Our study sheds new light on the toxicology of zinc and its impact on the environment and public health. Zinc is an essential trace element that plays a critical role in maintaining homeostasis in the human body, with more than 90% distributed in most tissues. However, high concentrations of zinc can be detrimental to cells [18, 19]. We investigated the effects of different concentrations of zinc chloride on cell survival and found that it decreased with increasing zinc chloride concentration and treatment time compared to the control group. Additionally, we evaluated myocardial injury using LDH, which is mainly derived from myocardium, and significant for diagnosing heart diseases. LDH is released into extracellular fluid from damaged cardiomyocytes and serves as a common index used to access myocardial injury, and it becomes an auxiliary diagnostic index in the later stage of acute myocardial infarction [20, 21]. The extracellular fluid LDH level of H9c2 increased with the increase of ZnCl2 concentration, indicating the severity of cell damage These results suggest the toxic effect of zinc overload on cells. Overall, our study provides important insights into the toxicology of zinc and highlights the need to protect the environment and public health from zinc-induced toxicity.
Autophagy is a cellular process that is activated under stress conditions such as hypoxia, starvation, oxidative stress and infection [22]. While autophagy has a protective effect on cells in most cases, it can also lead to cell death, making it a double-edged sword in the pathogenesis of human diseases [23]. Recent studies have shown that excessive autophagy activation can be harmful to the heart under stress conditions such as reperfusion injury [24]. Additionally, anticancer drugs DOX can dose-dependently increase myocardial cell death by down-regulating GATA4 and activating autophagy, whereas 2-deoxyglucose can antagonize s DOX-induced myocardial cell death by inhibiting autophagy [25].
To understand the role of autophagy in zinc-induced toxicity, we examined the expression of autophagy-related proteins in H9c2 cardiomyocytes exposed to increasing concentrations of ZnCl2. We found that the expression of LC3 and Beclin-1 proteins increased, while the expression of P62 decreased, indicating that autophagy was activated by zinc overload. Confocal microscopy results also showed that ZnCl2 enhanced the green fluorescence intensity of LC3, further suggesting that zinc overload damages cardiomyocytes through autophagy.
Mitochondrial autophagy plays a crucial role in the clearance of damaged mitochondria and is associated with cardiovascular diseases such as heart failure and coronary atherosclerosis [26, 27]. In damaged mitochondria, an E3 ubiquitin ligase Parkin is phosphorylated by PINK1, which induces a transfer of Parkin from the cytoplasm to the mitochondria and subsequently ubiquitinates other proteins such as Mfn2 and Mfn1 in the outer mitochondrial membrane, further causing mitochondrial autophagy [28–30]. We investigated whether zinc overload caused mitochondrial autophagy in H9c2 cardiomyocytes via the PINK1/Parkin pathway. Our results showed that the expression of both total and mitochondrial proteins of PINK1 and Parkin significantly increased with increasing ZnCl2 concentrations. Subsequent experiments were performed using 25 µmol/L ZnCl2 and cells were pretreated with the autophagy inhibitor 3MA to verify whether zinc overload caused mitochondrial autophagy. We found that ZnCl2 significantly increased the expression of LC3, Beclin-1, PINK1 and parkin, and decreased the expression of P62 and Tom20. In addition, ZnCl2 increased the red fluorescence of lysosomal lyso-Tracker red and increased the co-localization of mitochondria with lysosomes. These effects were reversed by 3MA, further confirming that zinc overload caused mitochondrial autophagy. Our study provides new insights into the mechanism of zinc-induced toxicity and highlights the role of autophagy, particularly mitochondrial autophagy via the PINK1/Parkin pathway, in the pathogenesis of zinc overload-induced cardiomyocyte damage.
Reactive oxygen species (ROS) have been found to induce the activation of mitochondrial autophagy [31]. Dysregulation of cellular zinc can lead to mitochondrial stress, excessive mitochondrial autophagy, and increased ROS production, resulting in dysfunctional metabolism [32]. In this study, we treated cells with the ROS inhibitor NAC and found that ZnCl2 significantly increased the expression of LC3, Beclin-1, PINK1 and parkin, while decreasing the expression of P62. We also observed an increase in PINK1 mRNA expression and intensity of PINK1 green fluorescence, which were each reversed by NAC. These results suggest that ROS are involved in mitochondrial autophagy induced by zinc overload. Studies have shown that metal toxicity may increase ROS production [33, 34]. Therefore, we used the intracellular ROS fluorescent probe DCFH-DA and the mitochondrial ROS fluorescent probe MitoSOX Red to stain H9c2 cardiomyocytes. Confocal microscopy revealed that both DCFH-DA green and MitoSOX Red fluorescence intensity increased with increasing ZnCl2 concentration, and NAC inhibited the effect of ZnCl2. These results confirmed that zinc overload increases intracellular and mitochondrial ROS.
Mitochondria-associated membranes (MAMs) play an important role in regulating mitochondrial autophagy and apoptosis, as well as mitochondrial dynamics and biogenesis [35]. ROS are required for the maintenance of cellular homeostasis, but their overproduction in mitochondria can lead to oxidative damage to proteins, lipids and DNA [36]. Excessive calcium transfer from MAMs can be induce mitochondrial ROS, highlighting the relevance of MAMs to mitochondrial ROS [37]. We examined the expression of MAMs related proteins to investigate whether zinc overload affects MAMs via ROS. ZnCl2 decreased the expression of mitochondrial fusion proteins Mfn2, Mfn1 and OPA1, increased the expression of mitochondrial splitting proteins Drp1 and Fis1, decreased the expression of Mfn2 mRNA, and decreased the intensity of Mfn2 green fluorescence. These effects were reversed by NAC, suggesting that zinc overload affects MAMs via ROS and mitochondrial quality control.
Mfn2 GTPase located in both the endoplasmic reticulum and mitochondria to mediate mitochondrial autophagy and fusion of the outer membrane [38]. We utilizedMfn2 siRNA to detect the expression of autophagy and mitochondrial autophagy-related proteins. ZnCl2 significantly increased the expression of LC3, PINK1, and Parkin while decreasing the expression of P62. Confocal microscopy also observed that ZnCl2 enhanced the green fluorescence intensity of LC3 and PINK1. The ROS inhibitor NAC inhibited the effect of ZnCl2, while Mfn2 siRNA reversed the effect of NAC. These results confirm that zinc overload promotes mitochondrial autophagy through Mfn2 induced ROS. We further investigated whether zinc overload affects MAMs through Mfn2-induced ROS production. ZnCl2 decreased the expression of Mfn2, Mfn1 and OPA1, while increasing the expression of Drp1 and Fis1. Confocal microscopy observed that ZnCl2 reduced the green fluorescence intensity of Mfn1 and enhanced the green fluorescence intensity of Fis1. Importantly, the effect of ZnCl2 on mitochondrial autophagy was found to be dependent on Mfn2-induced ROS, as the ROS inhibitor NAC inhibited this effect, while Mfn2 siRNA reversed it. These results confirm that zinc overload affects MAMs through ROS induction by Mfn2.
Studies have shown that silencing Mfn2 induces H9c2 cells to promote mPTP opening and apoptosis in an in vitro I/R injury model [39]. We investigated the effect of zinc overload on the mitochondrial death pathway induced by mPTP opening. We found that ZnCl2 reduces the red fluorescence intensity of TMRE when Mfn2 was silenced, and this effect was significantly inhibited by NAC. Importantly, Mfn2 siRNA reversed the effect of NAC, confirming that zinc overload induces ROS through Mfn2 and opens the mitochondrial death pathway induced by mPTP.