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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">IJMM</journal-id>
<journal-title-group>
<journal-title>International Journal of Molecular Medicine</journal-title></journal-title-group>
<issn pub-type="ppub">1107-3756</issn>
<issn pub-type="epub">1791-244X</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/ijmm.2019.4073</article-id>
<article-id pub-id-type="publisher-id">ijmm-43-03-1452</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>miR-335 promotes stress granule formation to inhibit apoptosis by targeting ROCK2 in acute ischemic stroke</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Si</surname><given-names>Wenwen</given-names></name><xref rid="fn1-ijmm-43-03-1452" ref-type="fn">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>Ye</surname><given-names>Shanyu</given-names></name><xref rid="fn1-ijmm-43-03-1452" ref-type="fn">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>Ren</surname><given-names>Zhenxing</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>Liu</surname><given-names>Xin</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>Wu</surname><given-names>Zimei</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>Li</surname><given-names>Yi</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>Zhou</surname><given-names>Jianhong</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>Zhang</surname><given-names>Saixia</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>Li</surname><given-names>Yiwei</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>Deng</surname><given-names>Rudong</given-names></name></contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Chen</surname><given-names>Dongfeng</given-names></name><xref ref-type="corresp" rid="c1-ijmm-43-03-1452"/></contrib>
<aff id="af1-ijmm-43-03-1452">Department of Anatomy, The Research Center of Basic Integrative Medicine, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510006, P.R. China, <email>cdf27212@21cn.com</email></aff></contrib-group>
<author-notes>
<corresp id="c1-ijmm-43-03-1452">Correspondence to: Professor Dongfeng Chen, Department of Anatomy, The Research Center of Basic Integrative Medicine, Guangzhou University of Chinese Medicine, 232 Waihuan East Road, Guangzhou, Guangdong 510006, P.R. China, E-mail: <email>cdf27212@21cn.com</email></corresp><fn id="fn1-ijmm-43-03-1452" fn-type="equal">
<label>&#x0002A;</label>
<p>Contributed equally</p></fn></author-notes>
<pub-date pub-type="ppub">
<month>03</month>
<year>2019</year></pub-date>
<pub-date pub-type="epub">
<day>22</day>
<month>01</month>
<year>2019</year></pub-date>
<volume>43</volume>
<issue>3</issue>
<fpage>1452</fpage>
<lpage>1466</lpage>
<history>
<date date-type="received">
<day>11</day>
<month>08</month>
<year>2018</year></date>
<date date-type="accepted">
<day>16</day>
<month>01</month>
<year>2019</year></date></history>
<permissions>
<copyright-statement>Copyright: &#x000A9; Si et al.</copyright-statement>
<copyright-year>2018</copyright-year>
<license license-type="open-access">
<license-p>This is an open access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0/">Creative Commons Attribution-NonCommercial-NoDerivs License</ext-link>, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.</license-p></license></permissions>
<abstract>
<p>Under harmful environmental conditions, stress granules (SGs), macromolecular aggregates that are associated with cell survival and death, are produced in the eukaryotic cytoplasm. However, whether and how microRNAs (miRNAs/miRs) modulate SG formation induced by acute ischemic stroke has not been investigated. In the present study, a rat model of middle cerebral artery occlusion (MCAO) was utilized and miRNA array profiling and reverse transcription-quantitative polymerase chain reaction were performed. The results revealed that miR-335 was downregulated during acute ischemic stroke, which was concomitant with reduced SG formation, enhanced apoptosis levels and increased Rho associated protein kinase 2 (ROCK2) expression. In the MCAO rat and serum-free cell models, miR-335 treatment upregulated