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ResearchIn-Press PreviewCardiologyStem cells Open Access | 10.1172/JCI164660

1-Deoxynojirimycin promotes cardiac function and rescues mitochondrial cristae in mitochondrial hypertrophic cardiomyopathy

Qianqian Zhuang,1 Fengfeng Guo,2 Lei Fu,3 Yufei Dong,3 Shaofang Xie,4 Xue Ding,1 Shuangyi Hu,3 Xuanhao D. Zhou,3 Yangwei Jiang,3 Hui Zhou,1 Yue Qiu,3 Zhaoying Lei,1 Mengyao Li,1 Huajian Cai,3 Mingjie Fan,1 Lingjie Sang,1 Yong Fu,5 Dong Zhang,1 Aifu Lin,1 Xu Li,4 Tilo Kunath,6 Ruhong Zhou,1 Ping Liang,7 Zhong Liu,2 and Qingfeng Yan1

1College of Life Sciences, Zhejiang University, Hangzhou, China

2The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China

3College of Life Science, Zhejiang University, Hangzhou, China

4Westlake Laboratory of Life Sciences and Biomedicine, School of Life Sciences, Westlake University, Hangzhou, China

5The Children’s Hospital of Zhejiang University School of Medicine, Hangzhou, China

6Institute for Stem Cell Research, School of Biological Sciences, University of Edinburgh, Edinburgh, United Kingdom

7Institute of Translational Medicine, Zhejiang University, Hangzhou, China

Find articles by Zhuang, Q. in: JCI | PubMed | Google Scholar |

1College of Life Sciences, Zhejiang University, Hangzhou, China

2The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China

3College of Life Science, Zhejiang University, Hangzhou, China

4Westlake Laboratory of Life Sciences and Biomedicine, School of Life Sciences, Westlake University, Hangzhou, China

5The Children’s Hospital of Zhejiang University School of Medicine, Hangzhou, China

6Institute for Stem Cell Research, School of Biological Sciences, University of Edinburgh, Edinburgh, United Kingdom

7Institute of Translational Medicine, Zhejiang University, Hangzhou, China

Find articles by Guo, F. in: JCI | PubMed | Google Scholar

1College of Life Sciences, Zhejiang University, Hangzhou, China

2The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China

3College of Life Science, Zhejiang University, Hangzhou, China

4Westlake Laboratory of Life Sciences and Biomedicine, School of Life Sciences, Westlake University, Hangzhou, China

5The Children’s Hospital of Zhejiang University School of Medicine, Hangzhou, China

6Institute for Stem Cell Research, School of Biological Sciences, University of Edinburgh, Edinburgh, United Kingdom

7Institute of Translational Medicine, Zhejiang University, Hangzhou, China

Find articles by Fu, L. in: JCI | PubMed | Google Scholar

1College of Life Sciences, Zhejiang University, Hangzhou, China

2The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China

3College of Life Science, Zhejiang University, Hangzhou, China

4Westlake Laboratory of Life Sciences and Biomedicine, School of Life Sciences, Westlake University, Hangzhou, China

5The Children’s Hospital of Zhejiang University School of Medicine, Hangzhou, China

6Institute for Stem Cell Research, School of Biological Sciences, University of Edinburgh, Edinburgh, United Kingdom

7Institute of Translational Medicine, Zhejiang University, Hangzhou, China

Find articles by Dong, Y. in: JCI | PubMed | Google Scholar

1College of Life Sciences, Zhejiang University, Hangzhou, China

2The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China

3College of Life Science, Zhejiang University, Hangzhou, China

4Westlake Laboratory of Life Sciences and Biomedicine, School of Life Sciences, Westlake University, Hangzhou, China

5The Children’s Hospital of Zhejiang University School of Medicine, Hangzhou, China

6Institute for Stem Cell Research, School of Biological Sciences, University of Edinburgh, Edinburgh, United Kingdom

7Institute of Translational Medicine, Zhejiang University, Hangzhou, China

Find articles by Xie, S. in: JCI | PubMed | Google Scholar

1College of Life Sciences, Zhejiang University, Hangzhou, China

2The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China

3College of Life Science, Zhejiang University, Hangzhou, China

4Westlake Laboratory of Life Sciences and Biomedicine, School of Life Sciences, Westlake University, Hangzhou, China

5The Children’s Hospital of Zhejiang University School of Medicine, Hangzhou, China

6Institute for Stem Cell Research, School of Biological Sciences, University of Edinburgh, Edinburgh, United Kingdom

