Guerrero-Orriach Jose Luis, Carmona-Luque Maria Dolores, Rodriguez-Capitan Maria Jose, Quesada-Muñoz Guillermo
Institute of Biomedical Research in Malaga, 29010 Malaga, Spain.
Department of Anesthesiology, Virgen de la Victoria University Hospital, 29010 Malaga, Spain.
Pharmaceuticals (Basel). 2025 Jan 23;18(2):146. doi: 10.3390/ph18020146.
Our research team analyzed the microRNA (miRNA)-197-3p involved in cardioprotection, and we demonstrated that the overexpression of miRNA-197-3p could be linked to a higher risk of cardiac damage. Recent research indicated that miRNA-197-3p inhibits the effector proteins of the anaesthetic preconditioning mechanism of halogenated drugs. In this scenario, we proposed to determine the role of miRNA-197-3p in cardiac injury and its effects on myocardial conditioning under halogenated exposure. Patients having myocardial revascularization surgery have increased heart damage due to postoperative miRNA-197-3p upregulation. Human cardiac myocytes (HCMs) were used in an in vitro hypoxia/reperfusion (H/R) model. The miRNA-197-3p-MIMIC was transfected into the HCMs. Three H/R-induced HCM groups were performed: negative MIMIC-control transfected, MIMIC transfected, and non-transfected. Each H/R cell group was exposed to Propofol (P), Sevoflurane (S), or non-exposed. Healthy cell cultures were the control group. ELISA assays were used to assess the Akt1 and p53 cell secretion capacity, and the Next Generation Sequencing assay was used to measure the differential expression of miRNA targets. : The secretion capacity of H/R-induced HCMs transfected with the MIMIC was higher under sevoflurane exposure regarding Akt-1 cytokine (I/R + S: 0.80 ± 0.06 ng/mL; I/R + P: 0.45 ± 0.28 ng/mL; > 0.05), and lower regarding p53 cytokine (I/R + S: 38.62 ± 6.93 ng/mL; I/R + P: 43.34 ± 15.20 ng/mL; > 0.05) compared to propofol. In addition, a significant gene overexpression of five miRNAs, in the sevoflurane group, was linked to cardioprotection: miRNA-29-3p, 24-3p, 21-3p, 532, and miRNA-335-5p. miRNA-197-3p inhibits the cardioprotection induced by halogenated exposure and can be considered a biomarker of cardiac damage. Additional research is required to validate our findings in other clinical settings.
我们的研究团队分析了参与心脏保护的微小RNA(miRNA)-197-3p,并且我们证明miRNA-197-3p的过表达可能与更高的心脏损伤风险相关。最近的研究表明,miRNA-197-3p抑制卤化药物麻醉预处理机制的效应蛋白。在这种情况下,我们提议确定miRNA-197-3p在心脏损伤中的作用及其在卤化暴露下对心肌预处理的影响。接受心肌血运重建手术的患者由于术后miRNA-197-3p上调而心脏损伤增加。人心脏心肌细胞(HCMs)被用于体外缺氧/复氧(H/R)模型。将miRNA-197-3p-MIMIC转染到HCMs中。进行了三个H/R诱导的HCM组:阴性MIMIC对照转染组、MIMIC转染组和未转染组。每个H/R细胞组分别暴露于丙泊酚(P)、七氟醚(S)或不暴露。健康细胞培养物为对照组。采用ELISA测定法评估Akt1和p53细胞分泌能力,采用下一代测序测定法测量miRNA靶标的差异表达。结果显示:与丙泊酚相比,在七氟醚暴露下,转染MIMIC的H/R诱导的HCMs对于Akt-1细胞因子的分泌能力更高(I/R + S:0.80±0.06 ng/mL;I/R + P:0.45±0.28 ng/mL;P>0.05),而对于p53细胞因子的分泌能力更低(I/R + S:38.62±6.93 ng/mL;I/R + P:43.34±15.20 ng/mL;P>0.05)。此外,在七氟醚组中,五个miRNA的显著基因过表达与心脏保护相关:miRNA-29-3p、24-3p、21-3p、532和miRNA-335-5p。miRNA-197-3p抑制卤化暴露诱导的心保护作用,可被视为心脏损伤的生物标志物。需要进一步的研究在其他临床环境中验证我们的发现。