The E3 ubiquitin ligase MARCH2 protects against myocardial ischemia-reperfusion injury through inhibiting pyroptosis via negative regulation of PGAM5/MAVS/NLRP3 axis

The E3 ubiquitin ligase MARCH2 protects against myocardial ischemia-reperfusion injury through inhibiting pyroptosis via negative regulation of PGAM5/MAVS/NLRP3 axis

2024 | Shuolin Liu, Yaguang Bi, Tianting Han, Yiran E. Li, Qihang Wang, Ne Natalie Wu, Chenguo Xu, Junbo Ge, Ronggui Hu, Yingmei Zhang
MARCH2, an E3 ubiquitin ligase, protects against myocardial ischemia-reperfusion (I/R) injury by inhibiting pyroptosis through the regulation of the PGAM5/MAVS/NLRP3 axis. In ischemic hearts or mouse hearts following I/R injury, MARCH2 expression is elevated. Genetic ablation of MARCH2 worsens myocardial infarction and cardiac dysfunction. Single-cell RNA sequencing shows that MARCH2 loss activates the NLRP3 inflammasome in cardiomyocytes. Mechanistically, phosphoglycerate mutase 5 (PGAM5) acts as a novel regulator of MAVS-NLRP3 signaling by forming liquid-liquid phase separation condensates with MAVS and recruiting NLRP3. MARCH2 interacts with PGAM5 to promote its K48-linked polyubiquitination and proteasomal degradation, reducing PGAM5-MAVS co-condensation and inhibiting NLRP3 inflammasome activation and cardiomyocyte pyroptosis. AAV-based re-introduction of MARCH2 ameliorates I/R-induced mouse heart dysfunction. These findings reveal a novel mechanism where MARCH2-mediated ubiquitination negatively regulates the PGAM5/MAVS/NLRP3 axis to protect against cardiomyocyte pyroptosis and myocardial I/R injury. MARCH2 is upregulated in ischemic cardiomyopathy (ICM) patients and I/R-challenged mouse hearts. MARCH2 deficiency exacerbates I/R-evoked myocardial damage, as evidenced by infarct size, echocardiographic parameters, and cardiomyocyte mechanics. MARCH2 promotes PGAM5 degradation through K48-linked polyubiquitination, mitigating inflammatory response and pyroptotic cell death. PGAM5-MAVS condensates mediate NLRP3 inflammasome activation, acting as a sponge for PGAM5/MAVS/NLRP3. MARCH2 overexpression reduces I/R injury and preserves cardiac function by inhibiting the PGAM5-MAVS-NLRP3 inflammasome pathway. MARCH2 negatively regulates NF-κB and type I interferon signaling, restraining NLRP3 inflammasome complex assembly and subsequent myocardial pyroptosis. MARCH2 promotes K48-linked polyubiquitination of PGAM5, targeting it for proteasomal degradation. PGAM5 is a serine/threonine-protein phosphatase involved in various biological processes, including immune response and mitochondrial quality control. PGAM5 functions at the converging point of several cell death pathways, including necrotic and ROS-induced cell death. PGAM5 overexpression exacerbates I/R-elicited infarct size, cardiac dysfunction, NLRP3 inflammasome assembly, and myocardial pyroMARCH2, an E3 ubiquitin ligase, protects against myocardial ischemia-reperfusion (I/R) injury by inhibiting pyroptosis through the regulation of the PGAM5/MAVS/NLRP3 axis. In ischemic hearts or mouse hearts following I/R injury, MARCH2 expression is elevated. Genetic ablation of MARCH2 worsens myocardial infarction and cardiac dysfunction. Single-cell RNA sequencing shows that MARCH2 loss activates the NLRP3 inflammasome in cardiomyocytes. Mechanistically, phosphoglycerate mutase 5 (PGAM5) acts as a novel regulator of MAVS-NLRP3 signaling by forming liquid-liquid phase separation condensates with MAVS and recruiting NLRP3. MARCH2 interacts with PGAM5 to promote its K48-linked polyubiquitination and proteasomal degradation, reducing PGAM5-MAVS co-condensation and inhibiting NLRP3 inflammasome activation and cardiomyocyte pyroptosis. AAV-based re-introduction of MARCH2 ameliorates I/R-induced mouse heart dysfunction. These findings reveal a novel mechanism where MARCH2-mediated ubiquitination negatively regulates the PGAM5/MAVS/NLRP3 axis to protect against cardiomyocyte pyroptosis and myocardial I/R injury. MARCH2 is upregulated in ischemic cardiomyopathy (ICM) patients and I/R-challenged mouse hearts. MARCH2 deficiency exacerbates I/R-evoked myocardial damage, as evidenced by infarct size, echocardiographic parameters, and cardiomyocyte mechanics. MARCH2 promotes PGAM5 degradation through K48-linked polyubiquitination, mitigating inflammatory response and pyroptotic cell death. PGAM5-MAVS condensates mediate NLRP3 inflammasome activation, acting as a sponge for PGAM5/MAVS/NLRP3. MARCH2 overexpression reduces I/R injury and preserves cardiac function by inhibiting the PGAM5-MAVS-NLRP3 inflammasome pathway. MARCH2 negatively regulates NF-κB and type I interferon signaling, restraining NLRP3 inflammasome complex assembly and subsequent myocardial pyroptosis. MARCH2 promotes K48-linked polyubiquitination of PGAM5, targeting it for proteasomal degradation. PGAM5 is a serine/threonine-protein phosphatase involved in various biological processes, including immune response and mitochondrial quality control. PGAM5 functions at the converging point of several cell death pathways, including necrotic and ROS-induced cell death. PGAM5 overexpression exacerbates I/R-elicited infarct size, cardiac dysfunction, NLRP3 inflammasome assembly, and myocardial pyro
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[slides and audio] The E3 ubiquitin ligase MARCH2 protects against myocardial ischemia-reperfusion injury through inhibiting pyroptosis via negative regulation of PGAM5%2FMAVS%2FNLRP3 axis