Open Access

MicroRNA‑194‑5p attenuates hypoxia/reoxygenation‑induced apoptosis in H9C2 cardiomyocytes by inhibiting the over‑activation of RAC1 protein

  • Authors:
    • Cuie Li
    • Yinghua Li
    • Yanping Li
    • Yudi Wang
    • Yirong Teng
    • Yinglu Hao
  • View Affiliations

  • Published online on: December 20, 2022     https://doi.org/10.3892/mmr.2022.12920
  • Article Number: 33
  • Copyright: © Li et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )
Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )


Abstract

Ras‑related C3 botulinum toxin substrate 1 (RAC1), a member of the Rac family of guanosine triphosphate phosphohydrolases, has been suggested to be a regulator of myocardial injury during ischemia and reperfusion (I/R). Whether microRNAs (miRs) are involved in the regulation of the aforementioned process remains to be elucidated. In the present study, an in vitro model of H9C2 cardiomyocytes was used to establish the overexpression of RAC1 following hypoxia and reoxygenation (H/R). Overexpression of RAC1 in H/R‑cultured cardiomyocytes could lead to cellular accumulation of reactive oxygen species (ROS) and facilitate the induction of apoptosis of H9C2 cardiomyocytes during H/R. Subsequent bioinformatic analysis indicated that RAC1 was the target of miRNA‑194‑5p. Further experiments showed that miR‑194‑5p attenuated the accumulation of cellular ROS and alleviated the induction of apoptosis of H9C2 cardiomyocytes caused by H/R, which was accompanied by the reduction in the expression levels of the RAC1 protein. Taken together, these results indicated that upregulation of miR‑194‑5p may function as a self‑regulated cardioprotective response against RAC1‑mediated ROS accumulation and cardiomyocyte apoptosis. Exogenous administration of miR‑194‑5p may be a novel target to ameliorate I/R injury‑induced myocardial apoptosis.

Introduction

Currently, revascularization has become the most important therapy for patients with myocardial ischemia (1). Although the timely recovery of myocardial perfusion is related to long-term improved cardiac function (2), certain patients may suffer from continuous cardiac dysfunction despite of effective revascularization therapy, which is currently considered to be caused by the ischemia and reperfusion (I/R) injury (3). The pathogenesis of this disease is complicated and several mechanisms are involved, including conventional mechanisms of inflammatory response, oxidative stress, calcium overload, myocardial hibernation and stunning (4). Previous studies have shown that ras-related C3 botulinum toxin substrate (RAC) 1, a member of the RAC family of guanosine triphosphate phosphohydrolases, is a key regulator of myocardial I/R injury (5). Physiologically, RAC1 maintains the constitutive sarcomere reorganization (6) and the antioxidative efficacy of nicotinamide adenine dinucleotide phosphate oxidases (7) in cardiomyocytes. During I/R, RAC1 is overexpressed in cardiomyocytes and this induces I/R injury by stimulating reactive oxygen species (ROS)-mediated myocardial apoptosis via the inhibition of RAC1-driven processes (8,9). However, the potential regulatory mechanisms for the role of RAC1 during I/R remain to be elucidated.

MicroRNAs (miRs) are a cluster of small non-coding ribonucleotides (~22 nucleotides in length) which post-transcriptionally target mRNAs, suppress protein synthesis or increase mRNA degradation, thereby regulating important cellular processes, including myocardial I/R injury (10,11). It is notable that the post-translational modification of RAC1 has been highlighted to participate in several cellular processes (12), such as carcinogenesis and metastasis (13,14). Previous studies have also shown that the interactions of miRs with RAC1 may be important for the development of hypoxia (15) and hyperglycemia-induced injury of cardiomyocytes (16). Therefore, it was hypothesized that the interactions of miRs with RAC1 may also be involved in the pathogenesis of myocardial I/R injury. Accordingly, the present study validated the changes in the expression levels of RAC1 during hypoxia and reoxygenation (H/R) in H9C2 cells by using isobaric tags used for relative and absolute quantification (iTRAQ)-based proteomic analysis (17). Moreover, bioinformatic analysis was used to identify the potential miRs targeting RAC1 in this process and to examine the associated molecular mechanisms.

Materials and methods

H9C2 cell culture and induction of H/R injury

The rat embryonic cardiac cell line H9C2 (Wuhan GeneCreate Biological Engineering Co. Ltd.), which was preserved in our institution, was used in the present study. The cells were routinely cultured in DMEM (Gibco; Thermo Fisher Scientific, Inc.) containing 10% FBS (Gibco; Thermo Fisher Scientific, Inc.), penicillin/streptomycin and 4 mM L-glutamine and maintained in a CO2 incubator (Shellab) at 37°C. The medium was changed every 2–3 days and the cells were subcultured and passaged at 70–80% confluency. For subsequent experiments, the cells in the logarithmic phase of growth were selected. Following digestion with trypsin, the cells were harvested and seeded into 12-well plates for modeling of the H/R injury and subsequent molecular biological analyses. The processes of the induction of H/R injury in H9C2 cells were performed as previously reported (18). Briefly, prior to the incubation under hypoxic conditions, the regular medium was removed and replaced with DMEM under hypoxic conditions, which lacked glucose (pH 6.8). Subsequently, the cells were moved to a hypoxia chamber with 94% (v/v) N2, 5% (v/v) CO2 and 1% (v/v) O2 for 6 h at 37°C. Following incubation under hypoxic conditions, the medium was removed and changed to regular DMEM with 4.5 mM glucose (pH 7.4); the cells were maintained under normoxic conditions (5% CO2 and 95% air) for 24 h.

