Abstract

BackgroundPost-infarction cardiac injury is closely associated with cardiac remodeling and heart dysfunction. Mammalian STE20-like kinase 1 (Mst1), a regulator of cellular apoptosis, is involved in cardiac remodeling in post-infarction heart, but the mechanisms remain poorly defined. We aimed to explore the role of Mst1 in regulating chronic post-infarction cardiac injury, with a focus on mitochondrial homoeostasis.MethodsWild-type (WT) and Mst1-knockout mice were as the cardiac myocardial infarction model. Cardiac fibrosis, myocardial inflammation response, heart dysfunction and cardiomyocyte death were measured in vivo using immunohistochemistry, immunofluorescence, western blot, qPCR and TUNEL assays. Cardiomyocytes were isolated from WT and Mst1-knockout mice, and a chronic hypoxia model was used to induce damage. Mitochondrial function was determined via JC1 staining, ROS measurement, cyt-c leakage detection and mitochondrial apoptotic pathways analysis. Mitochondrial fission was observed using immunofluorescence. A pathway activator and inhibitor were applied to establish the signaling pathways involved in regulating mitochondrial homeostasis.ResultsOur study demonstrated that Mst1 expression was significantly upregulated in the heart post-infarction. Activated Mst1 induced cardiac fibrosis, an excessive inflammatory response, and cardiomyocyte death, whereas the genetic ablation of Mst1 protected the myocardium against chronic post-infarction injury. Function assays showed that upregulation of Mst1 activity contributed to JNK pathway activation, which led to Drp1 migration from the cytoplasm onto the surface of the mitochondria, indicative of mitochondrial fission activation. Excessive mitochondrial fission caused mitochondrial fragmentation, resulting in mitochondrial potential collapse, ROS overproduction, mitochondrial pro-apoptotic leakage into the cytoplasm, and the initiation of caspase-9-mediated mitochondrial apoptosis. By contrast, Mst1 deletion helped to maintain mitochondrial structure and function, sending pro-survival signals to the cardiomyocytes.ConclusionsOur results identify Mst1 as a malefactor in the development of post-infarction cardiac injury and that it acts through the JNK-Drp1-mitochondrial fission pathway.

Highlights

  • Post-infarction cardiac injury is closely associated with cardiac remodeling and heart dysfunction

  • The aim of our study is to explore the role of Mammalian STE20-like kinase 1 (Mst1) in repairing the infarcted heart, with a focus on mitochondrial fission

  • Loss of Mst1 in post-infarcted hearts reduces cardiac fibrosis Western blotting was used to observe the change in Mst1 expression after myocardial infarction (MI)

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Summary

Introduction

Post-infarction cardiac injury is closely associated with cardiac remodeling and heart dysfunction. Mammalian STE20-like kinase 1 (Mst1), a regulator of cellular apoptosis, is involved in cardiac remodeling in post-infarction heart, but the mechanisms remain poorly defined. We aimed to explore the role of Mst in regulating chronic post-infarction cardiac injury, with a focus on mitochondrial homoeostasis. Reperfusion approaches, including coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI), are standard post-MI treatments, but the limited ability of cardiomyocytes to regenerate damaged myocardial tissue results in the development of cardiac dysfunction [2]. Post-infarction heart remodeling and/or chronic cardiac damage result from cardiomyocyte death and subsequent cardiac fibrosis [3, 4]. MI causes excessive cardiomyocyte death via apoptosis or necrosis, leading to a decline in the number of functional cells over a short period [5, 6]. MI activates cardiac fibroblasts, which produce excessive collagen and promote extracellular matrix accumulation [9]

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