MicroRNA-125b Prevents Cardiac Dysfunction in Polymicrobial Sepsis by Targeting TRAF6-Mediated Nuclear Factor κB

He Ma1,2, Xiaohui Wang1, Tuanzhu Ha1,3

  • 1Department of Surgery.

Abstract

Insights

Increased microRNA-125b (miR-125b) expression in the heart protects against sepsis-induced cardiac dysfunction and improves survival. This suggests miR-125b is a potential therapeutic target for septic cardiomyopathy.

Area of Science:

  • Cardiology
  • Molecular Biology
  • Sepsis Research

Background:

  • Sepsis frequently leads to cardiac dysfunction, a major cause of mortality.
  • MicroRNAs (miRNAs) play critical roles in regulating cardiac function.
  • The specific role of microRNA-125b (miR-125b) in sepsis-induced cardiomyopathy requires further investigation.

Purpose of the Study:

  • To investigate the therapeutic effect of increased myocardial miR-125b expression on sepsis-induced cardiac dysfunction.
  • To elucidate the molecular mechanisms underlying miR-125b's protective effects in sepsis.

Main Methods:

  • Mice hearts were transfected with lentivirus expressing miR-125b (LmiR-125b) prior to inducing sepsis via cecal ligation and puncture (CLP).
  • Cardiac function was assessed using echocardiography.
  • Survival rates and myocardial inflammatory markers were evaluated.

Main Results:

  • LmiR-125b transfection significantly attenuated sepsis-induced cardiac dysfunction, improving fractional shortening and ejection fraction.
  • Survival rates were markedly improved in LmiR-125b-treated septic mice.
  • miR-125b suppressed ICAM-1 and VCAM-1 expression, reduced inflammatory cell infiltration, and decreased pro-inflammatory cytokines by inhibiting TRAF6-mediated NF-κB activation.
  • Myocardial apoptosis was reduced by downregulating p53, Bax, and Bak1 expression.

Conclusions:

  • Elevated myocardial miR-125b expression confers protection against sepsis-induced cardiac dysfunction and enhances survival.
  • miR-125b emerges as a promising therapeutic target for managing septic cardiomyopathy.