iTRAQ-based proteomic analysis

Total protein was extracted by extraction buffer [7 M Urea/2 M Thiourea/4% SDS/40 mM Tris-HCl (pH 8.5)/1 mM PMSF/2 mM EDTA] from H9C2 cells of the control and the H/R injury groups for subsequent analyses. The concentrations of the proteins were determined with the Bradford assay according to the manufacturer's instructions (Abcam). For each sample, an aliquot of 100 µg protein was further digested with trypsin solution for 12 h at 37°C to obtain the tryptic digested peptides, which were desalted, dried and reconstituted in a triethylammonium bicarbonate solution (0.5 M). Subsequently, an iTRAQ reagent kit (SCIEX) was used and the peptides were labeled according to the manufacturer's protocol. For nano-liquid chromatography (LC)-mass spectrometry (MS)/MS analysis, the iTRAQ-labeled plasma peptide mixtures were diluted in 20 mM ammonium formate (pH 10) and loaded onto a reverse phase column using an Eksigent ultra-performance liquid chromatography system. Subsequently, a 50 min linear gradient elution with 80% acetonitrile and 20% 20 mM ammonium formate (pH 10) was performed at a flow rate of 800 µl/min, leading to a collection of 50 separate fractions per min. These fractions were pooled, desalted, dried and stored at −80°C for subsequent analyses as previously described (19). The Triple-time of flight (TOF) 5600 system (SCIEX) was used for MS and MS/MS analysis of the LC eluent. The key parameters and conditions for the working protocol of the Triple-TOF 5600 were set according to the manufacturer's instructions and previously published reports (20). Briefly, the peptides were labeled according to the ITRAQ-8 standard Kit instructions (SCIEX) and mixed. Next, these labeled peptides were segregated via the Ultimate 3000 HPLC system (Dionex; Thermo Fisher Scientific, Inc.). After labeling, the peptides were analyzed by 2D LC MS/MS analysis. The identification and quantification analysis of the significantly differentially expressed proteins detected in H9C2 cells was achieved between the H/R and the control groups following input of the iTRAQ-based proteomics data into the ProteinPilot software v4.5 (SCIEX) with the SwissProt Homo sapiens database (https://www.ebi.ac.uk/uniprot/) (release May 2022, containing 23,752 sequences) for bioinformatic analyses. Subsequently, the iTRAQ ratios and P values were estimated via the ProteinPilot software. The levels of significance were set at a ratio of >1.2 or <0.83 and P<0.05 was considered to indicate a statistically significant difference in the expression levels of the cellular proteins of the H/R and the control H9C2 cells. To further clarify the functional classifications of the differentially expressed proteins, the online DAVID tool (http://david.abcc.ncifcrf.gov) was searched for the Gene Ontology annotation. Moreover, the pathway-related information of the identified proteins with different expression levels was obtained with the Kyoto Encyclopedia of Genes and Genomes database (http://www.genome.jp/kegg/). Subsequent analysis of the potential network of the protein-protein interactions was performed using the online tool of STRING 10.5 (http://string-db.org) as previously described (20).

Identification of potential miRs which interact with RAC1 in rat and humans: TargetScan and miRDB

The miRs that potentially regulate RAC1 expression in rats and humans were identified by TargetScan 7.2 (www.targetscan.org). Subsequently, the putative binding sites were also predicted by miRDB (http://mirdb.org/miRDB/). The analysis was performed to identify common miRs between humans and rats, which may potentially interact with RAC1. It was considered that these candidate miRs are potential regulators of RAC1 protein expression by interacting with the 3′-untranslated region (UTR) of RAC1 mRNA.

Transfection of mimics and inhibitors of miR-194-5p and overexpression of RAC1 in H9C2 cardiomyocytes

Exogenous mimics, inhibitors of miR-194-5p and their controls were synthesized by the Wuhan GeneCreate Biological Engineering co. Ltd. The sequences are shown in Table I. Overexpression of the RAC1 proteins in H9C2 cells was achieved via the transfection of the plasmid vectors (6 µg) containing the cDNA of RAC1 (pcDNA3.1-GAPs), which was also constructed and obtained from the Wuhan GeneCreate Biological Engineering co. Ltd. Empty vector was used as the negative control. The transfection of 10 pmol mimics, inhibitors of miR-194-5p and their controls was performed with the Lipofectamine® RNAi MAX transfection medium (Thermo Fisher Scientific, Inc.) according to the manufacturer's protocol. Following transfection at 37°C for 20 min, the cells were cultured for 48 h prior to further experiments.

Table I.

Sequences of miR-194-5p mimics and controls.

Table I.

Sequences of miR-194-5p mimics and controls.

