2016
DOI: 10.3892/mmr.2016.5773
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Trimetazidine protects against cardiac ischemia/reperfusion injury via effects on cardiac miRNA-21 expression, Akt and the Bcl-2/Bax pathway

Abstract: Trimetazidine is a piperazine-derived metabolic agent, which exerts cell protective effects and has been reported to be efficient in the treatment of chronic stable angina pectoris. In addition, it has been shown to exert protection against acute myocardial infarction. The present study aimed to investigate whether trimetazidine protects against cardiac ischemia/reperfusion (I/R) injury, and to determine whether its curative effects are associated with microRNA (miRNA)-21 expression, Akt, and the B-cell lympho… Show more

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Cited by 53 publications
(38 citation statements)
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“…Conversely, FoxO3a was significantly up-regulated when miR-155 inhibitor was transfected into HK2 cells subjected to H/R treatment, indicating that FoxO3a is a direct target of miR-155. Recently, miRNAs have emerged as important mediators of translational control and as regulators of a wide range of biological processes [17][18][19][20][21]. Over-expression of miRNAs is a common phenomenon that occurs in various diseases, and aberrantly expressed miRNAs often participate in the pathogenesis of specific diseases, including ischemic renal diseases.…”
Section: Mir-155 Directly Targets Foxo3a In Hk2 Cells During Hrimentioning
confidence: 99%
See 1 more Smart Citation
“…Conversely, FoxO3a was significantly up-regulated when miR-155 inhibitor was transfected into HK2 cells subjected to H/R treatment, indicating that FoxO3a is a direct target of miR-155. Recently, miRNAs have emerged as important mediators of translational control and as regulators of a wide range of biological processes [17][18][19][20][21]. Over-expression of miRNAs is a common phenomenon that occurs in various diseases, and aberrantly expressed miRNAs often participate in the pathogenesis of specific diseases, including ischemic renal diseases.…”
Section: Mir-155 Directly Targets Foxo3a In Hk2 Cells During Hrimentioning
confidence: 99%
“…Numerous studies have shown that miRNAs are involved in a wide variety of biological processes, including cell proliferation, differentiation, metastasis, apoptosis and immune responses [16][17][18][19]; moreover, they also function as prognostic markers in the development and progression of ischemic renal diseases by targeting pertinent genes [20][21][22][23][24][25][26].…”
Section: Introductionmentioning
confidence: 99%
“…In fact previous studies suggested that protein kinase C and Akt are mainly responsible for GSK-3β phosphorylation in ischemic preconditioning-induced cardioprotection [21,26]. Along the same lines, several reports have associated the protective effect of TMZ against I/R injury with its ability to activate AKT, which represents a major pathway mediating cell survival [27,28,29]. …”
Section: Discussionmentioning
confidence: 98%
“…Further, trimetazidine-induced cardioprotection against cardiac I/R injury was reversed by knockdown of miR-21 using anti-miR-21 plasmids. Thus, trimetazidine-induced cardioprotection against cardiac I/R might be mediated via miR-21, and PI3K/Akt and Bcl-2/Bax pathways [169]. Very recently, miR-21 was found to enhance the protective effect of loperamide, a drug used in diarrhea treatment, against hypoxia/reoxygenation injury in rat cardiomyocytes, associated with the reduction of ROS production and apoptosis, likely via regulating the A-kinase anchoring protein 8 (Akap8) and BRCA1-associated RING domain 1 (Bard1) expression [170].…”
Section: Role Of Mir-1 and Mir-21 In Cardioprotection Other Than Ischmentioning
confidence: 99%
“…isoflurane-induced up-regulation of miR-21 associated with ↓PDCD4 protected cardiomyocytes against H 2 O 2 injury [166] isoflurane protected mouse hearts exposed to I/R via miR-21 and Akt/NOS/mPTP [167] trimetazidine-induced ↑miR-21 accompanied by cardioprotection against I/R, ↑p-Akt and ↑Bcl-2/Bax in rats. Cardioprotection reversed by anti-miR-21 [169] miR-21 enhanced protective effect of loperamide against H/R injury in rat cardiomyocytes associated with ↓ROS and ↓apoptosis [170] Non-pharmacological miR-1 down-regulation of miR-1 by traditional Chinese medicine Tanshinone IIA led to cardioprotection via inhibition of I/R-induced p-38 MAPK in rats [173] phenolic compound paeonol exerts cardioprotection against epirubicin-induced heart injury via regulation of miR-1, PI3K/AKT/mTOR and NF-κB [176] miR-21 resveratrol-induced up-regulation of miR-21 associated with protection against I/R in rats [168] miR transfection and delivery miR-21 adenovirus miR-21 transfection decreased IS via targeting PDCD4/AP-1 [62] adenovirus miR-21 transfection improved LV remodeling & ↓apoptosis in cardiac I/R in rats [67] lentivirus miR-21 transfection induced cardioprotection against I/R in mice manifested by ↓IS, ↓fibrosis and ↓apoptosis [64] miR-21 transfection to human cardiomyocytes ↓apoptosis via JNK/p38-MAPK/caspase-3 [68] chemically synthesized exogenous miR-21 reduced IS in mice, miR-21-induced protection was abolished with miR-21 inhibitor co-treatment [165] nanoparticle delivery of miR-21 to cardiac macrophages post-MI promoted angiogenesis, reduced hypertrophy, fibrosis, and apoptosis in the remote myocardium [75] miR-21 pretreatment exerted cardioprotection against CVB3 infection via targeting MAP2K3/p38-MAPK in mice [172] Exosomal miR miR-21 depletion of exosomal miR-21 reduced protective effect of conditioned medium in H 2 O 2 -induced oxidative stress in cardiomyocytes, and in rat hearts exposed to AMI [69] ↑miR-21 in CPC-derived exosomes prevented apoptosis in H9c2 cells via ↓PDCD4 [70] Abbreviations: I/R: ischemia/reperfusion; H/R: hypoxia/reoxygenation; AMI/MI: (acute) myocardial infarction; PDCD4: programmed cell death protein 4; AP-1: activator protein 1 (downstream molecule of PDCD4); ROS: reactive oxygen species; IS: infarct size; LV: left ventricle; CPC: cardiac progenitor cell; AF: atrial fibrillation; IPC: ischemic preconditioning; IPostC: ischemic postconditioning; RIPC: remote ischemic preconditioning; RIPerC: remote ischemic preconditioning; CVB3: coxsackievirus B3.…”
Section: Type Of Intervention Mir Findings Referencementioning
confidence: 99%