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Published on: December 30, 2025
Control of macrophage autophagy by miR-384-5p in the development of diabetic encephalopathy
Beiyun Wang1, Jing Huang1, Jingbo Li2
1Department of Gerontology, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiaotong UniversityShanghai 200233, China.
Abstract:
The molecular development of diabetic encephalopathy remains ill-defined. Recently, we reported that elimination of inflammatory macrophages alleviated the progress and severity of diabetic encephalopathy. Here, we studied the underlying mechanism. Inflammatory macrophages were isolated from the brain of the mice that received i.p. injection of streptozotocin (STZ) to develop diabetes 6 weeks before, and showed enhanced autophagy activity, seemingly through augmentation of Beclin-1 levels. However, the increases in Beclin-1 levels did not result from enhanced gene transcription, but appeared to result from suppression of a Beclin-1-inhibitory microRNA, miR-384-5p. Overexpression of miR-384-5p in the inflammatory macrophages through an adeno-associated virus mediated gene transfer system significantly reduced inflammatory macrophages in the diabetic brain, resulting in attenuation of the STZ-induced decreases in brain malondialdehyde, catalase and superoxidase anion-positive cells, and the STZ-induced increases in brain nitric oxide. Thus, these data suggest that downregulation of miR-384-5p in the inflammatory macrophages may enhance macrophage autophagy and contribute to the development of diabetic encephalopathy, which may be suppressed by re-expression of miR-384-5p in macrophages.
Insights
Downregulation of microRNA-384-5p (miR-384-5p) in inflammatory macrophages enhances autophagy, contributing to diabetic encephalopathy. Restoring miR-384-5p levels may suppress this condition.
Area of Science:
- Neuroscience
- Molecular Biology
- Endocrinology
Background:
- Diabetic encephalopathy's molecular mechanisms are unclear.
- Inflammatory macrophages exacerbate diabetic encephalopathy.
- Macrophage autophagy is implicated in disease progression.
Purpose of the Study:
- Investigate the role of microRNA-384-5p (miR-384-5p) in diabetic encephalopathy.
- Elucidate the mechanism linking miR-384-5p, autophagy, and inflammatory macrophages.
- Explore therapeutic potential of miR-384-5p restoration.
Main Methods:
- Induction of diabetes using streptozotocin (STZ) in mice.
- Isolation and analysis of inflammatory macrophages from the brain.
- Assessment of autophagy markers (Beclin-1) and microRNA expression (miR-384-5p).
- Adeno-associated virus (AAV) mediated gene transfer for miR-384-5p overexpression.
Main Results:
- Diabetic macrophages exhibited enhanced autophagy via increased Beclin-1 levels.
- Beclin-1 upregulation resulted from miR-384-5p suppression, not transcriptional changes.
- Overexpression of miR-384-5p reduced inflammatory macrophages and brain damage markers (malondialdehyde, nitric oxide).
- Restored miR-384-5p attenuated STZ-induced oxidative stress and neuronal damage.
Conclusions:
- Downregulation of miR-384-5p in macrophages promotes autophagy and contributes to diabetic encephalopathy.
- miR-384-5p acts as a negative regulator of macrophage autophagy in diabetes.
- Restoring miR-384-5p levels presents a potential therapeutic strategy for diabetic encephalopathy.
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