Coronary disease & ACS

RND3 Enhances Cardiac Glucose Metabolism Through Inhibiting ACAT1-Dependent PDHA1 Acetylation and Protects Against Ischemia-Reperfusion Injury

CirculationPublished Mechanistic study

Authors' conclusion

Our results identify RND3 as a novel mitochondria-localized regulator of glucose oxidation that safeguards the heart against I/R injury.

Study context

Population
Mice with myocardial I/R injury (left anterior descending coronary artery ligation); human hearts after I/R
Comparison
Rnd3cKO vs Rnd3 overexpression
Methodological detailsmurine I/R model, cardiomyocyte-specific knockout and overexpression
  • Murine I/R model
  • Cardiomyocyte-specific knockout and overexpression

Main finding

As reported in the abstract

  • Rnd3cKO: impaired glucose oxidation, compensatory upregulation of fatty acid oxidation, pronounced cardiac dysfunction and increased mortality
  • Rnd3cKO hearts: reduced pyruvate/malate-driven complex I respiration and marked uncoupling between glycolysis and the TCA cycle
  • RND3 localizes to the mitochondrial matrix and binds ACAT1, disrupting its interaction with PDHA1, promoting PDHA1 acetylation and glucose oxidation
  • RND3 expression significantly downregulated in human and murine hearts after I/R
  • Loss of RND3 sensitized hearts to I/R injury (reduced phosphocreatine and ATP)
  • Cardiac-specific Rnd3 overexpression protected against I/R injury; effect abolished by Pdha1 knockdown

Original publication

RND3 Enhances Cardiac Glucose Metabolism Through Inhibiting ACAT1-Dependent PDHA1 Acetylation and Protects Against Ischemia-Reperfusion Injury. Circulation. Published 11 June 2026. doi:10.1161/circulationaha.125.075591

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

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