SG formation, alleviated the ischemia-induced infarction, and decreased ROCK2 protein expression and apoptosis levels. By contrast, when compared with miR-335 treatment, the inhibition of miR-335 resulted in reduced SG formation and higher ROCK2 expression and apoptosis levels. Target prediction analysis and luciferase 3&#x02032;-untranslated region reporter assay identified ROCK2 as the direct target of miR-335. Furthermore, ROCK2 silencing enhanced SG formation and attenuated the level of apoptosis in the serum-free cell model. In addition, ROCK2 silencing markedly inhibited the effect of miR-335 on SG formation and apoptosis levels. Unexpectedly, the phosphorylation of T-cell intracellular antigen-1 was significantly inhibited by miR-335 in the MCAO rat model, which provides a reasonable explanation for the promotional effect of miR-335 on SG formation by specifically targeting ROCK2. In conclusion, these results demonstrate that miR-335 promotes SG formation and inhibits apoptosis by reducing ROCK2 expression in acute ischemic stroke, which provides a possible therapeutic target for brain injury.</p></abstract>
<kwd-group>
<kwd>stress granules</kwd>
<kwd>miR-335</kwd>
<kwd>apoptosis</kwd>
<kwd>Rho-associated protein kinase 2</kwd>
<kwd>acute ischemic stroke</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Stress granules (SG) are a type of complex and dynamic foci that are generated in the cytoplasm when eukaryotic cells undergo different types of stress including endoplasmic reticulum stress, heat shock, arsenite and acute energy starvation (<xref rid="b1-ijmm-43-03-1452" ref-type="bibr">1</xref>). The core components of SGs include transcription factors, non-translational mRNAs, nucleating factors and RNA binding proteins (RBPs) (<xref rid="b2-ijmm-43-03-1452" ref-type="bibr">2</xref>). When eukaryotes undergo different types of stress, the &#x003B1;-subunit of eukaryotic translation initiation factor 2 (eIF2&#x003B1;) is phosphorylated, which triggers the formation of SGs (<xref rid="b3-ijmm-43-03-1452" ref-type="bibr">3</xref>). Following the phosphorylation of eIF2&#x003B1;, multiple RBPs including T-cell intracellular antigen-1 (TIA1), Ras-GAP SH<sub>3</sub> domain-binding protein 1 and human antigen R self-aggregate to form the SG (<xref rid="b4-ijmm-43-03-1452" ref-type="bibr">4</xref>). SG formation efficiently protects important mRNAs and proteins from degradation and misfolding, which enhances cellular resistance to apoptosis (<xref rid="b5-ijmm-43-03-1452" ref-type="bibr">5</xref>).</p>
<p>Acute ischemic stroke (AIS) is the main cause of adult physical disability and mortality worldwide (<xref rid="b6-ijmm-43-03-1452" ref-type="bibr">6</xref>), and the process of pathogenesis involves energy failure, inflammation, excitotoxicity, oxidative stress injury and apoptosis (<xref rid="b7-ijmm-43-03-1452" ref-type="bibr">7</xref>). An increasing number of reports have demonstrated that apoptosis has a close association with the pathophysiology of AIS (<xref rid="b8-ijmm-43-03-1452" ref-type="bibr">8</xref>). Recent studies have indicated that AIS triggers the apoptotic signaling cascade, which leads to a significant level of neuronal death (<xref rid="b9-ijmm-43-03-1452" ref-type="bibr">9</xref>,<xref rid="b10-ijmm-43-03-1452" ref-type="bibr">10</xref>). Therefore, it's meaningful to investigate the association between SG and apoptosis in order to understand the disease progression of AIS.</p>
<p>Rho associated protein kinase 2 (ROCK2) is a 160 kDa serine/threonine kinase that possesses three different types of functional domains (<xref rid="b11-ijmm-43-03-1452" ref-type="bibr">11</xref>). ROCK2 is particularly abundant in brain tissues, which suggests that ROCK2 may perform a key function in cerebral physiological processes (<xref rid="b12-ijmm-43-03-1452" ref-type="bibr">12</xref>). According to previous studies, ROCK2 is involved in multiple cellular processes including vascular inflammation and reconstruction, cell adhesion, cell motility and apoptosis (<xref rid="b13-ijmm-43-03-1452" ref-type="bibr">13</xref>&#x02013;<xref rid="b15-ijmm-43-03-1452" ref-type="bibr">15</xref>). In addition, ROCK2 has been reported to have a connection with a number of diseases, including cardiac hypertrophy, hypertension, atherosclerosis and ischemic stroke (<xref rid="b16-ijmm-43-03-1452" ref-type="bibr">16</xref>&#x02013;<xref rid="b18-ijmm-43-03-1452" ref-type="bibr">18</xref>). However, the role of ROCK2 in the process of SG formation remains poorly understood.</p>
