Abstract
Ischemia-induced metabolic remodeling plays a critical role in the pathogenesis of adverse cardiac remodeling and heart failure however, the underlying molecular mechanism is largely unknown. Here, we assess the potential roles of nicotinamide riboside kinase-2 (NRK-2), a muscle-specific protein, in ischemia-induced metabolic switch and heart failure through employing transcriptomic and metabolomic approaches in ischemic NRK-2 knockout mice. The investigations revealed NRK-2 as a novel regulator of several metabolic processes in the ischemic heart. Cardiac metabolism and mitochondrial function and fibrosis were identified as top dysregulated cellular processes in the KO hearts post-MI. Several genes linked to mitochondrial function, metabolism, and cardiomyocyte structural proteins were severely downregulated in the ischemic NRK-2 KO hearts. Analysis revealed significantly upregulated ECM-related pathways which was accompanied by the upregulation of several key cell signaling pathways including SMAD, MAPK, cGMP, integrin, and Akt in the KO heart post-MI. Metabolomic studies identified profound upregulation of metabolites mevalonic acid, 3,4-dihydroxyphenylglycol, 2-penylbutyric acid, and uridine. However, other metabolites stearic acid, 8,11,14-eicosatrienoic acid, and 2-pyrrolidinone were significantly downregulated in the ischemic KO hearts. Taken together, these findings suggest that NRK-2 promotes metabolic adaptation in the ischemic heart. The aberrant metabolism in the ischemic NRK-2 KO heart is largely driven by dysregulated cGMP and Akt and mitochondrial pathways.
Key messages
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Post-myocardial infarction metabolic switch critically regulates the pathogenesis of adverse cardiac remodeling and heart failure. Here, we report NRK-2 as a novel regulator of several cellular processes including metabolism and mitochondrial function post-MI. NRK-2 deficiency leads to downregulation of genes important for mitochondrial pathway, metabolism, and cardiomyocyte structural proteins in the ischemic heart. It was accompanied by upregulation of several key cell signaling pathways including SMAD, MAPK, cGMP, integrin, and Akt and dysregulation of numerous metabolites essential for cardiac bioenergetics. Taken together, these findings suggest that NRK-2 is critical for metabolic adaptation of the ischemic heart.
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Data availability
Data is included in the manuscript and supplementary files. All the raw data is deposited in the NCBI database with the accession number GSE223868.
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The work was supported by Collaborative (22010901112) and Targeted (1801090144), research grants from the University of Sharjah to Firdos Ahmad. R.H. is funded by ASPIRE “Abu Dhabi Precision Medicine ARI” (VRI-20-10) grant.
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HM performed experiments, collected data, and helped with manuscript writing, AG performed experiments and collected data, MAS, KP, MHS, and RH helped with data analysis and interpretation, DT and NCS helped with experiments and data analysis, RQ helped with data analysis and interpretation and manuscript writing, and FA designed the study, acquired funding, supervised the project, performed data analysis and interpretation, and wrote first draft and revised the manuscript.
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Marzook, H., Gupta, A., Tomar, D. et al. Nicotinamide riboside kinase-2 regulates metabolic adaptation in the ischemic heart. J Mol Med 101, 311–326 (2023). https://doi.org/10.1007/s00109-023-02296-6
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DOI: https://doi.org/10.1007/s00109-023-02296-6