Coronary disease & ACS

Nrf3-Mediated Mitochondrial Superoxide Promotes Cardiomyocyte Apoptosis and Impairs Cardiac Functions by Suppressing Pitx2

CirculationPublished Mechanistic study

Authors' conclusion

Nrf3 promotes injury-induced CM apoptosis and deteriorates cardiac functions by increasing mitochondrial ROS production through suppressing Pitx2 expression.

Study context

Population
Mice subjected to myocardial infarction (MI) or ischemia/reperfusion injury; primary neonatal mouse and rat ventricular myocytes and human iPSC-derived cardiomyocyte (CMs)
Comparison
Nrf3 knockout vs wild-type in MI or ischemia/reperfusion injury
Methodological detailsglobal and CM-specific Nrf3 knockout mice, human iPSC-derived CMs, ChIP-seq, AAV vectors
  • Global and CM-specific Nrf3 knockout mice
  • Human iPSC-derived CMs
  • ChIP-seq
  • AAV vectors

Main finding

As reported in the abstract

  • Nrf3 increased in CMs within border zone of infarcted human hearts and murine cardiac tissue after MI
  • Global and CM-specific Nrf3 knockout decreased injury-induced mitochondrial reactive oxygen species (ROS), CM apoptosis and pathological cardiac remodeling, improving cardiac function
  • Cardiac-specific Nrf3 overexpression reversed the ameliorative phenotypes in Nrf3-KO mice
  • Augmenting mitochondrial ROS with MitoParaquat blunted the benefits of Nrf3 deletion
  • Nrf3 binds Pitx2 promoter, increasing DNA methylation via hnRNP K and DNMT1, inhibiting Pitx2 expression
  • CM-specific Pitx2 knockdown blunted the benefits of Nrf3 deletion; cardiac-specific Pitx2 overexpression attenuated MI-induced mitochondrial ROS and CM apoptosis and preserved cardiac function

Original publication

Nrf3-Mediated Mitochondrial Superoxide Promotes Cardiomyocyte Apoptosis and Impairs Cardiac Functions by Suppressing Pitx2. Circulation. Published 18 March 2025. doi:10.1161/circulationaha.124.070286

Summarised from the published abstract; every number is checked against it

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