<p>MicroRNAs (miRNAs/miRs) are short non-coding RNAs that combine with the 3&#x02032; non-translated region of mRNAs and repress the expression of targeted mRNAs (<xref rid="b19-ijmm-43-03-1452" ref-type="bibr">19</xref>). Previous reports have demonstrated that miRNAs perform important functions in the pathogenesis of stroke (<xref rid="b20-ijmm-43-03-1452" ref-type="bibr">20</xref>&#x02013;<xref rid="b22-ijmm-43-03-1452" ref-type="bibr">22</xref>), including apoptosis, cell cycle progression and cell proliferation (<xref rid="b23-ijmm-43-03-1452" ref-type="bibr">23</xref>). miRNAs act as pivotal mediators in the neuronal apoptosis of ischemic stroke by modulating the translation of apoptosis-associated proteins (<xref rid="b24-ijmm-43-03-1452" ref-type="bibr">24</xref>&#x02013;<xref rid="b27-ijmm-43-03-1452" ref-type="bibr">27</xref>). Therefore, investigating the apoptotic mechanism of miRNAs in AIS is of great significance. In the present study, rat middle cerebral artery occlusion (MCAO) and serum-free cell models were used to investigate the anti-apoptosis effect of miRNAs and the correlation between SG formation and apoptosis in AIS.</p></sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title>Animals and materials</title>
<p>A total of 108 adult male Sprague-Dawley (SD; 250&#x02013;280 g; 7&#x02013;8 weeks) rats were purchased from the Animal Center of Guangzhou University of Chinese Medicine (Guangzhou, China). The experiments were approved by the Care and Use of Experimental Animals Committee of Guangzhou University of Chinese Medicine and performed according to the National Institute of Health Guide for the Care and Use of Laboratory Animals. All animals were allowed to acclimate for 1 week prior to MCAO surgery. Upon receipt and throughout the study, the animals were conditioned to the same environment during the study. Food and water were available <italic>ad libitum</italic>. Room humidity (50&#x02013;70%) and temperature (21&#x02013;25&#x000B0;C) were maintained consistently. In addition, the study room was maintained on a 12-h light/dark cycle.</p></sec>
<sec>
<title>MCAO model preparation and intracerebroventricular injection (ICV) of mimic and inhibitor</title>
<p>Under anesthesia (100 mg/kg ketamine and 10 mg/kg xylazine, intraperitoneal injection), rats were subjected to 2 h MCAO surgery using intraluminal suture as described in a previous report (<xref rid="b28-ijmm-43-03-1452" ref-type="bibr">28</xref>). Body temperature was kept at ~36.5&#x000B0;C with a heating pad during the surgical process until the animal recovered from anesthesia. The animals were allowed to regain full consciousness in a nursery cage, which was heated (~30&#x000B0;C) and oxygenated prior to returning to their normal cage. After MCAO surgery, rats immediately underwent ICV of miR-335 mimic and inhibitor under anesthesia. The rats were fixed and one small hole was drilled into the skull of the ischemic hemisphere, in order to deliver the miR-335 mimic and inhibitor into the lateral ventricle. The stereotaxic coordinates for ICV injection were as follows: &#x02212;0.9 mm anterior, 1.8 mm lateral and &#x02212;3.8 mm from the bregma. A total of 48 male SD rats were randomly divided into four groups (n=12 rats/group): Control group (normal saline), Model group (MCAO + normal saline), Mimic group (MCAO + miR-335 mimic, 100 pmol/rat) and Inhibitor group (MCAO + miR-335 inhibitor, 200 pmol/rat). miR-335 mimic (micrON&#x02122; miRNA agomir; 5&#x02032;-ucaagagcaauaacgaaaaaugu-3&#x02032;) and miR-335 inhibitor (micrOFF&#x02122; miRNA antagomir; 5&#x02032;-acauuuuucguuauugcucuuga-3&#x02032;) were purchased from Guangzhou RiboBio Co., Ltd. (Guangzhou, China).</p></sec>
<sec>
