RT Journal Article T1 MCJ: A mitochondrial target for cardiac intervention in pulmonary hypertension A1 Santamans, Ayelén M. A1 Cicuéndez, Beatriz A1 Mora, Alfonso A1 Rajlic, Sanela A1 Crespo, María A1 Vo, Paula A1 Jerome, Madison A1 Macías, Álvaro A1 López, Juan Antonio A1 Rocha, Susana F. A1 León, Marta A1 Rodríguez, Elena A1 Leiva, Luis A1 Pintor Chocano, Aránzazu A1 García Lunar, Inés A1 García-Álvarez, Ana A1 Hernansanz-Agustín, Pablo A1 Peinado, Víctor I. A1 Barberá, Joan Albert A1 Ibañez, Borja A1 Vázquez, Jesús A1 Spinelli, Jessica B. A1 Daiber, Andreas A1 Oliver, Eduardo A1 Sabio, Guadalupe A1 Villalba Orero, María A1 Leiva Arjona, María Magdalena AB Pulmonary hypertension (PH) can affect both pulmonary arterial tree and cardiac function, often leading to right heart failure and death. Despite the urgency, the lack of understanding has limited the development of effective cardiac therapeutic strategies. Our research reveals that MCJ modulates mitochondrial response to chronic hypoxia. MCJ levels elevate under hypoxic conditions, as in lungs of patients affected by COPD, mice exposed to hypoxia, and myocardium from pigs subjected to right ventricular (RV) overload. The absence of MCJ preserves RV function, safeguarding against both cardiac and lung remodeling induced by chronic hypoxia. Cardiac-specific silencing is enough to protect against cardiac dysfunction despite the adverse pulmonary remodeling. Mechanistically, the absence of MCJ triggers a protective preconditioning state mediated by the ROS/mTOR/HIF-1α axis. As a result, it preserves RV systolic function following hypoxia exposure. These discoveries provide a potential avenue to alleviate chronic hypoxia-induced PH, highlighting MCJ as a promising target against this condition. PB Science Advances SN 2375-2548 YR 2024 FD 2024-01-19 LK https://hdl.handle.net/20.500.14352/97801 UL https://hdl.handle.net/20.500.14352/97801 LA eng NO MINECO NO Comunidad de Madrid NO Severo Ochoa CNIC NO Instituto de Salud Carlos III NO Fundación “La Caixa” NO Juan de la Cierva Incorporación Grant NO MICINN DS Docta Complutense RD 6 abr 2025