SNHG5 Upregulated by Dexmedetomidine Alleviates Myocardial Ischemia/Reperfusion Injury Through LIN28A-Mediated BCAT1

Jingjia Yu1, Fei Ye1, Wenzhi Luo1

  • 1Department of Cardiology, The Third Xiangya Hospital, Central South University, Changsha 410013, Hunan Province, China.

Insights

Dexmedetomidine (Dex) protects heart cells from injury by increasing SNHG5, which enhances autophagy. This mechanism involves SNHG5 recruiting LIN28A to stabilize BCAT1 mRNA, ultimately reducing cardiac damage.

Area of Science:

  • Cardiovascular Biology
  • Molecular Oncology
  • Cellular Physiology

Background:

  • Dexmedetomidine (Dex) is known to protect against myocardial ischemia/reperfusion (I/R) injury.
  • Small nucleolar RNA host gene 5 (SNHG5) is implicated in various cancers, but its role in Dex-mediated cardioprotection is unexplored.

Purpose of the Study:

  • To investigate the role of SNHG5 in Dexmedetomidine's protective effects against myocardial I/R injury.
  • To elucidate the molecular mechanisms underlying SNHG5-mediated cardioprotection.

Main Methods:

  • Established rat myocardial I/R and H9c2 cell hypoxia/reoxygenation (H/R) injury models.
  • Assessed cardiac function and apoptosis using TTC, HE, TUNEL staining, CCK-8, and flow cytometry.
  • Investigated molecular interactions using RNA pull-down, RIP, FISH, Western Blot, qRT-PCR, and immunohistochemistry.

Main Results:

  • Dexmedetomidine ameliorated myocardial I/R and H/R-induced cell injury by enhancing autophagy.
  • Dexmedetomidine upregulated SNHG5 in cardiac tissues and cells, and SNHG5 mediated the protective effects of Dex.
  • SNHG5 protected against H/R injury by recruiting LIN28A, which stabilized BCAT1 mRNA, thereby promoting autophagy.

Conclusions:

  • Dexmedetomidine protects against myocardial I/R injury by upregulating SNHG5, which enhances autophagy via the LIN28A/BCAT1 pathway.
  • SNHG5 plays a crucial role in mediating the cardioprotective effects of Dexmedetomidine.
  • Targeting the SNHG5/LIN28A/BCAT1 axis represents a potential therapeutic strategy for myocardial I/R injury.

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