7Institute of Translational Medicine, Zhejiang University, Hangzhou, China

Find articles by Ding, X. in: JCI | PubMed | Google Scholar

1College of Life Sciences, Zhejiang University, Hangzhou, China

2The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China

3College of Life Science, Zhejiang University, Hangzhou, China

4Westlake Laboratory of Life Sciences and Biomedicine, School of Life Sciences, Westlake University, Hangzhou, China

5The Children’s Hospital of Zhejiang University School of Medicine, Hangzhou, China

6Institute for Stem Cell Research, School of Biological Sciences, University of Edinburgh, Edinburgh, United Kingdom

7Institute of Translational Medicine, Zhejiang University, Hangzhou, China

Find articles by Hu, S. in: JCI | PubMed | Google Scholar

1College of Life Sciences, Zhejiang University, Hangzhou, China

2The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China

3College of Life Science, Zhejiang University, Hangzhou, China

4Westlake Laboratory of Life Sciences and Biomedicine, School of Life Sciences, Westlake University, Hangzhou, China

5The Children’s Hospital of Zhejiang University School of Medicine, Hangzhou, China

6Institute for Stem Cell Research, School of Biological Sciences, University of Edinburgh, Edinburgh, United Kingdom

7Institute of Translational Medicine, Zhejiang University, Hangzhou, China

Find articles by Zhou, X. in: JCI | PubMed | Google Scholar |

1College of Life Sciences, Zhejiang University, Hangzhou, China

2The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China

3College of Life Science, Zhejiang University, Hangzhou, China

4Westlake Laboratory of Life Sciences and Biomedicine, School of Life Sciences, Westlake University, Hangzhou, China

5The Children’s Hospital of Zhejiang University School of Medicine, Hangzhou, China

6Institute for Stem Cell Research, School of Biological Sciences, University of Edinburgh, Edinburgh, United Kingdom

7Institute of Translational Medicine, Zhejiang University, Hangzhou, China

Find articles by Jiang, Y. in: JCI | PubMed | Google Scholar |

1College of Life Sciences, Zhejiang University, Hangzhou, China

2The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China

3College of Life Science, Zhejiang University, Hangzhou, China

4Westlake Laboratory of Life Sciences and Biomedicine, School of Life Sciences, Westlake University, Hangzhou, China

5The Children’s Hospital of Zhejiang University School of Medicine, Hangzhou, China

6Institute for Stem Cell Research, School of Biological Sciences, University of Edinburgh, Edinburgh, United Kingdom

7Institute of Translational Medicine, Zhejiang University, Hangzhou, China

Find articles by Zhou, H. in: JCI | PubMed | Google Scholar

1College of Life Sciences, Zhejiang University, Hangzhou, China

2The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China

3College of Life Science, Zhejiang University, Hangzhou, China

4Westlake Laboratory of Life Sciences and Biomedicine, School of Life Sciences, Westlake University, Hangzhou, China

5The Children’s Hospital of Zhejiang University School of Medicine, Hangzhou, China

6Institute for Stem Cell Research, School of Biological Sciences, University of Edinburgh, Edinburgh, United Kingdom

7Institute of Translational Medicine, Zhejiang University, Hangzhou, China

Find articles by Qiu, Y. in: JCI | PubMed | Google Scholar

1College of Life Sciences, Zhejiang University, Hangzhou, China

2The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China

3College of Life Science, Zhejiang University, Hangzhou, China

4Westlake Laboratory of Life Sciences and Biomedicine, School of Life Sciences, Westlake University, Hangzhou, China

5The Children’s Hospital of Zhejiang University School of Medicine, Hangzhou, China

6Institute for Stem Cell Research, School of Biological Sciences, University of Edinburgh, Edinburgh, United Kingdom

7Institute of Translational Medicine, Zhejiang University, Hangzhou, China

Find articles by Lei, Z. in: JCI | PubMed | Google Scholar

1College of Life Sciences, Zhejiang University, Hangzhou, China

2The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China

3College of Life Science, Zhejiang University, Hangzhou, China

4Westlake Laboratory of Life Sciences and Biomedicine, School of Life Sciences, Westlake University, Hangzhou, China

5The Children’s Hospital of Zhejiang University School of Medicine, Hangzhou, China

6Institute for Stem Cell Research, School of Biological Sciences, University of Edinburgh, Edinburgh, United Kingdom

