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Irisin attenuates sepsis-induced cardiac dysfunction by attenuating inflammation-induced pyroptosis through a mitochondrial ubiquitin ligase-dependent mechanism - 18/06/22

Doi : 10.1016/j.biopha.2022.113199 
Xiang Xiong a, b, 1 , Linhe Lu b, 1 , Zhenyi Wang d, 1 , Jipeng Ma b , Yalan Shao b , Yang Liu b , Mengen Zhai b , Ping Jin b , Jian Yang b , Qijun Zheng b, c, , Jincheng Liu b, , Lifang Yang d,
a Shaanxi University of Chinese Medicine, Xianyang, Shaanxi 712046, China 
b Department of Cardiovascular Surgery, Xijing Hospital, Air Force Medical University, Xi'an 710032, China 
c Department of Cardiovascular Surgery, Shenzhen People’s Hospital, The Second Clinical Medical College, Jinan University, Shenzhen 518020, China 
d Department of Anesthesiology, Xi'an Children's Hospital, Xi'an 710002, China 

Correspondence to: Department of Cardiovascular Surgery, Xijing Hospital, Air Force Medical University, Changle west Road 127, Xi'an 710032, China.Department of Cardiovascular Surgery, Xijing Hospital, Air Force Medical UniversityChangle west Road 127Xi'an710032China⁎⁎Correspondence to:Department of Cardiovascular Surgery, Xijing Hospital, Air Force Medical University, Changle west Road 127, Xi'an 710032, China.Department of Cardiovascular Surgery, Xijing Hospital, Air Force Medical UniversityChangle west Road 127Xi'an710032China⁎⁎⁎Correspondence to: Department of Anesthesiology, Xi'an Children's Hospital, 69 xijuyuan Lane, Xi'an 710002, China.Department of Anesthesiology, Xi'an Children's Hospital69 xijuyuan LaneXi'an710002China

Abstract

Sepsis-induced cardiac dysfunction is a leading cause of mortality in intensive care units. However, the molecular mechanisms underlying septic cardiomyopathy remain elusive. Irisin is a cleaved product of fibronectin type III domain-containing protein 5 (FNDC5) that protects the heart from ischemia/reperfusion injury through upregulation of mitochondrial ubiquitin ligase (MITOL). Gasdermin D (GSDMD)-dependent pyroptosis plays a pivotal role in septic cardiomyopathy by regulating mitochondrial homeostasis. However, whether irisin can regulate MITOL to inhibit GSDMD-dependent pyroptosis in septic cardiomyopathy is yet to be investigated. Thus, this study was designed to explore the role of irisin in septic cardiomyopathy and its underlying molecular mechanisms. Our results demonstrate that irisin improves cardiac function against sepsis-induced cardiac dysfunction by reducing cardiac inflammation and myocardial pyroptosis. Using MITOL siRNA in vitro, the results revealed that the protective role of irisin against lipopolysaccharide (LPS)-induced cell injury was mediated by MITOL activation and the resulting inhibition of GSDMD-dependent pyroptosis. Moreover, irisin alleviated LPS-induced H9c2 cell injury by suppressing IL-1β expression and reducing serum LDH and CK-MB concentrations in a MITOL/GSDMD-dependent manner. Collectively, our data suggest that irisin treatment ameliorates cardiac dysfunction in septic cardiomyopathy by activating MITOL and inhibiting GSDMD-dependent pyroptosis. These findings highlight the clinical relevance and therapeutic potential of irisin and MITOL for the management of sepsis-induced cardiac dysfunction.

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Graphical Abstract




 : 

Schematic diagram showing the roles of MITOL and pyroptosis in cardiac function in response to sepsis injury. Sepsis injury significantly increased MITOL expression and cellular pyroptosis, ultimately impairing cardiac function.


Schematic diagram showing the roles of MITOL and pyroptosis in cardiac function in response to sepsis injury. Sepsis injury significantly increased MITOL expression and cellular pyroptosis, ultimately impairing cardiac function.ga1

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Highlights

Irisin improved cardiac function and inhibited GSDMD-mediated pyroptosis in LPS and CLP-induced septic cardiomyopathy.
Irisin alleviated LPS and CLP-induced cardiac inflammation in septic cardiomyopathy.
Irisin-mediated activation of MITOL plays a protective role against septic cardiomyopathy.
Irisin protected cardiomyocytes from ROS induced by LPS treatment via the MITOL/GSDMD-mediated pyroptosis pathway.

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Abbreviations : FNDC5, MITOL, GSDMD, LPS, LDH, CK–MB, mtROS, NLRP3, PI, DAPI, CLP, LVEF, LVFS, LVIDs, HE, PVDF, DCFH–DA, FBS, MSCs, GAPDH, Mfn2, DOX

Keywords : Irisin (FNDC5), Mitochondrial ubiquitin ligase, Septic cardiomyopathy, Pyroptosis, Gasdermin D


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