Abstract

Developing new therapeutic strategies which could enhance cardiomyocyte regenerative capacity is of significant clinical importance. Though promising, methods to promote cardiac regeneration have had limited success due to the weak regenerative capacity of the adult mammalian heart. Non-coding RNAs (ncRNAs), including microRNAs (miRNAs, miRs) and long non-coding RNAs (lncRNAs), are functional RNA molecules without a protein coding function that have been reported to engage in cardiac regeneration and repair. In light of current regenerative strategies, the regulatory effects of ncRNAs can be categorized as follows: cardiac proliferation, cardiac differentiation, cardiac survival and cardiac reprogramming. miR-590, miR-199a, miR-17-92 cluster, miR302-367 cluster and miR-222 have been reported to promote cardiomyocyte proliferation while miR-1 and miR-133 suppress that. miR-499 and miR-1 promote the differentiation of cardiac progenitors into cardiomyocyte while miR-133 and H19 inhibit that. miR-21, miR-24, miR-221, miR-199a and miR-155 improve cardiac survival while miR-34a, miR-1 and miR-320 exhibit opposite effects. miR-1, miR-133, miR-208 and miR-499 are capable of reprogramming fibroblasts to cardiomyocyte-like cells and miR-284, miR-302, miR-93 , miR-106b and lncRNA-ST8SIA3 are able to enhace cardiac reprogramming. Exploring non-coding RNA-based methods to enhance cardiac regeneration would be instrumental for devising new effective therapies against cardiovascular diseases.

Highlights

  • Cardiovascular disease (CVD) represents a major cause of morbidity and mortality worldwide [1]

  • Mounting evidence suggests that developing hearts have a strong growth and regenerative capacity arising from either differentiation of cardiac progenitor cells (CPCs) or proliferation of cardiomyocytes [5,6,7]

  • In vitro gain-offunction and loss-of-function studies of miR-21 confirm that it protects against ischemia-induced cardiomyocytes apoptosis by inhibiting programmed cell death protein 4 (PDCD4) and activator protein 1 (AP-1)

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Summary

Introduction

Cardiovascular disease (CVD) represents a major cause of morbidity and mortality worldwide [1]. Mounting evidence suggests that developing hearts have a strong growth and regenerative capacity arising from either differentiation of cardiac progenitor cells (CPCs) or proliferation of cardiomyocytes [5,6,7]. There are three strategies to induce cardiac regeneration in the adult heart: (1) transplant exogenous progenitor/stem cells to damaged myocardium, (2) promote resident progenitor/stem cells to differentiate into mature cardiomyocytes, and (3) enhance the proliferation of pre-existing cardiomyocytes.

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