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 particul...

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Main Authors: Kevin White, Yu Lu, Sofia Annis, Andrew E Hale, B Nelson Chau, James E Dahlman, Craig Hemann, Alexander R Opotowsky, Sara O Vargas, Ivan Rosas, Mark A Perrella, Juan C Osorio, Kathleen J Haley, Brian B Graham, Rahul Kumar, Rajan Saggar, Rajeev Saggar, W Dean Wallace, David J Ross, Omar F Khan, Andrew Bader, Bernadette R Gochuico, Majed Matar, Kevin Polach, Nicolai M Johannessen, Haydn M Prosser, Daniel G Anderson, Robert Langer, Jay L Zweier, Laurence A Bindoff, David Systrom, Aaron B Waxman, Richard C Jin, Stephen Y Chan
Format: Article
Language:English
Published: Springer Nature 2015-03-01
Series:EMBO Molecular Medicine
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Online Access:https://doi.org/10.15252/emmm.201404511
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author Kevin White
Yu Lu
Sofia Annis
Andrew E Hale
B Nelson Chau
James E Dahlman
Craig Hemann
Alexander R Opotowsky
Sara O Vargas
Ivan Rosas
Mark A Perrella
Juan C Osorio
Kathleen J Haley
Brian B Graham
Rahul Kumar
Rajan Saggar
Rajeev Saggar
W Dean Wallace
David J Ross
Omar F Khan
Andrew Bader
Bernadette R Gochuico
Majed Matar
Kevin Polach
Nicolai M Johannessen
Haydn M Prosser
Daniel G Anderson
Robert Langer
Jay L Zweier
Laurence A Bindoff
David Systrom
Aaron B Waxman
Richard C Jin
Stephen Y Chan
author_facet Kevin White
Yu Lu
Sofia Annis
Andrew E Hale
B Nelson Chau
James E Dahlman
Craig Hemann
Alexander R Opotowsky
Sara O Vargas
Ivan Rosas
Mark A Perrella
Juan C Osorio
Kathleen J Haley
Brian B Graham
Rahul Kumar
Rajan Saggar
Rajeev Saggar
W Dean Wallace
David J Ross
Omar F Khan
Andrew Bader
Bernadette R Gochuico
Majed Matar
Kevin Polach
Nicolai M Johannessen
Haydn M Prosser
Daniel G Anderson
Robert Langer
Jay L Zweier
Laurence A Bindoff
David Systrom
Aaron B Waxman
Richard C Jin
Stephen Y Chan
author_sort Kevin White
collection DOAJ
description 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.
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spelling doaj-art-2ba2fa97eac5474ab7e2db24f409a7242025-08-20T04:02:56ZengSpringer NatureEMBO Molecular Medicine1757-46761757-46842015-03-017669571310.15252/emmm.201404511Genetic and hypoxic alterations of the microRNA‐210‐ISCU1/2 axis promote iron–sulfur deficiency and pulmonary hypertensionKevin White0Yu Lu1Sofia Annis2Andrew E Hale3B Nelson Chau4James E Dahlman5Craig Hemann6Alexander R Opotowsky7Sara O Vargas8Ivan Rosas9Mark A Perrella10Juan C Osorio11Kathleen J Haley12Brian B Graham13Rahul Kumar14Rajan Saggar15Rajeev Saggar16W Dean Wallace17David J Ross18Omar F Khan19Andrew Bader20Bernadette R Gochuico21Majed Matar22Kevin Polach23Nicolai M Johannessen24Haydn M Prosser25Daniel G Anderson26Robert Langer27Jay L Zweier28Laurence A Bindoff29David Systrom30Aaron B Waxman31Richard C Jin32Stephen Y Chan33Divisions of Cardiovascular Medicine and Network Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical SchoolDivisions of Cardiovascular Medicine and Network Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical SchoolDivisions of Cardiovascular Medicine and Network Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical SchoolDivisions of Cardiovascular Medicine and Network Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical SchoolRegulus TherapeuticsInstitute for Medical Engineering and Science, Massachusetts Institute of TechnologyThe Davis Heart and Lung Research Institute, Division of Cardiovascular Medicine, Department of Internal Medicine, Wexner Medical Center, The Ohio State UniversityDivisions of Cardiovascular Medicine and Network Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical SchoolDepartment of Pathology, Boston Children's Hospital, Harvard Medical SchoolDivision of Pulmonary/Critical Care Medicine, Department of