Lidocaine relieves spinal cord ischemia-reperfusion injury via long non-coding RNA MIAT-mediated Notch1

Junkai Hou, Huixin Li1, Changjiang Xue1

  • 1Department of Anesthesiology, Pain and Perioperative Medicine, The First Affiliated Hospital of Zhengzhou University, 1 Jianshe East Rd., Zhengzhou 450052, People's Republic of China.

Journal of Biochemistry
|January 4, 2022
PubMed

Insights

Lidocaine alleviates spinal cord ischemia reperfusion injury (SCIRI) by reducing inflammation. It achieves this by modulating the myocardial infarction-associated transcript (MIAT)-Notch1 pathway, inhibiting microglial activation.

Area of Science:

  • Neuroscience
  • Cardiovascular Research
  • Molecular Biology

Background:

  • Microglial activation and inflammation are key drivers of spinal cord ischemia reperfusion injury (SCIRI).
  • Understanding the molecular mechanisms underlying SCIRI is crucial for developing effective treatments.

Purpose of the Study:

  • To investigate if lidocaine ameliorates SCIRI by modulating the MIAT-Notch1 pathway.
  • To elucidate the role of MIAT in lidocaine's therapeutic effects on SCIRI.

Main Methods:

  • Mouse model of SCIRI induced by aortic arch obstruction.
  • Assessment of microglial activation (Iba1) and inflammatory markers (IL-1β, TNF-α).
  • RNA pull-down and immunoprecipitation assays to determine MIAT-Notch1 interaction; in vitro studies using BV2 cells.

Main Results:

  • Lidocaine treatment reduced SCIRI severity, Iba1, TNF-α, and IL-1β levels.
  • Lidocaine increased MIAT expression and modulated Notch1 levels, suggesting a regulatory interaction.
  • MIAT was found to interact with Notch1, promoting its degradation and influencing inflammatory responses.

Conclusions:

  • Lidocaine exerts therapeutic effects on SCIRI by inhibiting microglial activation and inflammation.
  • The mechanism involves lidocaine-induced modulation of the MIAT-Notch1 axis, leading to Notch1 downregulation.

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