Wang Dawei, Wang Xiaona, Wu Yingshuang, Qi Sina, Hu Haifeng, Guo Jifei, Luo Yi
Department of Orthopedics, Zhangjiakou First Hospital, No. 6 Libaisi Lane, Qiaoxi District, Zhangjiakou City, Hebei Province, 075000, China.
Department of Nurse, Zhangjiakou First Hospital, Zhangjiakou, Hebei, 075000, China.
J Orthop Surg Res. 2025 Jul 25;20(1):703. doi: 10.1186/s13018-025-06108-0.
Spinal cord injury (SCI) can cause severe motor and sensory deficits below the injury site. Studies have highlighted the multifaceted regulatory roles of miR-29c-3p in neuronal development and function; however, its role in SCI remains unclear.
In this research 105 healthy controls and 159 patients with SCI were recruited. The miR-29c-3p and BRD4 levels in serum or cells were estimated by RT-qPCR. The diagnostic performance of miR-29c-3p was assessed by ROC curve. Moreover, cell viability and apoptosis were measured via CCK8 and flow cytometry. The pro-inflammatory cytokines were examined by ELISA assay. The pathological condition of SCI was modeled with LPS-induced PC12 cells. The target relationship between miR-29c-3p and BRD4 was verified by the dual-luciferase reporter assay.
Serum miR-29c-3p was remarkedly decreased in the SCI population and showed high clinical diagnostic performance. Under pathological conditions, the upregulation of miR-29c-3p effectively reversed the significant reduction in cell viability and the increase in apoptosis rate. Moreover, enhanced pro-inflammatory cytokines including TNF-α, IL-6 and IL-1β were also attenuated by the upregulation of miR-29c-3p. BRD4 was identified as a target of miR-29c-3p and negatively regulated by miR-29c-3p.
A decrease in miR-29c-3p is a promising diagnostic indicator for SCI, and downregulation of miR-29c-3p accelerates the progression of SCI by targeting BRD4.
脊髓损伤(SCI)可导致损伤部位以下出现严重的运动和感觉功能障碍。研究强调了miR-29c-3p在神经元发育和功能中的多方面调节作用;然而,其在SCI中的作用仍不清楚。
本研究招募了105名健康对照者和159例SCI患者。通过RT-qPCR检测血清或细胞中的miR-29c-3p和BRD4水平。通过ROC曲线评估miR-29c-3p的诊断性能。此外,通过CCK8和流式细胞术检测细胞活力和凋亡情况。通过ELISA法检测促炎细胞因子。用脂多糖诱导的PC12细胞建立SCI的病理模型。通过双荧光素酶报告基因实验验证miR-29c-3p与BRD4之间的靶向关系。
SCI患者血清miR-29c-3p明显降低,且具有较高的临床诊断性能。在病理条件下,miR-29c-3p的上调有效逆转了细胞活力的显著降低和凋亡率的增加。此外,miR-29c-3p的上调还减弱了包括TNF-α、IL-6和IL-1β在内的促炎细胞因子的表达。BRD4被确定为miR-29c-3p的靶标,并受到miR-29c-3p的负调控。
miR-29c-3p的降低是SCI的一个有前景的诊断指标,miR-29c-3p的下调通过靶向BRD4加速SCI的进展。