MicroRNA-125a-5p promotes NLRP3/caspase-1/GSDMD pathway-mediated pyroptosis in endothelial cells during Kawasaki

Ying Li1, Zhixiang Wu1, Min Kong1

  • 1Department of Pediatrics, the Third Xiangya Hospital, Central South University, Changsha, 410013, Hunan, China.

Scientific Reports
|June 8, 2026
PubMed

Insights

MicroRNA-125a-5p worsens Kawasaki disease (KD) by promoting pyroptosis in endothelial cells. Inhibiting miR-125a-5p protects against KD-like vascular injury and inflammation.

Area of Science:

  • Cardiovascular Biology
  • Molecular Medicine
  • Immunology

Background:

  • Kawasaki disease (KD) is a leading cause of acquired heart disease in children, characterized by systemic vasculitis.
  • MicroRNA (miRNA) dysregulation is implicated in KD pathogenesis, affecting gene expression and cellular processes.
  • Endothelial cell dysfunction and pyroptosis are key features of KD vascular damage.

Purpose of the Study:

  • To investigate the role of miR-125a-5p in regulating pyroptosis in Kawasaki disease.
  • To elucidate the molecular mechanisms by which miR-125a-5p influences endothelial cell survival and inflammation in KD models.
  • To assess the therapeutic potential of targeting miR-125a-5p in KD-associated endothelial injury.

Main Methods:

  • Established Kawasaki disease-like models using Lactobacillus casei cell-wall extract (LCWE) in C57BL/6 mice and human umbilical vein endothelial cells (HUVECs).
  • Quantified miR-125a-5p expression levels in KD models.
  • Utilized in vitro and in vivo approaches to inhibit miR-125a-5p and assess its impact on pyroptosis (NLRP3/caspase-1/GSDMD pathway) and vascular inflammation.

Main Results:

  • miR-125a-5p expression was significantly upregulated in both mouse and HUVEC KD models.
  • Inhibition of miR-125a-5p enhanced HUVEC survival and reduced NLRP3/caspase-1/GSDMD-mediated pyroptosis.
  • In vivo, miR-125a-5p inhibition suppressed the NLRP3/caspase-1/GSDMD pathway, decreasing pyroptosis and inflammation in coronary arteries.

Conclusions:

  • miR-125a-5p exacerbates LCWE-induced pyroptosis in endothelial cells and contributes to vascular injury in a mouse model of KD.
  • Targeting miR-125a-5p presents a potential therapeutic strategy for mitigating endothelial injury and inflammation in Kawasaki disease.