Lnc-ANRIL Protects Against Myocardial Ischemia-Reperfusion Injury by Suppressing Ferroptosis via the miR-7238-3p/GPX4

Yijun Liu1, Binhua Wu2,3, Yunhao Shao2

  • 1Department of Anesthesiology, The First Affiliated Hospital, Jinan University, Guangzhou 510630, Guangdong, China.

Insights

Myocardial ischemia-reperfusion injury (MI/RI) triggers ferroptosis by downregulating lncRNA ANRIL, which normally suppresses miR-7238-3p and maintains GPX4 levels. Upregulating lnc-ANRIL protects against MI/RI-induced ferroptosis.

Area of Science:

  • Cardiovascular Biology
  • Cell Death Mechanisms
  • Molecular Cardiology

Background:

  • Myocardial infarction (MI) is a major cause of death, and reperfusion therapy can paradoxically cause myocardial ischemia-reperfusion injury (MI/RI).
  • Ferroptosis, an iron-dependent cell death pathway involving lipid peroxidation, contributes significantly to MI/RI.
  • The role of long non-coding RNA ANRIL in MI/RI-induced ferroptosis remains largely unknown.

Purpose of the Study:

  • To investigate the role of lncRNA ANRIL in myocardial ischemia-reperfusion injury (MI/RI).
  • To elucidate the molecular mechanism by which lncRNA ANRIL influences ferroptosis during MI/RI.
  • To explore lncRNA ANRIL as a potential therapeutic target for MI/RI.

Main Methods:

  • Established a mouse model of myocardial infarction and reperfusion (MI/R) and used in vitro hypoxia-reoxygenation models with cardiomyocytes.
  • Manipulated lnc-ANRIL expression (overexpression and silencing) and assessed ferroptosis markers (ROS, MDA, Fe2+, GPX4, ACSL4).
  • Utilized bioinformatics prediction and dual-luciferase assays to validate the interaction between lnc-ANRIL, miR-7238-3p, and GPX4.

Main Results:

  • Myocardial ischemia-reperfusion injury (MI/RI) activated ferroptosis, characterized by decreased GPX4 and increased ACSL4, ROS, malondialdehyde, and Fe2+.
  • Lnc-ANRIL expression was reduced in MI/R conditions; its overexpression attenuated ferroptosis, while silencing exacerbated it.
  • Lnc-ANRIL functions as a molecular sponge for miR-7238-3p, inhibiting miR-7238-3p's suppression of GPX4 expression.

Conclusions:

  • Myocardial ischemia-reperfusion injury (MI/RI) leads to ferroptosis by downregulating lnc-ANRIL, which releases inhibition on miR-7238-3p, subsequently suppressing GPX4.
  • Lnc-ANRIL exerts a protective effect against MI/RI-induced ferroptosis through the miR-7238-3p/GPX4 signaling pathway.
  • Targeting the lnc-ANRIL/miR-7238-3p/GPX4 axis presents a promising therapeutic strategy for myocardial ischemia-reperfusion injury.
Abstract