MicroRNA-133a improves the cardiac function and fibrosis through inhibiting Akt in heart failure rats

Hai-Qiang Sang1, Zheng-Ming Jiang1, Qiu-Ping Zhao2

  • 1Department of Cardiology, The First Affiliated Hospital of Zhengzhou University, 450052 Henan, Zhengzhou, PR China.

Abstract

Insights

MicroRNA-133a (miR-133a) levels decrease in heart failure. Restoring miR-133a improves cardiac function and reduces fibrosis by inhibiting the Akt pathway in rat models.

Area of Science:

  • Cardiovascular Biology
  • Molecular Medicine
  • Biochemistry

Background:

  • MicroRNAs (miRNAs) are small non-coding RNAs crucial for regulating gene expression.
  • miRNAs play significant roles in the development and progression of heart failure.
  • Dysregulation of specific miRNAs, like miR-133a, is implicated in cardiac pathophysiology.

Purpose of the Study:

  • To investigate the functional role of miR-133a in chronic heart failure.
  • To elucidate the effects of miR-133a on cardiac anatomy, hemodynamics, and fibrosis.
  • To identify the downstream signaling pathway modulated by miR-133a in heart failure.

Main Methods:

  • Utilized a rat model of chronic heart failure.
  • Administered miR-133a mimics and inhibitors to assess functional changes.
  • Measured cardiac parameters including heart weight/body weight ratio, left ventricular end-diastolic pressure (LVEDP), left ventricular systolic pressure (LVSP), and +LV dP/dt(max).
  • Assessed cardiac fibrosis using histological analysis.
  • Investigated the involvement of the Akt signaling pathway, including phosphorylation levels and response to Akt inhibitor TCN.

Main Results:

  • miR-133a expression was found to be decreased in the hearts of chronic heart failure patients and rats.
  • miR-133a restoration (mimic/overexpression) improved cardiac function (increased LVSP and +LV dP/dt(max)) and reduced cardiac fibrosis.
  • Inhibition of miR-133a exacerbated heart failure markers (increased HW/BW and LVEDP, decreased LVSP and +LV dP/dt(max)).
  • The beneficial effects of miR-133a were associated with increased Akt phosphorylation, and Akt inhibition abolished these effects.

Conclusions:

  • miR-133a plays a protective role in chronic heart failure.
  • Restoration of miR-133a levels can ameliorate cardiac dysfunction and fibrosis.
  • The mechanism involves the inhibition of the Akt signaling pathway.