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Peer-reviewedCC BY-NC-NDStem cell research & therapy

Mitofusin-2 overexpression in adipose tissue-derived mesenchymal stem cells protects the testis against testicular torsion-induced ischemia-reperfusion injury through preservation of mitochondrial homeostasis associated with AMPK activation.

12 affiliations
  1. 1Division of Urology, Department of Surgery, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan.
  2. 2Department of Plastic and Reconstructive Surgery, E-Da Hospital, Kaohsiung, 82445, Taiwan.
  3. 3Department of Life Sciences and Institute of Genome Sciences, National Yang Ming Chiao Tung University, Taipei, 112304, Taiwan.
  4. 4Division of Cardiology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, 833401, Taiwan.
  5. 5Institute for Translational Research in Biomedicine, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, 833401, Taiwan.
  6. 6Department of Nutrition and Health Science, Fooyin University, Kaohsiung, 83102, Taiwan.
  7. 7Department of Nursing, Asia University, Taichung, 413305, Taiwan.
  8. 8Division of Nephrology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, 123, Dapi Road, Niaosung Dist., Kaohsiung, 83301, Taiwan. [email protected].
  9. 9Division of Cardiology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, 833401, Taiwan. [email protected].
  10. 10Institute for Translational Research in Biomedicine, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, 833401, Taiwan. [email protected].
  11. 11Department of Medical Research, China Medical University Hospital, China Medical University, Taichung, 404333, Taiwan. [email protected].
  12. 12School of Medicine, College of Medicine, Chang Gung University, Taoyuan, 333323, Taiwan. [email protected].

Abstract

Background

This study tested the hypothesis that mitofusin-2 overexpression (Mfn2Ove) in adipose-derived mesenchymal stem cells (ADMSCOve-Mfn2) protects the testis against testicular torsion-induced ischemia‒reperfusion (TTIR) injury via AMP-activated protein kinase (AMPK)-mediated mitochondrial dynamic homeostasis.Methods and results

The in vitro results revealed that Mfn2Ove significantly increased cell viability/mitochondrial content/fusion protein/ATP levels (all P < 0.001). Mfn2Ove in ADMSCs and GC-1 cells upregulated the expression of mitochondrial fusion proteins/content/OXPHOS complexes/p-AMPK and suppressed fission proteins/autophagy/oxidative stress, which were reversed by siRNA-Mfn2 (all P < 0.001). Compared with the control, Mfn2Ove significantly increased mitochondrial length in ADMSCs and GC-1 cells (P < 0.0001). IR activated p-AMPK and upregulated fission proteins, whereas the AMPK inhibitor did not reverse the ability of Mfn2Ove to upregulate p-AMPK/Mfn2/OPA1/OXPHOS/mitochondrial length in ADMSCs and GC-1 cells (P < 0.0001). By day 28 after TTIR induction, testicular protein levels of oxidative stress/fibrosis/apoptosis/autophagy/DNA-damage/fission were significantly increased in group 2 (TTIR) compared with those of group 1 (sham-control), whereas the protein levels of mitochondrial fusion/OXPHOS exhibited an opposite pattern of oxidative stress between groups 1 and 2 that were significantly reversed by AMDCs (group 3) and further reversed by ADMSCOVe-Mfn2 (group 4), which was reversed by siRNA-Mfn2 in ADMSCs (group 5) (all P < 0.00001). The p-AMPK protein level significantly increased from groups 1 to 4 but was reversed in group 5 (all P < 0.00001). The cellular levels of androgen receptor/Sertoli cells/alpha-microtubule/vimentin/testis injury score showed identical patterns to those of OXPHOS complexes among the groups (all P < 0.00001).Conclusion

The activation of the AMPK-Mfn2 axis protected the testis against TTIR injury.

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BibTeX
@article{chen2026mitofusin2,
  title = {{Mitofusin-2 overexpression in adipose tissue-derived mesenchymal stem cells protects the testis against testicular torsion-induced ischemia-reperfusion injury through preservation of mitochondrial homeostasis associated with AMPK activation.}},
  author = {Yen-Ta Chen and Jui-Po Yeh and Yei-Tsung Chen and Yi-Ling Chen and Yi-Ting Wang and Chi-Ruei Huang and Pei-Lin Shao and Chih-Chao Yang and Hon-Kan Yip},
  journal = {Stem cell research \& therapy},
  year = {2026},
  month = aug,
  doi = {10.1186/s13287-026-05196-x},
  url = {https://europepmc.org/article/MED/42972475},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Mitofusin-2 overexpression in adipose tissue-derived mesenchymal stem cells protects the testis against testicular torsion-induced ischemia-reperfusion injury through preservation of mitochondrial homeostasis associated with AMPK activation.
AU  - Yen-Ta Chen
AU  - Jui-Po Yeh
AU  - Yei-Tsung Chen
AU  - Yi-Ling Chen
AU  - Yi-Ting Wang
AU  - Chi-Ruei Huang
AU  - Pei-Lin Shao
AU  - Chih-Chao Yang
AU  - Hon-Kan Yip
PY  - 2026
DA  - 2026/08/04
JO  - Stem cell research & therapy
DO  - 10.1186/s13287-026-05196-x
UR  - https://europepmc.org/article/MED/42972475
AB  - Background  This study tested the hypothesis that mitofusin-2 overexpression (Mfn2Ove) in adipose-derived mesenchymal stem cells (ADMSCOve-Mfn2) protects the testis against testicular torsion-induced ischemia‒reperfusion (TTIR) injury via AMP-activated protein kinase (AMPK)-mediated mitochondrial dynamic homeostasis.Methods and results  The in vitro results revealed that Mfn2Ove significantly increased cell viability/mitochondrial content/fusion protein/ATP levels (all P < 0.001). Mfn2Ove in ADMSCs and GC-1 cells upregulated the expression of mitochondrial fusion proteins/content/OXPHOS complexes/p-AMPK and suppressed fission proteins/autophagy/oxidative stress, which were reversed by siRNA-Mfn2 (all P < 0.001). Compared with the control, Mfn2Ove significantly increased mitochondrial length in ADMSCs and GC-1 cells (P < 0.0001). IR activated p-AMPK and upregulated fission proteins, whereas the AMPK inhibitor did not reverse the ability of Mfn2Ove to upregulate p-AMPK/Mfn2/OPA1/OXPHOS/mitochondrial length in ADMSCs and GC-1 cells (P < 0.0001). By day 28 after TTIR induction, testicular protein levels of oxidative stress/fibrosis/apoptosis/autophagy/DNA-damage/fission were significantly increased in group 2 (TTIR) compared with those of group 1 (sham-control), whereas the protein levels of mitochondrial fusion/OXPHOS exhibited an opposite pattern of oxidative stress between groups 1 and 2 that were significantly reversed by AMDCs (group 3) and further reversed by ADMSCOVe-Mfn2 (group 4), which was reversed by siRNA-Mfn2 in ADMSCs (group 5) (all P < 0.00001). The p-AMPK protein level significantly increased from groups 1 to 4 but was reversed in group 5 (all P < 0.00001). The cellular levels of androgen receptor/Sertoli cells/alpha-microtubule/vimentin/testis injury score showed identical patterns to those of OXPHOS complexes among the groups (all P < 0.00001).Conclusion  The activation of the AMPK-Mfn2 axis protected the testis against TTIR injury.
SN  - 1757-6512
ER  -