Abstract
Ischemic heart disease is a form of congestive heart failure that is caused by insufficient blood supply to the heart, resulting in a loss of viable tissue. In response to the injury, the non-ischemic myocardium displays signs of secondary remodeling, like interstitial fibrosis and hypertrophy of cardiac myocytes. This remodeling process further deteriorates pump function and increases susceptibility to arrhythmias. MicroRNAs (miRNAs) are small, non-coding RNAs that regulate gene expression in a sequence-dependent manner. Recently, several groups identified miRNAs as crucial gene regulators in response to myocardial infarction (MI) and during post-MI remodeling. In this review, we discuss how modulation of these miRNAs represents a promising new therapeutic strategy to improve the clinical outcome in ischemic heart disease.
Similar content being viewed by others
References
Cannon, R. O., 3rd. (2005). Mechanisms, management and future directions for reperfusion injury after acute myocardial infarction. Nature Clinical Practice. Cardiovascular Medicine, 2(2), 88–94.
Bolli, R., Becker, L., Gross, G., Mentzer, R., Jr., Balshaw, D., & Lathrop, D. A. (2004). Myocardial protection at a crossroads: The need for translation into clinical therapy. Circulation Research, 95(2), 125–134.
Bartel, D. P. (2004). MicroRNAs: Genomics, biogenesis, mechanism, and function. Cell, 116(2), 281–297.
Hutvagner, G., Simard, M. J., Mello, C. C., & Zamore, P. D. (2004). Sequence-specific inhibition of small RNA function. PLoS Biology, 2(4), E98.
Berezikov, E., Thuemmler, F., van Laake, L. W., et al. (2006). Diversity of microRNAs in human and chimpanzee brain. Nature Genetics, 38(12), 1375–1377.
Friedman, R. C., Farh, K. K., Burge, C. B., & Bartel, D. P. (2009). Most mammalian mRNAs are conserved targets of microRNAs. Genome Research, 19(1), 92–105.
Shan, Z. X., Lin, Q. X., Fu, Y. H., et al. (2009). Upregulated expression of miR-1/miR-206 in a rat model of myocardial infarction. Biochemical and Biophysical Research Communications, 381(4), 597–601.
Tang, Y., Zheng, J., Sun, Y., Wu, Z., Liu, Z., & Huang, G. (2009). MicroRNA-1 regulates cardiomyocyte apoptosis by targeting Bcl-2. International Heart Journal, 50(3), 377–387.
Ikeda, S., Kong, S. W., Lu, J., et al. (2007). Altered microRNA expression in human heart disease. Physiological Genomics, 31(3), 367–373.
van Rooij, E., Sutherland, L. B., Liu, N., et al. (2006). A signature pattern of stress-responsive microRNAs that can evoke cardiac hypertrophy and heart failure. Proceedings of the National Academy of Sciences of the United States of America, 103(48), 18255–18260.
Cimmino, A., Calin, G. A., Fabbri, M., et al. (2005). miR-15 and miR-16 induce apoptosis by targeting BCL2. Proceedings of the National Academy of Sciences of the United States of America, 102(39), 13944–13949.
Wang, Y., & Lee, C. G. (2009). MicroRNA and cancer—Focus on apoptosis. Journal of Cellular and Molecular Medicine, 13(1), 12–23.
Dong, S., Cheng, Y., Yang, J., et al. (2009). MicroRNA expression signature and the role of microRNA-21 in the early phase of acute myocardial infarction. Journal of Biological Chemistry, 284(43), 29514–29525.
Cheng, Y., Liu, X., Zhang, S., Lin, Y., Yang, J., & Zhang, C. (2009). MicroRNA-21 protects against the H(2)O(2)-induced injury on cardiac myocytes via its target gene PDCD4. Journal of Molecular and Cellular Cardiology, 47(1), 5–14.
Thum, T., Gross, C., Fiedler, J., et al. (2008). MicroRNA-21 contributes to myocardial disease by stimulating MAP kinase signalling in fibroblasts. Nature, 456(7224), 980–984.
Loor, G., & Schumacker, P. T. (2008). Role of hypoxia-inducible factor in cell survival during myocardial ischemia–reperfusion. Cell Death and Differentiation, 15(4), 686–690.
