Inhibition of miR1555p attenuates the valvular damage induced by rheumatic heart disease

Ang Chen1, Jianlin Wen1, Chuanghong Lu1

  • 1Department of Cardiology, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi 530021, P.R. China.

Insights

Inhibiting microRNA-155-5p (miR-155-5p) reduces valvular damage in rheumatic heart disease (RHD) by targeting sphingosine-1-phosphate receptor 1 (S1PR1) and SOCS1/STAT3 pathways. This approach alleviates inflammation and fibrosis, offering a potential therapeutic strategy for RHD.

Area of Science:

  • Immunology and Cardiovascular Research
  • Molecular Biology and Genetics
  • Biomedical Sciences

Background:

  • Rheumatic heart disease (RHD) involves autoimmune-mediated valvular damage.
  • MicroRNAs (miRNAs) are increasingly implicated in autoimmune diseases.
  • Key signaling molecules like STAT3, S1PR1, and SOCS1 play roles in autoimmunity and inflammation.

Purpose of the Study:

  • To investigate the role of miR-155-5p in RHD-induced valvular damage.
  • To elucidate the involvement of S1PR1, SOCS1/STAT3, and IL-6/STAT3 signaling pathways.
  • To evaluate the therapeutic potential of inhibiting miR-155-5p in RHD.

Main Methods:

  • Established an RHD rat model using inactivated Group A streptococci and complete Freund's adjuvant.
  • Utilized recombinant adeno-associated virus (AAV-miR155-inhibitor) to inhibit miR-155-5p expression.
  • Assessed inflammation and fibrosis via histological staining; quantified molecular targets (miRNAs, proteins, cytokines) using RT-qPCR, Western blotting, immunohistochemistry, dual luciferase assays, and ELISA.

Main Results:

  • RHD model exhibited increased miR-155-5p in valve tissues and serum exosomes, decreased S1PR1, and activated SOCS1/STAT3 signaling.
  • Elevated levels of interleukin (IL)-6 and IL-17 were observed in valves and serum.
  • Dual luciferase assays confirmed direct targeting of S1PR1 and SOCS1 by miR-155-5p; inhibition of miR-155-5p attenuated RHD pathology and inflammatory markers.

Conclusions:

  • miR-155-5p promotes RHD-induced valvular damage by modulating S1PR1, SOCS1/STAT3, and IL-6/STAT3 pathways.
  • Inhibition of miR-155-5p demonstrates a therapeutic effect, reducing valvular inflammation and fibrosis in RHD.
  • Targeting miR-155-5p represents a promising strategy for managing RHD.

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