Why the study?
Elevated plasma sST2 associates with adverse outcomes post-MI, but the mechanisms modulating its expression and the role of miR-199a-5p remain unclear.
Does antimiR199a therapy prevent adverse cardiac remodeling and reduce sST2 levels in a mouse model of myocardial infarction?
Does antimiR199a therapy prevent adverse cardiac remodeling and reduce sST2 levels in a mouse model of myocardial infarction?
Pharmacological inhibition of miR-199a-5p rescues cardiac hypertrophy and heart failure in mice by modulating the Sirt1/P300/Yy1/sST2 axis, highlighting a potential therapeutic approach for post-MI heart failure.
Should not change practice; hypothesis-generating for antimiR-199a in post-MI remodeling.
Left ventricular remodeling following myocardial infarction (MI) is related to adverse outcome. It has been shown that an up-regulation of plasma soluble ST2 (sST2) levels are associated with lower pre-discharge left ventricular (LV) ejection fraction, adverse cardiovascular outcomes and mortality outcome after MI. The mechanisms involved in its modulation are unknown and there is not specific treatment capable of lowering plasma sST2 levels in acute-stage HF. We recently identified Yin-yang 1 (Yy1) as a transcription factor related to circulating soluble ST2 isoform (sST2) expression in infarcted myocardium. However, the underlying mechanisms involved in this process have not been thoroughly elucidated. This study aimed to evaluate the pathophysiological implication of miR-199a-5p in cardiac remodeling and the expression of the soluble ST2 isoform. Myocardial infarction (MI) was induced by permanent ligation of the left anterior coronary artery in C57BL6/J mice that randomly received antimiR199a therapy, antimiR-Ctrl or saline. A model of biomechanical stretching was also used to characterize the underlying mechanisms involved in the activation of Yy1/sST2 axis. Our results show that the significant upregulation of miR-199a-5p after myocardial infarction increases pathological cardiac hypertrophy by upregulating circulating soluble sST2 levels. AntimiR199a therapy up-regulates Sirt1 and inactivates the co-activator P300 protein, thus leading to Yy1 inhibition which decreases both expression and release of circulating sST2 by cardiomyocytes after myocardial infarction. Pharmacological inhibition of miR-199a rescues cardiac hypertrophy and heart failure in mice, offering a potential therapeutic approach for cardiac failure.
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Lopez et al. (2021) studied Myocardial infarction (n=60). antimiR-199a vs. antimiR-Ctrl or PBS was evaluated on Cardiac hypertrophy, fibrosis, and circulating sST2 levels.
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