HomeCirculation ResearchVol. 126, No. 4In This Issue Free AccessIn BriefPDF/EPUBAboutView PDFView EPUBSections ToolsAdd to favoritesDownload citationsTrack citationsPermissions ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toFree AccessIn BriefPDF/EPUBIn This Issue Ruth Williams Ruth WilliamsRuth Williams Search for more papers by this author Originally published13 Feb 2020https://doi.org/10.1161/RES.0000000000000326Circulation Research. 2020;126:413is related toMitochondrial Deacetylase Sirt3 Reduces Vascular Dysfunction and Hypertension While Sirt3 Depletion in Essential Hypertension Is Linked to Vascular Inflammation and Oxidative StressIncreased Drp1 Acetylation by Lipid Overload Induces Cardiomyocyte Death and Heart Dysfunctionis related toBMX Represses Thrombin-PAR1–Mediated Endothelial Permeability and Vascular Leakage During Early SepsisSirt3 Reduces Hypertension and Vascular Dysfunction (p 439)Boosting Sirt3 could be a novel treatment strategy for hypertension, suggest Dikalova et al.Download figureDownload PowerPointHypertension, which affects approximately a third of the global adult population, is a risk factor for stroke, myocardial infarction, and heart failure. Although blood pressure-lowering treatments are widely available, in approximately one third of patients, the condition remains uncontrolled. A thorough understanding of the complex pathophysiology of the condition would facilitate the search for much needed alternative treatments. To that end, Dikalova and colleagues have investigated Sirt3, an enzyme that tends to be at lower-than-usual levels in patients with hypertension and that regulates metabolic and antioxidant functions—both of which, if disturbed, can contribute to vascular dysfunction. The team showed that mice genetically engineered to overexpress Sirt3 had healthier blood vessels and lower blood pressure than control animals when subjected to experimentally induced hypertension. By contrast, Sirt3 depletion was shown to cause vascular inflammation and increased signs of vascular aging in mice. The team also confirmed the link between low Sirt3 levels and hypertension in humans. It is not clear why Sirt3 levels are low in certain people, but nevertheless, the findings suggest that boosting this enzyme may be a potential therapy for hypertension, say the authors.Lipid Overload Acetylates Drp1 in the Heart (p 456)Hu et al discover a mechanism by which lipid overload drives heart cell dysfunction.Download figureDownload PowerPointThe main energy source of the heart is fatty acid metabolism, but excessive lipids—resulting from diet-induced dyslipidemia, for example—can cause cardiomyocyte dysfunction. It’s known that lipid overload in the heart can cause increased activity of Drp1 (dynamin-related protein 1)—an enzyme that directs mitochondrial fission. But exactly how Drp1 becomes activated is unclear. In mice fed a high-fat diet, Hu and colleagues confirm that Drp1 activity and mitochondrial fission are abnormally increased, and that there are signs of heart dysfunction. They also show similar effects of a high-fat diet in monkeys. While levels of Drp1 mRNA were not altered in the mouse hearts, Drp1 protein acetylation was increased. The team went on to perform experiments on cultured rat cardiomyocytes, showing that incubation with the saturated fatty acid palmitate led to acetylation of Drp1 and thus its activation—resulting in excess mitochondrial fission and reduced cell viability. Mutation of Drp1 to prevent its acetlyation, by contrast, protected the cells. Together, the results reveal how dyslipidemia can contribute to heart cell dysfunction and suggest that Drp1 activity or acetylation state could be novel targets for treating obesity-related heart disease.BMX Represses Thrombin-PAR1 and Sepsis (p 471)Li et al show that signaling kinase BMX represses vascular leakage during sepsis.Download figureDownload PowerPointDuring an infection or injury, blood vessels become leaky to allow white blood cells to reach the sites of invasion or damage. But in sepsis, this normal inflammatory response becomes excessive and can lead to organ failure and death. The blood factor thrombin is a driver of vessel endothelium permeability, acting through its receptor, PAR1 (protease-activated receptor 1), on endothelial cells. But downstream molecular details of thrombin-induced endothelial permeability are lacking. Now, Li and colleagues show that a protein called BMX (bone marrow kinase on the X chromosome), which is highly expressed in endothelial cells and was known to interact with PAR1, actively suppresses thrombin-induced permeability. Studying mice with and without BMX after experimentally induced sepsis, the team showed that a lack of BMX exacerbated the condition, increasing vessel leakage. They also showed in cultured cells that BMX repressed thrombin-PAR1 signaling by phosphorylating and internalizing the receptor causing its deactivation. Indeed, PAR1 inhibition could reduce endothelial permeability in the sepsis-stricken, BMX-lacking mice and improve their survival. These results suggest that boosting BMX could be a treatment strategy for excessive or uncontrolled vascular leakage. Previous Back to top Next FiguresReferencesRelatedDetailsRelated articlesMitochondrial Deacetylase Sirt3 Reduces Vascular Dysfunction and Hypertension While Sirt3 Depletion in Essential Hypertension Is Linked to Vascular Inflammation and Oxidative StressAnna E. Dikalova, et al. Circulation Research. 2020;126:439-452Increased Drp1 Acetylation by Lipid Overload Induces Cardiomyocyte Death and Heart DysfunctionQingxun Hu, et al. Circulation Research. 2020;126:456-470BMX Represses Thrombin-PAR1–Mediated Endothelial Permeability and Vascular Leakage During Early SepsisZhao Li, et al. Circulation Research. 2020;126:471-485 February 14, 2020Vol 126, Issue 4 Advertisement Article InformationMetrics © 2020 American Heart Association, Inc.https://doi.org/10.1161/RES.0000000000000326 Originally publishedFebruary 13, 2020 PDF download Advertisement
Read full abstract