Completed Heart, Stroke & Blood Cells, Biochemistry & Physiology

Non-apoptotic cell death in heart failure

In plain English

AI plain-English summary

Heart muscle cells in failing hearts are dying in a way that triggers harmful inflammation, and researchers want to stop it. Heart failure affects nearly one million people in the UK. Current treatments focus on managing symptoms, not on preventing the cell death that drives the condition. The team previously discovered that when damaged mitochondria—the cell’s power plants—are not properly cleared, their DNA leaks out and provokes an inflammatory response that kills more cells. They also identified a protein, Bcl2-like protein 13, that normally tags damaged mitochondria for disposal. Separately, they found that the speed at which cells break down inflammatory messenger RNA may determine how long inflammation lasts. This project asks whether boosting the cell’s ability to degrade both mitochondrial DNA and inflammatory mRNA could halt the cycle of inflammation and cell death. The researchers will map the molecular machinery behind these clean-up processes, test whether their activity predicts disease severity, and explore whether tweaking them could become a treatment. If successful, this fundamental science could reveal entirely new drug targets for heart failure—not just managing symptoms, but addressing the root cause of tissue damage.

View original technical description
Non-apoptotic cell death and inflammation play an important role in the genesis of heart failure. Our BHF-supported work showed that mitochondrial DNA that escapes from autophagy-mediated degradation induces sterile inflammation, cell death and heart failure. Then, we found that Bcl2-like protein 13 is responsible for the degradation of damaged mitochondria by autophagy (mitophagy) in mammalian cells. Our previous report suggests that proinflammatory cytokine mRNA degradation may determine the duration of inflammation to induce cell death. In this proposal, we hypothesize that degradation of mitochondrial DNA and cytokine mRNA play a central role in the development and progression of inflammation, cell death and heart failure. This application aims to (a) elucidate molecular mechanisms and pathophysiological roles of mitophagy, (b) to examine whether mitochondrial DNA and mRNA degradation activity in cardiac cells determines the extent and duration of inflammatory responses and cell fate, and (c) examine whether their regulation can be a novel therapeutic approach to treat patients with heart failure.

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Researchers

Kinya Otsu (EPMC Awardee)

Related Research

Grants with similar aims, by meaning.

Mitochondrial DNA degradation and sterile inflammation in the heart
Fight against death: the role of autophagy in mitochondrial turnover in haematopoietic cells in vivo
Deconstructing a novel pathway of mitochondrial-driven inflammation
Apoptosis as an oncogenic process: understanding and exploiting its dark-side
Novel TLR signalling that regulates the energy status of cardiomyocytes

Original classification

Programme Grant

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