Sevoflurane Affects Myocardial Autophagy Levels After Myocardial Ischemia Reperfusion Injury via the

Jiying Ao1, Xueting Zhang1, Degang Zhu2

  • 1Department of Anesthesiology, Wuhan No.1 Hospital, 215 Zhongshan Dadao, Wuhan, 430030, Hubei, China.

PubMed

Insights

Sevoflurane (Sev) protects against myocardial ischemia reperfusion (I/R) injury by upregulating microRNA-542-3p (miR-542-3p) and downregulating ADAM9, thereby improving cardiac function and reducing autophagy.

Area of Science:

  • Cardiology
  • Molecular Biology
  • Pharmacology

Background:

  • Myocardial ischemia reperfusion (I/R) injury is a significant clinical concern.
  • Autophagy plays a complex role in I/R injury.
  • The microRNA-542-3p (miR-542-3p)/ADAM9 axis is implicated in cardiac injury.

Purpose of the Study:

  • To investigate the protective effects of sevoflurane (Sev) on myocardial I/R injury.
  • To elucidate the role of the miR-542-3p/ADAM9 axis in Sev-mediated cardioprotection.
  • To examine the impact of Sev on myocardial autophagy.

Main Methods:

  • Mice underwent surgical induction of myocardial I/R.
  • Sevoflurane treatment was administered.
  • Cardiac function, infarction size, oxidative stress, and autophagy markers were assessed.
  • miR-542-3p and ADAM9 expression levels were quantified.
  • Dual-luciferase reporter assays and molecular interventions were employed.

Main Results:

  • Sevoflurane treatment reduced myocardial infarction size, improved cardiac function, and decreased oxidative stress and apoptosis.
  • Sev increased miR-542-3p expression and decreased ADAM9 expression in I/R hearts.
  • miR-542-3p targeted and negatively regulated ADAM9.
  • Overexpression of miR-542-3p enhanced Sev's protective effects, while ADAM9 overexpression reversed them.

Conclusions:

  • Sevoflurane exerts protective effects against myocardial I/R injury.
  • These effects are mediated, at least in part, by the upregulation of miR-542-3p and the subsequent downregulation of ADAM9.
  • The miR-542-3p/ADAM9 axis is a key pathway involved in Sev-induced cardioprotection and modulation of myocardial autophagy.

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