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MESH1-mediated coenzyme A degradation drives ferroptosis sensitivity and muscle pathology
Chao-Chieh Lin, Joshua Rose, Alexander A. Mestre, Chien-Kung Cornelia Ding, Ssu-Yu Chen, Sze Mun Choy, Kah Yong Goh, Weiyi Jiang, Wen Xing Lee, Qizhou Jiang, Yanting Chen, Tianai Sun, Jianli Wu, Yueqi Chen, Yunju Oh, Pyeonghwa Jeong, Jiyong Hong, Kenon Chua, Michael C. Fitzgerald, Guo-Fang Zhang, Hong-Wen Tang, Pei Zhou, Jen-Tsan Chi
Chao-Chieh Lin, Joshua Rose, Alexander A. Mestre, Chien-Kung Cornelia Ding, Ssu-Yu Chen, Sze Mun Choy, Kah Yong Goh, Weiyi Jiang, Wen Xing Lee, Qizhou Jiang, Yanting Chen, Tianai Sun, Jianli Wu, Yueqi Chen, Yunju Oh, Pyeonghwa Jeong, Jiyong Hong, Kenon Chua, Michael C. Fitzgerald, Guo-Fang Zhang, Hong-Wen Tang, Pei Zhou, Jen-Tsan Chi
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Research Article Cell biology Muscle biology

MESH1-mediated coenzyme A degradation drives ferroptosis sensitivity and muscle pathology

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Abstract

CoA facilitates fatty acid synthesis, energy production, gene regulation, and antioxidant function. While CoA biosynthesis is well characterized, the mechanisms governing CoA degradation remain poorly understood. Here, we identify the Metazoan Homolog of SpoT, MESH1, as a CoA phosphatase that dephosphorylates CoA at the 3′ position of the ribose ring to form dephospho-CoA. Recent studies have shown that CoA, similar to glutathione, is a cysteine-derived metabolite that protects cells against ferroptosis. Ferroptosis induced by blocking cystine import depletes CoA biosynthesis, while CoA restoration rescues cells from ferroptosis. We found that MESH1 knockdown preserved CoA levels by preventing its degradation, contributing to ferroptosis protection, indicating the bifunctional role of MESH1 in regulating CoA and previously reported NADPH. Mechanistically, MESH1 knockdown elevates CoA levels, maintaining a functional mitochondrial thioredoxin system, thereby preventing mitochondrial lipid peroxidation. In Drosophila, we found that dMesh1 overexpression leads to ferroptosis-mediated muscle atrophy, which can be rescued by increasing CoA and NADPH levels. Taken together, these findings establish MESH1 as a key phosphatase that governs ferroptosis sensitivity by coordinating CoA and NADPH homeostasis, unveiling a link between CoA degradation, mitochondrial integrity, and muscle health.

Authors

Chao-Chieh Lin, Joshua Rose, Alexander A. Mestre, Chien-Kung Cornelia Ding, Ssu-Yu Chen, Sze Mun Choy, Kah Yong Goh, Weiyi Jiang, Wen Xing Lee, Qizhou Jiang, Yanting Chen, Tianai Sun, Jianli Wu, Yueqi Chen, Yunju Oh, Pyeonghwa Jeong, Jiyong Hong, Kenon Chua, Michael C. Fitzgerald, Guo-Fang Zhang, Hong-Wen Tang, Pei Zhou, Jen-Tsan Chi

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Figure 5

MESH1 is upregulated in cancer cachexia and regulates ferroptosis in mammalian muscle cells.

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MESH1 is upregulated in cancer cachexia and regulates ferroptosis in mam...
(A and B) MESH1 knockdown significantly protected differentiated C2C12 myotubes from erastin-induced ferroptosis, as measured by cell viability (A) and cytotoxicity assays (B). Supplementation with CoA or NAM, a NAD+ precursor that enhances intracellular NADPH levels, similarly protected C2C12 myotubes from ferroptosis, indicating conservation of the MESH1/CoA/NADPH axis in mammalian muscle cells. (C) MESH1 mRNA levels were increased in skeletal muscle samples from patients with cancer cachexia compared with healthy controls. (D and E) Immunoblot analysis (D) and quantification (E) showing increased MESH1 protein levels in skeletal muscle from patients with cancer cachexia. (F and G) Immunohistochemical staining (F) and quantification (G) demonstrating enrichment of MESH1 protein in skeletal muscle sections from patients with cancer cachexia compared with healthy controls. Scale bar: 100 μm. (H) Expression of ACSL4, a ferroptosis-associated enzyme, in skeletal muscle from healthy controls and patients with cancer cachexia. (A) Two-way ANOVA, Šidák’s multiple comparisons, n = 6 independent biological replicates; data are shown as mean ± SEM. (B) One-way ANOVA, Tukey’s multiple comparisons, n = 6 independent biological replicates. (C, E, G, and H) Student’s t test, n = 10 independent biological replicates; data are shown as mean ± SEM.

Copyright © 2026 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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