Medicine, Harvard Medical SchoolDivision of Pulmonary/Critical Care Medicine, Department of Medicine, Harvard Medical SchoolDivision of Pulmonary/Critical Care Medicine, Department of Medicine, Harvard Medical SchoolDivision of Pulmonary/Critical Care Medicine, Department of Medicine, Harvard Medical SchoolProgram in Translational Lung Research, University of ColoradoProgram in Translational Lung Research, University of ColoradoDepartments of Medicine and Pathology, David Geffen School of Medicine, University of California, Los AngelesDepartment of Cardiothoracic Surgery, University of Arizona College of MedicineDepartments of Medicine and Pathology, David Geffen School of Medicine, University of California, Los AngelesDepartments of Medicine and Pathology, David Geffen School of Medicine, University of California, Los AngelesDepartment of Chemical Engineering, Massachusetts Institute of TechnologyInstitute for Medical Engineering and Science, Massachusetts Institute of TechnologyMedical Genetics Branch, National Human Genome Research Institute, National Institutes of HealthCelsion‐EGEN, Inc.Celsion‐EGEN, Inc.Department of Cardiology, University of BergenThe Wellcome Trust Sanger Institute, Wellcome Trust Genome CampusInstitute for Medical Engineering and Science, Massachusetts Institute of TechnologyInstitute for Medical Engineering and Science, Massachusetts Institute of TechnologyThe Davis Heart and Lung Research Institute, Division of Cardiovascular Medicine, Department of Internal Medicine, Wexner Medical Center, The Ohio State UniversityDepartment of Clinical Medicine, University of BergenDivision of Pulmonary/Critical Care Medicine, Department of Medicine, Harvard Medical SchoolDivision of Pulmonary/Critical Care Medicine, Department of Medicine, Harvard Medical SchoolDivisions of Cardiovascular Medicine and Network Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical SchoolDivisions of Cardiovascular Medicine and Network Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical SchoolAbstract 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.https://doi.org/10.15252/emmm.201404511endothelialiron–sulfurmetabolismmicroRNAmitochondria
spellingShingle Kevin White
Yu Lu
Sofia Annis
Andrew E Hale
B Nelson Chau
James E Dahlman
Craig Hemann
Alexander R Opotowsky
Sara O Vargas
Ivan Rosas
Mark A Perrella
Juan C Osorio
Kathleen J Haley
Brian B Graham
Rahul Kumar
Rajan Saggar
Rajeev Saggar
W Dean Wallace
David J Ross
Omar F Khan
Andrew Bader
Bernadette R Gochuico
Majed Matar
Kevin Polach
Nicolai M Johannessen
Haydn M Prosser
Daniel G Anderson
Robert Langer
Jay L Zweier
Laurence A Bindoff
David Systrom
Aaron B Waxman
Richard C Jin
Stephen Y Chan
Genetic and hypoxic alterations of the microRNA‐210‐ISCU1/2 axis promote iron–sulfur deficiency and pulmonary hypertension
EMBO Molecular Medicine
endothelial
iron–sulfur
metabolism
microRNA
mitochondria
title Genetic and hypoxic alterations of the microRNA‐210‐ISCU1/2 axis promote iron–sulfur deficiency and pulmonary hypertension
title_full Genetic and hypoxic alterations of the microRNA‐210‐ISCU1/2 axis promote iron–sulfur deficiency and pulmonary hypertension
title_fullStr Genetic and hypoxic alterations of the microRNA‐210‐ISCU1/2 axis promote iron–sulfur deficiency and pulmonary hypertension
title_full_unstemmed Genetic and hypoxic alterations of the microRNA‐210‐ISCU1/2 axis promote iron–sulfur deficiency and pulmonary hypertension
title_short Genetic and hypoxic alterations of the microRNA‐210‐ISCU1/2 axis promote iron–sulfur deficiency and pulmonary hypertension
title_sort genetic and hypoxic alterations of the microrna 210 iscu1 2 axis promote iron sulfur deficiency and pulmonary hypertension
topic endothelial
iron–sulfur
metabolism
microRNA
mitochondria
url https://doi.org/10.15252/emmm.201404511
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