Enhancement of mitochondrial calcium uptake is cardioprotective against maladaptive hypertrophy by retrograde signaling uptuning Akt

T Tania Zaglia (Department of Biomedical Sciences, University of Padova) A Antonio Campo (Department of Biomedical Sciences, University of Padova) N Nicola Moro (Department of Biomedical Sciences, University of Padova) V Vittoria Di Mauro (Department of Biomedical Sciences, University of Padova) G Giulia Borile (Department of Biomedical Sciences, University of Padova) R Roberta Menabò (Department of Biomedical Sciences, University of Padova) S Salvatore Antonucci (Department of Biomedical Sciences, University of Padova) L Laura Poli (Department of Biomedical Sciences, University of Padova) M Marika Campesan (Department of Biomedical Sciences, University of Padova) P Pierluigi Carullo (Istituti di Ricovero e Cura a Carattere Scientifico Humanitas Research Hospital) S Sara Martinazzi (Division of Cardiac Surgery, University of Verona) G Giovanni B. Luciani (Division of Cardiac Surgery, University of Verona) K Karin Hammer (Internal Medicine II, University Hospital Regensburg) P Paola Pesce (Department of Medicine, University of Padova) R Riccardo Bariani (Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova) G Giuseppe Faggian (Division of Cardiac Surgery, University of Verona) L Lars Maier (Internal Medicine II, University Hospital Regensburg) L Laura Ventura (Department of Statistical Sciences, University of Padova) D Diego De Stefani (Department of Biomedical Sciences, University of Padova) C Cristina Mammucari (Department of Biomedical Sciences, University of Padova) R Rosario Rizzuto D Daniele Catalucci (Istituti di Ricovero e Cura a Carattere Scientifico Humanitas Research Hospital) F Fabio Di Lisa (Department of Biomedical Sciences, University of Padova) M Marco Mongillo (Department of Biomedical Sciences, University of Padova)

Abstract

Regulation of mitochondrial Ca 2+ uptake is critical in cardiac adaptation to chronic stressors. Abnormalities in Ca 2+ handling, including mitochondrial uptake mechanisms, have been implicated in pathological heart hypertrophy. Enhancing mitochondrial Ca 2+ uniporter (MCU) expression has been suggested to interfere with maladaptive development of heart failure. Here, we addressed whether MCU modulation affects the cardiac response to pressure overload. MCU content was quantified in human and murine hearts at different phases of myocardial hypertrophy. Cardiac function/structure were analyzed after Transverse Aortic Constriction (TAC) in mice undergone viral-assisted overexpression or downregulation of MCU. In vitro and ex vivo assays determined the effect of MCU modulation on mitochondrial Ca 2+ uptake, cellular phenotype and hypertrophic signaling. In human and murine hearts MCU levels increased in the adaptive phase of myocardial hypertrophy and declined in the failing stage. Consistently, modulation of MCU had a cell-autonomous effect in cardiomyocyte/heart adaptation to chronic overload. Indeed, upon TAC MCU-downregulation accelerated development of contractile dysfunction, interstitial fibrosis and heart failure. Conversely, MCU-overexpression prolonged the adaptive phase of hypertrophic response, as, in advanced stages upon TAC, hearts showed preserved contractility, absence of fibrosis and intact vascularization. In vitro and ex vivo analyses indicated that enhancement in mitochondrial Ca 2+ uptake in cardiomyocytes entails “mitochondrion-to-cytoplasm” signals leading to ROS-mediated activation of Akt, which may explain the protective effects towards heart response to TAC. Enhanced mitochondrial Ca 2+ uptake affects the compensatory response to pressure overload via retrograde mitochondrial-Ca 2+ /ROS/Akt signaling, thus uncovering a potentially targetable mechanism against maladaptive myocardial hypertrophy.

Article Details

Volume / Issue Vol. 122, Issue 11
Published March 18, 2025
ISSN 0027-8424
Publisher National Academy of Sciences

Authors (24)

T

Tania Zaglia

Department of Biomedical Sciences, University of Padova

A

Antonio Campo

Department of Biomedical Sciences, University of Padova

N

Nicola Moro

Department of Biomedical Sciences, University of Padova

V

Vittoria Di Mauro

Department of Biomedical Sciences, University of Padova

G

Giulia Borile

Department of Biomedical Sciences, University of Padova

R

Roberta Menabò

Department of Biomedical Sciences, University of Padova

S

Salvatore Antonucci

Department of Biomedical Sciences, University of Padova

L

Laura Poli

Department of Biomedical Sciences, University of Padova

M

Marika Campesan

Department of Biomedical Sciences, University of Padova

P

Pierluigi Carullo

Istituti di Ricovero e Cura a Carattere Scientifico Humanitas Research Hospital

S

Sara Martinazzi

Division of Cardiac Surgery, University of Verona

G

Giovanni B. Luciani

Division of Cardiac Surgery, University of Verona

K

Karin Hammer

Internal Medicine II, University Hospital Regensburg

P

Paola Pesce

Department of Medicine, University of Padova

R

Riccardo Bariani

Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova

G

Giuseppe Faggian

Division of Cardiac Surgery, University of Verona

L

Lars Maier

Internal Medicine II, University Hospital Regensburg

L

Laura Ventura

Department of Statistical Sciences, University of Padova

D

Diego De Stefani

Department of Biomedical Sciences, University of Padova

C

Cristina Mammucari

Department of Biomedical Sciences, University of Padova

R

Rosario Rizzuto

D

Daniele Catalucci

Istituti di Ricovero e Cura a Carattere Scientifico Humanitas Research Hospital

F

Fabio Di Lisa

Department of Biomedical Sciences, University of Padova

M

Marco Mongillo

Department of Biomedical Sciences, University of Padova