Facilitation of Autophagosome-Lysosome Fusion by LAPTM4A: A Novel Strategy for Attenuating Myocardial

Siyi Zhou1,2, Jiayi Liu3,4, Manli Hu1

  • 1State Key Laboratory of New Targets Discovery and Drug Development for Major Diseases, Gannan Innovation and Translational Medicine Research Institute, School of Pharmacy, First Affiliated Hospital, Gannan Medical University, Ganzhou, China (S.Z., M.H., S.T., J.Z., H.C., S.W., X. Zhou, X.C., Y.H., Z.S., L.B., H.Y., H. Liu, J. Wan, X.-J.Z., J.C., Z.-G.S., X. Zhang, H. Li).

Circulation
|August 4, 2026
PubMed
Abstract

Insights

Lysosome-associated protein transmembrane 4 alpha (LAPTM4A) protects the heart from injury after reperfusion. This protein enhances autophagy, reducing cell death and damage, offering a potential therapeutic target for myocardial ischemia-reperfusion injury.

Area of Science:

  • Cardiovascular Biology
  • Cellular Autophagy
  • Molecular Mechanisms of Disease

Background:

  • Myocardial ischemia-reperfusion (MIR) injury impairs heart function and limits revascularization success.
  • Understanding MIR injury mechanisms is critical for developing effective treatments.
  • Lysosomal autophagy is increasingly recognized as a key regulator in MIR injury.

Purpose of the Study:

  • To identify lysosome-localized proteins that protect against MIR injury.
  • To elucidate the molecular mechanisms by which these proteins exert protective effects.
  • To validate the therapeutic potential of identified proteins in preclinical models.

Main Methods:

  • Systematic screening of a murine MIR model database for protective lysosome-localized proteins.
  • Functional validation of candidate proteins in cardiomyocyte and MIR models.
  • Investigation of molecular interactions and generation of cardiac-specific knockout/overexpression mice.

Main Results:

  • LAPTM4A (lysosome-associated protein transmembrane 4 alpha) was identified as a protective protein.
  • LAPTM4A deficiency exacerbated inflammation and cell death; overexpression improved viability.
  • LAPTM4A interacts with Rubicon, enhancing autophagic flux and mitigating cardiac damage.

Conclusions:

  • LAPTM4A is a lysosome-localized protein that protects against MIR injury by promoting autophagic flux.
  • Targeting LAPTM4A presents a promising therapeutic strategy for mitigating cardiac damage during reperfusion.