<title>2,3,5-Triphenyltetrazolium chloride (TTC) staining and infarct volume calculation</title>
<p>To observe the dynamic alterations in SG formation, levels of apoptosis and infarct volume in the MCAO model, a total of 36 male SD rats were divided into six groups (n=6 rats/group): Control group, 0 h post-reperfusion group, 6 h post-reperfusion group, 12 h post-reperfusion group, 24 h post-reperfusion group and 36 h post-reperfusion group. Rats from each group were sacrificed with CO<sub>2</sub> asphyxiation, and the brains were removed and coronally sectioned into six slices (2 mm/slice). The brain slices were stained in a 2% solution of TTC (Sigma-Aldrich; Merck KGaA, Darmstadt, Germany) for 20 min at 37&#x000B0;C; the unstained area was defined as the infarct area and the infarct area volume was calculated with ImageJ software (Version 14.8; National Institutes of Health, Bethesda, MD, USA). Considering edema of the infarct hemisphere, the percentage of infarct area was calculated as follows: Infarct area (%) = &#x0005B;contralateral hemisphere area-(ipsilateral hemisphere area-infarct area)&#x0005D;/contralateral hemisphere area &#x000D7;100%.</p></sec>
<sec>
<title>Terminal deoxynucleotidyl transferase dUTP nick end labeling (TUNEL) staining</title>
<p>Following 24 h of reperfusion, rats were sacrificed by CO<sub>2</sub> asphyxiation. The cortices were washed with cold normal saline and fixed with 4% paraformaldehyde solution at 4&#x000B0;C overnight. Frozen sections (20 &#x000B5;m thickness) were used in TUNEL and immunohistochemical staining. TUNEL staining was conducted following the manufacturer's protocol (Boster Biological Technology, Ltd., Wuhan, China). The percentage of positive cells in the pathological images captured was calculated with Image Pro Plus software (version 6.0; Media Cybernetics, Inc., Rockville, MD, USA). The histopathological observations were documented using a light microscope (Leica DMI400; Leica Microsystems GmbH, Wetzlar, Germany) at &#x000D7;400 magnification and photographed. Each experiment was replicated 3 times and the data were presented as the mean &#x000B1; standard error of the mean (SEM).</p></sec>
<sec>
<title>Immunohistochemical staining</title>
<p>Following peroxidase blocking for 30 min and 5% bovine serum albumin (BSA; Sigma-Aldrich; Merck KGaA) blocking for 2 h at room temperature, frozen sections (20 &#x000B5;m) of the brain were incubated with primary antibody (cat. no. ab140595; rabbit anti-TIA1 antibody 1:1,000; Abcam, Cambridge, MA, USA) overnight. Then these sections were incubated with secondary antibody (cat. no. ab6721; horseradish peroxidase-conjugated goat anti-rabbit; 1:5,000; Abcam) for 2 h at room temperature. The expression of TIA1 was detected using a Streptavidin Peroxidase Immunohistochemical staining kit (Tiangen Biotech Co., Ltd., Beijing, China) with DAB staining. The ratio of positive cells was calculated using Image Pro Plus software (version 6.0; Media Cybernetics, Inc.). The histopathological observations were documented by light microscopy (Leica DMI400; Leica Microsystems) at 400&#x000D7; magnification and images were captured. Each experiment was replicated 3 times and the data are presented as the mean &#x000B1; SEM.</p></sec>
<sec>
<title>miRNA microarray assay</title>
<p>A total of 24 male SD rats were randomly divided into control and model groups (n=12 rats/group) to perform miRNA microarray assay and reverse transcription-quantitative polymerase chain reaction (RT-qPCR). The cerebral cortices were removed from the Control and Model group rats for the miRNA microarray assay. Total RNA (600 ng) was extracted from the cortices of the different groups using TRIzol reagent (Invitrogen; Thermo Fisher Scientific, Inc., Waltham, MA, USA). The subsequent steps of the experiment were completed by Guangzhou RiboBio Co., Ltd., according to the manufacturer's protocol. Each experiment was replicated 3 times and the data are presented as the mean &#x000B1; SEM.</p></sec>
<sec>
<title>Extraction of total RNA and RT-qPCR</title>
