Experimental evidence and clinical implications of Warburg effect in the skeletal muscle of Fabry disease

© 2023 The Authors..

Skeletal muscle (SM) pain and fatigue are common in Fabry disease (FD). Here, we undertook the investigation of the energetic mechanisms related to FD-SM phenotype. A reduced tolerance to aerobic activity and lactate accumulation occurred in FD-mice and patients. Accordingly, in murine FD-SM we detected an increase in fast/glycolytic fibers, mirrored by glycolysis upregulation. In FD-patients, we confirmed a high glycolytic rate and the underutilization of lipids as fuel. In the quest for a tentative mechanism, we found HIF-1 upregulated in FD-mice and patients. This finding goes with miR-17 upregulation that is responsible for metabolic remodeling and HIF-1 accumulation. Accordingly, miR-17 antagomir inhibited HIF-1 accumulation, reverting the metabolic-remodeling in FD-cells. Our findings unveil a Warburg effect in FD, an anaerobic-glycolytic switch under normoxia induced by miR-17-mediated HIF-1 upregulation. Exercise-intolerance, blood-lactate increase, and the underlying miR-17/HIF-1 pathway may become useful therapeutic targets and diagnostic/monitoring tools in FD.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:26

Enthalten in:

iScience - 26(2023), 3 vom: 17. März, Seite 106074

Sprache:

Englisch

Beteiligte Personen:

Gambardella, Jessica [VerfasserIn]
Fiordelisi, Antonella [VerfasserIn]
Cerasuolo, Federica Andrea [VerfasserIn]
Buonaiuto, Antonietta [VerfasserIn]
Avvisato, Roberta [VerfasserIn]
Viti, Alessandro [VerfasserIn]
Sommella, Eduardo [VerfasserIn]
Merciai, Fabrizio [VerfasserIn]
Salviati, Emanuela [VerfasserIn]
Campiglia, Pietro [VerfasserIn]
D'Argenio, Valeria [VerfasserIn]
Parisi, Silvia [VerfasserIn]
Bianco, Antonio [VerfasserIn]
Spinelli, Letizia [VerfasserIn]
Di Vaia, Eugenio [VerfasserIn]
Cuocolo, Alberto [VerfasserIn]
Pisani, Antonio [VerfasserIn]
Riccio, Eleonora [VerfasserIn]
Di Risi, Teodolinda [VerfasserIn]
Ciccarelli, Michele [VerfasserIn]
Santulli, Gaetano [VerfasserIn]
Sorriento, Daniela [VerfasserIn]
Iaccarino, Guido [VerfasserIn]

Links:

Volltext

Themen:

Cell biology
Cellular physiology
Health sciences
Journal Article
Pathophysiology

Anmerkungen:

Date Revised 08.03.2023

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1016/j.isci.2023.106074

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM353856185