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A Model for Encephalomyosynangiosis Treatment after Middle Cerebral Artery Occlusion-Induced Stroke in Mice
Published on: June 22, 2022
MiR-126 Affects Brain-Heart Interaction after Cerebral Ischemic Stroke
Jieli Chen1,2, Chengcheng Cui3, Xiaoping Yang4
1Henry Ford Hospital Neurology, Detroit, MI, 48202, USA. jieli@neuro.hfh.edu.
Insights
Ischemic stroke impairs cardiac function by decreasing microRNA-126 (miR-126) levels. This reduction contributes to heart inflammation, fibrosis, and hypertrophy, highlighting miR-126
Area of Science:
- Cardiovascular Research
- Neuroscience
- Molecular Biology
Background:
- Cardiovascular diseases are significantly more prevalent in individuals with neurological deficits.
- MicroRNA-126 (miR-126) plays a crucial role in vascular health, influencing remodeling and fibrosis.
- Emerging evidence suggests miR-126's involvement in the pathogenesis of cardiovascular diseases and stroke.
Purpose of the Study:
- To investigate the hypothesis that reduced miR-126 expression following ischemic stroke contributes to cardiac dysfunction.
- To elucidate the specific role of endothelial cell-derived miR-126 in post-stroke cardiac health.
Main Methods:
- Utilized wild-type, endothelial cell-specific miR-126 knockout, and control mice subjected to distal middle cerebral artery occlusion (dMCAo) to model ischemic stroke.
- Assessed cardiac hemodynamics and function using transthoracic Doppler echocardiography.
- Quantified miR-126 expression, target gene and protein levels (VCAM-1, MCP-1), cardiac hypertrophy, fibrosis, inflammation, and oxidative stress at 28 days post-stroke.
Main Results:
- Ischemic stroke in wild-type mice led to decreased cardiac ejection fraction, increased myocyte hypertrophy, fibrosis, inflammation, and oxidative stress.
- Stroke significantly reduced serum and cardiac miR-126 levels while increasing expression of miR-126 target genes (VCAM-1, MCP-1).
- Mice lacking endothelial miR-126 exhibited exacerbated cardiac dysfunction, hypertrophy, fibrosis, and inflammation post-stroke compared to controls.
Conclusions:
- Ischemic stroke directly induces cardiac dysfunction.
- Decreased miR-126 expression, particularly from endothelial cells, is a key mechanism contributing to cardiac dysfunction after stroke.
- Restoring miR-126 levels may offer a therapeutic strategy for post-stroke cardiac complications.
Abstract:
Cardiovascular diseases are approximately three times higher in patients with neurological deficits than in patients without neurological deficits. MicroRNA-126 (MiR-126) facilitates vascular remodeling and decreases fibrosis and is emerging as an important factor in the pathogenesis of cardiovascular diseases and cerebral stroke. In this study, we tested the hypothesis that decreased miR-126 after ischemic stroke may play an important role in regulating cardiac function. Wild-type (WT), specific conditional-knockout endothelial cell miR-126 (miR-126EC-/-), and miR-126 knockout control (miR-126fl/fl) mice were subjected to distal middle cerebral artery occlusion (dMCAo) (n = 10/group). Cardiac hemodynamics and function were measured using transthoracic Doppler echocardiography. Mice were sacrificed at 28 days after dMCAo. WT mice subjected to stroke exhibited significantly decreased cardiac ejection fraction and increased myocyte hypertrophy, fibrosis as well as increased heart inflammation, infiltrating macrophages, and oxidative stress compared to non-stroke animals. Stroke significantly decreased serum and heart miR-126 expression and increased miR-126 target genes, vascular cell adhesion protein-1, and monocyte chemotactic protein-1 gene, and protein expression in the heart compared to non-stroke mice. MiR-126EC-/- mice exhibited significantly decreased cardiac function and increased cardiomyocyte hypertrophy, fibrosis, and inflammatory factor expression after stroke compared to miR-126fl/fl stroke mice. Exosomes derived from endothelial cells of miR-126EC-/- (miR-126EC-/-EC-Exo) mice exhibited significantly decreased miR-126 expression than exosomes derived from miR-126fl/fl (miR-126fl/fl-EC-Exo) mice. Treatment of cardiomyocytes subjected to oxygen glucose deprivation with miR-126fl/fl-EC-Exo exhibited significantly decreased hypertrophy than with miR-126EC-/-EC-Exo treatment. Ischemic stroke directly induces cardiac dysfunction. Decreasing miR-126 expression may contribute to cardiac dysfunction after stroke in mice.
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