PMID- 37905452 OWN - NLM STAT- MEDLINE DCOM- 20231206 LR - 20240403 IS - 1524-4539 (Electronic) IS - 0009-7322 (Print) IS - 0009-7322 (Linking) VI - 148 IP - 23 DP - 2023 Dec 5 TI - Reduced Mitochondrial Protein Translation Promotes Cardiomyocyte Proliferation and Heart Regeneration. PG - 1887-1906 LID - 10.1161/CIRCULATIONAHA.122.061192 [doi] AB - BACKGROUND: The importance of mitochondria in normal heart function are well recognized and recent studies have implicated changes in mitochondrial metabolism with some forms of heart disease. Previous studies demonstrated that knockdown of the mitochondrial ribosomal protein S5 (MRPS5) by small interfering RNA (siRNA) inhibits mitochondrial translation and thereby causes a mitonuclear protein imbalance. Therefore, we decided to examine the effects of MRPS5 loss and the role of these processes on cardiomyocyte proliferation. METHODS: We deleted a single allele of MRPS5 in mice and used left anterior descending coronary artery ligation surgery to induce myocardial damage in these animals. We examined cardiomyocyte proliferation and cardiac regeneration both in vivo and in vitro. Doxycycline treatment was used to inhibit protein translation. Heart function in mice was assessed by echocardiography. Quantitative real-time polymerase chain reaction and RNA sequencing were used to assess changes in transcription and chromatin immunoprecipitation (ChIP) and BioChIP were used to assess chromatin effects. Protein levels were assessed by Western blotting and cell proliferation or death by histology and terminal deoxynucleotidyl transferase dUTP nick-end labeling (TUNEL) assays. Adeno-associated virus was used to overexpress genes. The luciferase reporter assay was used to assess promoter activity. Mitochondrial oxygen consumption rate, ATP levels, and reactive oxygen species were also analyzed. RESULTS: We determined that deletion of a single allele of MRPS5 in mice results in elevated cardiomyocyte proliferation and cardiac regeneration; this observation correlates with improved cardiac function after induction of myocardial infarction. We identified ATF4 (activating transcription factor 4) as a key regulator of the mitochondrial stress response in cardiomyocytes from Mrps5(+/-) mice; furthermore, ATF4 regulates Knl1 (kinetochore scaffold 1) leading to an increase in cytokinesis during cardiomyocyte proliferation. The increased cardiomyocyte proliferation observed in Mrps5+/- mice was attenuated when one allele of Atf4 was deleted genetically (Mrps5(+/-)/Atf4(+/-)), resulting in the loss in the capacity for cardiac regeneration. Either MRPS5 inhibition (or as we also demonstrate, doxycycline treatment) activate a conserved regulatory mechanism that increases the proliferation of human induced pluripotent stem cell-derived cardiomyocytes. CONCLUSIONS: These data highlight a critical role for MRPS5/ATF4 in cardiomyocytes and an exciting new avenue of study for therapies to treat myocardial injury. FAU - Gao, Feng AU - Gao F AD - Department of Cardiology, State Key Laboratory of Transvascular Implantation Devices, Provincial Key Lab of Cardiovascular Research, Second Affiliated Hospital (F.G., T.L., L.P., X.F., X.D., T.H., F.Z., N.L., H.Y., W.Z., X.H., J.W., J.C.). AD - Institute of Translational Medicine, Zhejiang University School of Medicine (F.G., T.L., L.P., X.F., X.D., F.Z., N.L., Y.Z., H.W., P.L., J.C.). FAU - Liang, Tian AU - Liang T AUID- ORCID: 0000-0002-1563-516X AD - Department of Cardiology, State Key Laboratory of Transvascular Implantation Devices, Provincial Key Lab of Cardiovascular Research, Second Affiliated Hospital (F.G., T.L., L.P., X.F., X.D., T.H., F.Z., N.L., H.Y., W.Z., X.H., J.W., J.C.). AD - Institute of Translational Medicine, Zhejiang University School of Medicine (F.G., T.L., L.P., X.F., X.D., F.Z., N.L., Y.Z., H.W., P.L., J.C.). FAU - Lu, Yao Wei AU - Lu YW AUID- ORCID: 0000-0001-6200-2974 AD - Department of Cardiology (Y.W.L., W.T.P., D.