7Institute of Translational Medicine, Zhejiang University, Hangzhou, China

Find articles by Li, M. in: JCI | PubMed | Google Scholar

1College of Life Sciences, Zhejiang University, Hangzhou, China

2The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China

3College of Life Science, Zhejiang University, Hangzhou, China

4Westlake Laboratory of Life Sciences and Biomedicine, School of Life Sciences, Westlake University, Hangzhou, China

5The Children’s Hospital of Zhejiang University School of Medicine, Hangzhou, China

6Institute for Stem Cell Research, School of Biological Sciences, University of Edinburgh, Edinburgh, United Kingdom

7Institute of Translational Medicine, Zhejiang University, Hangzhou, China

Find articles by Cai, H. in: JCI | PubMed | Google Scholar

1College of Life Sciences, Zhejiang University, Hangzhou, China

2The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China

3College of Life Science, Zhejiang University, Hangzhou, China

4Westlake Laboratory of Life Sciences and Biomedicine, School of Life Sciences, Westlake University, Hangzhou, China

5The Children’s Hospital of Zhejiang University School of Medicine, Hangzhou, China

6Institute for Stem Cell Research, School of Biological Sciences, University of Edinburgh, Edinburgh, United Kingdom

7Institute of Translational Medicine, Zhejiang University, Hangzhou, China

Find articles by Fan, M. in: JCI | PubMed | Google Scholar

1College of Life Sciences, Zhejiang University, Hangzhou, China

2The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China

3College of Life Science, Zhejiang University, Hangzhou, China

4Westlake Laboratory of Life Sciences and Biomedicine, School of Life Sciences, Westlake University, Hangzhou, China

5The Children’s Hospital of Zhejiang University School of Medicine, Hangzhou, China

6Institute for Stem Cell Research, School of Biological Sciences, University of Edinburgh, Edinburgh, United Kingdom

7Institute of Translational Medicine, Zhejiang University, Hangzhou, China

Find articles by Sang, L. in: JCI | PubMed | Google Scholar |

1College of Life Sciences, Zhejiang University, Hangzhou, China

2The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China

3College of Life Science, Zhejiang University, Hangzhou, China

4Westlake Laboratory of Life Sciences and Biomedicine, School of Life Sciences, Westlake University, Hangzhou, China

5The Children’s Hospital of Zhejiang University School of Medicine, Hangzhou, China

6Institute for Stem Cell Research, School of Biological Sciences, University of Edinburgh, Edinburgh, United Kingdom

7Institute of Translational Medicine, Zhejiang University, Hangzhou, China

Find articles by Fu, Y. in: JCI | PubMed | Google Scholar

1College of Life Sciences, Zhejiang University, Hangzhou, China

2The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China

3College of Life Science, Zhejiang University, Hangzhou, China

4Westlake Laboratory of Life Sciences and Biomedicine, School of Life Sciences, Westlake University, Hangzhou, China

5The Children’s Hospital of Zhejiang University School of Medicine, Hangzhou, China

6Institute for Stem Cell Research, School of Biological Sciences, University of Edinburgh, Edinburgh, United Kingdom

7Institute of Translational Medicine, Zhejiang University, Hangzhou, China

Find articles by Zhang, D. in: JCI | PubMed | Google Scholar |

1College of Life Sciences, Zhejiang University, Hangzhou, China

2The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China

3College of Life Science, Zhejiang University, Hangzhou, China

4Westlake Laboratory of Life Sciences and Biomedicine, School of Life Sciences, Westlake University, Hangzhou, China

5The Children’s Hospital of Zhejiang University School of Medicine, Hangzhou, China

6Institute for Stem Cell Research, School of Biological Sciences, University of Edinburgh, Edinburgh, United Kingdom

7Institute of Translational Medicine, Zhejiang University, Hangzhou, China

Find articles by Lin, A. in: JCI | PubMed | Google Scholar

1College of Life Sciences, Zhejiang University, Hangzhou, China

2The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China

3College of Life Science, Zhejiang University, Hangzhou, China

4Westlake Laboratory of Life Sciences and Biomedicine, School of Life Sciences, Westlake University, Hangzhou, China

5The Children’s Hospital of Zhejiang University School of Medicine, Hangzhou, China

6Institute for Stem Cell Research, School of Biological Sciences, University of Edinburgh, Edinburgh, United Kingdom

7Institute of Translational Medicine, Zhejiang University, Hangzhou, China

Find articles by Li, X. in: JCI | PubMed | Google Scholar |

1College of Life Sciences, Zhejiang University, Hangzhou, China

2The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China

3College of Life Science, Zhejiang University, Hangzhou, China

4Westlake Laboratory of Life Sciences and Biomedicine, School of Life Sciences, Westlake University, Hangzhou, China

