MCUb Induction Protects the Heart From Post-Ischemic Remodeling

Rationale: Mitochondrial Ca²⁺ loading augments oxidative metabolism to match functional demands during times of increased work or injury. However, mitochondrial Ca²⁺ overload also directly causes mitochondrial rupture and cardiomyocyte death during ischemia-reperfusion injury by inducing mitochondrial permeability transition pore opening. The mitochondrial Ca²⁺ uniporter (MCU) mediates mitochondrial Ca²⁺influx, and its activity is modulated by partner proteins in its molecular complex, including the MCUb subunit. 

Objective: Here we sought to examine the function of the MCUb subunit of the MCU-complex in regulating mitochondria Ca²⁺influx dynamics, acute cardiac injury and long-term adaptation after ischemic injury. 

Methods and Results:Cardiomyocyte-specific MCUboverexpressing transgenic mice and Mcub gene-deleted (Mcub^-/-) mice were generated to dissect the molecular function of this protein in the heart. We observed that MCUb protein is undetectable in the adult mouse heart at baseline, but mRNA and protein are induced after ischemia-reperfusion injury. MCUb overexpressing mice demonstrated inhibited mitochondrial Ca²⁺uptake in cardiomyocytes and partial protection from ischemia-reperfusion injury by reducing mitochondrial permeability transition pore opening. Antithetically, deletion of the Mcub gene exacerbated pathologic cardiac remodeling and infarct expansion after ischemic injury in association with greater mitochondrial Ca²⁺ uptake. Furthermore, hindlimb remote ischemic pre-conditioning induced MCUb expression in the heart, which was associated with decreased mitochondrial Ca²⁺uptake, collectively suggesting that induction of MCUb protein in the heart is protective. Similarly, mouse embryonic fibroblasts from Mcub^-/- mice were more sensitive to Ca²⁺ overload. 

Conclusions: Our studies suggest that Mcub is a protective cardiac inducible gene that reduces mitochondrial Ca²⁺ influx and permeability transition pore opening after ischemic injury to reduce ongoing pathological remodeling.

Read the full article at https://doi.org/10.1161/CIRCRESAHA.119.316369