文章摘要
地氟醚通过上调miR-29b表达减轻大鼠的心肌损伤
Desflurane alleviates myocardial injury of rats by up-regulating miR-29b expression
  
DOI:10.12089/jca.2021.11.014
中文关键词: 地氟醚  心肌梗死  微小RNA-29b  信号转导和转录激活因子3  心肌保护
英文关键词: Desflurane  Myocardial infarction  MiR-29b  Signal transducer and activator of transcription 3  Myocardial protection
基金项目:武汉市卫生计生委科研计划资助项目(WX20D40)
作者单位E-mail
李鹏 430030,武汉市第四医院,华中科技大学同济医学院附属普爱医院麻醉科  
陈丹丹 430030,武汉市第四医院,华中科技大学同济医学院附属普爱医院麻醉科  
徐乾 430030,武汉市第四医院,华中科技大学同济医学院附属普爱医院麻醉科  
彭晓红 430030,武汉市第四医院,华中科技大学同济医学院附属普爱医院麻醉科 pxhong01@hotmail.com 
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中文摘要:
      
目的 探讨微小RNA-29b(miR-29b)在地氟醚处理减轻大鼠心肌梗死中的作用。
方法 成年雄性健康Wistar大鼠80只,10周龄,体重350~400 g,随机分为五组:假手术组(S组)、心肌梗死组(MI组)、地氟醚组(MD组)、空载AAV9组(MA组)和miR-29b沉默组(MR组),每组16只。S组仅分离冠状动脉不结扎,其余组均建立心肌梗死模型,S组和MI组造模前3 d经尾静脉注射磷酸缓冲液(PBS),MD组造模前3 d经尾静脉注射PBS,并于造模前30 min吸入5.9%地氟醚1 h,之后吸入1.3%地氟醚维持麻醉,MA组和MR组造模前3 d分别经尾静脉注射AAV9、AAV9-miR-29b-sponge,余同MD组。再灌注120 min后,采用Werstern blot法检测心肌组织转录激活因子3(STAT3)、p-STAT3、白介素-1β(IL-1β)、肿瘤坏死因子-α(TNF-α)蛋白含量;RT-qPCR检测心肌组织miR-29b表达量;红四氮唑(TTC)和HE染色观察心肌梗死面积百分比和组织形态;TargetScan预测并用双荧光素酶实验验证miR-29b与STAT3的靶向关系。
结果 与S组比较,MI组STAT3、p-STAT3、IL-1β、TNF-α蛋白相对含量明显升高,miR-29b相对表达量明显降低,心肌梗死面积百分比明显增大(P<0.05),心肌组织可见炎症浸润等损伤。与MI组比较,MD组STAT3、p-STAT3、IL-1β、TNF-α蛋白相对含量明显降低,miR-29b相对表达量明显升高,心肌梗死面积百分比明显减小(P<0.05),心肌组织损伤减轻。与MA组比较,MR组STAT3、p-STAT3、IL-1β、TNF-α蛋白相对含量明显升高,miR-29b相对表达量明显降低,心肌梗死面积百分比明显增大(P<0.05),心肌组织损伤加重。转染STAT3-3′UTR-WT、miR-29b mimics的心肌细胞荧光素酶活性明显弱于转染STAT3-3′UTR-WT、miR-29b NC的心肌细胞(P<0.05)。
结论 地氟醚处理可通过上调miR-29b表达,靶向抑制STAT3表达,抑制STAT3相关炎症反应,减轻大鼠心肌梗死损伤,发挥心肌保护作用。
英文摘要:
      
Objective To investigate the role of microRNA-29b (miR-29b) in reducing myocardial infarction in rats treated by desflurane.
Methods Eighty Wistar rats, aged 10 weeks and weighing 350-400 g, were randomly divided into five groups: sham operation group (group S), myocardial infarction group (group MI), desflurane group (group MD), empty AAV9 group (group MA) and miR-29b silence group (group MR), 16 rats in each group. Only the rats of group S were isolated their coronary artery without ligation, the rats of other group established the model of myocardial infarction. The rats of group S and group MI were injected PBS via tail vein 3 days before modeling. The rats of group MD were injected PBS via tail vein 3 days before modeling, and inhaled 5.9% desflurane 30 minutes before modeling, and inhaled 1.3% desflurane to maintain anesthesia. The rats of group MA and group MR were respectively injected AAV9 and AAV9-miR-29b-sponge via tail vein 3 days before modeling, and both inhaled 5.9% desflurane 30 minutes before modeling, and inhaled 1.3% desflurane to maintain anesthesia. 120 minutes after reperfusion, Western blot was used to detect the protein expression of signal transducer and activator of transcription 3(STAT3), p-STAT3, interleukin(IL-1β), tumor necrosis factor(TNF)-α; RT-qPCR was used to detect the miR-29b expression; 2,3,5-triphenyl-2H-tetrazolium chloride(TTC) staining and hematoxylin-eosin(HE) staining were performed to observe the myocardial infarction volume and histological morphology, TargetScan was used to predict the targeting relationship between miR-29b and STAT3 and dual luciferase experiment was used to verify it.
Results Compared with group S, STAT3, p-STAT3, IL-1β, TNF-α protein levels and myocardial infarction area percentage increased in group MI, and miR-29b level decreased (P < 0.05), the myocardial tissue showed inflammation infiltration. Compared with group MI, STAT3, p-STAT3, IL-1β, TNF-α protein levels and myocardial infarction area percentage decreased in group MD, and miR-29b level increased (P < 0.05), the myocardial tissue damage was reduced. Compared with group MA, STAT3, p-STAT3, IL-1β, TNF-α protein levels and myocardial infarction area percentage increased in group MR, and miR-29b level decreased (P < 0.05), the myocardial tissue damage was aggravated. The luciferase activity of cardiomyocytes transfect of STAT3-3′UTR-WT and miR-29b mimics group was lower than that of STAT3-3′UTR-WT and miR-29b NC group (P < 0.05).
Conclusion Desflurane treatment may up-regulate the expression of miR-29b, targeting inhibition of STAT3 expression, inhibiting STAT3-related inflammation, thus reduces injury and protects myocardial tissue in myocardial infarction rats.
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