#2036 Mitochondrial copper overload promotes renal fibrosis via inhibiting pyruvate dehydrogenase activity

Abstract

Abstract Background and Aims Copper is a trace element essential for numerous biological activities, whereas the mitochondria serve as both major sites of intracellular copper utilization and copper reservoir. Pyruvate dehydrogenase complex (PDHC) is a rate-limiting enzyme of glucose oxidation in mitochondrial matrix, converting pyruvate into acetyl-CoA and linking glycolysis to tricarboxylic acid (TCA) cycle. Dihydrolipoamide acetyltransferase (DLAT), the E2 component of the PDHC, requires lipoylation for enzymatic function and exhibits a high affinity for copper within its lipoyl moiety. Here, we investigated the impact of mitochondrial copper overload on the tricarboxylic acid cycle and renal senescence and fibrosis. Method Molecular dynamics simulation was used to explore the effect of copper ions on lipoylated DLAT protein. ICP-MS was used to detect copper content in mitochondria. Western blotting was used to detect the level of lipoylated DLAT dimer. Enzyme biopsy test kit, electron microscopy, mitoSOX Red staining and ATP content detection were used to evaluate mitochondrial function. Detect Collagen I, α-smooth muscle actin (α-SMA) expression levels and Masson staining to explore renal fibrosis. To reduce mitochondrial copper level, we used lentivirus to downregulate CRT1 expression or copper chelator tetrathiomolybdate in renal tubular epithelial cells (NRK-52E), and used CTR1 knockdown transgenic mice or tetrathiomolybdate in vivo. Results We found that copper ion levels are significantly elevated in the mitochondria in fibrotic kidney tissues, which are accompanied by reduced pyruvate dehydrogenase (PDH) activity, mitochondrial dysfunction, cellular senescence and renal fibrosis. Conversely, lowering mitochondrial copper levels through knocking-down of copper transporter 1 or treatment with the copper chelator tetrathiomolybdate effectively restore PDH enzyme activity, improve mitochondrial function, and mitigate cellular senescence and renal fibrosis. Mechanically, we found mitochondrial copper binds directly to lipoylated dihydrolipoamide acetyltransferase (DLAT), thereby changing the interaction between protein subunits, inducing lipoylated DLAT protein dimerization, and ultimately inhibiting PDH enzyme activity. Conclusion Our study indicates that mitochondrial copper overload could inhibit PDH activity, subsequently leading to mitochondrial dysfunction, cellular senescence and renal fibrosis. Reducing mitochondrial copper overload might therefore serve as a strategy to rescue renal fibrosis.