[1]高兰,林洋洋,陈宏,等.线粒体自噬在心血管疾病中的研究进展[J].陕西医学杂志,2026,(7):996-1000,1004.[doi:DOI:10.3969/j.issn.1000-7377.2026.07.022]
 GAO Lan,LIN Yangyang,CHEN Hong,et al.Research progress on role and mechanism of mitochondrial autophagy in cardiovascular diseases[J].,2026,(7):996-1000,1004.[doi:DOI:10.3969/j.issn.1000-7377.2026.07.022]
点击复制

线粒体自噬在心血管疾病中的研究进展

《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
期数:
2026年7期
页码:
996-1000,1004
栏目:
综述
出版日期:
2026-07-05

文章信息/Info

Title:
Research progress on role and mechanism of mitochondrial autophagy in cardiovascular diseases
作者:
高兰1林洋洋2陈宏2寇俊萍2李芳12
(1.中国药科大学附属江宁中医院 南京市江宁中医院,江苏 南京 211198;2.中国药科大学中药学院中药药理与中医药学系,江苏 南京 211198)
Author(s):
GAO Lan1LIN Yangyang2CHEN Hong2KOU Junping2LI Fang12
(1.Affiliated Jiangning Hospital of Chinese Medicine,School of Traditional Chinese Pharmacy,China Pharmaceutical University,Nanjing 211198,China;2.School of Traditional Chinese Pharmacy,China Pharmaceutical University,Nanjing 211198,China)
关键词:
线粒体自噬心血管疾病动脉粥样硬化高血压症糖尿病心肌病缺血性心肌病心力衰竭
Keywords:
Mitochondrial autophagyCardiovascular diseaseAtherosclerosisHypertensionDiabetic cardiomyopathyIschemic cardiomyopathyHeart failure
分类号:
R 54
DOI:
DOI:10.3969/j.issn.1000-7377.2026.07.022
文献标志码:
A
摘要:
线粒体自噬是一种选择性降解机制,专门负责清除受损、多余或功能性退化的线粒体,以确保线粒体与细胞稳态的平衡。近年来研究发现,在动脉粥样硬化(AS)、高血压、糖尿病心脏病(DC)、缺血性心肌病(ICM)和心力衰竭(HF)等心血管疾病中,线粒体自噬的功能经常出现障碍,加剧了疾病的发展。因此,调节线粒体自噬的平衡和功能被认为是治疗心血管疾病的可能策略。现概述线粒体自噬在心血管疾病研究中作用研究进展,以期提供心血管疾病的预防和治疗新参考。
Abstract:
Mitochondrial autophagy,as a selective degradation mechanism,is responsible for removing and regulating damaged,redundant or functionally degraded mitochondria to ensure the balance between mitochondria and cell homeostasis.However,mitochondrial autophagy dysfunction will further aggravates the development of cardiovascular diseases such as arteriosclerosis(AS),hypertension,diabetic cardiomyopathy(DC),ischemic cardiomyopathy(ICM) and heart failure(HF),which is found in studies recently.Accordingly,regulating the balance and function of mitochondrial autophagy is considered as a possible strategy to treat cardiovascular diseases.This article reviews the research progress of mitochondrial autophagy in cardiovascular diseases,in order to provide new reference for the prevention and treatment of cardiovascular diseases.

参考文献/References:

