Department of Cardiovascular and Thoracic Surgery, The First People's Hospital of Changde City.
Int Heart J. 2023 Jul 29;64(4):759-767. doi: 10.1536/ihj.22-689. Epub 2023 Jul 14.
Deep venous thrombosis (DVT) is the third most common cardiovascular disease. Its clinical therapeutic effect is unsatisfactory due to the high rate of postthrombotic syndrome. Several studies have demonstrated the involvement of miRNAs in DVT. Therefore, we identified differentially expressed miRNAs in patients with DVT and explored their effects and underlying mechanism on endothelial cell (EC) injury.Differentially expressed miRNAs were identified via microRNA sequencing and verified using real-time quantitative PCR. The biological function of miR-181c-5p in human umbilical vein endothelial cell (HUVEC) injury stimulated by oxidized low-density lipoprotein (ox-LDL) was investigated. The target gene of miR-181c-5p was analyzed using bioinformatics and verified via dual-luciferase reporter assay.miRNA sequencing showed that miR-181c-5p was downregulated in the peripheral blood of patients with DVT. Furthermore, miR-181c-5p had a high clinical diagnostic value for DVT by receiver operating characteristic curve analysis. An in vitro cell model of EC injury, miR-181c-5p, was repressed in ox-LDL-treated HUVECs. Enhancing miR-181c-5p expression could alleviate the inhibition cell viability, cell apoptosis, raising ROS and MDA production, the reducing SOD level, and the elevated levels of thrombosis-related factor, ET-1 and vWF induced by ox-LDL. Further analysis revealed that FBJ osteosarcoma oncogene (FOS) is a target of miR-181c-5p and could antagonize the protective role of miR-181c-5p in ox-LDL-induced HUVEC injury.Our research demonstrated that miR-181c-5p could attenuate ox-LDL-induced EC injury and thrombosis-related factor expression by negatively regulating FOS. These findings suggest that the miR-181c-5p/FOS axis is a promising therapeutic target for DVT.
深静脉血栓形成(DVT)是第三大常见的心血管疾病。由于血栓后综合征的发生率较高,其临床治疗效果并不理想。几项研究表明 miRNA 参与了 DVT 的发生。因此,我们鉴定了 DVT 患者中差异表达的 miRNA,并探讨了它们对内皮细胞(EC)损伤的影响及其潜在机制。通过 microRNA 测序鉴定差异表达的 miRNA,并使用实时定量 PCR 进行验证。研究了氧化型低密度脂蛋白(ox-LDL)刺激下人脐静脉内皮细胞(HUVEC)损伤中 miR-181c-5p 的生物学功能。利用生物信息学分析 miR-181c-5p 的靶基因,并通过双荧光素酶报告基因实验进行验证。miRNA 测序显示 miR-181c-5p 在 DVT 患者外周血中下调。此外,通过受试者工作特征曲线分析,miR-181c-5p 对 DVT 具有较高的临床诊断价值。在体外 EC 损伤细胞模型中,ox-LDL 处理的 HUVEC 中 miR-181c-5p 受到抑制。增强 miR-181c-5p 的表达可以减轻 ox-LDL 诱导的细胞活力抑制、细胞凋亡、ROS 和 MDA 生成增加、SOD 水平降低以及血栓形成相关因子 ET-1 和 vWF 水平升高。进一步分析表明,FBJ 骨肉瘤癌基因(FOS)是 miR-181c-5p 的靶基因,可拮抗 miR-181c-5p 在 ox-LDL 诱导的 HUVEC 损伤中的保护作用。我们的研究表明,miR-181c-5p 通过负调控 FOS 减轻 ox-LDL 诱导的 EC 损伤和血栓形成相关因子表达。这些发现表明,miR-181c-5p/FOS 轴可能是 DVT 的有前途的治疗靶点。