MIR448 antagomir reduces arrhythmic risk after myocardial infarction by upregulating the cardiac sodium channel

Cardiac ischemia is associated with arrhythmias; however, effective therapies are currently limited. The cardiac voltage-gated sodium channel α subunit (SCN5A), encoding the Nav1.5 current, plays a key role in the cardiac electrical conduction and arrhythmic risk. Here, we show that hypoxia reduces Nav1.5 through effects on a miR, miR-448. miR-448 expression is increased in ischemic cardiomyopathy. miR-448 has a conserved binding site in 3'-UTR of SCN5A. miR-448 binding to this site suppressed SCN5A expression and sodium currents. Hypoxia-induced HIF-1α and NF-κB were major transcriptional regulators for MIR448. Moreover, hypoxia relieved MIR448 transcriptional suppression by RE1 silencing transcription factor. Therefore, miR-448 inhibition reduced arrhythmic risk after myocardial infarction. Here, we show that ischemia drove miR-448 expression, reduced Nav1.5 current, and increased arrhythmic risk. Arrhythmic risk was improved by preventing Nav1.5 downregulation, suggesting a new approach to antiarrhythmic therapy.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:5

Enthalten in:

JCI insight - 5(2020), 23 vom: 03. Dez.

Sprache:

Englisch

Beteiligte Personen:

Kang, Gyeoung-Jin [VerfasserIn]
Xie, An [VerfasserIn]
Liu, Hong [VerfasserIn]
Dudley, Samuel C [VerfasserIn]

Links:

Volltext

Themen:

9NEZ333N27
Antagomirs
Arrhythmias
Cardiology
Hypoxia
Journal Article
MIRN448 microRNA, human
MIRN448 microRNA, mouse
MicroRNAs
NAV1.5 Voltage-Gated Sodium Channel
Research Support, N.I.H., Extramural
SCN5A protein, human
Sodium
Sodium channels

Anmerkungen:

Date Completed 24.05.2021

Date Revised 24.05.2021

published: Electronic

Citation Status MEDLINE

doi:

10.1172/jci.insight.140759

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM316770418