Zhou Rui, Jia Yingping, Wang Yuan, Li Zhengchen, Qi Jinlian, Yang Yanmei
Anesthesia and Perioperative Medicine, The Affiliated Children's Hospital of Zhengzhou University, Henan Children's Hospital, Zhengzhou Children's Hospital Zhengzhou 450018, Henan, China.
Anesthesiology Department, Kaifeng District of No.988 Hospital, PLA's Logistic Support Department Kaifeng 475003, Henan, China.
Am J Transl Res. 2021 Apr 15;13(4):2350-2364. eCollection 2021.
Myocardial ischemia reperfusion (MI/RI) stresses the pathological process of progressive aggravation of tissue damage in ischemic myocardium. Isoflurane (ISO) is cardioprotective in MI/RI. Thus, this work aimed to identify the mechanism of isoflurane (ISO) post-treatment in MI/RI by regulating microRNA-378 (miR-378) and mitogen-activated protein kinase 1 (MAPK1).
A MI/RI model was established by ligating the left anterior descending coronary artery in mice. The modeled mice were injected with ISO or miR-378 or MAPK1 to define their roles in hemodynamics, myocardial injury, cell apoptosis and inflammatory infiltration of mice. CD45, miR-378 and MAPK1 levels were detected. Dual luciferase reporter gene assay was utilized for detection of the targeting connection of miR-378 and MAPK1.
Reduced miR-378 and elevated MAPK1 existed in MI/RI. ISO elevated miR-378 to target MAPK1. ISO improved hemodynamics and myocardial injury, reduced apoptosis rate and inflammatory infiltration in MI/RI mice. Up-regulated miR-378 further enhanced the protective effect of ISO on MI/RI mice. Depleting MAPK1 reversed the effects of suppressed miR-378 on MI/RI.
This study highlights that elevating miR-378 strengthens the isoflurane-mediated effects on MI/RI in mice via suppressing MAPK1, which provides a potential treatment for MI/RI.
心肌缺血再灌注(MI/RI)是缺血心肌组织损伤进行性加重的病理过程。异氟醚(ISO)对MI/RI具有心脏保护作用。因此,本研究旨在通过调节微小RNA-378(miR-378)和丝裂原活化蛋白激酶1(MAPK1)来确定异氟醚(ISO)后处理对MI/RI的作用机制。
通过结扎小鼠左冠状动脉前降支建立MI/RI模型。对建模小鼠注射ISO或miR-378或MAPK1,以确定它们在小鼠血流动力学、心肌损伤、细胞凋亡和炎症浸润中的作用。检测CD45、miR-378和MAPK1水平。采用双荧光素酶报告基因检测法检测miR-378与MAPK1的靶向关系。
MI/RI小鼠中miR-378降低,MAPK1升高。ISO上调miR-378以靶向MAPK1。ISO改善了MI/RI小鼠的血流动力学和心肌损伤,降低了凋亡率和炎症浸润。上调miR-378进一步增强了ISO对MI/RI小鼠的保护作用。敲低MAPK1可逆转miR-378抑制对MI/RI的影响。
本研究表明,通过抑制MAPK1,提高miR-378可增强异氟醚对小鼠MI/RI的作用,为MI/RI提供了一种潜在的治疗方法。