Role of human epicardial adipose tissue–derived miR-92a-3p in myocardial redox state

<p><strong>Background</strong><br> Visceral obesity is directly linked to increased cardiovascular risk, including heart failure.<br><br> <strong>Objectives</strong><br> This study explored the ability of human epicardial adipose tissue (EAT)-de...

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Hoofdauteurs: Carena, MC, Badi, I, Polkinghorne, M, Akoumianakis, I, Psarros, C, Wahome, E, Kotanidis, CP, Akawi, N, Antonopoulos, AS, Chauhan, J, Douglas, G, Channon, KM, Casadei, B, Antoniades, A
Formaat: Journal article
Taal:English
Gepubliceerd in: Elsevier 2023
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author Carena, MC
Badi, I
Polkinghorne, M
Akoumianakis, I
Psarros, C
Wahome, E
Kotanidis, CP
Akawi, N
Antonopoulos, AS
Chauhan, J
Douglas, G
Channon, KM
Casadei, B
Antoniades, A
author_facet Carena, MC
Badi, I
Polkinghorne, M
Akoumianakis, I
Psarros, C
Wahome, E
Kotanidis, CP
Akawi, N
Antonopoulos, AS
Chauhan, J
Douglas, G
Channon, KM
Casadei, B
Antoniades, A
author_sort Carena, MC
collection OXFORD
description <p><strong>Background</strong><br> Visceral obesity is directly linked to increased cardiovascular risk, including heart failure.<br><br> <strong>Objectives</strong><br> This study explored the ability of human epicardial adipose tissue (EAT)-derived microRNAs (miRNAs) to regulate the myocardial redox state and clinical outcomes.<br><br> <strong>Methods</strong><br> This study screened for miRNAs expressed and released from human EAT and tested for correlations with the redox state in the adjacent myocardium in paired EAT/atrial biopsy specimens from patients undergoing cardiac surgery. Three miRNAs were then tested for causality in an in vitro model of cardiomyocytes. At a clinical level, causality/directionality were tested using genome-wide association screening, and the underlying mechanisms were explored using human biopsy specimens, as well as overexpression of the candidate miRNAs and their targets in vitro and in vivo using a transgenic mouse model. The final prognostic value of the discovered targets was tested in patients undergoing cardiac surgery, followed up for a median of 8 years.<br><br> <strong>Results</strong><br> EAT miR-92a-3p was related to lower oxidative stress in human myocardium, a finding confirmed by using genetic regulators of miR-92a-3p in the human heart and EAT. miR-92a-3p reduced nicotinamide adenine dinucleotide phosphate (NADPH)-oxidase–derived superoxide (O2.–) by targeting myocardial expression of WNT5A, which regulated Rac1-dependent activation of NADPH oxidases. Finally, high miR-92a-3p levels in EAT were independently related with lower risk of adverse cardiovascular events.<br><br> <strong>Conclusions</strong><br> EAT-derived miRNAs exert paracrine effects on the human heart. Indeed miR-92a-3p suppresses the wingless-type MMTV integration site family, member 5a/Rac1/NADPH oxidase axis and improves the myocardial redox state. EAT-derived miR-92a-3p is related to improved clinical outcomes and is a rational therapeutic target for the prevention and treatment of obesity-related heart disease.</p>
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spelling oxford-uuid:d6f2d596-f2db-4848-88ea-efae14ae543f2023-07-19T09:44:31ZRole of human epicardial adipose tissue–derived miR-92a-3p in myocardial redox stateJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:d6f2d596-f2db-4848-88ea-efae14ae543fEnglishSymplectic ElementsElsevier2023Carena, MCBadi, IPolkinghorne, MAkoumianakis, IPsarros, CWahome, EKotanidis, CPAkawi, NAntonopoulos, ASChauhan, JDouglas, GChannon, KMCasadei, BAntoniades, A<p><strong>Background</strong><br> Visceral obesity is directly linked to increased cardiovascular risk, including heart failure.<br><br> <strong>Objectives</strong><br> This study explored the ability of human epicardial adipose tissue (EAT)-derived microRNAs (miRNAs) to regulate the myocardial redox state and clinical outcomes.<br><br> <strong>Methods</strong><br> This study screened for miRNAs expressed and released from human EAT and tested for correlations with the redox state in the adjacent myocardium in paired EAT/atrial biopsy specimens from patients undergoing cardiac surgery. Three miRNAs were then tested for causality in an in vitro model of cardiomyocytes. At a clinical level, causality/directionality were tested using genome-wide association screening, and the underlying mechanisms were explored using human biopsy specimens, as well as overexpression of the candidate miRNAs and their targets in vitro and in vivo using a transgenic mouse model. The final prognostic value of the discovered targets was tested in patients undergoing cardiac surgery, followed up for a median of 8 years.<br><br> <strong>Results</strong><br> EAT miR-92a-3p was related to lower oxidative stress in human myocardium, a finding confirmed by using genetic regulators of miR-92a-3p in the human heart and EAT. miR-92a-3p reduced nicotinamide adenine dinucleotide phosphate (NADPH)-oxidase–derived superoxide (O2.–) by targeting myocardial expression of WNT5A, which regulated Rac1-dependent activation of NADPH oxidases. Finally, high miR-92a-3p levels in EAT were independently related with lower risk of adverse cardiovascular events.<br><br> <strong>Conclusions</strong><br> EAT-derived miRNAs exert paracrine effects on the human heart. Indeed miR-92a-3p suppresses the wingless-type MMTV integration site family, member 5a/Rac1/NADPH oxidase axis and improves the myocardial redox state. EAT-derived miR-92a-3p is related to improved clinical outcomes and is a rational therapeutic target for the prevention and treatment of obesity-related heart disease.</p>
spellingShingle Carena, MC
Badi, I
Polkinghorne, M
Akoumianakis, I
Psarros, C
Wahome, E
Kotanidis, CP
Akawi, N
Antonopoulos, AS
Chauhan, J
Douglas, G
Channon, KM
Casadei, B
Antoniades, A
Role of human epicardial adipose tissue–derived miR-92a-3p in myocardial redox state
title Role of human epicardial adipose tissue–derived miR-92a-3p in myocardial redox state
title_full Role of human epicardial adipose tissue–derived miR-92a-3p in myocardial redox state
title_fullStr Role of human epicardial adipose tissue–derived miR-92a-3p in myocardial redox state
title_full_unstemmed Role of human epicardial adipose tissue–derived miR-92a-3p in myocardial redox state
title_short Role of human epicardial adipose tissue–derived miR-92a-3p in myocardial redox state
title_sort role of human epicardial adipose tissue derived mir 92a 3p in myocardial redox state
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