Sevoflurane protects mice from cerebral ischaemic injury by regulating microRNA-203-3p/HDAC4/Bcl-2 axis

Jie Song1, Ke He2, Longqiu Yang2,3

  • 1Department of Anesthesiology, Jiangxi Maternal and Child Health Hospital, Nanchang, Jiangxi, China.

Insights

Sevoflurane protects the brain from ischemic injury by regulating the microRNA-203-3p/histone deacetylases 4/B-cell lymphoma 2 pathway. This mechanism enhances neuroprotection and reduces brain damage in ischemic stroke models.

Area of Science:

  • Neuroscience
  • Molecular Biology
  • Pharmacology

Background:

  • Sevoflurane (Sevo) demonstrates neuroprotective properties against ischemic injury.
  • The precise molecular mechanisms underlying sevoflurane's neuroprotection, particularly involving the microRNA-203-3p/histone deacetylases 4/B-cell lymphoma 2 (miR-203-3p/HDAC4/Bcl-2) axis, require comprehensive elucidation.

Purpose of the Study:

  • To investigate the specific mechanism of sevoflurane's neuroprotection in cerebral ischemic injury.
  • To explore the role of the miR-203-3p/HDAC4/Bcl-2 axis in sevoflurane's therapeutic effects.

Main Methods:

  • Establishment of a middle cerebral artery occlusion (MCAO) mouse model.
  • Measurement of miR-203-3p and HDAC4 expression in brain tissues.
  • Administration of sevoflurane or related plasmids (miR-203-3p, HDAC4) to MCAO mice.
  • Assessment of neurological function, brain pathology, neuronal apoptosis, and inflammation.
  • Verification of molecular interactions between miR-203-3p, HDAC4, and Bcl-2.

Main Results:

  • MCAO mice exhibited decreased miR-203-3p and increased HDAC4 expression.
  • Sevoflurane treatment improved neurological function, reduced brain damage, neuronal apoptosis, and inflammation in MCAO mice.
  • Overexpression of miR-203-3p potentiated sevoflurane's protective effects, while HDAC4 overexpression antagonized these effects.
  • Direct targeting interactions were confirmed between miR-203-3p and HDAC4, and between HDAC4 and Bcl-2.

Conclusions:

  • Sevoflurane enhances neuroprotection in MCAO mice by upregulating miR-203-3p, which in turn downregulates HDAC4 and elevates Bcl-2 expression.
  • The miR-203-3p/HDAC4/Bcl-2 pathway is a key mechanism mediating sevoflurane's protective effects against cerebral ischemic injury.
  • This study provides a mechanistic basis for the clinical application of sevoflurane as a treatment for cerebral ischemic injury.

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