Myocardial mitochondrial antiviral signaling protein promotes heart Ischemia-reperfusion injury via RIG-I signaling in mice

  • Nat Commun. 2025 Jun 2;16(1):5101. doi: 10.1038/s41467-025-60123-7.
Zhenyu Kang  #  1 Mengling Yang  #  1 Yue Liu  #  2 Yang Gui  1 Yalan Dong  1 Haifeng Zhou  1 Zili Zhang  1 Mingyue Li  3 Heng Fan  1 Zheng Li  1 Junjie Lu  4 Junyi Li  1 Rui Zhu  1 Chengyu Yin  1 Boyi Liu  5 Feng Jiang  6 Kun Huang  7 Alexey Sarapultsev  8 Fangfei Li  9 Ge Zhang  10 Ling Zhao  11 Yanyi Wang  12 Yunjia Ning  12  13 Xiang Cheng  14  15 Sarajo K Mohanta  16  17  18 Changjun Yin  16  18  19  20 Shanshan Luo  21 Andreas J R Habenicht  22  23  24  25 Desheng Hu  26  27  28
Affiliations
  • 1. Department of Integrated Traditional Chinese and Western Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
  • 2. Cardiovascular Disease Center, Xiyuan Hospital of China academy of Chinese Medical Sciences, Beijing, China.
  • 3. Department of Gastroenterology, Zhongda Hospital, Southeast University, Nanjing, China.
  • 4. Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Hubei Province, Xiangyang, China.
  • 5. Department of Neurobiology and Acupuncture Research, The Third Clinical Medical College, Key Laboratory of Acupuncture and Neurology of Zhejiang Province, Zhejiang Chinese Medical University, Hangzhou, 310000, China.
  • 6. College of International Education, Tianjin University of Traditional Chinese Medicine, Tianjin, China.
  • 7. School of Pharmacy, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
  • 8. Russian-Chinese Education and Research Center of System Pathology, South Ural State University, Chelyabinsk, Russia.
  • 9. Shum Yiu Foon Sum Bik Chuen Memorial Centre for Cancer and Inflammation Research, School of Chinese Medicine, Hong Kong Baptist University, Hong Kong, China.
  • 10. Institute of Integrated Bioinfomedicine and Translational Science, School of Chinese Medicine, Hong Kong Baptist University, Hong Kong, China.
  • 11. State Key Laboratory of Agricultural Microbiology, Huazhong Agricultural University, Wuhan, China.
  • 12. State Key Laboratory of Virology, Wuhan Institute of Virology, Chinese Academy of Sciences, Wuhan, China.
  • 13. Hubei Jiangxia Laboratory, Wuhan, China.
  • 14. Department of Cardiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
  • 15. Hubei Key Laboratory of Biological Targeted Therapy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
  • 16. Institute for Cardiovascular Prevention (IPEK), Ludwig-Maximilians-University, Munich, Germany.
  • 17. German Center for Cardiovascular Research (DZHK), Partner Site Munich Heart Alliance, Munich, Germany.
  • 18. Easemedcontrol R & D; Schraudolphstraße 5, Munich, Germany.
  • 19. Division of Vascular Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
  • 20. Institute of Precision Medicine, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
  • 21. Institute of Hematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. [email protected].
  • 22. Institute for Cardiovascular Prevention (IPEK), Ludwig-Maximilians-University, Munich, Germany. [email protected].
  • 23. German Center for Cardiovascular Research (DZHK), Partner Site Munich Heart Alliance, Munich, Germany. [email protected].
  • 24. Easemedcontrol R & D; Schraudolphstraße 5, Munich, Germany. [email protected].
  • 25. Department of Cardiology, the Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School, 321 Zhongshan Road, Gulou, Nanjing, Jiangsu, China. [email protected].
  • 26. Department of Integrated Traditional Chinese and Western Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. [email protected].
  • 27. Hubei Key Laboratory of Biological Targeted Therapy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. [email protected].
  • 28. China-Russia Medical Research Center for Stress Immunology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. [email protected].
  • # Contributed equally.
Abstract

Myocardial ischemia-reperfusion injury (MIRI) is a life-threatening complication of myocardial infarcts, with inner mitochondrial membrane protein dysfunction involved in MIRI-induced heart injury. The role of outer mitochondrial membrane protein mitochondrial Antiviral signaling protein (MAVS) is unknown. Here, we show that MAVS expression increases in infarcted myocardium of male wild-type mice. Global MAVS-knock-out or myocardial-specific MAVS knockdown protects male mice from acute and chronic MIRI. MIRI induces double-stranded RNA in affected myocardium, activating intracellular retinoic acid-inducible gene I (RIG-I) signaling, which leads to MAVS aggregation and subsequent non-canonical downstream signaling. MAVS aggregates recruit tumor necrosis factor-associated factor family 6 (TRAF6) and transforming growth factor-β-activated kinase 1 (TAK1), the activating mitogen-activated protein kinase (MAPK) pathway and Apoptosis. MAVS-knock-out reduces c-jun-NH2 terminal kinase (JNK) phosphorylation and Apoptosis. JNK inhibition protects against MIRI in wild-type male mice, whereas JNK agonist impairs protection in MAVS-knock-out male mice. MIRI activates RIG-I/MAVS pathway and subsequently triggers the TAK1/TRAF6 complex, leading to the activation of the MAPK/JNK signaling cascade. This sequential activation cascade may serve as a potential therapeutic target for MIRI.

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