Activation of AMPK/miR-181b Axis Alleviates Endothelial Dysfunction and Vascular Inflammation in Diabetic Mice

Chak-Kwong Cheng1,2, Wenbin Shang2, Jian Liu3

  • 1Department of Biomedical Sciences, City University of Hong Kong, Hong Kong 999077, China.

Insights

MicroRNA-181b (miR-181b) protects against diabetes-induced endothelial dysfunction by reducing inflammation and oxidative stress. Chronic exercise and AMPK activation boost miR-181b, offering a therapeutic strategy for diabetic vascular complications.

Area of Science:

  • Vascular Biology
  • Endocrinology
  • Molecular Medicine

Background:

  • Diabetes mellitus-induced hyperglycemia impairs endothelial function and increases the risk of vascular complications.
  • MicroRNAs (miRNAs) play crucial roles in vascular health, with miR-181b previously identified as an anti-inflammatory mediator.
  • Diabetes is associated with altered miRNA profiles, potentially contributing to endothelial dysfunction.

Purpose of the Study:

  • To investigate the role of miR-181b in ameliorating diabetes-associated endothelial dysfunction.
  • To identify the molecular mechanisms underlying miR-181b's effects.
  • To explore upstream inducers of miR-181b in the context of diabetes.

Main Methods:

  • Measured miR-181b levels in renal arteries of diabetic patients and advanced glycation end product (AGE)-treated non-diabetic patients.
  • Utilized high fat diet (HFD)/streptozotocin (STZ)-induced diabetic mouse models and human umbilical vein endothelial cells (HUVECs).
  • Employed miR-181b mimics, AMPK activators, chronic exercise protocols, and laminar shear stress exposure.

Main Results:

  • miR-181b levels were decreased in diabetic renal arteries and AGE-treated vessels.
  • miR-181b mimic transfection improved endothelium-dependent vasodilation in diabetic mice, suppressing oxidative stress and inflammation.
  • AMPK activation and chronic exercise upregulated miR-181b, while laminar shear stress also increased its expression in HUVECs.

Conclusions:

  • The AMPK/miR-181b axis plays a critical role in counteracting diabetes-associated endothelial dysfunction.
  • miR-181b ameliorates endothelial dysfunction by reducing vascular inflammation and superoxide production.
  • Chronic exercise, through AMPK activation, represents a potential therapeutic strategy to enhance miR-181b levels and improve vascular health in diabetes.