Department of Anesthesiology, Jiangxi Provincial Children's Hospital, 122 Yangming Road, Nanchang, 330006, Jiangxi Province, China.
Department of General Surgery, Jiangxi Provincial Children's Hospital, Nanchang, 330006, Jiangxi Province, China.
Dig Dis Sci. 2019 Aug;64(8):2177-2186. doi: 10.1007/s10620-019-05535-4. Epub 2019 Feb 22.
Hepatic ischemia/reperfusion (I/R) injury is a serious complication that occurs upon hypovolemic shock, liver resection, and transplantation. A significant age-dependent difference in the injury response to hepatic I/R in both human and animal models has been reported. Nevertheless, the molecular mechanism is currently unclear.
To clarify the reason why aged animals or people were more vulnerable to hepatic I/R injury.
In the present study, we found decreased miR-219a-5p expression in the old mice more vulnerable to hepatic I/R injury. Administrated with agomir-miR-219a-5p diminished the severity of hepatic I/R injury in old mice, as indicated by lower serum ALT and AST, oxidative parameters including MDA, TOA, and OSI, and decreased apoptotic cell number. The effect of miR-219a-5p was also confirmed in the HO-induced apoptosis model in AML-12 and NCTC1469 cells. After miR-219a-5p overexpression, two key apoptosis-related proteins Bax and P21, target genes of TP53, were decreased. Furthermore, TP53BP2 interacts with p53 family members and promotes their transcriptional activities toward pro-apoptosis genes.
RNA sequencing, western blot, and luciferase reporter assay proved that TP53BP2, a crucial TP53 transcriptional activity enhancer in vivo, was directly regulated by miR-219a-5p.
In summary, our study demonstrated that age-related miR-219a-5p can attenuate hepatic I/R injury through inhibiting TP53BP2 and downstream TP53-dependent apoptosis of hepatic cells in mice.
肝缺血/再灌注(I/R)损伤是低血容量性休克、肝切除和肝移植时发生的严重并发症。在人和动物模型中,都有报道称 I/R 损伤对肝的反应存在显著的年龄依赖性差异。然而,其分子机制目前尚不清楚。
阐明为什么年老的动物或人更容易发生肝 I/R 损伤。
在本研究中,我们发现易发生肝 I/R 损伤的老年小鼠中 miR-219a-5p 的表达降低。给予 agomir-miR-219a-5p 可减轻老年小鼠肝 I/R 损伤的严重程度,表现为血清 ALT 和 AST 降低、氧化参数 MDA、TOA 和 OSI 降低以及凋亡细胞数量减少。miR-219a-5p 的作用也在 AML-12 和 NCTC1469 细胞的 HO 诱导凋亡模型中得到了证实。miR-219a-5p 过表达后,TP53 的两个关键凋亡相关蛋白 Bax 和 P21 以及其靶基因下调。此外,TP53BP2 与 p53 家族成员相互作用,促进它们向促凋亡基因的转录活性。
RNA 测序、western blot 和荧光素酶报告基因测定证明,TP53BP2 是体内 TP53 转录活性的关键增强子,可被 miR-219a-5p 直接调控。
综上所述,本研究表明,与年龄相关的 miR-219a-5p 可通过抑制 TP53BP2 及其下游 TP53 依赖性肝细胞凋亡来减轻小鼠的肝 I/R 损伤。