Mitochondrial protein OPA3 sustains cardiac function by regulating calcium handling in male mice

Na Geng1, Taiwei Chen1, Hao Li2

  • 1Department of Cardiology, Renji Hospital, School of Medicine, State Key Laboratory for Systems Medicine for Cancer, Shanghai Cancer Institute, Shanghai Jiao Tong University, Shanghai, China.

Nature Communications
|June 17, 2026
PubMed

Insights

Opa3 protein deficiency causes heart failure by disrupting calcium handling and mitochondrial function. Restoring Opa3 levels may offer a new therapeutic strategy for heart failure.

Area of Science:

  • Cardiology
  • Mitochondrial Biology
  • Molecular Mechanisms of Heart Failure

Background:

  • Heart failure (HF) is a major global health challenge.
  • Impaired cardiac contractility, remodeling, calcium (Ca2+) handling, and mitochondrial dysfunction characterize HF.
  • The molecular regulators of these processes are not fully understood.

Purpose of the Study:

  • To investigate the role of Opa3 in heart failure.
  • To elucidate the molecular mechanisms by which Opa3 influences cardiac function.

Main Methods:

  • Studied OPA3 levels in human and murine HF.
  • Generated cardiomyocyte-specific Opa3 knockout mice.
  • Assessed cardiac function, Ca2+ handling, and mitochondrial function.
  • Investigated OPA3 interactions with phospholamban (PLN) and SERCA2a.
  • Utilized pressure overload and doxorubicin HF models in mice.

Main Results:

  • OPA3 levels were reduced in human and murine HF.
  • Cardiomyocyte-specific Opa3 deletion induced dilated cardiomyopathy (DCM) with impaired cardiac function, Ca2+ cycling, and mitochondrial function.
  • OPA3 is crucial for PLN interaction, maintaining SERCA2a activity and Ca2+ handling.
  • OPA3 deficiency impairs mitochondrial outer membrane function.
  • Opa3 overexpression ameliorated cardiac dysfunction in HF models.

Conclusions:

  • OPA3 plays a critical role in maintaining cardiac function.
  • The OPA3-PLN-SERCA2a axis regulates both mitochondrial and sarcoplasmic reticulum function.
  • OPA3 represents a potential therapeutic target for heart failure.

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