[1]SUN N,BARTA H,CHAUDHURI S,et al.Mitophagy mitigates mitochondrial fatty acid β-oxidation deficient cardiomyopathy[J].Nat Commun,2025,16(1):5465.
[2]TITUS A S,SUNG E A,ZABLOCKI D,et al.Mitophagy for cardioprotection[J].Basic Res Cardiol,2023,118(1):42.
[3]LIU Y,ZHANG H,LIU Y,et al.Hypoxia-induced GPCPD1 depalmitoylation triggers mitophagy via regulating PRKN-mediated ubiquitination of VDAC1[J].Autophagy,2023,19(9):2443-2463.
[4]ZHI F,ZHANG Q,LIU L,et al.Novel insights into the role of mitochondria in diabetic cardiomyopathy:Molecular mechanisms and potential treatments[J].Cell Stress Chaperones,2023,28(6):641-655.
[5]LU Y,LI Z,ZHANG S,et al.Cellular mitophagy:Mechanism,roles in diseases and small molecule pharmacological regulation[J].Theranostics,2023,13(2):736-766.
[6]VALENTE E M,ABOU SPM,CAPUTO V,et al.Hereditary early-onset Parkinson's disease caused by mutations in PINK1[J].Science,2004,304(5674):1158-1160.
[7]杨世伟,杨添淞,冯楚文,等.磷酸酶及张力蛋白同源物诱导激酶/帕金森病蛋白介导的线粒体自噬对患者心肌损伤产生影响的研究进展[J].陕西医学杂志,2024,53(4):569-572.
[8]HAN R,LIU Y,LI S,et al.PINK1-PRKN mediated mitophagy:Differences between in vitro and in vivo models[J].Autophagy,2023;19(5):1396-1405.
[9]KOYANO F,OKATSU K,KOSAKO H,et al.Ubiquitin is phosphorylated by PINK1 to activate parkin[J].Nature,2014,510(7503):162-166.
[10]HARPER J W,ORDUREAU A,HEO J M.Building and decoding ubiquitin chains for mitophagy[J].Nat Rev Mol Cell Biol,2018,19(2):93-108.
[11]IGARASHI R,YAMASHITA S I,YAMASHITA T,et al.Gemcitabine induces Parkin-independent mitophagy through mitochondrial-resident E3 ligase MUL1-mediated stabilization of PINK1[J].Scientific Reports,2020,10(1):1465.
[12]YAMADA T,MURATA D,ADACHI Y,et al.Mitochondrial stasis reveals p62-mediated ubiquitination in Parkin-independent mitophagy and mitigates nonalcoholic fatty liver disease[J].Cell Metab,2018,28(4):588-604 e585.
[13]DI R A,PESCHIAROLI A,Pucci D A,et al.HUWE1 E3 ligase promotes PINK1/PARKIN-independent mitophagy by regulating AMBRA1 activation via IKKα[J].Nat Commun,2018,9(1):3755.
[14]SIWACH A,PATEL H,KHAIRNAR A,et al.Molecular symphony of mitophagy:Ubiquitin-specific protease-30 as a maestro for precision management of neurodegenerative diseases[J].CNS Neurosci Ther,2025,31(1):e70192.
[15]NGUYEN D G T,KOZUL K L,CUI Y,et al.FBXL4 suppresses mitophagy by restricting the accumulation of NIX and BNIP3 mitophagy receptors[J].EMBO J,2023,42(13):e112767.
[16]LIU L,FENG D,CHEN G,et al.Mitochondrial outer-membrane protein FUNDC1 mediates hypoxia-induced mitophagy in mammalian cells[J].Nat Cell Biol,2012,14(2):177-185.
[17]YANG K,WU J,LI S,et al.NTRK1 knockdown induces mouse cognitive impairment and hippocampal neuronal damage through mitophagy suppression via inactivating the AMPK/ULK1/FUNDC1 pathway[J].Cell Death Discov,2023,9(1):404.
[18]SHEN Y,PENG X,JI H,et al.Dapagliflozin protects heart function against type-4 cardiorenal syndrome through activation of PKM2/PP1/FUNDC1-dependent mitophagy[J].Int J Biol Macromol,2023,250:126116.
[19]CHEN Y,QIN W,LI L,et al.Mitophagy:Critical role in atherosclerosis progression[J].DNA Cell Biol,2022,41(10):851-860.
[20]LIU W,SONG H,XU J,et al.Low shear stress inhibits endothelial mitophagy via caveolin-1/miR-7-5p/SQSTM1 signaling pathway[J].Atherosclerosis,2022,356:9-17.
[21]BEZSONOV E,BORISOV E,VINOKUROV A,et al.Effects of native and modified low-density lipoproteins on mitophagy[J].Atherosclerosis,2023,375:98-100.
[22]DUAN M,CHEN H,YIN L,et al.Mitochondrial apolipoprotein A-I binding protein alleviates atherosclerosis by regulating mitophagy and macrophage polarization[J].Cell Commun Signal,2022,20(1):60.
[23]CHEN Y,YUAN C,QIN W,et al.TMAO promotes vascular endothelial cell pyroptosis via the LPEAT-mitophagy pathway[J].Biochem Biophys Res Commun,2024,703:149667.
[24]OREKHOV A N,ZHURAVLEV A D,VINOKUROV A Y,et al.Defective mitophagy impairs response to inflammatory activation of macrophage-like cells[J].Curr Med Chem,2025;32(1):111-122
[25]JIN Y,LIU Y,XU L,et al.Novel role for caspase 1 inhibitor VX765 in suppressing NLRP3 inflammasome assembly and atherosclerosis via promoting mitophagy and efferocytosis[J].Cell Death Dis,2022,13(5):512.
[26]FERRUCCI L,CANDIA J,UBAIDA M C,et al.Transcriptomic and proteomic of gastrocnemius muscle in peripheral artery disease[J].Circ Res,2023,132(11):1428-1443.