GroupSequence (5′-3′)
miR-194-5p mimics UGUAACAGCAACUCCAUGUGGA
Control mimics UUGUACUACACAAAAGUACUG
miR-194-5p inhibitor UCCACAUGGAGUUGCUGUUACA
Inhibitor control CAGUACUUUUGUGUAGUACAA

[i] miR, microRNA.

Reverse transcription-quantitative (RT-q) PCR

Total RNA was extracted from 5×106 H9C2c cells using total TRIzol® RNA extraction kit (AxyPrep; Thermo Fisher Scientific, Inc.) according to the manufacturer's instructions. Subsequently, the removal of the genomic DNA and the reverse transcription reactions were performed using the gDNA Eraser and the PrimeScript RT reagent kit (Takara Bio, Inc.) according to the instructions provided by the manufacturer. Following measurement of the concentrations of the obtained cDNA, the products were dispensed and stored at −20°C for subsequent use. GAPDH was used as an internal control for the detection of the mRNA levels of miR-194-5p and RAC1. The process of the quantitative real-time PCR was performed with the PrimeScript RT reagent kit (Takara Bio, Inc.) with a total of 20 µl reaction mixture. The conditions for the quantitative real-time PCR were set as follows: 60 sec at 95°C, followed by 40 cycles of 95°C for 15 sec, 60°C for 15 sec and 72°C for 45 sec. The 2−ΔΔCq method was used to estimate the relative mRNA expression levels (21). The experiment was repeated three times. The sequences of the forward and reverse primers were shown in Table II.

Table II.

Primer sequences.

Table II.

Primer sequences.

GeneForward primer (5′-3′)Reverse primer (5′-3′)
miR-194-5p ACACTCCAGCTGGGTGTAACAGCAACTCCA TGGTGTCGTGGAGTCG
RAC1 CTCTCCTACCCGCAAACAGA TCAAGCTTCGTCCCCACTAG
GAPDH GCAAGTTCAACGGCACAG GCCAGTAGACTCCACGACAT
U6 CTCGCTTCGGCAGCACA AACGCTTCACGAATTTGCGT

[i] miR, microRNA; RAC1, Ras-related C3 botulinum toxin substrate 1.

Western blot analysis

To detect the protein expression levels of RAC1 compared with the internal control of GAPDH, western blot analysis was performed with an antibody against RAC1 (Abcam). Briefly, following the specific treatment in each group of H9C2 cells, the buffer of the radioimmunoprecipitation assay (Beyotime Institute of Biotechnology) was used to obtain the total protein of each group and the concentrations of the total proteins were determined by the bicinchoninic protein assay kit (Beyotime Institute of Biotechnology) as instructed by the manufacturer's protocol. The samples (15 µl/lane) were separated on 15% gels using SDS-PAGE, transferred to polyvinylidene fluoride membranes, incubated with 5% non-fat milk for 2 h at room temperature, washed with TBS plus 0.1% Tween 20 (TBST) and incubated with the primary rabbit antibodies against RAC1 (1:1,000; cat. no. ab155938; Abcam) and GAPDH (1,10,000; cat. no. ab37168; Abcam) overnight at 4°C. The following day, the solution containing the primary antibody was removed and the membrane was washed with TBST six times (5 min each). Subsequently, the membranes were incubated with the HRP goat anti-rabbit secondary antibody (1:10,000; cat. no. AS1107; Wuhan Aspen Biotechnology Co., Ltd.) for 2 h at room temperature. Finally, the intensity levels of the bands corresponding to each protein were visualized using an ECL detection system (Amersham; Cytiva). The intensity levels of the bands corresponding to each protein of interest were analyzed using the Image Q analysis system (Storm Optical Scanner; Molecular Dynamics).

Immunofluorescence and cytochemistry

The cells in the exponential phase were cultured for 48 h, the culture medium removed, washed three times with PBS, then an appropriate amount of Fluo-4 AM (cat. no. S1060; Beyotime Institute of Biotechnology) original solution was diluted to 0.5–5 µM working solution with PBS. The Fluo-4 AM working solution to completely cover the cells and incubated at 20–37°C for 10–60 min to load the fluorescent probe. After washing with PBS for three times, the fluorescence of Fluo-4 was observed in nine random fields using a fluorescence microscope (Olympus Corporation) to determine the change of intracellular calcium concentration.

Luciferase assay

The constructs of pGL3-RAC1 (RAC1-WT) or pGL3-RAC1-MUTANT (RAC1-MUT) (Wuhan GeneCreate Biological Engineering Co. Ltd.) were transfected into H9C2 cells with or without miR-194-5p mimics or control mimics by Lipofectamine® 2000 (cat. no. 11668019; Invitrogen; Thermo Fisher Scientific, Inc.) prior to the H/R culture. Subsequently, the luciferase activity levels were measured by dividing the relative light unit (RLU) of firefly luciferase by the RLU of sea kidney luciferase (to represent the activation degree of the target report gene) at 6 h following transfection using the dual luciferase assay kit (cat. no. E1910; Promega Corporation) in accordance with the instructions of the manufacturer.