5The Children’s Hospital of Zhejiang University School of Medicine, Hangzhou, China

6Institute for Stem Cell Research, School of Biological Sciences, University of Edinburgh, Edinburgh, United Kingdom

7Institute of Translational Medicine, Zhejiang University, Hangzhou, China

Find articles by Kunath, T. in: JCI | PubMed | Google Scholar |

1College of Life Sciences, Zhejiang University, Hangzhou, China

2The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China

3College of Life Science, Zhejiang University, Hangzhou, China

4Westlake Laboratory of Life Sciences and Biomedicine, School of Life Sciences, Westlake University, Hangzhou, China

5The Children’s Hospital of Zhejiang University School of Medicine, Hangzhou, China

6Institute for Stem Cell Research, School of Biological Sciences, University of Edinburgh, Edinburgh, United Kingdom

7Institute of Translational Medicine, Zhejiang University, Hangzhou, China

Find articles by Zhou, R. in: JCI | PubMed | Google Scholar |

1College of Life Sciences, Zhejiang University, Hangzhou, China

2The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China

3College of Life Science, Zhejiang University, Hangzhou, China

4Westlake Laboratory of Life Sciences and Biomedicine, School of Life Sciences, Westlake University, Hangzhou, China

5The Children’s Hospital of Zhejiang University School of Medicine, Hangzhou, China

6Institute for Stem Cell Research, School of Biological Sciences, University of Edinburgh, Edinburgh, United Kingdom

7Institute of Translational Medicine, Zhejiang University, Hangzhou, China

Find articles by Liang, P. in: JCI | PubMed | Google Scholar |

1College of Life Sciences, Zhejiang University, Hangzhou, China

2The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China

3College of Life Science, Zhejiang University, Hangzhou, China

4Westlake Laboratory of Life Sciences and Biomedicine, School of Life Sciences, Westlake University, Hangzhou, China

5The Children’s Hospital of Zhejiang University School of Medicine, Hangzhou, China

6Institute for Stem Cell Research, School of Biological Sciences, University of Edinburgh, Edinburgh, United Kingdom

7Institute of Translational Medicine, Zhejiang University, Hangzhou, China

Find articles by Liu, Z. in: JCI | PubMed | Google Scholar

1College of Life Sciences, Zhejiang University, Hangzhou, China

2The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China

3College of Life Science, Zhejiang University, Hangzhou, China

4Westlake Laboratory of Life Sciences and Biomedicine, School of Life Sciences, Westlake University, Hangzhou, China

5The Children’s Hospital of Zhejiang University School of Medicine, Hangzhou, China

6Institute for Stem Cell Research, School of Biological Sciences, University of Edinburgh, Edinburgh, United Kingdom

7Institute of Translational Medicine, Zhejiang University, Hangzhou, China

Find articles by Yan, Q. in: JCI | PubMed | Google Scholar

Published May 18, 2023 - More info

J Clin Invest. https://doi.org/10.1172/JCI164660.
Copyright © 2023, Zhuang et al. This work is licensed under the Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
Published May 18, 2023 - Version history
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Abstract

Hypertrophic cardiomyopathy (HCM) is the most prominent cause of sudden cardiac death in young individuals. Due to heterogeneity in the clinical manifestations, conventional HCM drugs have limitations for mitochondrial hypertrophic cardiomyopathy. Discovering more effective compounds would be of substantial benefit for further elucidating the pathogenic mechanisms of HCM and treating patients with this condition. We previously reported the MT-RNR2 variant associated with HCM that results in mitochondrial dysfunction. Here, we screened a mitochondria-associated compound library by quantifying the mitochondrial membrane potential of HCM cybrids and the survival rate of HCM induced pluripotent stem cell-derived cardiomyocytes (iPSC-CMs) in galactose media. 1-Deoxynojirimycin (DNJ) was identified to rescue mitochondrial function by targeting optic atrophy protein 1 (OPA1) to promote its oligomerization, leading to reconstruction of the mitochondrial cristae. DNJ treatment further recovered the physiological properties of HCM iPSC-CMs by improving Ca2+ homeostasis and electrophysiological properties. An angiotensin II-induced cardiac hypertrophy mouse model further verified the efficacy of DNJ in promoting cardiac mitochondrial function and alleviating cardiac hypertrophy in vivo. These results demonstrated that DNJ could be a potential mitochondrial rescue agent for mitochondrial hypertrophic cardiomyopathy. Our findings will help elucidate the mechanism of HCM and provide a potential therapeutic strategy.

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