Loss of STMP1 Perturbs Mitochondrial Cristae and Drives Cellular Inflammation and Heart Failure

F Francesco Paolo Ruberto (Cardiovascular Metabolic Disease Translational Research Programme, National University Health System, Singapore (F.P.R., C.J.M.L., M.A.-J., L.H.W., T.D.A.L., L.S.P., Y.H., P.V., R.G., C.L.D., R.S.Y.F.).) C Chang Jie Mick Lee M Matthew Ackers-Johnson (Cardiovascular Metabolic Disease Translational Research Programme, National University Health System, Singapore (F.P.R., C.J.M.L., M.A.-J., L.H.W., T.D.A.L., L.S.P., Y.H., P.V., R.G., C.L.D., R.S.Y.F.).) P Pooja Sridharan (Cardiovascular and Metabolic Disorders Signature Research Programme, Duke–NUS Medical School, Singapore (P.S., L.H.).) V Vartika Khanchandani L Lik Hang Wu (Cardiovascular Metabolic Disease Translational Research Programme, National University Health System, Singapore (F.P.R., C.J.M.L., M.A.-J., L.H.W., T.D.A.L., L.S.P., Y.H., P.V., R.G., C.L.D., R.S.Y.F.).) L Ling Xuan Goh (Cardiovascular Research Institute (F.P.R., C.J.M.L., M.A.-J., L.X.G., T.D.A.L., E.V., Y.H., P.V., R.G., Z.L., R.S.Y.F.), National University of Singapore.) T Tuan Danh Anh Luu (Cardiovascular Metabolic Disease Translational Research Programme, National University Health System, Singapore (F.P.R., C.J.M.L., M.A.-J., L.H.W., T.D.A.L., L.S.P., Y.H., P.V., R.G., C.L.D., R.S.Y.F.).) L Leroy Sivappiragasam Pakkiri (Cardiovascular Metabolic Disease Translational Research Programme, National University Health System, Singapore (F.P.R., C.J.M.L., M.A.-J., L.H.W., T.D.A.L., L.S.P., Y.H., P.V., R.G., C.L.D., R.S.Y.F.).) I Isabelle Bonne (Electron Microscopy Unit, Microscopy Cluster, Yong Loo Lin School of Medicine, National University of Singapore) T Thong Beng Lu D Daniel J. Buss T Tell Lovelace (Materials and Structural Analysis, Thermo Fisher Scientific, Hillsboro, OR (D.J.B., T.L., V.S.).) V Vivek Subramanian (Materials and Structural Analysis, Thermo Fisher Scientific) E Erielle Villanueva (Cardiovascular Research Institute (F.P.R., C.J.M.L., M.A.-J., L.X.G., T.D.A.L., E.V., Y.H., P.V., R.G., Z.L., R.S.Y.F.), National University of Singapore.) Y Yang Hu P Prasanna Vidyasekar (Cardiovascular Metabolic Disease Translational Research Programme, National University Health System, Singapore (F.P.R., C.J.M.L., M.A.-J., L.H.W., T.D.A.L., L.S.P., Y.H., P.V., R.G., C.L.D., R.S.Y.F.).) R Rijan Gurung J Jie Min Lee (Yong Loo Lin School of Medicine, Cancer Science Institute of Singapore (J.M.L., W.K.Y., D.K.), National University of Singapore.) W Wai Khang Yong Z Zhe Li D Dennis Kappei L Lena Ho (Cardiovascular and Metabolic Disorders Signature Research Programme, Duke–NUS Medical School, Singapore (P.S., L.H.).) C Chester Lee Drum (Cardiovascular Metabolic Disease Translational Research Programme, National University Health System, Singapore (F.P.R., C.J.M.L., M.A.-J., L.H.W., T.D.A.L., L.S.P., Y.H., P.V., R.G., C.L.D., R.S.Y.F.).) R Roger S.Y. Foo (Cardiovascular Metabolic Disease Translational Research Programme, National University Health System, Singapore (F.P.R., C.J.M.L., M.A.-J., L.H.W., T.D.A.L., L.S.P., Y.H., P.V., R.G., C.L.D., R.S.Y.F.).)

Abstract

BACKGROUND: Heart failure is a leading cause of morbidity and mortality worldwide, particularly among the growing elderly population. In degenerative aging and autoimmune diseases, the cytoplasmic leak of mitochondrial DNA, resulting from mitochondrial cristae compromise, triggers persistent low-grade cellular inflammation through activation of the cGAS (cyclic GMP [guanosine monophosphate]–AMP [adenosine monophosphate] synthase)–STING (stimulator of interferon genes) pathway and the IFN-I (type I interferon) response. However, how and whether mitochondrial architectural components and cardiomyocyte inflammation drive cardiac aging and failure are not yet well understood. METHODS: We investigated the function of STMP1 (short transmembrane mitochondrial protein 1), a 47–amino acid nuclear-encoded mitochondrial-localized peptide featuring a distinctive GxxxGxxxG glycine zipper domain. A mouse with cardiomyocyte-specific knockout of Stmp1 ( Stmp1 -KO) was generated to investigate its role in cardiac function. We profiled the transcriptome, proteome, and metabolome of Stmp1 -KO hearts to determine its functional mechanism of action. Electron microscopy was used to assess the impact of STMP1 depletion and functional rescue after adeno-associated virus 9–mediated gene restoration in the Stmp1 -KO mouse. RESULTS: STMP1 is downregulated specifically in cardiomyocytes, and not other cardiac cell types, in aged mice and humans. Genetic loss of Stmp1 in cardiomyocytes resulted in heart failure in vivo. STMP1 interacts with components of the cristae organizing complexes MICOS (mitochondrial contact site and cristae organizing complex) and SAM (sorting and assembly machinery). Consequent to Stmp1 loss, mitochondrial cristae were destabilized, mitochondrial DNA was mislocalized to the cytosol, and the cGAS–STING pathway was activated, with ensuing cellular inflammation and cardiomyocyte cell death. Restoration of wild-type Stmp1 or STING inhibition significantly rescued cardiac function in vivo. CONCLUSIONS: Our work reveals a mechanism connecting the micropeptide STMP1 to mitochondrial cristae architecture and cardiomyocyte cellular inflammation, both of which are present as potential drivers of heart failure and cardiac aging.

