Ketone Bodies Rescue Mitochondrial Dysfunction Via Epigenetic Remodeling.

Ketone Bodies Rescue Mitochondrial Dysfunction Via Epigenetic Remodeling.
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DOI:
10.1016/j.jacbts.2023.03.014
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发表时间:
2023-09
影响因子:
9.7
通讯作者:
Santulli, Gaetano
Santulli, Gaetano
中科院分区:
医学1区
文献类型:
--
作者:
Gambardella, Jessica;Jankauskas, Stanislovas S.;Kansakar, Urna;Varzideh, Fahimeh;Avvisato, Roberta;Prevete, Nella;Sidoli, Simone;Mone, Pasquale;Wang, Xujun;Lombardi, Angela;Santulli, Gaetano

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We provide a comprehensive set of assays using human cardiac specimens from patients with postischemic HF and healthy control subjects, a murine model of HF, and mechanistic studies ex vivo and in vitro. We identified a specific epigenetic modification of the chromatine, at the level of histone 3, namely a double methylation of lysine 27 and a single methylation of lysine 36 (H3_K27me2K36me1), which is consistently induced by ischemic injury in all the above-mentioned settings. H3_K27me2K36me1 mediates the ischemia-induced transcriptional repression of PGC1α, master regulator of mitochondrial function and biogenesis. Both the augmented H3_K27me2K36me1 and the mitochondrial dysfunction caused by the down-regulation of PGC1α are significantly attenuated by the treatment with the ketone body BHB. Ischemic cardiac disease is a major cause of mortality worldwide. However, the exact molecular processes underlying this disorder are not fully known. This study includes a comprehensive and coordinated set of in vivo and in vitro experiments using human cardiac specimens from patients with postischemic heart failure (HF) and healthy control subjects, a murine model of HF, and cellular systems. These approaches identified for the first time a specific pattern of maladaptive chromatin remodeling, namely a double methylation of histone 3 at lysine 27 and a single methylation at lysine 36 (H3_K27me2K36me1) consistently induced by ischemic injury in all these settings: human HF; murine HF; and in vitro models. Mechanistically, this work demonstrates that this histone modification mediates the ischemia-induced transcriptional repression of PPARG coactivator 1α (PGC1α), master regulator of mitochondrial function and biogenesis. Intriguingly, both the augmented H3_K27me2K36me1 and the mitochondrial dysfunction ensued by PGC1α down-regulation were significantly attenuated by the treatment with β-hydroxybutyrate, the most abundant ketone body in humans, revealing a novel pathway coupling metabolism to gene expression. Taken together, these findings establish maladaptive chromatin remodeling as a key mechanism in postischemic heart injury, functionally modulated by ketone bodies.
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