HAX-1 regulates SERCA2a oxidation and degradation

Philip A. Bidwell, Guan Sheng Liu, Narayani Nagarajan, Chi Keung Lam, Kobra Haghighi, George Gardner, Wen Feng Cai, Wen Zhao, Luke Mugge, Elizabeth Vafiadaki, Despina Sanoudou, Jack Rubinstein, Djamel Lebeche, Roger Hajjar, Junichi Sadoshima, Evangelia G. Kranias

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


Ischemia/reperfusion injury is associated with contractile dysfunction and increased cardiomyocyte death. Overexpression of the hematopoietic lineage substrate-1-associated protein X-1 (HAX-1) has been shown to protect from cellular injury but the function of endogenous HAX-1 remains obscure due to early lethality of the knockout mouse. Herein we generated a cardiac-specific and inducible HAX-1 deficient model, which uncovered an unexpected role of HAX-1 in regulation of sarco/endoplasmic reticulum Ca-ATPase (SERCA2a) in ischemia/reperfusion injury. Although ablation of HAX-1 in the adult heart elicited no morphological alterations under non-stress conditions, it diminished contractile recovery and increased infarct size upon ischemia/reperfusion injury. These detrimental effects were associated with increased loss of SERCA2a. Enhanced SERCA2a degradation was not due to alterations in calpain and calpastatin levels or calpain activity. Conversely, HAX-1 overexpression improved contractile recovery and maintained SERCA2a levels. The regulatory effects of HAX-1 on SERCA2a degradation were observed at multiple levels, including intact hearts, isolated cardiomyocytes and sarcoplasmic reticulum microsomes. Mechanistically, HAX-1 ablation elicited increased production of reactive oxygen species at the sarco/endoplasic reticulum compartment, resulting in SERCA2a oxidation and a predisposition to its proteolysis. This effect may be mediated by NAPDH oxidase 4 (NOX4), a novel binding partner of HAX-1. Accordingly, NOX inhibition with apocynin abrogated the effects of HAX-1 ablation in hearts subjected to ischemia/reperfusion injury. Taken together, our findings reveal a role of HAX-1 in the regulation of oxidative stress and SERCA2a degradation, implicating its importance in calcium homeostasis and cell survival pathways.

Original languageEnglish (US)
Pages (from-to)220-233
Number of pages14
JournalJournal of Molecular and Cellular Cardiology
StatePublished - Jan 2018
Externally publishedYes

Bibliographical note

Funding Information:
This work was supported by: NIH grants HL-26057 and HL-64018 to EGK and NIH grant HL 125204 and AHA Postdoctoral Fellowship 13POST13860006 to PAB. We would like to thank Dr. James Ihle and Dr. Evan Parganas (St. Jude, Memphis TN) for graciously donating the floxed HAX-1 mouse.

Publisher Copyright:
© 2017 Elsevier Ltd


  • HAX-1
  • Heart
  • Ischemia reperfusion
  • NOX4
  • Oxidative modification
  • Proteolysis
  • SERCA2a


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