[HTML][HTML] MicroRNA-214 protects the mouse heart from ischemic injury by controlling Ca2+ overload and cell death

AB Aurora, AI Mahmoud, X Luo… - The Journal of …, 2012 - Am Soc Clin Investig
AB Aurora, AI Mahmoud, X Luo, BA Johnson, E Van Rooij, S Matsuzaki, KM Humphries
The Journal of clinical investigation, 2012Am Soc Clin Investig
Early reperfusion of ischemic cardiac tissue remains the most effective intervention for
improving clinical outcome following myocardial infarction. However, abnormal increases in
intracellular Ca2+ during myocardial reperfusion can cause cardiomyocyte death and
consequent loss of cardiac function, referred to as ischemia/reperfusion (IR) injury.
Therapeutic modulation of Ca2+ handling provides some cardioprotection against the
paradoxical effects of restoring blood flow to the heart, highlighting the significance of Ca2+ …
Early reperfusion of ischemic cardiac tissue remains the most effective intervention for improving clinical outcome following myocardial infarction. However, abnormal increases in intracellular Ca2+ during myocardial reperfusion can cause cardiomyocyte death and consequent loss of cardiac function, referred to as ischemia/reperfusion (IR) injury. Therapeutic modulation of Ca2+ handling provides some cardioprotection against the paradoxical effects of restoring blood flow to the heart, highlighting the significance of Ca2+ overload to IR injury. Cardiac IR is also accompanied by dynamic changes in the expression of microRNAs (miRNAs); for example, miR-214 is upregulated during ischemic injury and heart failure, but its potential role in these processes is unknown. Here, we show that genetic deletion of miR-214 in mice causes loss of cardiac contractility, increased apoptosis, and excessive fibrosis in response to IR injury. The cardioprotective roles of miR-214 during IR injury were attributed to repression of the mRNA encoding sodium/calcium exchanger 1 (Ncx1), a key regulator of Ca2+ influx; and to repression of several downstream effectors of Ca2+ signaling that mediate cell death. These findings reveal a pivotal role for miR-214 as a regulator of cardiomyocyte Ca2+ homeostasis and survival during cardiac injury.
The Journal of Clinical Investigation