-Z.W.), Boston Children's Hospital, Harvard Medical School, Boston, MA. FAU - Pu, Linbin AU - Pu L AD - Department of Cardiology, State Key Laboratory of Transvascular Implantation Devices, Provincial Key Lab of Cardiovascular Research, Second Affiliated Hospital (F.G., T.L., L.P., X.F., X.D., T.H., F.Z., N.L., H.Y., W.Z., X.H., J.W., J.C.). AD - Institute of Translational Medicine, Zhejiang University School of Medicine (F.G., T.L., L.P., X.F., X.D., F.Z., N.L., Y.Z., H.W., P.L., J.C.). FAU - Fu, Xuyang AU - Fu X AD - Department of Cardiology, State Key Laboratory of Transvascular Implantation Devices, Provincial Key Lab of Cardiovascular Research, Second Affiliated Hospital (F.G., T.L., L.P., X.F., X.D., T.H., F.Z., N.L., H.Y., W.Z., X.H., J.W., J.C.). AD - Institute of Translational Medicine, Zhejiang University School of Medicine (F.G., T.L., L.P., X.F., X.D., F.Z., N.L., Y.Z., H.W., P.L., J.C.). FAU - Dong, Xiaoxuan AU - Dong X AUID- ORCID: 0000-0002-3712-3720 AD - Department of Cardiology, State Key Laboratory of Transvascular Implantation Devices, Provincial Key Lab of Cardiovascular Research, Second Affiliated Hospital (F.G., T.L., L.P., X.F., X.D., T.H., F.Z., N.L., H.Y., W.Z., X.H., J.W., J.C.). AD - Institute of Translational Medicine, Zhejiang University School of Medicine (F.G., T.L., L.P., X.F., X.D., F.Z., N.L., Y.Z., H.W., P.L., J.C.). FAU - Hong, Tingting AU - Hong T AD - Department of Cardiology, State Key Laboratory of Transvascular Implantation Devices, Provincial Key Lab of Cardiovascular Research, Second Affiliated Hospital (F.G., T.L., L.P., X.F., X.D., T.H., F.Z., N.L., H.Y., W.Z., X.H., J.W., J.C.). FAU - Zhang, Feng AU - Zhang F AD - Department of Cardiology, State Key Laboratory of Transvascular Implantation Devices, Provincial Key Lab of Cardiovascular Research, Second Affiliated Hospital (F.G., T.L., L.P., X.F., X.D., T.H., F.Z., N.L., H.Y., W.Z., X.H., J.W., J.C.). AD - Institute of Translational Medicine, Zhejiang University School of Medicine (F.G., T.L., L.P., X.F., X.D., F.Z., N.L., Y.Z., H.W., P.L., J.C.). FAU - Liu, Ning AU - Liu N AD - Department of Cardiology, State Key Laboratory of Transvascular Implantation Devices, Provincial Key Lab of Cardiovascular Research, Second Affiliated Hospital (F.G., T.L., L.P., X.F., X.D., T.H., F.Z., N.L., H.Y., W.Z., X.H., J.W., J.C.). AD - Institute of Translational Medicine, Zhejiang University School of Medicine (F.G., T.L., L.P., X.F., X.D., F.Z., N.L., Y.Z., H.W., P.L., J.C.). FAU - Zhou, Yuxia AU - Zhou Y AD - Institute of Translational Medicine, Zhejiang University School of Medicine (F.G., T.L., L.P., X.F., X.D., F.Z., N.L., Y.Z., H.W., P.L., J.C.). FAU - Wang, Hongkun AU - Wang H AD - Institute of Translational Medicine, Zhejiang University School of Medicine (F.G., T.L., L.P., X.F., X.D., F.Z., N.L., Y.Z., H.W., P.L., J.C.). AD - Key Laboratory of combined Multi-organ Transplantation, Ministry of Public Health, the First Affiliated Hospital (H.W., P.L.,), Zhejiang University School of Medicine, Hangzhou, China. FAU - Liang, Ping AU - Liang P AUID- ORCID: 0000-0001-6806-3735 AD - Institute of Translational Medicine, Zhejiang University School of Medicine (F.G., T.L., L.P., X.F., X.D., F.Z., N.L., Y.Z., H.W., P.L., J.C.). AD - Key Laboratory of combined Multi-organ Transplantation, Ministry of Public Health, the First Affiliated Hospital (H.W., P.L.,), Zhejiang University School of Medicine, Hangzhou, China. FAU - Guo, Yuxuan AU - Guo Y AUID- ORCID: 0000-0002-6009-4403 AD - Institute of Cardiovascular Sciences, Peking University Health Science Center, Beijing, China (Y.G.). FAU - Yu, Hong AU - Yu H AD - Department of Cardiology, State Key Laboratory of Transvascular Implantation Devices, Provincial Key Lab of Cardiovascular Research, Second Affiliated Hospital (F.G., T.L., L.P., X.F., X.D., T.H., F.Z., N.L., H.Y., W.Z., X.H., J.W., J.C.). FAU - Zhu, Wei AU - Zhu W AD - Department of Cardiology, State Key Laboratory of Transvascular Implantation Devices, Provincial Key Lab of Cardiovascular Research, Second Affiliated Hospital (F.G., T.L., L.P., X.F., X.D., T.H., F.Z., N.L., H.Y., W.Z., X.H., J.W., J.C.). FAU - Hu, Xinyang AU - Hu X AUID- ORCID: 0000-0002-6699-8470 AD - Department of Cardiology, State Key Laboratory of Transvascular Implantation Devices, Provincial Key Lab of Cardiovascular Research, Second Affiliated Hospital (F.G., T.L., L.P., X.F., X.D., T.H., F.Z., N.L., H.Y., W.Z., X.H., J.W., J.C.). FAU - Chen, Hong AU - Chen H AUID- ORCID: 0000-0002-1906-6611 AD - Vascular Biology Program (H.C.), Boston Children's Hospital, Harvard Medical School, Boston, MA. FAU - Zhou, Bin AU - Zhou B AD - State Key Laboratory of Cell Biology, Shanghai Institute of Biochemistry and Cell Biology, Center for Excellence in Molecular Cell Science, Chinese Academy of Sciences, University of Chinese Academy of Sciences, Shanghai, China (B.Z.). FAU - Pu, William T AU - Pu WT AUID- ORCID: 0000-0002-4551-8079 AD - Department of Cardiology (Y.W.L., W.T.P., D.-Z.W.), Boston Children's Hospital, Harvard Medical School, Boston, MA. FAU - Mably, John D AU - Mably JD AUID- ORCID: 0000-0002-3626-9090 AD - Center for Regenerative Medicine, University of South Florida Health Heart Institute, Departments of Internal Medicine and Molecular Pharmacology and Physiology, Morsani School of Medicine, University of South Florida, Tampa, FL (J.D.M., D.-Z.W.). FAU - Wang, Jian'an AU - Wang J AD - Department of Cardiology, State Key Laboratory of Transvascular Implantation Devices, Provincial Key Lab of Cardiovascular Research, Second Affiliated Hospital (F.G., T.L., L.P., X.F., X.D., T.H., F.Z., N.L., H.Y., W.Z., X.H., J.W., J.C.). FAU - Wang, Da-Zhi AU - Wang DZ AUID- ORCID: 0000-0003-1774-6549 AD - Department of Cardiology (Y.W.L., W.T.P., D.-Z.W.), Boston Children's Hospital, Harvard Medical School, Boston, MA. AD - Center for Regenerative Medicine, University of South Florida Health Heart Institute, Departments of Internal Medicine and Molecular Pharmacology and Physiology, Morsani School of Medicine, University of South Florida, Tampa, FL (J.D.M., D.-Z.W.). FAU - Chen, Jinghai AU - Chen J AUID- ORCID: 0000-0002-5401-047X AD - Department of Cardiology, State Key Laboratory of Transvascular Implantation Devices, Provincial Key Lab of Cardiovascular Research, Second Affiliated Hospital (F.G., T.L., L.P., X.F., X.D., T.H., F.Z., N.L., H.Y., W.Z., X.H., J.W., J.C.). AD - Institute of Translational Medicine, Zhejiang University School of Medicine (F.G., T.L., L.P., X.F., X.D., F.Z., N.L., Y.Z., H.W., P.L., J.C.). LA - eng GR - R01 HL133216/HL/NHLBI NIH HHS/United States GR - R01 HL116919/HL/NHLBI NIH HHS/United States GR - R01 HL158097/HL/NHLBI NIH HHS/United States GR - R01 HL168900/HL/NHLBI NIH HHS/United States GR - R01 HL125925/HL/NHLBI NIH HHS/United States GR - R01 HL141853/HL/NHLBI NIH HHS/United States GR - R01 HL138757/HL/NHLBI NIH HHS/United States GR - R01 HL149401/HL/NHLBI NIH HHS/United States GR - R01 HL093242/HL/NHLBI NIH HHS/United States GR - R01 HL165794/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20231031 PL - United States TA - Circulation JT - Circulation JID - 0147763 RN - N12000U13O (Doxycycline) RN - 0 (RNA, Small Interfering) RN - 0 (Mitochondrial Proteins) SB - IM MH - Humans MH - Mice MH - Animals MH - *Myocytes, Cardiac/metabolism MH - Doxycycline MH - Cells, Cultured MH - *Induced Pluripotent Stem Cells/metabolism MH - RNA, Small Interfering/metabolism MH - Protein Biosynthesis MH - Cell Proliferation MH - Regeneration MH - Mitochondrial Proteins/genetics/metabolism PMC - PMC10841688 MID - NIHMS1937645 OTO - NOTNLM OT - cell division OT - mitochondria OT - myocardial infarction OT - myocytes OT - regeneration COIS- Disclosures None. EDAT- 2023/10/31 06:42 MHDA- 2023/12/06 06:42 PMCR- 2024/12/05 CRDT- 2023/10/31 05:29 PHST- 2024/12/05 00:00 [pmc-release] PHST- 2023/12/06 06:42 [medline] PHST- 2023/10/31 06:42 [pubmed] PHST- 2023/10/31 05:29 [entrez] AID - 10.1161/CIRCULATIONAHA.122.061192 [doi] PST - ppublish SO - Circulation. 2023 Dec 5;148(23):1887-1906. doi: 10.1161/CIRCULATIONAHA.122.061192. Epub 2023 Oct 31.