Department of Cellular and Integrative Physiology, University of Nebraska Medical Center , Omaha, Nebraska.
Am J Physiol Heart Circ Physiol. 2018 May 1;314(5):H928-H939. doi: 10.1152/ajpheart.00602.2017. Epub 2018 Jan 26.
The imbalance between the synthesis of reactive oxygen species and their elimination by antioxidant defense systems results in macromolecular damage and disruption of cellular redox signaling, affecting cardiac structure and function, thus contributing to contractile dysfunction, myocardial hypertrophy, and fibrosis in chronic heart failure [chronic heart failure (CHF)]. The Kelch-like ECH-associated protein 1-nuclear factor erythroid 2-related factor 2 (Nrf2) pathway is an important antioxidant defense mechanism and is closely associated with oxidative stress-mediated cardiac remodeling in CHF. In the present study, we investigated the regulation of myocardial Nrf2 in the postmyocardial infarction (post-MI) state. Six weeks post-MI, Nrf2 protein was downregulated in the heart, resulting in a decrease of Nrf2-targeted antioxidant enzymes, whereas paradoxically the transcription of Nrf2 was increased, suggesting that translational inhibition of Nrf2 may contribute to the dysregulation in CHF. We therefore hypothesized that microRNAs may be involved in the translational repression of Nrf2 mRNA in the setting of CHF. Using quantitative real-time PCR analysis, we found that three microRNAs, including microRNA-27a, microRNA-28-3p, and microRNA-34a, were highly expressed in the left ventricle of infarcted hearts compared with other organs. Furthermore, in vitro analysis revealed that cultured cardiac myocytes and fibroblasts expressed these three microRNAs in response to TNF-α stimulation. These microRNAs were preferentially incorporated into exosomes and secreted into the extracellular space in which microRNA-enriched exosomes mediated intercellular communication and Nrf2 dysregulation. Taken together, these results suggest that increased local microRNAs induced by MI may contribute to oxidative stress by the inhibition of Nrf2 translation in CHF. NEW & NOTEWORTHY The results of this work provide a novel mechanism mediated by microRNA-enriched exosomes, contributing to the nuclear factor erythroid 2-related factor 2 dysregulation and subsequent oxidative stress. Importantly, these new findings will provide a promising strategy to improve the therapeutic efficacy through targeting nuclear factor erythroid 2-related factor 2-related microRNAs in the chronic heart failure state, which show potentially clinical applications.
活性氧(ROS)的合成与抗氧化防御系统清除之间的失衡导致大分子损伤和细胞氧化还原信号转导中断,影响心脏结构和功能,从而导致收缩功能障碍、心肌肥大和纤维化等慢性心力衰竭(CHF)。Kelch 样 ECH 相关蛋白 1-核因子红细胞 2 相关因子 2(Nrf2)途径是一种重要的抗氧化防御机制,与 CHF 中心脏氧化应激介导的重塑密切相关。在本研究中,我们研究了心肌 Nrf2 在心肌梗死后(post-MI)状态下的调节。post-MI 后 6 周,心脏中 Nrf2 蛋白下调,导致 Nrf2 靶向抗氧化酶减少,而 Nrf2 的转录却增加,这表明 Nrf2 的翻译抑制可能导致 CHF 中的失调。因此,我们假设 microRNAs 可能参与 CHF 中 Nrf2mRNA 的翻译抑制。通过定量实时 PCR 分析,我们发现三种 microRNAs,包括 microRNA-27a、microRNA-28-3p 和 microRNA-34a,在梗死心脏的左心室中与其他器官相比高度表达。此外,体外分析显示,培养的心肌细胞和成纤维细胞在 TNF-α刺激下表达这三种 microRNAs。这些 microRNAs 优先被包含在内体中,并分泌到细胞外空间,其中富含 microRNA 的外体介导细胞间通讯和 Nrf2 失调。总之,这些结果表明,MI 诱导的局部 microRNAs 的增加可能通过抑制 CHF 中的 Nrf2 翻译来导致氧化应激。这项工作的结果提供了一种由 microRNA 富集的外体介导的新机制,有助于核因子红细胞 2 相关因子 2 的失调和随后的氧化应激。重要的是,这些新发现将通过靶向慢性心力衰竭状态下与核因子红细胞 2 相关因子 2 相关的 microRNAs 提供改善治疗效果的有希望的策略,这具有潜在的临床应用。
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