Li Ning, Bai Yifan, Zhou Guangwei, Ma Ye, Tan Mengwei, Qiao Fan, Li Xin, Shen Ming, Song Xiaowei, Zhao Xianxian, Liu Xiaohong, Xu Zhiyun
Department of Cardiothoracic Surgery, Changhai Hospital, Second Military Medical University, Shanghai, 200433, China.
Department of Cardiothoracic Surgery, Naval Medical Center of PLA, Second Military Medical University, Shanghai, 200052, China.
Mol Ther Nucleic Acids. 2020 Oct 15;22:971-980. doi: 10.1016/j.omtn.2020.10.016. eCollection 2020 Dec 4.
Calcific aortic valve disease (CAVD) is a common heart valve disease in aging populations, and aberrant osteogenic differentiation of valvular interstitial cells (VICs) plays a critical role in the pathogenesis of ectopic ossification of the aortic valve. miR-214 has been validated to be involved in the osteogenesis process. Here, we aim to investigate the role and mechanism of miR-214 in CAVD progression. miR-214 expression was significantly downregulated in CAVD aortic valve leaflets, accompanied by upregulation of osteogenic markers. Overexpression of miR-214 suppressed osteogenic differentiation of VICs, while silencing the expression of miR-214 promoted this function. miR-214 directly targeted ATF4 and Sp7 to modulate osteoblastic differentiation of VICs, which was proved by dual luciferase reporter assay and rescue experiment. miR-214 knockout rats exhibited higher mean transvalvular velocity and gradient. The expression of osteogenic markers in aortic valve leaflets of miR-214 knockout rats was upregulated compared to that of the wild-type group. Taken together, our study showed that miR-214 inhibited aortic valve calcification via regulating osteogenic differentiation of VICs by directly targeting ATF4 and Sp7, indicating that miR-214 may act as a profound candidate of targeting therapy for CAVD.
钙化性主动脉瓣疾病(CAVD)是老年人群中常见的心脏瓣膜疾病,瓣膜间质细胞(VICs)的异常成骨分化在主动脉瓣异位骨化的发病机制中起关键作用。miR-214已被证实参与成骨过程。在此,我们旨在研究miR-214在CAVD进展中的作用及机制。miR-214在CAVD主动脉瓣叶中的表达显著下调,同时伴有成骨标志物的上调。miR-214的过表达抑制了VICs的成骨分化,而沉默miR-214的表达则促进了这一功能。双荧光素酶报告基因测定和拯救实验证明,miR-214直接靶向ATF4和Sp7来调节VICs的成骨细胞分化。miR-214基因敲除大鼠表现出更高的平均跨瓣流速和压力阶差。与野生型组相比,miR-214基因敲除大鼠主动脉瓣叶中成骨标志物的表达上调。综上所述,我们的研究表明,miR-214通过直接靶向ATF4和Sp7调节VICs的成骨分化来抑制主动脉瓣钙化,这表明miR-214可能是CAVD靶向治疗的一个重要候选分子。