Key result
Mitochondrial transplantation blunts phenylephrine-induced cardiomyocyte hypertrophy and enhances respiration.
Why the study?
Mitochondrial dysfunction contributes to right ventricular hypertrophy/failure, but the effects of mitochondrial transplantation on disease mitigation remain largely unexplored.
Does exogenous L6 myotube mitochondrial transplantation attenuate hypertrophy and improve bioenergetics in phenylephrine-treated H9C2 cardiomyocytes?
Does exogenous L6 myotube mitochondrial transplantation attenuate hypertrophy and improve bioenergetics in phenylephrine-treated H9C2 cardiomyocytes?
Exogenous skeletal muscle mitochondrial transplantation provides bioenergetic restoration and attenuates hypertrophic remodeling in stressed cardiomyocytes in vitro, extending preclinical evidence for its potential as a cardioprotective strategy.
Mitochondrial transplantation should not yet change practice; leaves open its role in blunting hypertrophy pending in vivo validation.
Mitochondrial transplantation has recently emerged as an alternative treatment for cardiovascular disease (CVD), aimed at increasing mitochondrial number and improving mitochondrial function. Though mitochondrial dysfunction is a key factor in the development of right ventricular hypertrophy/failure, the effects of mitochondrial transplantation on disease mitigation have been largely unexplored. Therefore, this in vitro study aimed to determine whether the transplantation of exogenous L6 myotube mitochondria mitigates negative outcomes in H9C2 cardiomyocytes that were stimulated to hypertrophy with phenylephrine. Control (CTL), control with mitochondrial transplantation (MitoTx), Phenylephrine only (Phe-only), and phenylephrine with mitochondrial transplantation (Phe+MitoTx) treatments were evaluated. Pilot experiments indicated mitochondrial transplantation into healthy cardiomyocytes acutely increased Complex I-linked oxidative phosphorylation (OXPHOS) capacity (p=0.005) and maximal respiratory capacity (p=0.022) within 24 hours, and these data alongside microscopic evidence of fluorescently labeled L6 mitochondria in H9C2 cardiomyocytes suggested successful transplantation. Regarding treatment comparisons, Phe-only showed a significant increase in cell area (p<0.05), while Phe+MitoTx blunted the hypertrophic cardiomyocyte response. Consistent with these results, proteomic analysis of 4,806 proteins showed that transplantation enriched the mitochondrial proteome, impacting pathways including OXPHOS, respiration, fatty acid and amino acid metabolism, while suppressing extracellular matrix remodeling and de-differentiation signatures. This response was observed in healthy and phenylephrine-stressed cardiomyocytes. In conclusion, our in vitro data indicates that transplantation of L6 skeletal muscle mitochondria mitigates negative effects induced by phenylephrine in H9C2 cardiomyocytes. However, more rigorous in vivo studies are needed to determine if this is a suitable approach for disease mitigation.
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Kontos et al. (2026) studied Cardiomyocyte hypertrophy and mitochondrial dysfunction. Exogenous L6 myotube mitochondrial transplantation vs. Phenylephrine only and vehicle control was evaluated on Cardiomyocyte cell area (hypertrophic response) (p=<0.05). Transplantation of exogenous L6 myotube mitochondria significantly blunted phenylephrine-induced cardiomyocyte hypertrophy and increased Complex I-linked oxidative phosphorylation capacity.
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