Abstract

The toxicity of doxorubicin (DOX) limits its clinical application. Nevertheless, at present, there is no effective drug to prevent DOX-induced cardiac injury. miR-204 is a newly discovered miRNA with many protective effects on cardiovascular diseases. However, little research has been done on the effects of miR-204 on DOX-induced cardiac injury. Our study is aimed at investigating the effect of miR-204 on DOX-induced myocardial injury. An adenoassociated virus system was used to achieve cardiac-specific overexpression of miR-204. Two weeks later, the mice were intraperitoneally injected with DOX (15 mg/kg) to induce cardiac injury. H9c2 myocardial cells were used to validate the role of miR-204 in vitro. Our study showed that miR-204 expression was decreased in DOX-treated hearts. miR-204 overexpression improved cardiac function and alleviated cardiac inflammation, apoptosis, and autophagy induced by DOX. In addition, our results showed that miR-204 prevented DOX-induced injury in cardiomyocytes by directly decreasing HMGB1 expression. Moreover, the overexpression of HMGB1 could offset the protective effects of miR-204 against DOX-induced cardiac injury. In summary, our study showed that miR-204 protected against DOX-induced cardiac injury via the inhibition of HMGB1, and increasing miR-204 expression may be a new treatment option for patients with DOX-induced cardiac injury.

Highlights

  • Doxorubicin is currently one of the most effective and widely used anticancer drugs, but its specific cardiotoxicity seriously hinders its clinical application [1]

  • We further found that miR-204 reduced cell inflammation, apoptosis, and autophagy by directly decreasing high mobility group box 1 (HMGB1) expression

  • We examined the severity of apoptosis and evaluated the potential signaling pathways related to apoptosis in cardiomyocytes

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Summary

Introduction

Doxorubicin is currently one of the most effective and widely used anticancer drugs, but its specific cardiotoxicity seriously hinders its clinical application [1]. Doxorubicin-induced cardiotoxicity involves a variety of mechanisms, including cardiomyocyte apoptosis and autophagy [4, 5]. Many studies have described the potential mechanism of doxorubicin-induced cardiotoxicity, there is still a lack of effective cardioprotective methods available. There is growing evidence that miRNAs are involved in all cardiac functions, including myocardial apoptosis, autophagy, and electrical signal conductance [8]. Clinical and animal studies have shown that miRNAs are potential regulators of DOX-induced cardiotoxicity [9]. MiR-204 has been reported to play a role in regulating apoptosis, inflammation, oncogenesis, and the development of immune cells. The functional and molecular mechanisms of miR-204 in protecting against DOX-induced cardiac injury have not been reported. We investigated the potential functions of miR-204 in DOX-induced cardiac injury. We further found that miR-204 reduced cell inflammation, apoptosis, and autophagy by directly decreasing HMGB1 expression

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