Apoptosis detection

The induction of H9C2 cell apoptosis was evaluated in each group by an Annexin-fluorescein isothiocyanate (FITC) apoptosis detection kit (Nanjing KeyGen Biotech Co., Ltd.). The samples were analyzed with fluorescence-activated cell sorting (FACS) and flow cytometry. H9C2 cells were harvested from each group and washed with PBS twice. The cells were resuspended in 500 µl buffer and subsequently stained and incubated with Annexin V-FITC (5 µl) and propidium iodide (5 µl) at room temperature in the dark for 15 min. Subsequently, the cells were transferred into specific tubes for flow cytometry analysis using a BD Accuri C6 flow cytometer (BD Biosciences) and BD Accuri C6 Plus software (version C6; BD Biosciences). The apoptotic rate included the percentage of early and late apoptotic cells. A total of 10,000 cells were analyzed for each group.

ROS assay

To reflect the intracellular ROS levels in the H9C2 cells of each group, the cells were stained with 2,7-dichlorofluorescein diacetate (DCFH-DA; Nanjing Jiancheng Bioengineering Institute). In brief, the cells from each group were washed twice with PBS and incubated in DMEM, which contained 10 µM DCFH-DA, for 20 min at 37°C in the dark. Subsequently, the cells were washed again, collected following trypsin treatment (0.25% trypsin-EDTA), centrifuged at 225 × g for 3 min at 37°C and resuspended in 500 µl PBS. FACS was used with an excitation wavelength of 488 nm and an emission wavelength of 521 nm.

Statistical analysis

The data are presented as mean ± SEM and compared with one-way analysis of variance among the groups. Post-hoc analysis with Fisher's least significant difference test, Dunnett's test or unpaired Student's t-test were used to compare the differences between the groups as appropriate with the SPSS software 20.0 (IBM Corp.). P<0.05 was considered to indicate a statistically significant difference.

Results

Upregulation of RAC1 expression in H9C2 cardiomyocytes undergoing H/R

The relative fold-changes in the expression levels of the top 30 proteins, which were differentially expressed in H9C2 cardiomyocytes undergoing H/R compared with the control cells, were detected by the iTRAQ proteomic analysis (Fig. 1A). Subsequent pathway analyses for the 199 proteins that were differentially expressed between H9C2 cardiomyocytes undergoing H/R and those cultured under normoxic conditions indicated that several proteins were involved in pathways regulating cellular metabolism and communication (Fig. 1B). The protein levels of RAC1 were significantly higher in H9C2 cardiomyocytes undergoing H/R compared with those of the control cells cultured under normoxic conditions; these results were further validated by western blot analysis (Fig. 1C).

Identification of miR-194-5p as a regulator of RAC1 in H/R

Previous studies indicated that the activation of RAC1 is involved in H/R-induced cardiomyocyte injury by mediating sarcomere dysfunction and ROS accumulation (6,7). Since miRs have been involved in the pathogenesis of myocardial I/R injury at least partially via the regulation of the ROS pathway, the present study further explored using bioinformatic analysis the miRs, which may interact with RAC1 during the induction of H/R in cardiomyocytes. Firstly, TargetScan and miRDB database analyses were used to predict a cluster of miRs, which may potentially interact with RAC1 in humans and rats (Fig. 2A). Subsequent analysis identified the miRs, which were common between humans and rats and may potentially interact with RAC1 (Fig. 2B). Finally, sequence homogeneity analyses of miRs and RAC1 indicated that the miR-194-5p in humans and rats share similar sequences (Fig. 2C) and was likely to be the miR that regulated the expression of RAC1 in cardiomyocytes.

Effects of miR-194-5p on RAC1 expression in H9C2 cardiomyocytes

The changes in the expression levels of miR-194-5p in H9C2 cardiomyocytes during H/R were evaluated using qPCR analyses. The results indicated that the expression levels of miR-194-5p were significantly higher in H9C2 cardiomyocytes cultured under H/R conditions compared with those of the control cells cultured under normoxic conditions (P<0.001, Fig. 3A). Subsequently, exogenous miR-194-5p mimics and inhibitors were administered to evaluate the potential effects on the expression levels of RAC1. The results indicated that administration of 20 nM miR-194-5p mimics was associated with the most effective overexpression of cellular miR-194-5p (P<0.001, Fig. 3B), which caused inhibition of RAC1 expression. Accordingly, 20 nM miR-194-5p mimics was used as the optimal concentration for subsequent studies. Higher concentrations of miR-194-5p mimics may cause cellular injury, overactivated oxidative stress and upregulation of RAC1 expression (Fig. 3C). These results were further validated by western blot analysis, which indicated that administration of miR-194-5p mimics (20 nM) was associated with significant inhibition of RAC protein expression levels compared with the administration of mimics control; however, administration of miR-194-5p inhibitors significantly increased the expression levels of the RAC1 protein compared with the expression levels of RAC1 noted following administration of inhibitor controls (Fig. 3C).

