Key result
In a rat model of severe kidney failure, miR-221 treatment improved the 8-week survival rate compared to control (60% vs 36%; p=0.038) and reduced cardiac fibrosis.
Why the study?
Kidney failure is associated with cardiac fibrosis and increased mortality in heart failure, and researchers hypothesized that miR-221 attenuates severe kidney failure-associated cardiac fibrosis by targeting Thbs1 to inhibit latent TGF-β1 activation.
Does miR-221 reduce cardiac fibrosis and improve survival in a rat model of kidney failure?
Does miR-221 reduce cardiac fibrosis and improve survival in a rat model of kidney failure?
Absolute Event Rate: 60% vs 36%
p-value: p=0.038
miR-221 attenuates kidney failure-induced cardiac fibrosis and improves survival in a rat model by targeting Thrombospondin-1 and inhibiting latent TGF-β1 activation.
Supports miR-221 investigation for KF fibrosis; leaves open clinical translation in human heart failure.
Kidney failure (KF) is associated with cardiac fibrosis and significantly increased mortality in heart failure. Thrombospondin-1 (TSP1), a key regulator of latent transforming growth factor-β1 (L-TGF-β1) activation, is a predicted target of miR-221. We hypothesized miR-221 attenuates severe KF-associated cardiac fibrosis via targeting of Thbs1 with subsequent inhibition of L-TGF-β1 activation. Rat cardiac fibroblasts (cFB) were isolated and transfected with microRNA-221 (miR-221) mimics or mimic control (miR-221 and MC) with or without exposure to L-TGF-β1. We demonstrate miR-221 downregulates Thbs1 via direct 3′ untranslated region (3′ UTR) targeting with consequent inhibition of L-TGF-β1 activation in cFB as proven by the significant reduction of myofibroblast activation, collagen secretion, TGF-β1 signaling, TSP1 secretion, and TGF-β1 bioactivity measured by Pai1 promoter reporter. The 5/6 nephrectomy (Nx) model of cardiac fibrosis was used to test the in vivo therapeutic efficacy of miR-221 (i.v. 1 mg/kg ×3). miR-221 significantly inhibited Nx-induced upregulation of TSP1 and p-SMAD3 in the heart at day-7 and reduced cardiac fibrosis (picro-sirius), improved cardiac function (±dP/dt), and improved 8-week survival rate (60% versus 36%; p = 0.038). miR-221 mimic treatment improved survival and reduced cardiac fibrosis in a model of severe KF. miR-221 is a therapeutic target to address cardiac fibrosis originating from renal disease and other causes.
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Zhou et al. (2020) studied Kidney failure-induced cardiac fibrosis. microRNA-221 (miR-221) vs. control was evaluated on 8-week survival rate (p=0.038). In a rat model of severe kidney failure, miR-221 treatment improved the 8-week survival rate compared to control (60% vs 36%; p=0.038) and reduced cardiac fibrosis.
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