Therapeutic silencing miR-146b-5p improves cardiac remodeling in a porcine model of myocardial infarction by modulating the wound reparative phenotype

Abstract Fibrotic remodeling is an adverse consequence of immune response-driven phenotypic modulation of cardiac cells following myocardial infarction (MI). MicroRNA-146b (miR-146b) is an active regulator of immunomodulation, but its function in the cardiac inflammatory cascade and its clinical imp...

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Main Authors: Yiteng Liao, Hao Li, Hao Cao, Yun Dong, Lei Gao, Zhongmin Liu, Junbo Ge, Hongming Zhu
Format: Article
Language:English
Published: Oxford University Press 2020-08-01
Series:Protein & Cell
Subjects:
Online Access:https://doi.org/10.1007/s13238-020-00750-6
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author Yiteng Liao
Hao Li
Hao Cao
Yun Dong
Lei Gao
Zhongmin Liu
Junbo Ge
Hongming Zhu
author_facet Yiteng Liao
Hao Li
Hao Cao
Yun Dong
Lei Gao
Zhongmin Liu
Junbo Ge
Hongming Zhu
author_sort Yiteng Liao
collection DOAJ
description Abstract Fibrotic remodeling is an adverse consequence of immune response-driven phenotypic modulation of cardiac cells following myocardial infarction (MI). MicroRNA-146b (miR-146b) is an active regulator of immunomodulation, but its function in the cardiac inflammatory cascade and its clinical implication in fibrotic remodeling following MI remain largely unknown. Herein, miR-146b-5p was found to be upregulated in the infarcted myocardium of mice and the serum of myocardial ischemia patients. Gain- and loss-of-function experiments demonstrated that miR-146b-5p was a hypoxia-induced regulator that governed the pro-fibrotic phenotype transition of cardiac cells. Overexpression of miR-146b-5p activated fibroblast proliferation, migration, and fibroblast-to-myofibroblast transition, impaired endothelial cell function and stress survival, and disturbed macrophage paracrine signaling. Interestingly, the opposite effects were observed when miR-146b-5p expression was inhibited. Luciferase assays and rescue studies demonstrated that the miR-146b-5p target genes mediating the above phenotypic modulations included interleukin 1 receptor associated kinase 1 (IRAK1) and carcinoembryonic antigen related cell adhesion molecule 1 (CEACAM1). Local delivery of a miR-146b-5p antagomir significantly reduced fibrosis and cell death, and upregulated capillary and reparative macrophages in the infarcted myocardium to restore cardiac remodeling and function in both mouse and porcine MI models. Local inhibition of miR-146b-5p may represent a novel therapeutic approach to treat cardiac fibrotic remodeling and dysfunction following MI.
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spelling doaj.art-b64520b10dfb4f448c84278a583cf6542023-08-02T03:40:45ZengOxford University PressProtein & Cell1674-800X1674-80182020-08-0112319421210.1007/s13238-020-00750-6Therapeutic silencing miR-146b-5p improves cardiac remodeling in a porcine model of myocardial infarction by modulating the wound reparative phenotypeYiteng Liao0Hao Li1Hao Cao2Yun Dong3Lei Gao4Zhongmin Liu5Junbo Ge6Hongming Zhu7Research Center for Translational Medicine, Shanghai East Hospital, Tongji University School of MedicineResearch Center for Translational Medicine, Shanghai East Hospital, Tongji University School of MedicineDepartment of Cardiovascular Surgery, Shanghai East Hospital, Tongji University School of MedicineDepartment of Ultrasound in Medicine, Shanghai East Hospital, Tongji University School of MedicineResearch Center for Translational Medicine, Shanghai East Hospital, Tongji University School of MedicineResearch Center for Translational Medicine, Shanghai East Hospital, Tongji University School of MedicineDepartment of Cardiology, Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital of Fudan UniversityResearch Center for Translational Medicine, Shanghai East Hospital, Tongji University School of MedicineAbstract Fibrotic remodeling is an adverse consequence of immune response-driven phenotypic modulation of cardiac cells following myocardial infarction (MI). MicroRNA-146b (miR-146b) is an active regulator of immunomodulation, but its function in the cardiac inflammatory cascade and its clinical implication in fibrotic remodeling following MI remain largely unknown. Herein, miR-146b-5p was found to be upregulated in the infarcted myocardium of mice and the serum of myocardial ischemia patients. Gain- and loss-of-function experiments demonstrated that miR-146b-5p was a hypoxia-induced regulator that governed the pro-fibrotic phenotype transition of cardiac cells. Overexpression of miR-146b-5p activated fibroblast proliferation, migration, and fibroblast-to-myofibroblast transition, impaired endothelial cell function and stress survival, and disturbed macrophage paracrine signaling. Interestingly, the opposite effects were observed when miR-146b-5p expression was inhibited. Luciferase assays and rescue studies demonstrated that the miR-146b-5p target genes mediating the above phenotypic modulations included interleukin 1 receptor associated kinase 1 (IRAK1) and carcinoembryonic antigen related cell adhesion molecule 1 (CEACAM1). Local delivery of a miR-146b-5p antagomir significantly reduced fibrosis and cell death, and upregulated capillary and reparative macrophages in the infarcted myocardium to restore cardiac remodeling and function in both mouse and porcine MI models. Local inhibition of miR-146b-5p may represent a novel therapeutic approach to treat cardiac fibrotic remodeling and dysfunction following MI.https://doi.org/10.1007/s13238-020-00750-6cardiac fibrosismicroRNAporcine modelmyocardial infarction
spellingShingle Yiteng Liao
Hao Li
Hao Cao
Yun Dong
Lei Gao
Zhongmin Liu
Junbo Ge
Hongming Zhu
Therapeutic silencing miR-146b-5p improves cardiac remodeling in a porcine model of myocardial infarction by modulating the wound reparative phenotype
Protein & Cell
cardiac fibrosis
microRNA
porcine model
myocardial infarction
title Therapeutic silencing miR-146b-5p improves cardiac remodeling in a porcine model of myocardial infarction by modulating the wound reparative phenotype
title_full Therapeutic silencing miR-146b-5p improves cardiac remodeling in a porcine model of myocardial infarction by modulating the wound reparative phenotype
title_fullStr Therapeutic silencing miR-146b-5p improves cardiac remodeling in a porcine model of myocardial infarction by modulating the wound reparative phenotype
title_full_unstemmed Therapeutic silencing miR-146b-5p improves cardiac remodeling in a porcine model of myocardial infarction by modulating the wound reparative phenotype
title_short Therapeutic silencing miR-146b-5p improves cardiac remodeling in a porcine model of myocardial infarction by modulating the wound reparative phenotype
title_sort therapeutic silencing mir 146b 5p improves cardiac remodeling in a porcine model of myocardial infarction by modulating the wound reparative phenotype
topic cardiac fibrosis
microRNA
porcine model
myocardial infarction
url https://doi.org/10.1007/s13238-020-00750-6
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