Key result
Gal-3 shRNA transfection mediated by ultrasound-targeted microbubble destruction reduced the myocardial fibrosis area by 6.9 ± 0.41% compared to control in a rat model of myocardial infarction.
Why the study?
Galectin-3 participates in myocardial fibrosis, and this study aimed to explore the value and mechanism of UTMD-mediated Gal-3 shRNA transfection in anti-myocardial fibrosis.
Does UTMD-mediated Gal-3 shRNA transfection reduce myocardial fibrosis and improve LVEF in a rat model of myocardial infarction?
RCT
Randomly divided
Does UTMD-mediated Gal-3 shRNA transfection reduce myocardial fibrosis and improve LVEF in a rat model of myocardial infarction?
UTMD-mediated Gal-3 shRNA transfection effectively silences Gal-3 expression, reduces myocardial fibrosis, and protects cardiac ejection function in a rat model of MI.
Should not yet change post-MI care; hypothesis-generating for Gal-3 silencing in cardiac remodeling.
Galectin-3 (Gal-3) participates in myocardial fibrosis (MF) in a variety of ways. Inhibiting the expression of Gal-3 can effectively interfere with MF. This study aimed to explore the value of Gal-3 short hairpin RNA (shRNA) transfection mediated by ultrasound-targeted microbubble destruction (UTMD) in anti-myocardial fibrosis and its mechanism. A rat model of myocardial infarction (MI) was established and randomly divided into control and Gal-3 shRNA/cationic microbubbles + ultrasound (Gal-3 shRNA/CMBs + US) groups. Echocardiography measured the left ventricular ejection fraction (LVEF) weekly, and the heart was harvested to analyze fibrosis, Gal-3, and collagen expression. LVEF in the Gal-3 shRNA/CMB + US group was improved compared with the control group. On day 21, the myocardial Gal-3 expression decreased in the Gal-3 shRNA/CMBs + US group. Furthermore, the proportion of the myocardial fibrosis area in the Gal-3 shRNA/CMBs + US group was 6.9 ± 0.41% lower than in the control group. After inhibition of Gal-3, there was a downregulation in collagen production (collagen I and III), and the ratio of Col I/Col III decreased. In conclusion, UTMD-mediated Gal-3 shRNA transfection can effectively silence the expression of Gal-3 in myocardial tissue, reduce myocardial fibrosis, and protect the cardiac ejection function.
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Li et al. (2023) conducted an RCT in Myocardial infarction and myocardial fibrosis. Gal-3 shRNA/cationic microbubbles + ultrasound vs. Control was evaluated on Proportion of myocardial fibrosis area (6.9 ± 0.41% lower). Gal-3 shRNA transfection mediated by ultrasound-targeted microbubble destruction reduced the myocardial fibrosis area by 6.9 ± 0.41% compared to control in a rat model of myocardial infarction.
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