miR-15a-5p regulates myocardial fibrosis in atrial fibrillation by targeting Smad7

Dan He1,2, Zhong-Bao Ruan1,2, Gui-Xian Song1

  • 1Department of Cardiology, Jiangsu Taizhou People's Hospital, Taizhou, China.

Peerj
|January 17, 2022
PubMed
Abstract

Insights

MicroRNA-15a-5p (miR-15a-5p) is upregulated in atrial fibrillation (AF) and promotes myocardial fibrosis by inhibiting Smad7. Targeting the miR-15a-5p/Smad7 pathway may offer a novel therapeutic strategy for AF.

Area of Science:

  • Cardiovascular Biology
  • Molecular Medicine
  • Fibrosis Research

Background:

  • Myocardial fibrosis is a key pathological feature of atrial fibrillation (AF) with no effective treatments.
  • MicroRNA-15a-5p (miR-15a-5p) is dysregulated in AF patients, but its role in cardiac fibrosis remains elusive.

Purpose of the Study:

  • To elucidate the function of miR-15a-5p in the pathogenesis of myocardial fibrosis associated with AF.
  • To investigate the regulatory relationship between miR-15a-5p and Smad7 in cardiac fibrosis.

Main Methods:

  • Analysis of miR-15a-5p, Smad7, TGF-β1, and collagen I expression in AF patient tissues and LPS-stimulated H9C2 cells.
  • In vitro manipulation of miR-15a-5p and Smad7 levels using mimics, inhibitors, and siRNA.
  • Assessment of cell viability, proliferation, and fibrosis using CCK-8, EdU, hydroxyproline, and HE staining.
  • Dual-luciferase reporter assays to confirm direct interaction between miR-15a-5p and Smad7.

Main Results:

  • Upregulated miR-15a-5p, TGF-β1, and collagen I, with downregulated Smad7 observed in AF tissues and LPS-treated cells.
  • miR-15a-5p directly targets and inhibits Smad7 expression.
  • Inhibition of miR-15a-5p or augmentation of Smad7 attenuated LPS-induced cardiac fibrosis and cell proliferation.

Conclusions:

  • The miR-15a-5p/Smad7 axis plays a critical role in regulating myocardial fibrosis in AF.
  • This pathway represents a promising therapeutic target for mitigating cardiac fibrosis in atrial fibrillation.

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