Suppression of PFKFB3-driven glycolysis restrains endothelial-to-mesenchymal transition and fibrotic response

Abstract Endothelial-to-mesenchymal transition (EndoMT), the process wherein endothelial cells lose endothelial identity and adopt mesenchymal-like phenotypes, constitutes a critical contributor to cardiac fibrosis. The phenotypic plasticity of endothelial cells can be intricately shaped by alterati...

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Main Authors: Hao Zeng, Ting Pan, Meiling Zhan, Renaguli Hailiwu, Baolin Liu, Hua Yang, Ping Li
Format: Article
Language:English
Published: Nature Publishing Group 2022-09-01
Series:Signal Transduction and Targeted Therapy
Online Access:https://doi.org/10.1038/s41392-022-01097-6
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author Hao Zeng
Ting Pan
Meiling Zhan
Renaguli Hailiwu
Baolin Liu
Hua Yang
Ping Li
author_facet Hao Zeng
Ting Pan
Meiling Zhan
Renaguli Hailiwu
Baolin Liu
Hua Yang
Ping Li
author_sort Hao Zeng
collection DOAJ
description Abstract Endothelial-to-mesenchymal transition (EndoMT), the process wherein endothelial cells lose endothelial identity and adopt mesenchymal-like phenotypes, constitutes a critical contributor to cardiac fibrosis. The phenotypic plasticity of endothelial cells can be intricately shaped by alteration of metabolic pathways, but how endothelial cells adjust cellular metabolism to drive EndoMT is incompletely understood. Here, we identified 6-phosphofructo-2-kinase/fructose-2,6-biphosphatase 3 (PFKFB3) as a critical driver of EndoMT via triggering abnormal glycolysis and compromising mitochondrial respiration. Pharmacological suppression of PFKFB3 with salvianolic acid C (SAC), a phenolic compound derived from Salvia miltiorrhiza, attenuates EndoMT and fibrotic response. PFKFB3-haplodeficiency recapitulates the anti-EndoMT effect of SAC while PFKFB3-overexpression augments the magnitude of EndoMT and exacerbates cardiac fibrosis. Mechanistically, PFKFB3-driven glycolysis compromises cytoplasmic nicotinamide adenine dinucleotide phosphate (reduced form, NADPH) production via hijacking glucose flux from pentose phosphate pathway. Efflux of mitochondrial NADPH through isocitrate/α-ketoglutarate shuttle replenishes cytoplasmic NADPH pool but meanwhile impairs mitochondrial respiration by hampering mitochondrial iron-sulfur cluster biosynthesis. SAC disrupts PFKFB3 stability by accelerating its degradation and thus maintains metabolic homeostasis in endothelial cells, underlying its anti-EndoMT effects. These findings for the first time identify the critical role of PFKFB3 in triggering EndoMT by driving abnormal glycolysis in endothelial cells, and also highlight the therapeutic potential for pharmacological intervention of PFKFB3 (with SAC or other PFKFB3 inhibitors) to combat EndoMT-associated fibrotic responses via metabolic regulation.
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spelling doaj.art-eb0943752cff4c44a82319b7b6660c272022-12-22T04:24:00ZengNature Publishing GroupSignal Transduction and Targeted Therapy2059-36352022-09-017111710.1038/s41392-022-01097-6Suppression of PFKFB3-driven glycolysis restrains endothelial-to-mesenchymal transition and fibrotic responseHao Zeng0Ting Pan1Meiling Zhan2Renaguli Hailiwu3Baolin Liu4Hua Yang5Ping Li6State Key Laboratory of Natural Medicines, School of Traditional Chinese Pharmacy, China Pharmaceutical UniversityState Key Laboratory of Natural Medicines, School of Traditional Chinese Pharmacy, China Pharmaceutical UniversityState Key Laboratory of Natural Medicines, School of Traditional Chinese Pharmacy, China Pharmaceutical UniversityState Key Laboratory of Natural Medicines, School of Traditional Chinese Pharmacy, China Pharmaceutical UniversityState Key Laboratory of Natural Medicines, School of Traditional Chinese Pharmacy, China Pharmaceutical UniversityState Key Laboratory of Natural Medicines, School of Traditional Chinese Pharmacy, China Pharmaceutical UniversityState Key Laboratory of Natural Medicines, School of Traditional Chinese Pharmacy, China Pharmaceutical UniversityAbstract Endothelial-to-mesenchymal transition (EndoMT), the process wherein endothelial cells lose endothelial identity and adopt mesenchymal-like phenotypes, constitutes a critical contributor to cardiac fibrosis. The phenotypic plasticity of endothelial cells can be intricately shaped by alteration of metabolic pathways, but how endothelial cells adjust cellular metabolism to drive EndoMT is incompletely understood. Here, we identified 6-phosphofructo-2-kinase/fructose-2,6-biphosphatase 3 (PFKFB3) as a critical driver of EndoMT via triggering abnormal glycolysis and compromising mitochondrial respiration. Pharmacological suppression of PFKFB3 with salvianolic acid C (SAC), a phenolic compound derived from Salvia miltiorrhiza, attenuates EndoMT and fibrotic response. PFKFB3-haplodeficiency recapitulates the anti-EndoMT effect of SAC while PFKFB3-overexpression augments the magnitude of EndoMT and exacerbates cardiac fibrosis. Mechanistically, PFKFB3-driven glycolysis compromises cytoplasmic nicotinamide adenine dinucleotide phosphate (reduced form, NADPH) production via hijacking glucose flux from pentose phosphate pathway. Efflux of mitochondrial NADPH through isocitrate/α-ketoglutarate shuttle replenishes cytoplasmic NADPH pool but meanwhile impairs mitochondrial respiration by hampering mitochondrial iron-sulfur cluster biosynthesis. SAC disrupts PFKFB3 stability by accelerating its degradation and thus maintains metabolic homeostasis in endothelial cells, underlying its anti-EndoMT effects. These findings for the first time identify the critical role of PFKFB3 in triggering EndoMT by driving abnormal glycolysis in endothelial cells, and also highlight the therapeutic potential for pharmacological intervention of PFKFB3 (with SAC or other PFKFB3 inhibitors) to combat EndoMT-associated fibrotic responses via metabolic regulation.https://doi.org/10.1038/s41392-022-01097-6
spellingShingle Hao Zeng
Ting Pan
Meiling Zhan
Renaguli Hailiwu
Baolin Liu
Hua Yang
Ping Li
Suppression of PFKFB3-driven glycolysis restrains endothelial-to-mesenchymal transition and fibrotic response
Signal Transduction and Targeted Therapy
title Suppression of PFKFB3-driven glycolysis restrains endothelial-to-mesenchymal transition and fibrotic response
title_full Suppression of PFKFB3-driven glycolysis restrains endothelial-to-mesenchymal transition and fibrotic response
title_fullStr Suppression of PFKFB3-driven glycolysis restrains endothelial-to-mesenchymal transition and fibrotic response
title_full_unstemmed Suppression of PFKFB3-driven glycolysis restrains endothelial-to-mesenchymal transition and fibrotic response
title_short Suppression of PFKFB3-driven glycolysis restrains endothelial-to-mesenchymal transition and fibrotic response
title_sort suppression of pfkfb3 driven glycolysis restrains endothelial to mesenchymal transition and fibrotic response
url https://doi.org/10.1038/s41392-022-01097-6
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