Department of Oncology, Renmin Hospital of Wuhan University, Wuhan 430060, China.
Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan 430060, China.
Oxid Med Cell Longev. 2021 Jan 26;2021:8860883. doi: 10.1155/2021/8860883. eCollection 2021.
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.
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。