MiR-526b-3p mediates doxorubicin-induced cardiotoxicity by targeting STAT3 to inactivate VEGFA

Lifu Zhang1, Liyan Liu2, Xun Li3

  • 1Department of Cardiovascular Medicine, the First Affiliated Hospital of Soochow University, Suzhou, 215006, Jiangsu, China; Electrocardiogram Room, Jiangxi Cancer Hospital, Nanchang, 330029, Jiangxi, China.

Insights

Doxorubicin chemotherapy causes heart damage by increasing miR-526b-3p, which harms vascular cells and cardiac function. Targeting miR-526b-3p may protect against this doxorubicin-induced cardiotoxicity.

Area of Science:

  • Cardiology
  • Molecular Biology
  • Oncology

Background:

  • Doxorubicin (DOX) is a potent chemotherapeutic agent with known cardiotoxic side effects.
  • The precise mechanisms underlying DOX-induced vascular homeostasis disruption are not fully understood.

Purpose of the Study:

  • To elucidate the role of miR-526b-3p in doxorubicin-induced cardiotoxicity.
  • To investigate the molecular pathways involved in miR-526b-3p-mediated cardiac dysfunction.

Main Methods:

  • Quantitative real-time PCR (qRT-PCR) and immunohistochemistry in DOX-treated mice.
  • In vitro studies using Human Umbilical Vein Endothelial Cells (HUVECs) transfected with miR-526b-3p mimics/inhibitors.
  • In vivo studies using rAAV administration in mice.
  • Cell proliferation, apoptosis, tube formation, and migration assays.
  • Chromatin immunoprecipitation (ChIP) and luciferase reporter assays.

Main Results:

  • DOX treatment increased cardiac miR-526b-3p levels and decreased CD31/CD34 expression in mice.
  • miR-526b-3p inhibited HUVEC proliferation and promoted apoptosis, while impairing tube formation and migration.
  • miR-526b-3p targeted STAT3, leading to reduced VEGFA transcription.
  • VEGFA reintroduction rescued DOX-induced cardiac dysfunction and HUVEC abnormalities.

Conclusions:

  • miR-526b-3p exacerbates doxorubicin-induced cardiotoxicity by targeting the STAT3/VEGFA pathway.
  • Targeting miR-526b-3p presents a potential therapeutic strategy to mitigate DOX-induced cardiac damage.