METTL1-Mediated N7 -Methylguanosine tRNA Modification Alleviates Cardiac Ischemia/Reperfusion Injury by Modulating Mitochondrial Energy Metabolism

Yue Zhang , Mingyang Leng , Ruonan Wang , Xinyuan Tang , Zhenlu Cai , Liang Wang , Xiaoqi Shao , Hongtao Diao , Qinqiang Long , Xu Li , Yingzi Wu , Yuan Jiang , Haifeng Zhang , Haihai Liang , Jiao Guo

MedComm ›› 2026, Vol. 7 ›› Issue (1) : e70572

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MedComm ›› 2026, Vol. 7 ›› Issue (1) :e70572 DOI: 10.1002/mco2.70572
ORIGINAL ARTICLE
METTL1-Mediated N7 -Methylguanosine tRNA Modification Alleviates Cardiac Ischemia/Reperfusion Injury by Modulating Mitochondrial Energy Metabolism
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Abstract

Ischemic heart disease is one of the diseases with the highest morbidity and mortality in the world. The N7 -methylguanosine (m7 G) tRNA modifications are widely recognized as one of the most prevalent tRNA modifications. Nevertheless, there is still a lack of understanding regarding the roles and molecular mechanisms underlying the METTL1-mediated m7 G tRNA modification in cardiac ischemia/reperfusion (I/R) injury. METTL1 and m7 G tRNA modification were upregulated in mice with I/R injury hearts and the plasma of patients with acute myocardial infarction. Thus, we constructed METTL1 knockout mice and found that silencing METTL1 alleviates I/R. Mechanistically, tRNA sequencing, MeRIP-m7 G-tRNA sequencing, and Ribosome profiling sequencing were used to clarify deficiency of METTL1 reduced the levels of m7 G tRNA modifications and m7 G-modified tRNAs, and consequently, downregulated the translation efficiency of ATPIF1 mRNA to restore the level of mitochondrial oxidative phosphorylation and suppress the increase of mitochondrial apoptosis. Moreover, cardiac-specific overexpression of ATPIF1 induced myocardial hypertrophy and inhibited the protective effect of silencing METTL1 on cardiac I/R injury. Collectively, m7 G tRNA modifications regulate the translation efficiency of ATPIF1, which eventually mediates mitochondrial energy metabolism, apoptosis, and myocardial I/R injury. The findings uncover that interfering with METTL1 and ATPIF1 represents a novel therapeutic target in myocardial I/R injury.

Keywords

myocardial ischemia/reperfusion injury / mitochondrial energy metabolism / METTL1 / m7G tRNA modification

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Yue Zhang, Mingyang Leng, Ruonan Wang, Xinyuan Tang, Zhenlu Cai, Liang Wang, Xiaoqi Shao, Hongtao Diao, Qinqiang Long, Xu Li, Yingzi Wu, Yuan Jiang, Haifeng Zhang, Haihai Liang, Jiao Guo. METTL1-Mediated N7 -Methylguanosine tRNA Modification Alleviates Cardiac Ischemia/Reperfusion Injury by Modulating Mitochondrial Energy Metabolism. MedComm, 2026, 7(1): e70572 DOI:10.1002/mco2.70572

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