Mitochondria-associated membrane-modulated Ca2+ transfer: A potential treatment target in cardiac ischemia reperfusion injury and heart failure
Abstract
Effective Ca 2+ dependent mitochondrial energy supply is imperative for proper cardiac contractile activity, while disruption of Ca 2+ homeostasis participates in the pathogenesis of multiple human diseases. This phenomenon is particularly prominent in cardiac ischemia and reperfusion (I/R) and heart failure, both of which require strict clinical intervention. The interface between endoplasmic reticula (ER) and mitochondria, designated the mitochondria-associated membrane (MAM), is now regarded as a crucial mediator of Ca 2+ transportation. Thus, interventions targeting this physical and functional coupling between mitochondria and the ER are highly desirable. Increasing evidence supports the notion that restoration, and maintenance, of the physiological contact between these two organelles can improve mitochondrial function, while inhibiting cell death, thereby sufficiently ameliorating I/R injury and heart failure development. A better understanding regarding the underlying mechanism of MAM-mediated transport will pave the way for identification of novel treatment approaches for heart disease. Therefore, in this review, we summarize the crucial functions and potential mechanisms of MAMs in the pathogenesis of I/R and heart failure.
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Elevated mitochondrial Ca2+ interacts with phosphate compounds, damaging the electron transport chain and generating ROS.
“Elevated mitochondrial Ca2+ levels interact with phosphate compounds, resulting in damage to the electron transport chain and the subsequent generation of ROS [31].”
From Exerkines and Sarcopenia: Unveiling the Mechanism Behind Exercise-Induced Mitochondrial Homeostasis (2025) · cites this paper as [31]
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Redox Systems Biology in Chronic Kidney Disease
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“MAM participates in several cellular activities including calcium signaling [8], biosynthesis and transfer of lipids [9], ER stress response [10], autophagy, and dynamic alterations in mitochondria [11].”
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CACNB4 attenuates cardiac dysfunction by regulating calcium and ATP levels via interaction with RyR2
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“Therefore, modulating the MAMs structure is critical for maintaining cardio-myocyte function and represents a potential therapeutic strategy against myocardial injury [21].”
Mitochondria-associated endoplasmic reticulum membrane (MAM): roles in innate immunity dysregulation
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“The MAM serves as the structural basis for Ca 2+ transfer from the ER to mitochondria, and dysregulation of its mediated Ca 2+ transport is closely associated with the pathogenesis of various innate immune diseases [51, 52].”
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- Authors
- Gong, Y., Lin, J., Ma, Z., Yu, M., Wang, M., Lai, D., & Fu, G.
- Affiliations
- Sir Run Run Shaw Hospital (CN)
- Corresponding author
- Wang, Meihui
- Lai, Dongwu
- Fu, Guosheng
- Venue
- Life Sciences
- Publisher
- Elsevier BV
- Published
- 2021-08
- Volume
- 278
- Pages
- 119511
- ISSN
- 0024-3205 (ISSN-L)
- OpenAlex
- W3154124261
- Cited by
- 58
- References
- 173
- Citations by year
- 2026: 7 · 2025: 15 · 2024: 13 · 2023: 10 · 2022: 10 · 2021: 3
- FWCI
- 0.94
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Life Sciences (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Natural Science Foundation of China
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Mitochondrial Function and Pathology
- Health Sciences › Medicine › Pathology and Forensic Medicine › Cardiac Ischemia and Reperfusion
- Life Sciences › Neuroscience › Sensory Systems › Ion Channels and Receptors
- Keywords
- mitochondria-associated membranes, calcium transfer, calcium homeostasis, myocardial ischemia-reperfusion injury, heart failure, mitochondrial function, cell death, therapeutic target
- MeSH terms
- Animals, Calcium, Cell Line, Endoplasmic Reticulum, Heart Failure, Homeostasis, Humans, Mitochondria, Mitochondria, Heart, Myocardial Contraction, Reperfusion Injury, Myocardial Reperfusion Injury, Treatment Outcome, Myocardial Ischemia, Calcium Signaling, Myocytes, Cardiac, Mitochondrial Membranes, Mice, Endoplasmic Reticulum Stress
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