Rane, S., He, M., Sayed, D., et al. (2009). Downregulation of miR-199a derepresses hypoxia-inducible factor-1alpha and Sirtuin 1 and recapitulates hypoxia preconditioning in cardiac myocytes. Circulation Research, 104(7), 879–886.
van Rooij, E., Sutherland, L. B., Thatcher, J. E., et al. (2008). Dysregulation of microRNAs after myocardial infarction reveals a role of miR-29 in cardiac fibrosis. Proceedings of the National Academy of Sciences of the United States of America, 105(35), 13027–13032.
Chi, N. C., & Karliner, J. S. (2004). Molecular determinants of responses to myocardial ischemia/reperfusion injury: Focus on hypoxia-inducible and heat shock factors. Cardiovascular Research, 61(3), 437–447.
Ren, X. P., Wu, J., Wang, X., et al. (2009). MicroRNA-320 is involved in the regulation of cardiac ischemia/reperfusion injury by targeting heat-shock protein 20. Circulation, 119(17), 2357–2366.
Yin, C., Salloum, F. N., & Kukreja, R. C. (2009). A novel role of microRNA in late preconditioning: Upregulation of endothelial nitric oxide synthase and heat shock protein 70. Circulation Research, 104(5), 572–575.
Spinale, F. G. (2007). Myocardial matrix remodeling and the matrix metalloproteinases: Influence on cardiac form and function. Physiological Reviews, 87(4), 1285–1342.
Roy, S., Khanna, S., Hussain, S. R., et al. (2009). MicroRNA expression in response to murine myocardial infarction: miR-21 regulates fibroblast metalloprotease-2 via phosphatase and tensin homologue. Cardiovascular Research, 82(1), 21–29.
Liu, N., Bezprozvannaya, S., Williams, A. H., et al. (2008). microRNA-133a regulates cardiomyocyte proliferation and suppresses smooth muscle gene expression in the heart. Genes and Development, 22(23), 3242–3254.
Duisters, R. F., Tijsen, A. J., Schroen, B., et al. (2009). miR-133 and miR-30 regulate connective tissue growth factor: Implications for a role of microRNAs in myocardial matrix remodeling. Circulation Research, 104(2), 170–178. 176 pp following 178.
Care, A., Catalucci, D., Felicetti, F., et al. (2007). MicroRNA-133 controls cardiac hypertrophy. Nature Medicine, 13(5), 613–618.
Yang, W. J., Yang, D. D., Na, S., Sandusky, G. E., Zhang, Q., & Zhao, G. (2005). Dicer is required for embryonic angiogenesis during mouse development. Journal of Biological Chemistry, 280(10), 9330–9335.
Bonauer, A., Carmona, G., Iwasaki, M., et al. (2009). MicroRNA-92a controls angiogenesis and functional recovery of ischemic tissues in mice. Science, 324(5935), 1710–1713.
Bonauer, A., & Dimmeler, S. (2009). The microRNA-17 approximately 92 cluster: Still a miRacle? Cell Cycle, 8(23), 3866–3873.
Ventura, A., Young, A. G., Winslow, M. M., et al. (2008). Targeted deletion reveals essential and overlapping functions of the miR-17 through 92 family of miRNA clusters. Cell, 132(5), 875–886.
Cross, M. J., & Claesson-Welsh, L. (2001). FGF and VEGF function in angiogenesis: Signalling pathways, biological responses and therapeutic inhibition. Trends in Pharmacological Sciences, 22(4), 201–207.
Panka, D. J., Atkins, M. B., & Mier, J. W. (2006). Targeting the mitogen-activated protein kinase pathway in the treatment of malignant melanoma. Clinical Cancer Research, 12(7 Pt 2), 2371s–2375s.
Fish, J. E., Santoro, M. M., Morton, S. U., et al. (2008). miR-126 regulates angiogenic signaling and vascular integrity. Developmental Cell, 15(2), 272–284.
Wang S, Aurora AB, Johnson BA, Qi X, McAnally J, Hill JA, Richardson JA, Bassel-Duby R, Olson EN (2008). The endothelial-specific microRNA miR-126 governs vascular integrity and angiogenesis. Developmental Cell, 15(2), 261–271.
Kuhnert, F., Mancuso, M. R., Hampton, J., et al. (2008). Attribution of vascular phenotypes of the murine Egfl7 locus to the microRNA miR-126. Development, 135(24), 3989–3993.
