RND3 Enhances Cardiac Glucose Metabolism Through Inhibiting ACAT1-Dependent PDHA1 Acetylation and Protects Against Ischemia-Reperfusion Injury
Abstract
BACKGROUND: Metabolic disturbances are key contributors to myocardial ischemia-reperfusion (I/R) injury, yet the underlying molecular mechanisms remain largely unclear. Rho family GTPase 3 (RND3), a cytosolic small guanosine triphosphatase (GTPase) known to antagonize ROCK1 (Rho-associated coiled-coil kinase 1), has been implicated in several cardiovascular disorders. However, its mitochondrial localization and functional role in cardiac energy metabolism and I/R injury remain unknown. METHODS: A murine model of myocardial I/R injury was established through left anterior descending coronary artery ligation. Mice with cardiomyocyte-specific knockout and overexpression of Rnd3 were generated. To investigate the role of RND3 in cardiac metabolism and I/R injury, we used 13 C-nuclear magnetic resonance, 18 F-fluorodeoxyglucose positron emission tomography/computed tomography scanning, seahorse mitochondrial energy metabolism assays, and 13 C-metabolic flux tracing. Mechanistic studies were conducted using RNA sequencing, coimmunoprecipitation, mass spectrometry, and glutathione S-transferase (GST) pulldown assays. RESULTS: Cardiomyocyte-specific deletion of Rnd3 ( Rnd3 conditional knockout, Rnd3 cKO ) resulted in impaired glucose oxidation and compensatory upregulation of fatty acid oxidation, leading to pronounced cardiac dysfunction and increased mortality. Rnd3 cKO hearts exhibited reduced pyruvate/malate-driven complex I respiration and marked uncoupling between glycolysis and the tricarboxylic acid cycle. Mechanistically, RND3 was identified as a novel mitochondrial matrix-localized small GTPase that directly binds to ACAT1 (acetyl-coenzyme A [CoA] acetyltransferase), disrupting its interaction with PDHA1 (pyruvate dehydrogenase E1α subunit) and thereby promoting PDHA1 acetylation and glucose oxidation. It is important to note that RND3 expression was significantly downregulated in both human and murine hearts after I/R insult. Loss of RND3 sensitized the hearts to I/R injury, as evidenced by reduced levels of phosphocreatine and ATP. Conversely, cardiac-specific overexpression of Rnd3 conferred protection against I/R injury, an effect that was abolished upon Pdha1 knockdown. CONCLUSIONS: Our results identify RND3 as a novel mitochondria-localized regulator of glucose oxidation that safeguards the heart against I/R injury. Therapeutic reconstitution of Rnd3 may represent a promising strategy to restore metabolic homeostasis and mitigate myocardial damage in the context of I/R.
Article Details
Authors (19)
Zhenyu Xiong
Department of Cardiology, Kaifeng Children’s Hospital, Kaifeng, China
Yueyang Li
Yan Zhang
Zhengjun Ma
Department of Ultrasound Diagnosis, No. 941 Hospital of Joint Logistics Support Force, Xining, China (Z.M.).
Meiying Qi
Department of Cardiology, Xijing Hospital, Air Force Medical University, Xi’ an, China (Y.Z., M.Q., H.Z., X.Z., M.J., C.L., J. Lin, D.S.).
Huanle Zhang
Department of Cardiology, Xijing Hospital, Air Force Medical University, Xi’ an, China (Y.Z., M.Q., H.Z., X.Z., M.J., C.L., J. Lin, D.S.).
Xiaohua Zhang
Mengyuan Jiang
Jie Liu
Erhe Gao
Center for Translational Medicine, Temple University, Philadelphia, PA (E.G.).
Congye Li
Department of Cardiology, Xijing Hospital, Air Force Medical University, Xi’ an, China (Y.Z., M.Q., H.Z., X.Z., M.J., C.L., J. Lin, D.S.).
Wanrong Man
Department of Cardiology, General Hospital of Western Theater Command of Chinese PLA, Chengdu, China (W.M.).
Mingming Zhang
State Key Laboratory for Porous Metal Materials, Shaanxi Key Laboratory of New Conceptual Sensors and Molecular Materials, Shaanxi International Research Center for Soft Matter, Xi’an Key Laboratory of Sustainable Polymer Materials, School of Materials Science and Engineering
Jianqiang Hu
Jie Lin
Department of Oncology The Second Affiliated Hospital of Kunming Medical University Kunming China
Zhi Yang
Li Fan
Yundai Chen
Dongdong Sun