Key result
FTO overexpression mitigates myocardial ischemia-reperfusion injury by reducing oxidative stress and restoring mitochondrial function.
Why the study?
Myocardial ischemia-reperfusion injury is complex with high morbidity and mortality, making the study of its molecular mechanisms and new therapeutic targets crucial.
Does FTO overexpression improve oxidative stress, mitochondrial biogenesis, and cardiac function in myocardial ischemia-reperfusion injury?
Does FTO overexpression improve oxidative stress, mitochondrial biogenesis, and cardiac function in myocardial ischemia-reperfusion injury?
p-value: p=<0.001
FTO overexpression mitigates myocardial ischemia-reperfusion injury by enhancing PGC-1a stability via m6A demethylation, subsequently reducing oxidative stress and promoting mitochondrial biogenesis.
FTO overexpression protects against ischemia-reperfusion injury in rodent models; leaves open clinical translation of m6A-targeted therapy.
OBJECTIVE: Myocardial ischemia-reperfusion injury (MIRI) is a highly complex disease with high morbidity and mortality. Studying the molecular mechanism of MIRI and discovering new targets are crucial for the future treatment of MIRI. METHODS: We constructed the MIRI rat model and hypoxia/reoxygenation (H/R) injury cardiomyocytes model. RT-PCR and Western blot were used to investigate the expression of the fat mass and obesity-associated (FTO) gene. Electrocardiogram, echocardiography, triphenyltetrazolium chloride (TTC) staining and hematoxylin-eosin (HE) staining were used to assess the model and the effect of FTO overexpression. The generation of reactive oxygen species (ROS) and the levels of superoxide dismutase (SOD2), mitochondrial transcription factor (TFAM) and cytochrome c oxidase I (COXI) were detected to assess the oxidative stress and mitochondrial biogenesis. RNA immunoprecipitation (RIP) and RNA pulldown assays were used to identify the interaction of FTO and PGC-1a. The m6A dot blot, methylated RNA immunoprecipitation PCR (MeRIP-PCR) and RNA stability analysis were used to analyze the regulation of methylation of PGC-1a by FTO. RESULTS: FTO was downregulated in MIRI rats and H/R induced cardiomyocytes. Overexpression of FTO inhibited ROS level and increased the expression of SOD2, TFAM and COXI in vitro and in vivo. In addition, PGC-1a was identified as a downstream target of FTO. FTO enhanced the stability of PGC-1a mRNA through removing the m6A modification. CONCLUSION: Our study revealed the role of FTO regulates the oxidative stress and mitochondrial biogenesis via PGC-1a in MIRI, which may provide a new approach to mitigating MIRI.
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Jiang et al. (2025) studied Myocardial ischemia-reperfusion injury (MIRI) (n=18). FTO overexpression vs. Sham and MIRI model control groups was evaluated on Cardiac structure and function (infarct size, LVEF, LVFS), oxidative stress (ROS generation), and mitochondrial biogenesis markers (p=<0.001). FTO overexpression mitigated myocardial ischemia-reperfusion injury by inhibiting excessive oxidative stress and restoring mitochondrial function through enhanced stability of PGC-1a mRNA via the removal of its m6A modification.
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