[27]GENG N,CHEN T,CHEN L,et al.Nuclear receptor Nur77 protects against oxidative stress by maintaining mitochondrial homeostasis via regulating mitochondrial fission and mitophagy in smooth muscle cell[J].J Mol Cell Cardiol,2022,170:22-33.
[28]CAREY R M,MORAN A E,WHELTON P K.Treatment of hypertension:A review[J].JAMA,2022,328(18):1849-1861.
[29]MA J,LI Y,YANG X,et al.Signaling pathways in vascular function and hypertension:Molecular mechanisms and therapeutic interventions[J].Signal Transduct Target Ther,2023,8(1):168.
[30]ZHAO X,CUI L,XIAO Y,et al.Hypertension-associated mitochondrial DNA 4401A>G mutation caused the aberrant processing of tRNAMet,all 8 tRNAs and ND6 mRNA in the light-strand transcript[J].Nucleic Acids Res,2019,47(19):10340-10356.
[31]LI G,XU K,XING W,et al.Swimming exercise alleviates endothelial mitochondrial fragmentation via inhibiting dynamin-related protein-1 to improve vascular function in hypertension[J].Hypertension,2022,79(10):e116-e128.
[32]ZHANG S,HU L,JIANG J,et al.HMGB1/RAGE axis mediates stress-induced RVLM neuroinflammation in mice via impairing mitophagy flux in microglia[J].J Neuroinflammation,2020,17(1):15.
[33]TAN Y,ZHANG Z,ZHENG C,et al.Mechanisms of diabetic cardiomyopathy and potential therapeutic strategies:Preclinical and clinical evidence[J].Nat Rev Cardiol,2020,17(9):585-607.
[34]WANG T,YUAN L,CHEN Y,et al.Expression profiles and bioinformatic analysis of microRNAs in myocardium of diabetic cardiomyopathy mice[J].Genes Genomics,2023,45(8):1003-1011.
[35]ZHANG Y,ZOU R,ABUDUREYIMU M,et al.Mitochondrial aldehyde dehydrogenase rescues against diabetic cardiomyopathy through GSK3β-mediated preservation of mitochondrial integrity and parkin-mediated mitophagy[J].J Mol Cell Biol,2023,8(28):mjad056.
[36]ZHOU L,SU W,WANG Y,et al.FOXO1 reduces STAT3 activation and causes impaired mitochondrial quality control in diabetic cardiomyopathy[J].Diabetes Obes Metab,2024,26(2):732-744.
[37]CHANG X,LI Y,CAI C,et al.Mitochondrial quality control mechanisms as molecular targets in diabetic heart[J].Metabolism,2022,137:155313.
[38]ZHENG H,LI W,HUANG G,et al.Secreted frizzled-related protein 2 ameliorates diabetic cardiomyopathy by activating mitophagy[J].Biochim Biophys Acta Mol Basis Dis,2024,1870(2):166989.
[39]MU J,ZHANG D,TIAN Y,et al.BRD4 inhibition by JQ1 prevents high-fat diet-induced diabetic cardiomyopathy by activating PINK1/Parkin-mediated mitophagy in vivo[J].J Mol Cell Cardiol,2020,149:1-14.
[40]CHANG X,LIU J,WANG Y,et al.Mitochondrial disorder and treatment of ischemic cardiomyopathy:Potential and advantages of Chinese herbal medicine[J].Biomed Pharmacother,2023,159:114171.
[41]CHENG J,JI M,JING H,et al.DUSP12 ameliorates myocardial ischemia-reperfusion injury through HSPB8-induced mitophagy[J].J Biochem Mol Toxicol,2023,37(5):e23310.
[42]ZHANG Y N,PANG Y X,LIU D W,et al.JMJD5 attenuates oxygen-glucose deprivation and reperfusion-induced injury in cardiomyocytes through regulation of HIF-1α-BNIP3[J].Kaohsiung J Med Sci,2022,38(1):38-48.
[43]JI H,WANG J,MUID D,et al.FUNDC1 activates the mitochondrial unfolded protein response to preserve mitochondrial quality control in cardiac ischemia/reperfusion injury[J].Cell Signal,2022,92:110249.
[44]JIA L,YANG L,TIAN Y,et al.Nrf2 participates in the protective effect of exogenous mitochondria against mitochondrial dysfunction in myocardial ischaemic and hypoxic injury[J].Cell Signa,2022,92:110266.
[45]JI Y,LENG Y,LEI S,et al.The mitochondria-targeted antioxidant MitoQ ameliorates myocardial ischemia-reperfusion injury by enhancing PINK1/Parkin-mediated mitophagy in type 2 diabetic rats[J].Cell Stress Chaperones,2022,27(4):353-367.
[46]LIAO Y,KE B,LONG X,et al.Abnormalities in the SIRT1-SIRT3 axis promote myocardial ischemia-reperfusion injury through ferroptosis caused by silencing the PINK1/Parkin signaling pathway[J].BMC Cardiovasc Disord,2023,23(1):582.
[47]LIU K,WANG H,WANG Y,et al.Exploring the therapeutic potential of Sirt6-enriched adipose stem cell-derived exosomes in myocardial ischemia-reperfusion injury:unfolding new epigenetic frontiers[J].Clin Epigenetics,2024,16(1):7.
[48]XU Q,LIU S,GONG Q,et al.Notch1 protects against ischemic-reperfusion injury by suppressing PTEN-Pink1-mediated mitochondrial dysfunction and mitophagy[J].Cells,2022,12(1):137.
[49]HUANG G,LU X,ZHOU H,et al.PCSK9 inhibition protects against myocardial ischemia-reperfusion injury via suppressing autophagy[J].Microvasc Res,2022,142:104371.

