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miR-152 通过抑制氧化应激、炎症和细胞凋亡激活 Nrf2 减轻阿霉素诱导的心脏毒性。

Activation of Nrf2 by miR-152 Inhibits Doxorubicin-Induced Cardiotoxicity via Attenuation of Oxidative Stress, Inflammation, and Apoptosis.

机构信息

Department of Oncology, Renmin Hospital of Wuhan University, Wuhan 430060, China.

Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan 430060, China.

出版信息

Oxid Med Cell Longev. 2021 Jan 26;2021:8860883. doi: 10.1155/2021/8860883. eCollection 2021.

Abstract

Doxorubicin (DOX) could trigger congestive heart failure, which largely limited the clinical use of DOX. microRNAs (miRNAs) were closely involved in the pathogenesis of DOX-induced cardiomyopathy. Here, we aimed to investigate the effect of miR-152 on DOX-induced cardiotoxicity in mice. To study this, we used an adeno-associated viral vector to overexpress miR-152 in mice 6 weeks before DOX treatment, using a dose mimicking the concentrations used in the clinics. In response to DOX injection, miR-152 was significantly decreased in murine hearts and cardiomyocytes. After DOX treatment, mice with miR-152 overexpression in the hearts developed less cardiac dysfunction, oxidative stress, inflammation, and myocardial apoptosis. Furthermore, we found that miR-152 overexpression attenuated DOX-related oxidative stress, inflammation, and cell loss in cardiomyocytes, whereas miR-152 knockdown resulted in oxidative stress, inflammation, and cell loss in cardiomyocytes. Mechanistically, this effect of miR-152 was dependent on the activation of nuclear factor (erythroid-derived 2)-like 2 (Nrf2) in response to DOX. Notably, Nrf2 deficiency blocked the protective effects of miR-152 against DOX-related cardiac injury in mice. In conclusion, miR-152 protected against DOX-induced cardiotoxicity via the activation of the Nrf2 signaling pathway. These results suggest that miR-152 may be a promising therapeutic target for the treatment of DOX-induced cardiotoxicity.

摘要

多柔比星(DOX)可引发充血性心力衰竭,这在很大程度上限制了 DOX 的临床应用。微小 RNA(miRNA)与多柔比星诱导性心肌病的发病机制密切相关。在此,我们旨在研究 miR-152 对 DOX 诱导的小鼠心脏毒性的影响。为了研究这一点,我们在 DOX 治疗前 6 周使用腺相关病毒载体过表达 miR-152,使用的剂量模拟了临床中使用的浓度。在注射 DOX 后,miR-152 在小鼠心脏和心肌细胞中显著减少。在 DOX 治疗后,心脏中过表达 miR-152 的小鼠表现出较少的心脏功能障碍、氧化应激、炎症和心肌细胞凋亡。此外,我们发现 miR-152 过表达可减轻 DOX 相关的氧化应激、炎症和心肌细胞丢失,而 miR-152 敲低则导致心肌细胞中的氧化应激、炎症和细胞丢失。从机制上讲,miR-152 的这种作用依赖于核因子(红细胞衍生 2)样 2(Nrf2)在 DOX 作用下的激活。值得注意的是,Nrf2 缺陷可阻断 miR-152 对小鼠 DOX 相关心脏损伤的保护作用。总之,miR-152 通过激活 Nrf2 信号通路来防止 DOX 诱导的心脏毒性。这些结果表明,miR-152 可能是治疗 DOX 诱导性心脏毒性的有前途的治疗靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75d0/7857911/485fd4bbc23b/OMCL2021-8860883.001.jpg

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