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Publication : Succinate dehydrogenase inversely regulates red cell distribution width and healthy life span in chronically hypoxic mice.

First Author  Baysal BE Year  2022
Journal  JCI Insight Volume  7
Issue  17 PubMed ID  35881479
Mgi Jnum  J:329451 Mgi Id  MGI:7344924
Doi  10.1172/jci.insight.158737 Citation  Baysal BE, et al. (2022) Succinate dehydrogenase inversely regulates red cell distribution width and healthy life span in chronically hypoxic mice. JCI Insight 7(17):e158737
abstractText  Increased red cell distribution width (RDW), which measures erythrocyte mean corpuscular volume (MCV) variability (anisocytosis), has been linked to early mortality in many diseases and in older adults through unknown mechanisms. Hypoxic stress has been proposed as a potential mechanism. However, experimental models to investigate the link between increased RDW and reduced survival are lacking. Here, we show that lifelong hypobaric hypoxia (~10% O2) increased erythrocyte numbers, hemoglobin, and RDW, while reducing longevity in male mice. Compound heterozygous knockout (hKO) mutations in succinate dehydrogenase (Sdh; mitochondrial complex II) genes Sdhb, Sdhc, and Sdhd reduced Sdh subunit protein levels, reduced RDW, and increased healthy life span compared with WT mice in chronic hypoxia. RDW-SD, a direct measure of MCV variability, and the SD of MCV showed the most statistically significant reductions in Sdh hKO mice. Tissue metabolomic profiling of 147 common metabolites showed the largest increase in succinate with elevated succinate/fumarate and succinate/oxoglutarate (2-ketoglutarate) ratios in Sdh hKO mice. These results demonstrate that mitochondrial complex II level is an underlying determinant of both RDW and healthy life span in hypoxia and suggest that therapeutic targeting of Sdh might reduce high RDW-associated clinical mortality in hypoxic diseases.
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