Department of Cardiology, The Sixth Hospital of Wuhan, Affiliated Hospital of Jianghan University, No. 168, Hong Kong Road, Jiang'an District, Wuhan, 430015, Hubei, China.
Heart Vessels. 2023 Jun;38(6):857-868. doi: 10.1007/s00380-022-02231-8. Epub 2023 Jan 30.
Chronic heart failure (CHF), a conventional, complex, and severe syndrome, is generally defined by myocardial output inadequate to satisfy the metabolic requirements of body tissues. Recently, miR-568 was identified to be down-regulated in CHF patients' sera and negatively correlated with left ventricular mass index in symptomatic CHF patients with systolic dysfunction. Nevertheless, the role of miR-568 during CHF development remains obscure. The current study is aimed to investigate the role of miR-568 in CHF. The MTT assay, flow cytometry analysis, RT-qPCR analysis, western blot analysis and luciferase reporter assays were conducted to figure out the function and potential mechanism of miR-568 in vitro. Rats were operated with aortic coarctation to establish CHF animal model. The effects of miR-568 and SMURF2 on CHF rats were evaluated by hematoxylin-eosin staining, Masson's staining, serum index testing, cardiac ultrasound detection, and TUNEL staining assays. We discovered that miR-568 level was downregulated by HO treatment in cardiomyocytes. In mechanism, miR-568 directly targeted and negatively regulated SMURF2. In function, SMURF2 overexpression reversed the effects of miR-568 on cardiac function and histological changes in vivo. Additionally, SMURF2 overexpression reversed the effects of miR-568 on the content of LDH, AST, CK and CK-MB in vivo. Moreover, SMURF2 overexpression reversed the effects of miR-568 on oxidative stress response in vivo. MiR-568 mitigated cardiomyocytes apoptosis, oxidative stress response and cardiac dysfunction via targeting SMURF2 in CHF rats. This discovery may serve as a potential biomarker for CHF treatment.
慢性心力衰竭(CHF)是一种常见的、复杂的、严重的综合征,通常定义为心肌输出不足以满足身体组织的代谢需求。最近,miR-568 在 CHF 患者的血清中被鉴定为下调,并与有收缩功能障碍症状的 CHF 患者的左心室质量指数呈负相关。然而,miR-568 在 CHF 发展过程中的作用仍不清楚。本研究旨在探讨 miR-568 在 CHF 中的作用。通过 MTT 检测、流式细胞术分析、RT-qPCR 分析、Western blot 分析和荧光素酶报告基因检测,研究了 miR-568 在体外的功能及其潜在机制。通过主动脉缩窄术对大鼠进行手术,建立 CHF 动物模型。通过苏木精-伊红染色、Masson 染色、血清指标检测、心脏超声检测和 TUNEL 染色检测,评估 miR-568 和 SMURF2 对 CHF 大鼠的影响。我们发现 HO 处理可使心肌细胞中的 miR-568 水平下调。在机制上,miR-568 可直接靶向并负调控 SMURF2。在功能上,SMURF2 的过表达逆转了 miR-568 对体内心脏功能和组织学变化的影响。此外,SMURF2 的过表达逆转了 miR-568 对体内 LDH、AST、CK 和 CK-MB 含量的影响。此外,SMURF2 的过表达逆转了 miR-568 对体内氧化应激反应的影响。miR-568 通过靶向 SMURF2 减轻 CHF 大鼠的心肌细胞凋亡、氧化应激反应和心脏功能障碍。这一发现可能成为 CHF 治疗的潜在生物标志物。