To further clarify the targeting sequence of RAC1 mRNA for miR-194-5p, the luciferase activity assay was performed. Administration of miR-194 suppressed the relative luciferase activity of the constructs encompassing the binding sites of RAC1 3′-UTR (P<0.001), while administration of miR-194-5p did not significantly affect the relative luciferase activity of the constructs encompassing the mutant binding sites of the RAC1 3′-UTR, suggesting that miR-194-5p may inhibit RAC1 expression targeting this sequence (Fig. 4).

To further validate the interactions between miR-194-5p and RAC1 in H9C2 cardiomyocytes undergoing H/R, specific plasmids were constructed to overexpress RAC1 (OE-RAC1) and exogenous miR-194-5p (miR-194 mimics) were transfected into H9C2 cardiomyocytes. The results of the qPCR analysis indicated a significant induction in RAC1 expression of H9C2 cardiomyocytes cultured under H/R conditions compared with the control cells cultured under normoxic conditions (P<0.001; Fig. 5A). However, administration of exogenous miR-194-5p significantly attenuated the upregulation of RAC1 expression in H9C2 cardiomyocytes cultured under H/R conditions (P<0.05; Fig. 5A). Further studies using qPCR indicated that exogenous expression of miR-194-5p significantly attenuated the upregulation of RAC1 expression in H9C2 cardiomyocytes cultured under H/R conditions and transfected with OE-RAC1 plasmids (P<0.01; Fig. 5B). In addition, the results of the immunofluorescence and immunocytochemistry analyses indicated that H/R significantly induced the cellular calcium concentration in H9C2 cardiomyocytes compared with the control cells cultured under normoxic conditions (P<0.01), while administration of exogenous miR-194-5p significantly attenuated the HR-induced upregulation in the concentration levels of cellular calcium in H9C2 cardiomyocytes (P<0.01; Fig. 5C).

Taken together, these results indicated that both miR-194-5p and RAC1 expressions were increased during H/R in cardiomyocytes and that miR-194-5p could attenuate the overexpression of RAC1 by targeting the 3′-UTR of RAC1 mRNA.

Effects of miR-194-5p on cardiomyocyte apoptosis and ROS accumulation in H9C2 cells during H/R

Compared with H9C2 cardiomyocytes cultured under normoxic conditions, H/R significantly increased the concentration levels of cellular ROS in these cells (P<0.001), while exogenous administration of miR-194 significantly reduced the cellular levels compared with those of the H9C2 cardiomyocytes cultured under H/R conditions and transfected with control mimics (P<0.001; Fig. 6A). Moreover, the results of the flow cytometry analyses indicated that H/R significantly induced apoptosis of H9C2 cardiomyocytes compared with the control cells cultured under normoxic conditions (P<0.001), while exogenous administration of miR-194 significantly reduced the apoptotic rate in H9C2 cardiomyocytes cultured under H/R conditions and transfected with control mimics (P<0.001; Fig. 6B). Subsequent quantitative analyses indicated similar results (Fig. 6C and D). These results indicated that miR-194-5p attenuated H/R-induced apoptosis in H9C2 cardiomyocytes by alleviating cellular ROS accumulation.

Role of RAC1 in the potential protective effect of miR-194-5p on H/R-induced apoptosis

The results of the flow cytometry analysis indicated that exogenous administration of miR-194 significantly reduced the cellular ROS levels compared with those of the H9C2 cardiomyocytes cultured under H/R conditions and transfected with control mimics (P<0.001), while overexpression of RAC1 dramatically increased the cellular levels compared with those of H/R-cultured H9C2 cardiomyocytes transfected with OE-control. Moreover, exogenous administration of miR-194 significantly reduced the cellular ROS levels induced by H/R and reduced the overexpression of RAC1 in H9C2 cardiomyocytes (Fig. 7A). Similarly, exogenous administration of miR-194 significantly reduced the apoptotic rate of the cells compared with that of the H/R-cultured H9C2 cardiomyocytes transfected with control mimics (P<0.001), while overexpression of RAC1 dramatically increased the apoptotic rate of the cells compared with that of the H/R-cultured H9C2 cardiomyocytes transfected with OE-control. Moreover, exogenous administration of miR-194-5p significantly reduced the apoptotic rate of H9C2 cells cultured under H/R conditions and transfected with RAC1 overexpressing plasmids (Fig. 7B). Subsequent quantitative analyses indicated similar results (Fig. 7C and D). Taken together, these results demonstrated that overexpression of RAC1 may mediate H/R-induced apoptosis in H9C2 cardiomyocytes by enhancing cellular ROS accumulation, whereas upregulation of miR-194-5p expression may function as a negative regulator of the aforementioned pathophysiological process.

Figure 7.