Harris, T. A., Yamakuchi, M., Ferlito, M., Mendell, J. T., & Lowenstein, C. J. (2008). MicroRNA-126 regulates endothelial expression of vascular cell adhesion molecule 1. Proceedings of the National Academy of Sciences of the United States of America, 105(5), 1516–1521.
Kuijper, S., Turner, C. J., & Adams, R. H. (2007). Regulation of angiogenesis by Eph–ephrin interactions. Trends in Cardiovascular Medicine, 17(5), 145–151.
Fasanaro, P., D'Alessandra, Y., Di Stefano, V., et al. (2008). MicroRNA-210 modulates endothelial cell response to hypoxia and inhibits the receptor tyrosine kinase ligand Ephrin-A3. Journal of Biological Chemistry, 283(23), 15878–15883.
Pulkkinen, K., Malm, T., Turunen, M., Koistinaho, J., & Yla-Herttuala, S. (2008). Hypoxia induces microRNA miR-210 in vitro and in vivo ephrin-A3 and neuronal pentraxin 1 are potentially regulated by miR-210. FEBS Letters, 582(16), 2397–2401.
Kim, H. W., Haider, H. K., Jiang, S., & Ashraf, M. (2009). Ischemic preconditioning augments survival of stem cells via miR-210 expression by targeting caspase-8 associated protein 2. Journal of Biological Chemistry, 284, 33161–33168.
Lin, Z., Murtaza, I., Wang, K., Jiao, J., Gao, J., & Li, P. F. (2009). miR-23a functions downstream of NFATc3 to regulate cardiac hypertrophy. Proceedings of the National Academy of Sciences of the United States of America, 106(29), 12103–12108.
van Rooij, E., Sutherland, L. B., Qi, X., Richardson, J. A., Hill, J., & Olson, E. N. (2007). Control of stress-dependent cardiac growth and gene expression by a microRNA. Science, 316(5824), 575–579.
Callis, T. E., Pandya, K., Seok, H. Y., et al. (2009). MicroRNA-208a is a regulator of cardiac hypertrophy and conduction in mice. Journal of Clinical Investigation, 119(9), 2772–2786.
Williams, A. H., Liu, N., van Rooij, E., & Olson, E. N. (2009). MicroRNA control of muscle development and disease. Current Opinion in Cell Biology, 21(3), 461–469.
Krutzfeldt, J., Rajewsky, N., Braich, R., et al. (2005). Silencing of microRNAs in vivo with ‘antagomirs’. Nature, 438(7068), 685–689.
Elmen, J., Lindow, M., Schutz, S., et al. (2008). LNA-mediated microRNA silencing in non-human primates. Nature, 452(7189), 896–899.
Lanford, R. E., Hildebrandt-Eriksen, E. S., Petri, A., et al. (2009). Therapeutic silencing of microRNA-122 in primates with chronic hepatitis C virus infection. Science, 327, 198–201.
Xin, M., Small, E. M., Sutherland, L. B., et al. (2009). MicroRNAs miR-143 and miR-145 modulate cytoskeletal dynamics and responsiveness of smooth muscle cells to injury. Genes and Development, 23(18), 2166–2178.
Ai, J., Zhang, R., Li, Y., et al. (2010). Circulating microRNA-1 as a potential novel biomarker for acute myocardial infarction. Biochemical and Biophysical Research Communications, 391, 73–77.
Ji, X., Takahashi, R., Hiura, Y., Hirokawa, G., Fukushima, Y., & Iwai, N. (2009). Plasma miR-208 as a biomarker of myocardial injury. Clinical Chemistry, 55(11), 1944–1949.
Acknowledgments
The authors would like to thank Eric Olson and Rusty Montgomery for comments and critical review of the manuscript and Jose Cabrera for assistance with the figure.
Conflict of interest
EvR is a scientific co-founder and an employee of miRagen Therapeutics, a company focused on using oligonucleotide-based regulation of miRNAs in the setting of cardiovascular and muscle disease.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Frost, R.J.A., van Rooij, E. miRNAs as Therapeutic Targets in Ischemic Heart Disease. J. of Cardiovasc. Trans. Res. 3, 280–289 (2010). https://doi.org/10.1007/s12265-010-9173-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12265-010-9173-y