Key result
A20 overexpression suppresses cardiomyocyte inflammation and apoptosis in viral myocarditis models.
Why the study?
The study was conducted to investigate the effect of A20 and determine how A20 is regulated in viral myocarditis.
p-value: p=<0.05
A20 suppresses inflammation and cardiomyocyte apoptosis in viral myocarditis models via the ADAR1/miR-1a-3p pathway, suggesting a potential therapeutic target.
Hypothesis-generating for A20 in viral myocarditis; leaves open clinical translation pending human studies.
OBJECTIVE: To investigate the effect of A20 and how A20 is regulated in viral myocarditis (VMC). METHODS: BABL/C mice, primary neonatal rat cardiomyocytes and H9c2 cells were infected with Coxsackie virus B3 (CVB3) to establish animal and cellular models of VMC. H&E staining revealed the pathologic condition of myocardium. ELISA measured the serum levels of creatine kinase, creatine kinase isoenzyme and cardiac troponin I. The effects of A20, miR-1a-3p and ADAR1 were investigated using gain and loss of function approaches. ELISA measured the levels of IL-6, IL-18 and TNF-α in serum or cell culture supernatant. TUNEL staining and flow cytometry assessed the apoptosis of myocardium and cardiomyocytes, respectively. RNA-binding protein immunoprecipitation and dual-luciferase reporter assays verified the binding between A20 and miR-1a-3p. Co-immunoprecipitation assay verified the binding between ADAR1 and Dicer. RESULTS: A20 was underexpressed and miR-1a-3p was overexpressed in the myocardium of VMC mice as well as in CVB3-infected cardiomyocytes. Overexpression of A20 suppressed cardiomyocyte inflammation and apoptosis in vivo and in vitro. miR-1a-3p promoted CVB3-induced inflammation and apoptosis in cardiomyocytes by binding to A20. The expression of miR-1a-3p was regulated by ADAR1. ADAR1 promoted the slicing of miR-1a-3p precursor by binding to Dicer. CONCLUSION: A20, regulated by ADAR1/miR-1a-3p, suppresses inflammation and cardiomyocyte apoptosis in VMC.
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Li et al. (2022) studied Viral myocarditis (n=60). A20 overexpression (LV-A20) vs. Negative control lentivirus (LV-NC) was evaluated on Cardiomyocyte inflammation and apoptosis (p=<0.05). Overexpression of A20 significantly suppressed cardiomyocyte inflammation and apoptosis in Coxsackie virus B3-induced viral myocarditis models.
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