Effects of the overexpression of RAC1 and the exogenous addition of miR-194 on ROS production and the induction of H9C2 cardiomyocyte apoptosis undergoing H/R. (A) The results of the flow cytometry analysis indicated that exogenous administration of miR-194 significantly reduced the cellular ROS levels compared with those of the H9C2 cardiomyocytes undergoing H/R and treated with control mimics (P<0.05), while overexpression of RAC1 dramatically increased the cellular ROS levels compared with those noted in H9C2 cardiomyocytes undergoing H/R and treated with OE-control sequences. In addition, exogenous administration of miR-194 significantly reduced the cellular ROS levels induced by H/R and the overexpression of RAC1 in H9C2 cardiomyocytes. (B) The results of the flow cytometry analysis indicated that exogenous administration of miR-194 significantly reduced the rate of apoptotic cells compared with that of the H9C2 cardiomyocytes undergoing H/R and treated with control mimics (P<0.05), while overexpression of RAC1 dramatically increased the number of apoptotic cells compared with that of H9C2 cardiomyocytes undergoing H/R and treated with OE-control sequences. In addition, exogenous administration of miR-194 significantly reduced the rate of apoptotic cells induced by H/R and the overexpression of RAC1 in H9C2 cardiomyocytes. (C) Quantitative assessment of the simultaneous effects of H/R and the exogenous administration of miR-194 on the ROS positive rates of H9C2 cardiomyocytes in each group. (D) Quantitative assessment of the effects of H/R and the exogenous administration of miR-194 on the apoptotic rates of H9C2 cardiomyocytes in each group. ***P<0.001. RAC1, Ras-related C3 botulinum toxin substrate 1; miR, microRNA; ROS, reactive oxygen species; H/R, hypoxia/reoxygenation; OE, overexpression.

Discussion

In the present study, an in vitro cultured H9C2 cardiomyocyte model was established under H/R conditions. The data indicated that RAC1 was significantly overexpressed. This effect facilitated the induction of apoptosis in cardiomyocytes by enhancing cellular accumulation of ROS. It is notable that bioinformatic and luciferase analyses confirmed that miR-194-5p could inhibit the translation of RAC1 in H9C2 cells. miR-194-5p expression was upregulated under H/R conditions in H9C2 cardiomyocytes, which subsequently ameliorated cellular ROS levels and the induction of apoptosis via inhibition of RAC1 overexpression. Taken together, these results indicated that the upregulated expression levels of miR-194-5p may function as a self-regulated cardioprotective response against RAC1-mediated ROS accumulation and cardiomyocyte apoptosis. Exogenous administration of miR-194-5p may be a novel target to ameliorate I/R-induced injury related to myocardial apoptosis.

Previous studies have indicated that constitutive expression of RAC1 in cardiomyocytes is essential for specific physiological functions including cytoskeletal formation, ROS clearance and energy biogenesis (8,22,23). However, overexpression of RAC1 in a mouse model of myocardial I/R injury has been attributed to causing exacerbation of myocardial injury and deteriorated cardiac function during follow-up (9). The results of the present study provided further information on the pathological role of RAC1 overexpression in the pathogenesis of myocardial I/R injury by indicating that H/R enhanced the protein levels of RAC1 in H9C2 cardiomyocytes and thereby led to cellular ROS accumulation and induction of cardiomyocyte apoptosis. Since myocardial apoptosis causes direct loss of functional cardiomyocytes, it has been shown to be a major factor of deteriorated cardiac function in an animal model and in patients with ischemic heart disease (24,25). These results further confirmed that overexpression of RAC1 in cardiomyocytes cultured under H/R conditions, is a key molecular pathway underlying the pathogenesis of I/R-mediated myocardial dysfunction.

Although previous studies have shown that miRs may interact with RAC1, the majority of these studies are focused on cancer (1214). To the to the best of the authors' knowledge, a few studies have evaluated the potential interaction between miRs and RAC1 proteins in the pathogenesis of cardiovascular diseases. In an early study, which used streptozotocin-induced diabetic mice, the changes in the miR expression profiles and their potentially targeted proteins were identified (26). The miR-mediated upregulation of RAC1 expression was proposed to be involved in the pathogenesis of diabetic cardiomyopathy (26). An additional study was performed in H9C2 cells cultured under persistent hypoxia and the results indicated that upregulation of miR-145 expression was associated with overexpressed RAC1; moreover, silencing of miR-145 expression protected H9C2 cells against hypoxia-induced injury by targeting RAC1 (15). Transfection of the cells with miR-182 mimics was shown to attenuate hyperglycemia-induced hypertrophy of cardiomyocytes via targeting the overactivated RAC1 protein (16). The present study, used a model with the mimics and the inhibitors of miR-194-5p and a luciferase reporter assay. The data indicated that the H/R-induced upregulation of miR-194-5p expression may be a self-protective mechanism which can target RAC1 overexpression and related ROS accumulation and apoptosis of H9C2 cardiomyocytes. Exogenous administration of miR-194-5p was shown to reduce the overactivated RAC1 protein and subsequently ameliorate the H/R-induced ROS accumulation and apoptosis of H9C2 cardiomyocytes. Future studies are required to determine the potential therapeutic efficacy of miR-194-5p upregulation on myocardial injury and cardiac function in animal model of I/R injury.

In conclusion, the present study indicated that upregulation of miR-194-5p may function as a self-regulated cardioprotective response against RAC1-mediated ROS accumulation and cardiomyocyte apoptosis, although animal and clinical experiments are needed to further confirm these results. Exogenous administration of miR-194-5p may be a novel target to ameliorate I/R injury-mediated myocardial apoptosis.

Acknowledgements

Not applicable.

