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2015 ; 131
(12
): 1082-97
Nephropedia Template TP
gab.com Text
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English Wikipedia
Thioredoxin-2 inhibits mitochondrial reactive oxygen species generation and
apoptosis stress kinase-1 activity to maintain cardiac function
#MMPMID25628390
Huang Q
; Zhou HJ
; Zhang H
; Huang Y
; Hinojosa-Kirschenbaum F
; Fan P
; Yao L
; Belardinelli L
; Tellides G
; Giordano FJ
; Budas GR
; Min W
Circulation
2015[Mar]; 131
(12
): 1082-97
PMID25628390
show ga
BACKGROUND: Thioredoxin 2 (Trx2) is a key mitochondrial protein that regulates
cellular redox and survival by suppressing mitochondrial reactive oxygen species
generation and by inhibiting apoptosis stress kinase-1 (ASK1)-dependent apoptotic
signaling. To date, the role of the mitochondrial Trx2 system in heart failure
pathogenesis has not been investigated. METHODS AND RESULTS: Western blot and
histological analysis revealed that Trx2 protein expression levels were reduced
in hearts from patients with dilated cardiomyopathy, with a concomitant increase
in ASK1 phosphorylation/activity. Cardiac-specific Trx2 knockout mice develop
spontaneous dilated cardiomyopathy at 1 month of age with increased heart size,
reduced ventricular wall thickness, and a progressive decline in left ventricular
contractile function, resulting in mortality due to heart failure by ?4 months of
age. The progressive decline in cardiac function observed in cardiac-specific
Trx2 knockout mice was accompanied by the disruption of mitochondrial
ultrastructure, mitochondrial membrane depolarization, increased mitochondrial
reactive oxygen species generation, and reduced ATP production, correlating with
increased ASK1 signaling and increased cardiomyocyte apoptosis. Chronic
administration of a highly selective ASK1 inhibitor improved cardiac phenotype
and reduced maladaptive left ventricular remodeling with significant reductions
in oxidative stress, apoptosis, fibrosis, and cardiac failure. Cellular data from
Trx2-deficient cardiomyocytes demonstrated that ASK1 inhibition reduced apoptosis
and reduced mitochondrial reactive oxygen species generation. CONCLUSIONS: Our
data support an essential role for mitochondrial Trx2 in preserving cardiac
function by suppressing mitochondrial reactive oxygen species production and
ASK1-dependent apoptosis. Inhibition of ASK1 represents a promising therapeutic
strategy for the treatment of dilated cardiomyopathy and heart failure.