Background: Diabetic cardiomyopathy (DCM) is a major complication of diabetes mellitus, characterized by myocardial dysfunction. Voltage-dependent anion channel 1 (VDAC1), a key regulator of mitochondrial function and cellular metabolism, has been implicated in various cardiovascular diseases. However, its role in DCM and the underlying molecular mechanisms remain poorly understood. Given the increasing prevalence of diabetes and the lack of effective therapies targeting DCM, investigating VDAC1 regulatory pathways could provide novel insights into disease pathogenesis and potential therapeutic strategies.
Methods: This study used high glucose (HG)-treated human cardiomyocytes (AC16) and a streptozotocin (STZ)-induced diabetic mouse model to explore the role of ubiquitin-specific peptidase 14 (USP14)/ELAV-like RNA-binding protein 1 (ELAVL1)/VDAC1 in DCM. VDAC1, USP14, and ELAVL1 expression levels were assessed via quantitative real-time polymerase chain reaction and Western blotting. Cell viability was analyzed using a cell counting kit-8 assay. Cell apoptosis was analyzed using flow cytometry. Interleukin-6 (IL-6) and interleukin-1β (IL-1β) levels were analyzed by enzyme-linked immunosorbent assay. Colorimetric assays were performed to detect Fe2+, malondialdehyde (MDA) and superoxide dismutase (SOD) levels. Flow cytometry or fluorescence quantification was used to detect reactive oxygen species (ROS) and mitochondrial membrane potential (MMP) levels. Protein-protein and RNA-protein interactions were analyzed by co-immunoprecipitation (Co-IP), ubiquitination, RNA immunoprecipitation (RIP), and RNA pull-down assays. Myocardial tissue pathology was examined via Masson's trichrome and hematoxylin-eosin (HE) staining.
Results: Treatment with HG promoted apoptosis. HG treatment also led to a significant increase in the levels of pro-inflammatory cytokines (IL-6 and IL-1β), intracellular Fe2+, and oxidative stress markers (MDA and ROS). Concurrently, a reduction in antioxidant enzyme SOD activity and a collapse of MMP were observed. However, all HG-induced effects were attenuated by VDAC1 knockdown. Mechanistically, USP14 stabilized K63-linked VDAC1 protein levels through deubiquitination, while ELAVL1 enhanced the post-transcriptional stability of VDAC1 expression by binding for its mRNA. Silencing either USP14 or ELAVL1 reversed HG-induced cellular injury, whereas VDAC1 overexpression abolished these protective effects. In vivo, silencing of USP14 or ELAVL1 improved cardiac function in diabetic mice.
Conclusion: The USP14/ELAVL1-mediated stabilization of VDAC1 exacerbated myocardial injury in DCM by promoting apoptosis, inflammation, ferroptosis, and mitochondrial dysfunction.
扫码关注我们
求助内容:
应助结果提醒方式:
