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Atorvastatin ameliorates lipid overload-induced mitochondrial dysfunction and myocardial hypertrophy by decreasing fatty acid oxidation through inactivation of the p-STAT3/CPT1 pathway - 08/12/22

Doi : 10.1016/j.biopha.2022.114024 
Peng Zheng a, 1, Hengfang Wu a, 1, Yilu Gu b, Luo Li c, d, Ran Hu e, Wenjing Ma e, Zhiping Bian a, Nannan Liu a, Di Yang a, e, , Xiangjian Chen a,
a Department of Cardiology, The First Affiliated Hospital of Nanjing Medical University, 300 Guangzhou Road, Nanjing 210029, Jiangsu, China 
b Department of Pathology, The First Affiliated Hospital of Nanjing Medical University, 300 Guangzhou Road, Nanjing 210029, Jiangsu, China 
c Department of Cardiovascular Surgery of the First Affiliated Hospital & Institute for Cardiovascular Science, Soochow University, 899 Pinghai Road, Suzhou 215123, Jiangsu, China 
d Suzhou Medical College, Soochow University, 899 Pinghai Road, Suzhou 215123, Jiangsu, China 
e Core Facility of The First Affiliated Hospital of Nanjing Medical University, 300 Guangzhou Road, Nanjing 210029, Jiangsu, China 

Correspondence to: Department of Cardiology/Core Facility of The First Affiliated Hospital of Nanjing Medical University, China.Department of Cardiology/Core Facility of The First Affiliated Hospital of Nanjing Medical UniversityChina⁎⁎Corresponding author.

Abstract

Although statins are shown to have cardiac pleiotropic effects independent of lowering cholesterol, the underlying mechanism remains unclear. Mitochondrial dysfunction induced by increased fatty acid oxidation (FAO) is the culprit in the development of cardiac hypertrophy and dysfunction. This study was to explore whether the cardiac pleiotropic effects of atorvastatin were associated with FAO regulation, with a specific focus on carnitine palmitoyltransferase 1 (CPT1). High-fat diet (HFD)-fed mice and palmitic acid (PA)-stimulated neonatal rat primary cardiomyocytes (NRCMs) were treated with atorvastatin, with or without FAO modulators, signal transducer and activator of transcription 3 (STAT3) agonist, and inhibitor. Atorvastatin (3 mg/kg) did not reduce serum cholesterol levels in HFD-fed mice but ameliorated mitochondrial dysfunction and cardiac hypertrophy. In vitro, atorvastatin and the FAO inhibitor alleviated PA-induced mitochondrial dysfunction and cardiomyocyte hypertrophy. However, the FAO enhancer eliminated atorvastatin’s protective effects. Furthermore, atorvastatin decreased CPT1 and FAO levels and prevented STAT3 phosphorylation and nuclear translocation. STAT3 inhibitor had the same inhibitory effects as atorvastatin on CPT1, FAO levels, and cardiomyocyte hypertrophy, whereas STAT3 agonist disrupted these effects of atorvastatin. Our results demonstrate that atorvastatin decreases myocardial FAO by inactivating the p-STAT3/CPT1 signaling pathway, which improves lipid overload-induced mitochondrial dysfunction and cardiac hypertrophy in a cholesterol-independent manner. This is the first study to explore the cardiac pleiotropic effects of atorvastatin with respect to FAO. However, whether atorvastatin regulates FAO in the cardiac hypertrophy model induced by other variables has not been investigated in this work, and this is expected to be performed in the future.

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Graphical Abstract




 : 

The schematic diagram of the inhibitory effect of atorvastatin on the p-STAT3/CPT1 pathway in the cardiomyocytes under lipid overload. Atorvastatin inhibits STAT3 phosphorylation (p-STAT3) and subsequent nuclear translocation and thereby reduces myocardial CPT1 expression and FAO in lipid overload. Consequently, atorvastatin-mediated FAO inhibition improves mitochondrial dysfunction and attenuates cardiac hypertrophy and dysfunction. The direct cardioprotective effect of atorvastatin is independent of decreasing serum cholesterol levels. STAT3, signal transducer and activator of transcription 3; CPT1, carnitine palmitoyltransferase 1; FAO, fatty acid oxidation.


The schematic diagram of the inhibitory effect of atorvastatin on the p-STAT3/CPT1 pathway in the cardiomyocytes under lipid overload. Atorvastatin inhibits STAT3 phosphorylation (p-STAT3) and subsequent nuclear translocation and thereby reduces myocardial CPT1 expression and FAO in lipid overload. Consequently, atorvastatin-mediated FAO inhibition improves mitochondrial dysfunction and attenuates cardiac hypertrophy and dysfunction. The direct cardioprotective effect of atorvastatin is independent of decreasing serum cholesterol levels. STAT3, signal transducer and activator of transcription 3; CPT1, carnitine palmitoyltransferase 1; FAO, fatty acid oxidation.ga1

Le texte complet de cet article est disponible en PDF.

Highlights

HFD-induced cardiac hypertrophy and dysfunction were improved by atorvastatin.
PA-induced NRCMs hypertrophy and apoptosis were attenuated by atorvastatin in vitro.
Atorvastatin protected myocardial mitochondrial dysfunction caused by lipid overload.
Atorvastatin decreased myocardial FAO by inactivating the p-STAT3/CPT1 pathway.

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Abbreviation List : ATO, ACC2, BW, BSA, CPT1, FAO, GO, HFD, HW, LVW, MMP, ND, NRCMs, PA, PHX, p-STAT3, ROS, STAT3

Keywords : Atorvastatin, Myocardial hypertrophy, Fatty acid oxidation, Mitochondria, Carnitine palmitoyltransferase 1, Signal transducer and activator of transcription 3


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