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Mitoregulin supports mitochondrial membrane integrity and protects against cardiac ischemia-reperfusion injury
Journal article   Open access   Peer reviewed

Mitoregulin supports mitochondrial membrane integrity and protects against cardiac ischemia-reperfusion injury

Colleen S Stein, Xiaoming Zhang, Nathan H Witmer, Edward Ross Pennington, Scott Hahn, Adam C Straub, Saame Raza Shaikh and Ryan L Boudreau
Cardiovascular research, Vol.122(3), pp.379-396
01/20/2026
DOI: 10.1093/cvr/cvag011
PMCID: PMC13019689
PMID: 41555203
url
https://doi.org/10.1093/cvr/cvag011View
Published (Version of record) Open Access

Abstract

We and others discovered a highly conserved mitochondrial transmembrane microprotein, named Mitoregulin (Mtln), that supports lipid metabolism. We reported that Mtln strongly binds cardiolipin (CL), increases mitochondrial respiration and Ca2+ retention capacities, and reduces reactive oxygen species (ROS). Here we extend our observation of Mtln-CL binding and examine Mtln influence on cristae structure and mitochondrial membrane integrity during stress. We demonstrate that mitochondria from constitutive- and inducible Mtln-knockout (KO) mice are susceptible to membrane freeze-damage and that this can be rescued by acute Mtln re-expression. In mitochondrial-simulated lipid monolayers, we show that synthetic Mtln decreases lipid packing and monolayer elasticity. Lipidomics revealed that Mtln-KO heart tissues show broad decreases in 22:6-containing lipids and increased cardiolipin damage/remodeling. Lastly, we demonstrate that Mtln-KO mice suffer worse myocardial ischemia-reperfusion injury, hinting at a translationally relevant role for Mtln in cardioprotection. Our work supports a model in which Mtln binds cardiolipin and stabilizes mitochondrial membranes to broadly influence diverse mitochondrial functions, including lipid metabolism, while also protecting against stress.
cristae Cyb5r3 permeability transition docosahexaenoic acid mitochondria monolysocardiolipin cardioprotection ischemia-reperfusion triglycerides cardiolipin UIOWA OA Agreement

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