相似文献/References:

[1]刘毅龙,陈鹏宇,雷 江,等.SGLT2抑制剂在2型糖尿病合并心血管疾病治疗中的应用研究进展[J].陕西医学杂志,2019,(3):407.
[2]黄燕云,任策,时岩,等.βⅡ血影蛋白在心血管疾病中的研究进展[J].陕西医学杂志,2025,54(7):997.[doi:DOI:10.3969/j.issn.1000-7377.2025.07.025]
 HUANG Yanyun,REN Ce,SHI Yan,et al.Research Progress on Spectrin-βⅡ in Cardiovascular Diseases[J].,2025,54(7):997.[doi:DOI:10.3969/j.issn.1000-7377.2025.07.025]
[3]刘园,郝杰,方奎,等.中国中老年人C反应蛋白甘油三酯葡萄糖指数与心血管疾病风险研究[J].陕西医学杂志,2026,(4):480.[doi:DOI:10.3969/j.issn.1000-7377.2026.04.008]
 LIU Yuan,HAO Jie,FANG Kui,et al.Creactive protein triglyceride glucose index and cardiovascular disease risk in Chinese miD-Dleaged and elderly people[J].,2026,(7):480.[doi:DOI:10.3969/j.issn.1000-7377.2026.04.008]
[4]卢山,谌海燕,唐旭东,等.骨髓增生异常综合征合并冠心病与特定体细胞突变及并发心血管疾病风险的关系[J].陕西医学杂志,2026,(6):781.[doi:DOI:10.3969/j.issn.1000-7377.2026.06.010]
 LU Shan,CHEN Haiyan,TANG Xudong,et al.Relationship between MDS complicated with CHD and specific somatic mutations and risk of concurrent cardiovascular diseases[J].,2026,(7):781.[doi:DOI:10.3969/j.issn.1000-7377.2026.06.010]

备注/Memo

备注/Memo:
国家自然科学基金资助项目(82574980,82274231);中国药科大学附属江宁中医院科研项目资助(YJZD2025009)
更新日期/Last Update: 2026-07-10