3 (SIRT3) protects against myocardial ischemia-reperfusion injury (MIRI) by deacetylating ATP synthase. Restoring SIRT3 function mitigates mitochondrial dysfunction and cardiomyocyte apoptosis in MIRI.

Area of Science:

  • Cardiovascular Biology
  • Mitochondrial Medicine
  • Molecular Cardiology

Background:

  • Mitochondrial dysfunction is central to myocardial ischemia-reperfusion injury (MIRI).
  • The role of protein acetylation in MIRI pathogenesis is not fully understood.
  • Sirtuin 3 (SIRT3) is a key regulator of mitochondrial function.

Purpose of the Study:

  • To investigate the role of SIRT3 in MIRI.
  • To elucidate the molecular mechanisms by which SIRT3 regulates mitochondrial function in MIRI.
  • To evaluate SIRT3 as a potential therapeutic target for MIRI.

Main Methods:

  • Bioinformatics analysis of MIRI datasets (GSE83472, GSE58486, GSE61592) to identify differentially expressed genes.
  • In vivo and in vitro experiments using SIRT3 inhibitors/plasmids in MIRI mouse models and H/R-injured HL-1 cardiomyocytes.
  • Biochemical assays, histopathology, electron microscopy, immunoprecipitation, and point mutation analysis to assess mitochondrial function and ATP5A1 acetylation.

Main Results:

  • SIRT3 expression was downregulated in MIRI, leading to increased mitochondrial acetylation, structural damage, and apoptosis.
  • SIRT3 inhibition worsened MIRI outcomes.
  • SIRT3 overexpression reduced ATP5A1 acetylation, improved mitochondrial potential and respiration, decreased reactive oxygen species (ROS), and protected against cardiomyocyte apoptosis.

Conclusions:

  • SIRT3 mitigates MIRI by deacetylating ATP synthase F1 complex subunit alpha (ATP5A1), thereby enhancing mitochondrial function.
  • SIRT3 represents a novel therapeutic target for MIRI treatment.
  • This study reveals a critical molecular mechanism linking protein acetylation to MIRI pathogenesis.