Article Details

Journal Circulation
Volume / Issue Vol. 154, Issue 5
Published August 04, 2026
Pages 454-473
ISSN 0009-7322
Publisher Lippincott Williams & Wilkins

Journal Info

Circulation

Lippincott Williams & Wilkins

ISSN: 0009-7322 Health Sciences

Authors (25)

F

Francesco Paolo Ruberto

Cardiovascular Metabolic Disease Translational Research Programme, National University Health System, Singapore (F.P.R., C.J.M.L., M.A.-J., L.H.W., T.D.A.L., L.S.P., Y.H., P.V., R.G., C.L.D., R.S.Y.F.).

C

Chang Jie Mick Lee

M

Matthew Ackers-Johnson

Cardiovascular Metabolic Disease Translational Research Programme, National University Health System, Singapore (F.P.R., C.J.M.L., M.A.-J., L.H.W., T.D.A.L., L.S.P., Y.H., P.V., R.G., C.L.D., R.S.Y.F.).

P

Pooja Sridharan

Cardiovascular and Metabolic Disorders Signature Research Programme, Duke–NUS Medical School, Singapore (P.S., L.H.).

V

Vartika Khanchandani

L

Lik Hang Wu

Cardiovascular Metabolic Disease Translational Research Programme, National University Health System, Singapore (F.P.R., C.J.M.L., M.A.-J., L.H.W., T.D.A.L., L.S.P., Y.H., P.V., R.G., C.L.D., R.S.Y.F.).

L

Ling Xuan Goh

Cardiovascular Research Institute (F.P.R., C.J.M.L., M.A.-J., L.X.G., T.D.A.L., E.V., Y.H., P.V., R.G., Z.L., R.S.Y.F.), National University of Singapore.

T

Tuan Danh Anh Luu

Cardiovascular Metabolic Disease Translational Research Programme, National University Health System, Singapore (F.P.R., C.J.M.L., M.A.-J., L.H.W., T.D.A.L., L.S.P., Y.H., P.V., R.G., C.L.D., R.S.Y.F.).

L

Leroy Sivappiragasam Pakkiri

Cardiovascular Metabolic Disease Translational Research Programme, National University Health System, Singapore (F.P.R., C.J.M.L., M.A.-J., L.H.W., T.D.A.L., L.S.P., Y.H., P.V., R.G., C.L.D., R.S.Y.F.).

I

Isabelle Bonne

Electron Microscopy Unit, Microscopy Cluster, Yong Loo Lin School of Medicine, National University of Singapore

T

Thong Beng Lu

D

Daniel J. Buss

T

Tell Lovelace

Materials and Structural Analysis, Thermo Fisher Scientific, Hillsboro, OR (D.J.B., T.L., V.S.).

V

Vivek Subramanian

Materials and Structural Analysis, Thermo Fisher Scientific

E

Erielle Villanueva

Cardiovascular Research Institute (F.P.R., C.J.M.L., M.A.-J., L.X.G., T.D.A.L., E.V., Y.H., P.V., R.G., Z.L., R.S.Y.F.), National University of Singapore.

Y

Yang Hu

P

Prasanna Vidyasekar

Cardiovascular Metabolic Disease Translational Research Programme, National University Health System, Singapore (F.P.R., C.J.M.L., M.A.-J., L.H.W., T.D.A.L., L.S.P., Y.H., P.V., R.G., C.L.D., R.S.Y.F.).

R

Rijan Gurung

J

Jie Min Lee

Yong Loo Lin School of Medicine, Cancer Science Institute of Singapore (J.M.L., W.K.Y., D.K.), National University of Singapore.

W

Wai Khang Yong

Z

Zhe Li

D

Dennis Kappei

L

Lena Ho

Cardiovascular and Metabolic Disorders Signature Research Programme, Duke–NUS Medical School, Singapore (P.S., L.H.).

C

Chester Lee Drum

Cardiovascular Metabolic Disease Translational Research Programme, National University Health System, Singapore (F.P.R., C.J.M.L., M.A.-J., L.H.W., T.D.A.L., L.S.P., Y.H., P.V., R.G., C.L.D., R.S.Y.F.).

R

Roger S.Y. Foo

Cardiovascular Metabolic Disease Translational Research Programme, National University Health System, Singapore (F.P.R., C.J.M.L., M.A.-J., L.H.W., T.D.A.L., L.S.P., Y.H., P.V., R.G., C.L.D., R.S.Y.F.).