category
bioRxiv
date
Mar 2, 2026
slug
status
Published
summary
首次揭示二甲双胍通过AMPK-SIRT1-PGC-1轴恢复血管平滑肌细胞线粒体稳态抑制腹主动脉瘤进展的机制,明确PGC-1在该过程中的非冗余保护作用,为药物再利用和靶向PGC-1治疗提供理论基础。
tags
基因编辑
type
Post
📄 原文题目
Metformin Stabilizes the Abdominal Aorta in Aneurysm by Restoring VSMC Mitochondrial Homeostasis via the AMPK-SIRT1-PGC-1α Axis
🔗 原文链接
💡 AI 核心解读
首次揭示二甲双胍通过AMPK-SIRT1-PGC-1轴恢复血管平滑肌细胞线粒体稳态抑制腹主动脉瘤进展的机制,明确PGC-1在该过程中的非冗余保护作用,为药物再利用和靶向PGC-1治疗提供理论基础。
📝 英文原版摘要
BACKGROUND: Abdominal aortic aneurysm (AAA) is a life-threatening condition with >80% mortality upon rupture and no effective pharmacotherapy available. Despite epidemiological evidence linking metformin use to reduced AAA progression, its mechanism remains elusive. Notably, peroxisome proliferator-activated receptor {gamma} coactivator 1 (PGC-1, encoded by Ppargc1a) is downregulated in human AAA, yet its functional role in metformin's protection is unknown. METHODS: We employed porcine pancreatic elastase (PPE)-induced murine AAA, VSMC-specific Ppargc1a knockout (Ppargc1aVSMC-KO), primary VSMC senescence models, and pharmacological inhibition (Compound C for AMPK; Ex-527 for SIRT1) to define the AMPK-SIRT1-PGC-1 axis. RESULTS: Metformin significantly inhibited AAA expansion, suppressed VSMC senescence (p53/p21{downarrow}, SA-{beta}-gal{downarrow}), and preserved contractile phenotype (SMTN{uparrow}, IL- 6/TNF-{downarrow}). Crucially, all benefits were abrogated in Ppargc1aVSMC-KO mice, which exhibited accelerated aneurysm growth, mitochondrial fragmentation, ATP depletion, and ROS accumulation. Mechanistically, metformin activated AMPK/SIRT1 to upregulate PGC-1; AMPK or SIRT1 inhibition blocked this cascade and reversed protection. CONCLUSION: Metformin restrains AAA by restoring VSMC mitochondrial homeostasis via the AMPK/SIRT1[->]PGC-1 axis, positioning PGC-1 as a nonredundant, cell-autonomous guardian against vascular degeneration. These findings provide a mechanistic foundation for repurposing metformin and developing PGC-1- targeted therapies in AAA.
- 作者:NotionNext
- 链接:https://tangly1024.com/article/31748bd6-1f96-8120-ae81-dd3dae33515e
- 声明:本文采用 CC BY-NC-SA 4.0 许可协议,转载请注明出处。
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