Five Cardiovascular Departments, Cangzhou Central Hospital, Cangzhou, China.
Eur Rev Med Pharmacol Sci. 2021 Feb;25(4):2056-2064. doi: 10.26355/eurrev_202102_25110.
Acute myocardial infarction (AMI) is a common acute cardiovascular crisis. Although the diagnosis and treatment of AMI are constantly improving, the mortality of AMI is still very high, and its pathogenesis is still unclear. This article focuses on the role of microRNA-431 (miR-431) in regulating myocardial apoptosis after myocardial infarction (MI) and its potential molecular mechanism.
We constructed cell models and animal models of MI. Quantitative reverse-transcription polymerase chain reaction (RT-PCR) was used to detect miR-431 expression in myocardium after MI. Western blot, cell counting kit-8 (CCK-8) assay, flow cytometry and terminal dexynucleotidyl transferase(TdT)-mediated dUTP nick end labeling (TUNEL) staining were performed to detect myocardial apoptosis; pathological sections of myocardium, serum lactate dehydrogenase (LDH) levels and Caspase-3 activity in myocardium were employed to evaluate myocardial injury of MI rats; echocardiography was utilized to assess cardiac function of rats.
We revealed that miR-431 expression was decreased in H2O2-treated H9c2 cells and myocardium of MI rats. The expression of Cleaved Caspase-3 (C-Caspase-3) in H9c2 cells treated with H2O2 was significantly increased, the cell viability was dramatically decreased, the apoptosis rate and the percentage of TUNEL positive cells were notably increased, but up-regulation of miR-431 could reverse these effects. At the same time, compared with the sham group, serum LDH levels were observably increased, myocardial Caspase-3 activity was also increased, and cardiac function was greatly reduced, while overexpression of miR-431 could reduce myocardial injury and improve cardiac function of MI rats. Through the Luciferase reporter gene experiment, we found that miR-431 could directly target HIPK3.
In summary, overexpression of miR-431 can inhibit apoptosis after myocardial infarction via targeting HIPK3, thereby reducing myocardial injury and improving cardiac function in MI rats.
急性心肌梗死(AMI)是一种常见的急性心血管危机。尽管 AMI 的诊断和治疗不断改进,但 AMI 的死亡率仍然很高,其发病机制仍不清楚。本文重点研究 microRNA-431(miR-431)在调节心肌梗死后心肌细胞凋亡中的作用及其潜在的分子机制。
构建 MI 细胞模型和动物模型。采用定量逆转录聚合酶链反应(RT-PCR)检测心肌梗死后 miR-431 的表达。采用 Western blot、细胞计数试剂盒-8(CCK-8)检测、流式细胞术和末端脱氧核苷酸转移酶(TdT)介导的 dUTP 缺口末端标记(TUNEL)染色检测心肌细胞凋亡;心肌组织病理切片、血清乳酸脱氢酶(LDH)水平和心肌 Caspase-3 活性评估 MI 大鼠心肌损伤;超声心动图评估大鼠心功能。
我们发现,H2O2 处理的 H9c2 细胞和 MI 大鼠心肌中 miR-431 表达降低。H2O2 处理的 H9c2 细胞中 Cleaved Caspase-3(C-Caspase-3)表达明显增加,细胞活力显著降低,细胞凋亡率和 TUNEL 阳性细胞百分比明显增加,但 miR-431 的上调可逆转这些作用。同时,与假手术组相比,血清 LDH 水平明显升高,心肌 Caspase-3 活性也升高,心功能明显降低,而过表达 miR-431 可减轻 MI 大鼠的心肌损伤,改善心功能。通过荧光素酶报告基因实验,我们发现 miR-431 可以直接靶向 HIPK3。
综上所述,miR-431 通过靶向 HIPK3 可抑制心肌梗死后的细胞凋亡,从而减轻 MI 大鼠的心肌损伤,改善心功能。