Fine-Tuning of PGC1α Expression Regulates Cardiac Function and Longevity.
Zhu XFrom the Institute of Aging Research, Hangzhou Normal University School of Medicine, China (X.Z., H.W., T.L.).
Shen WKey Laboratory of Regenerative Medicine of Ministry of Education, Guangzhou Regenerative Medicine and Health Guangdong Laboratory, Institute of Aging and Regenerative Medicine, Jinan University, China (W.S., H.W., B.L., D.D., Z.J.).
Yao KSchool of Pharmaceutical Sciences, Tsinghua University, Beijing, China (K.Y., Z.H.).
Wang HFrom the Institute of Aging Research, Hangzhou Normal University School of Medicine, China (X.Z., H.W., T.L.).
Liu BKey Laboratory of Regenerative Medicine of Ministry of Education, Guangzhou Regenerative Medicine and Health Guangdong Laboratory, Institute of Aging and Regenerative Medicine, Jinan University, China (W.S., H.W., B.L., D.D., Z.J.).
Li TFrom the Institute of Aging Research, Hangzhou Normal University School of Medicine, China (X.Z., H.W., T.L.).
Song LDepartment of Cardiology, First Affiliated Hospital of Gannan Medical University, Ganzhou, China (L.S.).
Diao DKey Laboratory of Regenerative Medicine of Ministry of Education, Guangzhou Regenerative Medicine and Health Guangdong Laboratory, Institute of Aging and Regenerative Medicine, Jinan University, China (W.S., H.W., B.L., D.D., Z.J.).
Mao GDepartment of Geriatrics, Zhejiang Provincial Key Lab of Geriatrics, Geriatrics Research Institute of Zhejiang Province, Zhejiang Hospital, Hangzhou, China (G.M.).
Huang PShanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Institute of Forensic Sciences, Ministry of Justice, China (P.H., C.L.).
Li CShanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Institute of Forensic Sciences, Ministry of Justice, China (P.H., C.L.).
Zhang HLaboratory for Integrative and Systems Physiology, Institute of Bioengineering, École Polytechnique Federale de Lausanne, Switzerland (H.Z., J.A.).
Zou YSynthetic Biology and Biotechnology Laboratory, State Key Laboratory of Bioreactor Engineering, Shanghai Collaborative Innovation Center for Biomanufacturing Technology, East China University of Science and Technology (Y. Zou, Y. Zhao, Y.Y.).
Qiu YSchool of Rehabilitation Medicine, Weifang Medical University, China (Y.Q.).
Zhao YSynthetic Biology and Biotechnology Laboratory, State Key Laboratory of Bioreactor Engineering, Shanghai Collaborative Innovation Center for Biomanufacturing Technology, East China University of Science and Technology (Y. Zou, Y. Zhao, Y.Y.).
Wang WDepartment of Biochemistry and Molecular Biology, Beijing Key Laboratory of Protein Posttranslational Modifications and Cell Function, School of Basic Medical Sciences, Peking University Health Science Center, China (W.W.).
Yang YSynthetic Biology and Biotechnology Laboratory, State Key Laboratory of Bioreactor Engineering, Shanghai Collaborative Innovation Center for Biomanufacturing Technology, East China University of Science and Technology (Y. Zou, Y. Zhao, Y.Y.).
Hu ZSchool of Pharmaceutical Sciences, Tsinghua University, Beijing, China (K.Y., Z.H.).
Auwerx JLaboratory for Integrative and Systems Physiology, Institute of Bioengineering, École Polytechnique Federale de Lausanne, Switzerland (H.Z., J.A.).
Loscalzo JDivision of Cardiovascular Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA (J.L.).
Zhou YBeijing Sanbo Brain Hospital, Capital Medical University, China (Y. Zhou).
Ju ZKey Laboratory of Regenerative Medicine of Ministry of Education, Guangzhou Regenerative Medicine and Health Guangdong Laboratory, Institute of Aging and Regenerative Medicine, Jinan University, China (W.S., H.W., B.L., D.D., Z.J.).
English
RATIONALE PGC1α (peroxisome proliferator-activated receptor gamma coactivator 1α) represents an attractive target interfering bioenergetics and mitochondrial homeostasis, yet multiple attempts have failed to upregulate PGC1α expression as a therapy, for instance, causing cardiomyopathy.
OBJECTIVE To determine whether a fine-tuning of PGC1α expression is essential for cardiac homeostasis in a context-dependent manner.
METHODS AND RESULTS Moderate cardiac-specific PGC1α overexpression through a ROSA26 locus knock-in strategy was utilized in WT (wild type) mice and in G3Terc-/- (third generation of telomerase deficient; hereafter as G3) mouse model, respectively. Ultrastructure, mitochondrial stress, echocardiographic, and a variety of biological approaches were applied to assess mitochondrial physiology and cardiac function. While WT mice showed a relatively consistent PGC1α expression from 3 to 12 months old, age-matched G3 mice exhibited declined PGC1α expression and compromised mitochondrial function. Cardiac-specific overexpression of PGC1α (PGC1αOE) promoted mitochondrial and cardiac function in 3-month-old WT mice but accelerated cardiac aging and significantly shortened life span in 12-month-old WT mice because of increased mitochondrial damage and reactive oxygen species insult. In contrast, cardiac-specific PGC1α knock in in G3 (G3 PGC1αOE) mice restored mitochondrial homeostasis and attenuated senescence-associated secretory phenotypes, thereby preserving cardiac performance with age and extending health span. Mechanistically, age-dependent defect in mitophagy is associated with accumulation of damaged mitochondria that leads to cardiac impairment and premature death in 12-month-old WT PGC1αOE mice. In the context of telomere dysfunction, PGC1α induction replenished energy supply through restoring the compromised mitochondrial biogenesis and thus is beneficial to old G3 heart.
CONCLUSIONS Fine-tuning the expression of PGC1α is crucial for the cardiac homeostasis because the balance between mitochondrial biogenesis and clearance is vital for regulating mitochondrial function and homeostasis. These results reinforce the importance of carefully evaluating the PGC1α-boosting strategies in a context-dependent manner to facilitate clinical translation of novel cardioprotective therapies.