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Genetic and hypoxic alterations of the microRNA-210-ISCU1/2 axis promote iron-sulfur deficiency and pulmonary hypertension.


ABSTRACT: Iron-sulfur (Fe-S) clusters are essential for mitochondrial metabolism, but their regulation in pulmonary hypertension (PH) remains enigmatic. We demonstrate that alterations of the miR-210-ISCU1/2 axis cause Fe-S deficiencies in vivo and promote PH. In pulmonary vascular cells and particularly endothelium, hypoxic induction of miR-210 and repression of the miR-210 targets ISCU1/2 down-regulated Fe-S levels. In mouse and human vascular and endothelial tissue affected by PH, miR-210 was elevated accompanied by decreased ISCU1/2 and Fe-S integrity. In mice, miR-210 repressed ISCU1/2 and promoted PH. Mice deficient in miR-210, via genetic/pharmacologic means or via an endothelial-specific manner, displayed increased ISCU1/2 and were resistant to Fe-S-dependent pathophenotypes and PH. Similar to hypoxia or miR-210 overexpression, ISCU1/2 knockdown also promoted PH. Finally, cardiopulmonary exercise testing of a woman with homozygous ISCU mutations revealed exercise-induced pulmonary vascular dysfunction. Thus, driven by acquired (hypoxia) or genetic causes, the miR-210-ISCU1/2 regulatory axis is a pathogenic lynchpin causing Fe-S deficiency and PH. These findings carry broad translational implications for defining the metabolic origins of PH and potentially other metabolic diseases sharing similar underpinnings.

SUBMITTER: White K 

PROVIDER: S-EPMC4459813 | biostudies-other | 2015 Jun

REPOSITORIES: biostudies-other

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Genetic and hypoxic alterations of the microRNA-210-ISCU1/2 axis promote iron-sulfur deficiency and pulmonary hypertension.

White Kevin K   Lu Yu Y   Annis Sofia S   Hale Andrew E AE   Chau B Nelson BN   Dahlman James E JE   Hemann Craig C   Opotowsky Alexander R AR   Vargas Sara O SO   Rosas Ivan I   Perrella Mark A MA   Osorio Juan C JC   Haley Kathleen J KJ   Graham Brian B BB   Kumar Rahul R   Saggar Rajan R   Saggar Rajeev R   Wallace W Dean WD   Ross David J DJ   Khan Omar F OF   Bader Andrew A   Gochuico Bernadette R BR   Matar Majed M   Polach Kevin K   Johannessen Nicolai M NM   Prosser Haydn M HM   Anderson Daniel G DG   Langer Robert R   Zweier Jay L JL   Bindoff Laurence A LA   Systrom David D   Waxman Aaron B AB   Jin Richard C RC   Chan Stephen Y SY  

EMBO molecular medicine 20150601 6


Iron-sulfur (Fe-S) clusters are essential for mitochondrial metabolism, but their regulation in pulmonary hypertension (PH) remains enigmatic. We demonstrate that alterations of the miR-210-ISCU1/2 axis cause Fe-S deficiencies in vivo and promote PH. In pulmonary vascular cells and particularly endothelium, hypoxic induction of miR-210 and repression of the miR-210 targets ISCU1/2 down-regulated Fe-S levels. In mouse and human vascular and endothelial tissue affected by PH, miR-210 was elevated  ...[more]

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