Article

HIF-1α mediates mitochondrial damage by down-regulating ALKBH7 expression to promote the aberrant activation of FLS in rheumatoid arthritis

Han Wang1,2,3, Yu-chen Zhao1,2,3, Li Xu1,2,3, Tian-jing Zhang1,2,3, Liang-hu Liu1,2,3, Meng-qi Zhou1,2,3, Han Zhang1,2,3, Yin-ning Yang1,2,3, Pin Pan4, Lin Jin1,2,3, Zi-wei Zhang1,2,3, Xian-zheng Zhang1,2,3,5, Ling-ling Zhang1,2,3
1 Institute of Clinical Pharmacology, Anhui Medical University, Hefei 230032, China
2 Key Laboratory of Anti-inflammatory and Immune Medicine, Ministry of Education, Hefei 230032, China
3 Anti-inflammatory Immune Drugs Collaborative Innovation Center, Anhui Province, Hefei 230032, China
4 The Second People’s Hospital of Hefei, Hefei 230011, China
5 Department of Oncology, The First Affiliated Hospital, Institute for Liver Diseases of Anhui Medical University, Hefei 230032, China
Correspondence to: Xian-zheng Zhang: zxzhang0514@163.com, Ling-ling Zhang: llzhang@ahmu.edu.cn,
DOI: 10.1038/s41401-025-01520-y
Received: 22 June 2024
Accepted: 23 February 2025
Advance online: 26 March 2025

Abstract

Rheumatoid arthritis (RA) is an autoimmune disease characterized by synovial inflammation and progressive joint destruction. Existing evidence indicates that hypoxia potentially contributes to the pathology of RA, though the specific mechanism remains unidentified. In this study, we explored the molecular mechanism through which the hypoxia-inducible factor (HIF-1α) contributed to the pathological process of RA. Our preliminary results suggested that hypoxia stimulates the activation of fibroblast-like synoviocytes (FLS) by inducing mitochondrial damage to activate cGAS-STING signaling, which can be effectively inhibited by silencing HIF-1α. In line with this, HIF-1α deficiency significantly alleviated the symptoms of collagen-induced arthritis (CIA) mice. RNA-Seq and CUT-Tag analysis revealed that HIF-1α down-regulated the expression of AlkB homologue 7 (ALKBH7) by acting on the ALKBH7 promoter site on chromosome 19 6372400-6372578. Using dual luciferase reporter analysis, we identified that ACCGTGGC as the motif to which HIF-1α bound directly. Subsequently, we demonstrated that knockdown of ALKBH7 induces mitochondrial damage and activates cGAS-STING signaling by downregulating the expression of UQCRC2. Conversely, overexpression of ALKBH7 could resist hypoxia-induced mitochondrial damage and FLS activation. In conclusion, HIF-1α triggers mitochondrial damage by downregulating the expression of ALKBH7 thereby promoting FLS activation, which may be the molecular mechanism by which hypoxia is involved in the pathological process of RA.
Keywords: rheumatoid arthritis; fibroblast-like synoviocytes; hypoxia; mitochondrial damage; cGAS-STING signaling; ALKBH7

Article Options

Download Citation

Cited times in Scopus