Funding

The present study was supported by grants from the Scientific Research Fund Project of Yunnan Education Department (grant no. 2019J1308), the National Natural Science Foundation of China (grant no. 82060062), the Joint special fund of Applied Fundamental Research of Kunming Medical University granted by Science and Technology Office of Yunnan (grant nos. 202001AY070001-097 and 202001AY070001-167). The funders had no role in the study design, data collection, data analysis, decision to publish, or preparation of the manuscript.

Availability of data and materials

The mass spectrometry proteomics data have been deposited to the ProteomeXchange Consortium (http://proteomecentral.proteomexchange.org) via the iProX partner repository with the dataset identifier PXD015991.

Authors' contributions

Material preparation, data collection and analysis were performed by CL, YaL, YiL, YW, YT and YH. All authors also contributed to the study conception and design. The manuscript was written by CL and YinL and all authors commented on the previous versions of the manuscript. All authors read and approved the final version of the manuscript. YT and YH confirm the authenticity of all the raw data.

Ethics approval and consent to participate

Not applicable.

Patient consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

References

1 

Katritsis DG, Mark DB and Gersh BJ: Revascularization in stable coronary disease: Evidence and uncertainties. Nat Rev Cardiol. 15:408–419. 2018. View Article : Google Scholar : PubMed/NCBI

2 

Benjamin EJ, Muntner P, Alonso A, Bittencourt MS, Callaway CW, Carson AP, Chamberlain AM, Chang AR, Cheng S, Das SR, et al: Heart disease and stroke statistics-2019 update: A report from the American heart association. Circulation. 139:e56–e528. 2019. View Article : Google Scholar : PubMed/NCBI

3 

Araszkiewicz A, Grygier M, Lesiak M and Grajek S: The impact of ischemia-reperfusion injury on the effectiveness of primary angioplasty in ST-segment elevation myocardial infarction. Postepy Kardiol Interwencyjnej. 9:275–281. 2013.PubMed/NCBI

4 

Cadenas S: ROS and redox signaling in myocardial ischemia-reperfusion injury and cardioprotection. Free Radic Biol Med. 117:76–89. 2018. View Article : Google Scholar : PubMed/NCBI

5 

Marei H and Malliri A: Rac1 in human diseases: The therapeutic potential of targeting Rac1 signaling regulatory mechanisms. Small GTPases. 8:139–163. 2017. View Article : Google Scholar : PubMed/NCBI

6 

Sussman MA, Welch S, Walker A, Klevitsky R, Hewett TE, Price RL, Schaefer E and Yager K: Altered focal adhesion regulation correlates with cardiomyopathy in mice expressing constitutively active rac1. J Clin Invest. 105:875–886. 2000. View Article : Google Scholar : PubMed/NCBI

7 

Hordijk PL: Regulation of NADPH oxidases: The role of Rac proteins. Circ Res. 98:453–462. 2006. View Article : Google Scholar : PubMed/NCBI

8 

Elnakish MT, Awad MM, Hassona MD, Alhaj MA, Kulkarni A, Citro LA, Sayyid M, Abouelnaga ZA, El-Sayed O, Kuppusamy P, et al: Cardiac remodeling caused by transgenic overexpression of a corn Rac gene. Am J Physiol Heart Circ Physiol. 301:H868–H880. 2011. View Article : Google Scholar : PubMed/NCBI

9 

Talukder MA, Elnakish MT, Yang F, Nishijima Y, Alhaj MA, Velayutham M, Hassanain HH and Zweier JL: Cardiomyocyte-specific overexpression of an active form of Rac predisposes the heart to increased myocardial stunning and ischemia-reperfusion injury. Am J Physiol Heart Circ Physiol. 304:H294–H302. 2013. View Article : Google Scholar : PubMed/NCBI

10 

Yu S and Li G: MicroRNA expression and function in cardiac ischemic injury. J Cardiovasc Transl Res. 3:241–245. 2010. View Article : Google Scholar : PubMed/NCBI

11 

Ye Y, Perez-Polo JR, Qian J and Birnbaum Y: The role of microRNA in modulating myocardial ischemia-reperfusion injury. Physiol Genomics. 43:534–542. 2011. View Article : Google Scholar : PubMed/NCBI

12 

Abdrabou A and Wang Z: Post-translational modification and subcellular distribution of Rac1: An Update. Cells. 7:2632018. View Article : Google Scholar : PubMed/NCBI

13 

Jiang ZB, Ma BQ, Liu SG, Li J, Yang GM, Hou YB, Si RH, Gao P and Yan HT: miR-365 regulates liver cancer stem cells via RAC1 pathway. Mol Carcinog. 58:55–65. 2019. View Article : Google Scholar : PubMed/NCBI

14 

Gao X, Xu W, Lu T, Zhou J, Ge X and Hua D: MicroRNA-142-3p promotes cellular invasion of colorectal cancer cells by activation of RAC1. Technol Cancer Res Treat. 17:15330338187905082018. View Article : Google Scholar : PubMed/NCBI

15 

Wang X, Zhang Y, Wang H, Zhao G and Fa X: MicroRNA-145 aggravates hypoxia-induced injury by targeting Rac1 in H9c2 cells. Cell Physiol Biochem. 43:1974–1986. 2017. View Article : Google Scholar : PubMed/NCBI

