Department of Emergency, East Campus, Renmin Hospital of Wuhan University, Wuhan, China.
Department of Interventional Radiology, Renmin Hospital of Wuhan University, Wuhan, China.
Cell Biol Int. 2022 Feb;46(2):243-254. doi: 10.1002/cbin.11726. Epub 2021 Dec 2.
Myocardial injury (MI) is a common complication of sepsis. MicroRNAs (miRNAs) have been suggested as potential biomarkers of MI; however, their mechanisms in sepsis-induced MI remain unclear. A sepsis rat model was constructed by use of cecal ligation and puncture (CLP). The levels of miR-195-5p and activating transcription factor 6 (ATF6) expression were determined by quantitative reverse-transcription polymerase chain reaction, and cytokine levels were detected by ELISA. The levels of oxidative stress (OS)-related indicators and endoplasmic reticulum stress (ERS)-related proteins were examined, and the regulatory effect of miR-195-5p on ATF6 was determined by using the luciferase reporter assay. Our results showed that miR-195-5p expression was downregulated and ATF6 expression was upregulated in lipopolysaccharide-induced cardiomyocytes and mice with CLP-induced sepsis. We also found that miR-195-5p could markedly attenuate the inflammation, apoptosis, OS, and ERS associated with sepsis-induced MI. Additionally, we verified that miR-195-5p could relieve sepsis-induced MI by targeting ATF6. This study identified potential targets for treating MI after sepsis.
心肌损伤(MI)是脓毒症的常见并发症。微小 RNA(miRNA)被认为是 MI 的潜在生物标志物;然而,其在脓毒症诱导的 MI 中的机制尚不清楚。通过使用盲肠结扎和穿刺(CLP)构建脓毒症大鼠模型。通过定量逆转录聚合酶链反应测定 miR-195-5p 和激活转录因子 6(ATF6)表达水平,并通过 ELISA 检测细胞因子水平。检测氧化应激(OS)相关指标和内质网应激(ERS)相关蛋白水平,并通过荧光素酶报告基因测定确定 miR-195-5p 对 ATF6 的调节作用。我们的结果表明,miR-195-5p 在脂多糖诱导的心肌细胞和 CLP 诱导的脓毒症小鼠中表达下调,ATF6 表达上调。我们还发现,miR-195-5p 可显著减轻脓毒症诱导的 MI 相关的炎症、凋亡、OS 和 ERS。此外,我们验证了 miR-195-5p 可以通过靶向 ATF6 来缓解脓毒症引起的 MI。这项研究确定了治疗脓毒症后 MI 的潜在靶点。