Key result
Ischemic postconditioning downregulates myocardial RICTOR expression and upregulates targeting microRNAs in porcine ischemia.
Why the study?
Cardioprotective medications remain an unmet clinical need, and identifying key molecular targets of cardioprotective microRNAs may reveal new drug targets for cardioprotection.
p-value: p=<0.05
May inform new cardioprotective targets in AMI; hypothesis-generating and requires human validation before clinical consideration.
Cardioprotective medications are still unmet clinical needs. We have previously identified several cardioprotective microRNAs (termed ProtectomiRs), the mRNA targets of which may reveal new drug targets for cardioprotection. Here we aimed to identify key molecular targets of ProtectomiRs and confirm their association with cardioprotection in a translational pig model of acute myocardial infarction (AMI). By using a network theoretical approach, we identified 882 potential target genes of 18 previously identified protectomiRs. The Rictor gene was the most central and it was ranked first in the protectomiR-target mRNA molecular network with the highest node degree of 5. Therefore, Rictor and its targeting microRNAs were further validated in heart samples obtained from a translational pig model of AMI and cardioprotection induced by pre- or postconditioning. Three out of five Rictor-targeting pig homologue of rat ProtectomiRs showed significant upregulation in postconditioned but not in preconditioned pig hearts. Rictor was downregulated at the mRNA and protein level in ischemic postconditioning but not in ischemic preconditioning. This is the first demonstration that Rictor is the central molecular target of ProtectomiRs and that decreased Rictor expression may regulate ischemic postconditioning-, but not preconditioning-induced acute cardioprotection. We conclude that Rictor is a potential novel drug target for acute cardioprotection.
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Makkos et al. (2021) studied Acute Myocardial Infarction (n=16). Ischemic preconditioning and postconditioning vs. Ischemia-reperfusion injury alone was evaluated on RICTOR protein expression in the ischemic myocardial zone (p=<0.05). Ischemic postconditioning, but not preconditioning, significantly downregulated RICTOR protein expression and upregulated its targeting microRNAs in the ischemic myocardium in a translational pig model.
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