16 

Meng Z, Wang Y, Lin Y, Nan S, Xu W, Hu B and Shen E: MicroRNA-182 modulates high glucose-induced cardiomyocyte hypertrophy via targeting Rac1. Zhonghua Xin Xue Guan Bing Za Zhi. 43:619–624. 2015.(In Chinese). PubMed/NCBI

17 

Moulder R, Bhosale SD, Goodlett DR and Lahesmaa R: Analysis of the plasma proteome using iTRAQ and TMT-based Isobaric labeling. Mass Spectrom Rev. 37:583–606. 2018. View Article : Google Scholar : PubMed/NCBI

18 

Cao XB, Jiang ZH, Dong L, Zheng Y and Li Y: Effects of modulation of ion channel currents by salidroside in H9C2 myocardial cells in hypoxia and reoxygenation. Evid Based Complement Alternat Med. 2019:82128682019. View Article : Google Scholar : PubMed/NCBI

19 

Zhang P, Zhu S, Zhao M, Zhao P, Zhao H, Deng J and Li J: Identification of plasma biomarkers for diffuse axonal injury in rats by iTRAQ-coupled LC-MS/MS and bioinformatics analysis. Brain Res Bull. 142:224–232. 2018. View Article : Google Scholar : PubMed/NCBI

20 

Wu Y, Liu F, Ma X, Adi D, Gai MT, Jin X, Yang YN, Huang Y, Xie X, Li XM, et al: iTRAQ analysis of a mouse acute myocardial infarction model reveals that vitamin D binding protein promotes cardiomyocyte apoptosis after hypoxia. Oncotarget. 9:1969–1979. 2018. View Article : Google Scholar : PubMed/NCBI

21 

Livak KJ and Schmittgen TD: Analysis of relative gene expression data using real-time quantitative PCR and the 2(−Delta Delta C(T)) method. Methods. 25:402–408. 2001. View Article : Google Scholar : PubMed/NCBI

22 

Abo A, Pick E, Hall A, Totty N, Teahan CG and Segal AW: Activation of the NADPH oxidase involves the small GTP-binding protein p21rac1. Nature. 353:668–670. 1991. View Article : Google Scholar : PubMed/NCBI

23 

Elnakish MT, Moldovan L, Khan M, Hassanain HH and Janssen PML: Myocardial Rac1 exhibits partial involvement in thyroxin-induced cardiomyocyte hypertrophy and its inhibition is not sufficient to improve cardiac dysfunction or contractile abnormalities in mouse papillary muscles. J Cardiovasc Pharmacol. 61:536–544. 2013. View Article : Google Scholar : PubMed/NCBI

24 

Zhao Y, Ponnusamy M, Dong Y, Zhang L, Wang K and Li P: Effects of miRNAs on myocardial apoptosis by modulating mitochondria related proteins. Clin Exp Pharmacol Physiol. 44:431–440. 2017. View Article : Google Scholar : PubMed/NCBI

25 

Zhao ZQ: Oxidative stress-elicited myocardial apoptosis during reperfusion. Curr Opin Pharmacol. 4:159–165. 2004. View Article : Google Scholar : PubMed/NCBI

26 

Diao X, Shen E, Wang X and Hu B: Differentially expressed microRNAs and their target genes in the hearts of streptozotocin-induced diabetic mice. Mol Med Rep. 4:633–640. 2011.PubMed/NCBI

Related Articles

Journal Cover

February-2023
Volume 27 Issue 2

Print ISSN: 1791-2997
Online ISSN:1791-3004

Sign up for eToc alerts

Recommend to Library

Copy and paste a formatted citation
x
Spandidos Publications style
Li C, Li Y, Li Y, Wang Y, Teng Y and Hao Y: MicroRNA‑194‑5p attenuates hypoxia/reoxygenation‑induced apoptosis in H9C2 cardiomyocytes by inhibiting the over‑activation of RAC1 protein. Mol Med Rep 27: 33, 2023
APA
Li, C., Li, Y., Li, Y., Wang, Y., Teng, Y., & Hao, Y. (2023). MicroRNA‑194‑5p attenuates hypoxia/reoxygenation‑induced apoptosis in H9C2 cardiomyocytes by inhibiting the over‑activation of RAC1 protein. Molecular Medicine Reports, 27, 33. https://doi.org/10.3892/mmr.2022.12920
MLA
Li, C., Li, Y., Li, Y., Wang, Y., Teng, Y., Hao, Y."MicroRNA‑194‑5p attenuates hypoxia/reoxygenation‑induced apoptosis in H9C2 cardiomyocytes by inhibiting the over‑activation of RAC1 protein". Molecular Medicine Reports 27.2 (2023): 33.
Chicago
Li, C., Li, Y., Li, Y., Wang, Y., Teng, Y., Hao, Y."MicroRNA‑194‑5p attenuates hypoxia/reoxygenation‑induced apoptosis in H9C2 cardiomyocytes by inhibiting the over‑activation of RAC1 protein". Molecular Medicine Reports 27, no. 2 (2023): 33. https://doi.org/10.3892/mmr.2022.12920