Key result
AAV9-mediated let-7 overexpression significantly reduced cardiomyocyte apoptosis and improved heart function after myocardial infarction by suppressing TGFBR3 and p38 MAPK signaling.
Why the study?
Myocardial infarction often leads to heart failure, and defining therapeutic targets at an early time point is important to prevent heart failure.
Does AAV9-mediated microRNA let-7 overexpression reduce cardiomyocyte apoptosis and improve heart function in models of myocardial infarction?
Does AAV9-mediated microRNA let-7 overexpression reduce cardiomyocyte apoptosis and improve heart function in models of myocardial infarction?
MicroRNA let-7 overexpression protects against cardiomyocyte apoptosis and improves heart function after myocardial infarction by targeting TGFBR3.
BACKGROUND: Myocardial infarction (MI) is a life-threatening disease, often leading to heart failure. Defining therapeutic targets at an early time point is important to prevent heart failure. METHODS: MicroRNA screening was performed at early time points after MI using paired samples isolated from the infarcted and remote myocardium of pigs. We also examined the microRNA expression in plasma of MI patients and pigs. For mechanistic studies, AAV9-mediated microRNA knockdown and overexpression were administrated in mice undergoing MI. FINDINGS: MicroRNAs let-7a and let-7f were significantly downregulated in the infarct area within 24 h post-MI in pigs. We also observed a reduction of let-7a and let-7f in plasma of MI patients and pigs. Inhibition of let-7 exacerbated cardiomyocyte apoptosis, induced a cardiac hypertrophic phenotype, and resulted in worsened left ventricular ejection fraction. In contrast, ectopic let-7 overexpression significantly reduced those phenotypes and improved heart function. We then identified TGFBR3 as a target of let-7, and found that induction of Tgfbr3 in cardiomyocytes caused apoptosis, likely through p38 MAPK activation. Finally, we showed that the plasma TGFBR3 level was elevated after MI in plasma of MI patients and pigs. INTERPRETATION: Together, we conclude that the let-7-Tgfbr3-p38 MAPK signalling plays an important role in cardiomyocyte apoptosis after MI. Furthermore, microRNA let-7 and Tgfbr3 may serve as therapeutic targets and biomarkers for myocardial damage. FUND: Ministry of Science and Technology, National Health Research Institutes, Academia Sinica Program for Translational Innovation of Biopharmaceutical Development-Technology Supporting Platform Axis, Thematic Research Program and the Summit Research Program, Taiwan.
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Chen et al. (2019) studied Myocardial infarction. AAV9-mediated let-7 overexpression vs. AAV-GFP (control) was evaluated on Cardiomyocyte apoptosis and cardiac function (ejection fraction). AAV9-mediated let-7 overexpression significantly reduced cardiomyocyte apoptosis and improved heart function after myocardial infarction by suppressing TGFBR3 and p38 MAPK signaling.
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