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microRNA-26a-5p affects myocardial injury induced by coronary microembolization by modulating HMGA1
Binghui Kong1, Zhenbai Qin1, Ziliang Ye1
1Department of Cardiology, The First Affiliated Hospital, Guangxi Medical University, Nanning, Guangxi, China.
Abstract:
Coronary microembolization (CME) occurs when atherosclerotic plaque debris is detached during the treatment of acute coronary syndrome with Percutaneous Coronary Intervention (PCI). The complications of distal microvascular embolism, including local myocardial inflammation, are the main causes of myocardial damage and are a strong predictor of poor long-term prognosis and major cardiac adverse events. microRNAs (miRNAs) are involved in the pathophysiological processes of cardiovascular inflammatory diseases. Dysregulation of microRNA (miR)-26a-5p, in particular, is associated with a variety of cardiovascular diseases. However, the role of miR-26a-5p in CME-induced myocardial injury is unclear. In this study, we developed an animal model of CME by injecting microembolic balls into the left ventricle of rats and found that miR-26a-5p expression decreased in myocardial tissue in response. Using a miR-26a-5p mimic, echocardiography, hematoxylin-eosin staining, and Western blot analysis we found that the diminished cardiac function and myocardial inflammation induced by CME is alleviated by miR-26a-5p overexpression. Furthermore, our results show that inhibitors of miR-26a-5p have the opposite effect. In addition, in vitro experiments using real-time PCR, Western blot analysis, and a dual luciferase reporter gene show that HMGA1 is a target gene of miR-26a-5p. Thus, overexpression of miR-26a-5p could be a novel therapy to improve CME-induced myocardial damage.
Insights
Coronary microembolization (CME) causes myocardial damage and inflammation. Overexpressing microRNA-26a-5p (miR-26a-5p) alleviates this injury by targeting HMGA1, suggesting a potential therapy for CME.
Area of Science:
- Cardiovascular Biology
- Molecular Medicine
- Biomedical Research
Background:
- Coronary microembolization (CME) during Percutaneous Coronary Intervention (PCI) for acute coronary syndrome leads to myocardial damage and inflammation.
- MicroRNAs (miRNAs) are implicated in cardiovascular diseases, with miR-26a-5p linked to various cardiac conditions.
- The specific role of miR-26a-5p in CME-induced myocardial injury remains largely unexplored.
Purpose of the Study:
- To investigate the role of miR-26a-5p in myocardial injury following coronary microembolization (CME).
- To determine if miR-26a-5p overexpression can mitigate CME-induced cardiac dysfunction and inflammation.
- To identify HMGA1 as a potential target gene of miR-26a-5p in this context.
Main Methods:
- Establishment of a rat model of CME via left ventricular injection of microembolic balls.
- Assessment of cardiac function using echocardiography and myocardial inflammation via hematoxylin-eosin staining.
- Analysis of miR-26a-5p expression and protein levels using real-time PCR and Western blot.
- In vitro studies including dual luciferase reporter assays to confirm gene targets.
Main Results:
- CME induction led to decreased miR-26a-5p expression in rat myocardial tissue.
- Overexpression of miR-26a-5p significantly alleviated CME-induced cardiac dysfunction and myocardial inflammation.
- Inhibition of miR-26a-5p exacerbated CME-induced myocardial injury.
- HMGA1 was identified as a direct target gene of miR-26a-5p.
Conclusions:
- miR-26a-5p plays a protective role against CME-induced myocardial damage.
- Overexpression of miR-26a-5p ameliorates cardiac dysfunction and inflammation post-CME, potentially by downregulating HMGA1.
- miR-26a-5p represents a promising therapeutic target for managing myocardial injury resulting from coronary microembolization.
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