Knock-out of MicroRNA 145 impairs cardiac fibroblast function and wound healing post-myocardial infarction

Hui-Fang Song1,2,3, Sheng He2,3, Shu-Hong Li3

  • 1Department of Anatomy, Shanxi Medical University, Taiyuan, China.

Insights

MicroRNA 145 (miR-145) deficiency worsens heart attack outcomes by impairing cardiac fibroblast function and scar healing. Restoring miR-145 promotes scar contraction, offering a potential therapeutic target for heart failure.

Area of Science:

  • Cardiovascular Biology
  • Molecular Medicine
  • Regenerative Medicine

Background:

  • Progressive heart failure can result from infarct scar thinning and dilatation after myocardial infarction (MI).
  • MicroRNA 145 (miR-145) is crucial for cardiac fibroblast function in wound healing and cardiac repair post-MI.

Purpose of the Study:

  • To investigate the role of miR-145 down-regulation in cardiac fibroblast and myofibroblast function during adverse cardiac remodeling.
  • To evaluate the impact of miR-145 deficiency on infarct scar characteristics and cardiac function post-MI.

Main Methods:

  • Utilized a miR-145 knock-out (KO) mouse model and wild-type (WT) littermates subjected to MI.
  • Assessed cardiac function, infarct size, fibroblast-to-myofibroblast differentiation, collagen I and α-SMA protein levels, and in vitro wound contraction.
  • Investigated the effect of in vitro miR-145 restoration on fibroblast differentiation, involving target genes Klf4 and myocardin.

Main Results:

  • miR-145 KO mice exhibited decreased cardiac function and larger infarct size compared to WT mice post-MI.
  • Cardiac fibroblast-to-myofibroblast differentiation, collagen deposition, and scar contractility were reduced in miR-145 KO mice.
  • In vitro restoration of miR-145 enhanced fibroblast differentiation into myofibroblasts, mediated by Klf4 and myocardin.

Conclusions:

  • Absence of miR-145 leads to cardiac fibroblast dysfunction, promoting infarct thinning and dilatation, and contributing to adverse cardiac remodeling.
  • MiR-145 is essential for infarct scar contraction and maintaining cardiac integrity post-MI.
  • Augmenting miR-145 levels presents a promising therapeutic strategy to prevent adverse cardiac remodeling by enhancing fibroblast-to-myofibroblast differentiation.

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