文献速递糖尿病

ROMO1与线粒体复合物II/SDH维持小鼠备用呼吸能力及血糖稳态

ROMO1 and mitochondrial complex II/SDH are required for spare respiratory capacity and glucose homeostasis in mice.
PubMed 文献 · Diabetologia · 2026-04-17

该研究通过小鼠基因敲除和胰岛功能分析,发现ROMO1对胚胎发育至关重要,且其缺失导致雄性小鼠成年期β细胞胰岛素分泌缺陷和糖稳态失衡。ROMO1缺失降低雌雄小鼠及人胰岛的备用呼吸能力,涉及复合物II/SDH呼吸活性特异性丧失,提示备用呼吸能力对维持正常血糖的重要性。

要点

  • ROMO1是胚胎发育必需基因,全身敲除小鼠在胚胎第8.5天前死亡。
  • 成年β细胞特异性敲除Romo1导致年轻雄性小鼠糖稳态受损,由胰岛素分泌缺陷所致。
  • ROMO1缺失降低小鼠和人胰岛的备用呼吸能力,涉及复合物II/SDH活性丧失。

核心结论

  • ROMO1是线粒体生物能量学和备用呼吸能力的关键调节因子,对β细胞营养偶联胰岛素分泌至关重要。

研究设计与样本

  • 采用小鼠基因靶向技术实现全身和胰腺β细胞条件性Romo1敲除,并对分离的小鼠和人胰岛进行线粒体功能分析。

主要发现

  • Romo1缺失小鼠在胚胎第8.5天前死亡,早于OPA1或MFN1/2敲除小鼠的死亡时间。
  • 成年雄性小鼠(4月龄)β细胞敲除Romo1导致糖稳态受损,由胰岛素分泌缺陷所致。
  • 雄性而非雌性小鼠的分离胰岛显示葡萄糖刺激的胰岛素分泌受损。
  • 雄性RABKO小鼠β细胞线粒体肿胀、碎片化,mtDNA含量减少;雌性线粒体形态正常。
  • Romo1缺失不影响雌雄小鼠基础呼吸,但降低雌雄小鼠及人胰岛的备用呼吸能力,涉及复合物II/琥珀酸脱氢酶呼吸活性特异性丧失。

临床怎么用

  • 提示ROMO1/复合物II可能作为改善胰岛素分泌不足时葡萄糖偶联的潜在靶点。
  • 备用呼吸能力对维持正常血糖具有关键作用。

局限性

  • 研究为小鼠模型和离体胰岛实验,尚未在人体中验证ROMO1靶向干预的安全性和有效性。
  • 雌性小鼠在年轻阶段未表现糖稳态异常,仅老龄后出现,性别差异机制未完全阐明。

以上解读依据论文摘要(全文未开放获取或许可不允许翻译转载)。

原文

AIMS/HYPOTHESIS: Reactive oxygen species modulator 1 (ROMO1) is a highly conserved inner mitochondrial membrane protein that senses reactive oxygen species and regulates mitochondrial dynamics. ROMO1 is required for mitochondrial fusion in vitro, and silencing ROMO1 increases sensitivity to cell death stimuli. The physiological role of ROMO1 remains unclear. METHODS: To determine the role of Romo1 in vivo, we used gene targeting in mice to ablate Romo1 in the whole mouse and to conditionally knock out Romo1 in the pancreatic beta cell. Mitochondrial functional analyses were performed on isolated mouse and human islets lacking Romo1/ROMO1. RESULTS: We show that ROMO1 is essential for embryonic development, as Romo1 null mice die before embryonic day 8.5, earlier than GTPases OPA1 or MFN1/2 which catalyse mitochondrial inner and outer membrane fusion. Knockout of Romo1 in adult pancreatic beta cells results in impaired glucose homeostasis in young male mice (4 months) due to an insulin secretion defect. Isolated islets from male, but not female, mice showed impaired glucose-stimulated insulin secretion. While mitochondria from female mice were morphologically normal, mitochondria in Romo1 adult beta cell knockout (RABKO) cells from male mice were swollen and fragmented, with a reduction in mtDNA content. Knockout of Romo1 did not affect basal respiration in males or females, but deletion of Romo1 in both sexes in mice and of ROMO1 in isolated human islets reduced spare respiratory capacity, which involved the specific loss of respiratory activity at complex II/succinate dehydrogenase. Ageing of female RABKO mice resulted in loss of spare respiratory capacity and glucose intolerance. CONCLUSIONS/INTERPRETATION: Our data demonstrate that ROMO1 is a key regulator of mitochondrial bioenergetics and spare respiratory capacity and is required for effective nutrient coupling to insulin secretion in the beta cell. These observations point to a critical role for spare respiratory capacity in the maintenance of euglycaemia and to the potential for targeting ROMO1/complex II to promote glucose coupling in settings of insulin insufficiency.

来源:Diabetologia,查看原文。版权归原作者所有。

引用

  1. Wells L, Yang Q, Iorio C, et al. ROMO1 and mitochondrial complex II/SDH are required for spare respiratory capacity and glucose homeostasis in mice. Diabetologia. 2026. PMID: 41995846. doi:10.1007/s00125-026-06728-z

供执业医师工作参考,不替代临床判断;数值与分级以指南原文为准。