<p>Total RNA was extracted from the cerebral cortex using TRIzol reagent (Invitrogen; Thermo Fisher Scientific, Inc.) according to the manufacturer's protocol. The concentration and purity of RNA were determined using spectrophotometers (NanoDrop ND-2000; Thermo Fisher Scientific, Inc.). The specific stem-l oop primer of miR-335 was used in RT-PCR and the U6 gene was used as the reference. The following primers were used: miR-335, RT primer 5&#x02032;-GTCGTATCCAGTGCAGGGTCCGAGGTATTCGCACTGATACGACACATTT-3&#x02032;, forward 5&#x02032;-CGGCGCTCAAGAGCAATAACGAA-3&#x02032;, and reverse 5&#x02032;-ATCCAGTGCAGGGTCCGAGG-3&#x02032;; U6, RT primer 5&#x02032;-GTCGTATCCAGTGCAGGGTCCGAGGTATTCGCACTGGATACGACAAAATA-3&#x02032;, forward 5&#x02032;-AGAGAAGATTAGCATGGCCCCTG-3&#x02032;, and reverse 5&#x02032;-ATCCAGTGCAGGGTCCGAGG-3&#x02032;. The reverse transcription was performed by the PrimeScript RT reagent kit (Takara, Biotechnology, Co., Ltd., Dalian, China) according to the manufacturer's protocol, at 37&#x000B0;C for 15 min and 85&#x000B0;C for 30 sec. Light Cycler 480 SYBR Green I Master (Roche Diagnostics, GmbH, Mannheim, Germany) was applied for fluorescent qPCR. The amplification process was as follows: Denaturation at 95&#x000B0;C for 10 min, followed by 35 cycles of denaturation at 95&#x000B0;C for 15 sec, annealing at 60&#x000B0;C for 30 sec and extension at 72&#x000B0;C for 1 min. Detection of PCR products was performed using the CFX96 RT-qPCR instrument (Bio-Rad Laboratories, Inc., Hercules, CA, USA). Each experiment was replicated 3 times and the data were presented as the mean &#x000B1; SEM.</p></sec>
<sec>
<title>Dual luciferase reporter system analysis</title>
<p>Bioinformatics software (TargetScan, <ext-link ext-link-type="uri" xlink:href="http://www.targetscan.org">www.targetscan.org</ext-link>; miRBase, <ext-link ext-link-type="uri" xlink:href="http://www.mirbase.org">www.mirbase.org</ext-link>) was used to predict the target gene of miR-335 and a dual luciferase reporter system was used to confirm the targeting. First pLUC-ROCK2-wild-type (WT) and pLUC-ROCK2-mutant (MUT) plasmid (cat. no. U5679-02, U5679-03; Shenzhen Huaan Ping Kang Bio Technology, Inc., Shenzhen, China) was constructed. Using Lipofectamine<sup>&#x000AE;</sup> 2000 (Invitrogen; Thermo Fisher Scientific, Inc.), PC12 cells &#x0005B;American Type Culture Collection, (ATCC), Manassas, VA, USA&#x0005D; were transfected with pLUC-ROCK2 cloning vectors (200 ng), miR-335 mimics (100 nM) or miR-335 negative control (NC; 100 nM) for 6 h in 24-well plates (5&#x000D7;10<sup>4</sup> cells per well). After 24 h transfection, the fluorescent value of each well was quantified with Dual-Luciferase<sup>&#x000AE;</sup> Reporter assay kit (Promega Corporation, Madison, WI, USA), according to the manufacturer's protocol. In the pLUC-ROCK2 plasmid, the target site of rno (<italic>Rattus norvegicus</italic>)-miR-335 was inserted into the downstream sequence of <italic>Renilla</italic> luciferase (hRluc). Firefly luciferase was used as the internal reference and for normalization. PC12 cells transfected with pLUC-ROCK2 vector were used as the positive control. Cells transfected with miR-335 NC and pLUC-ROCK2 were regarded as the NC. Each experiment was replicated 3 times and the data are presented as the mean &#x000B1; SEM.</p></sec>
<sec>
<title>Cell culture and the serum-free cell model</title>
<p>PC12 cells were purchased from ATCC and were cultured as described previously (<xref rid="b29-ijmm-43-03-1452" ref-type="bibr">29</xref>). The serum-free cell model was established by culturing cells in serum-free medium (RPMI-1640 medium; Gibco; Thermo Fisher Scientific, Inc.) for 0, 6, 12, 18, 24 or 30 h. With arsenite stress serving as the positive control treatment, cells were incubated with sodium arsenite (SA; Sigma-Aldrich; Merck KGaA) at the indicated concentrations (0.5 mM) for 50 min as previously described (<xref rid="b3-ijmm-43-03-1452" ref-type="bibr">3</xref>). The serum-free cell model was only stimulated with serum-free culture medium and did not include the arsenite stress step. After PC12 cells were stimulated for 0&#x02013;30 h to ascertain the appropriate duration of stimulation, the expression of TIA1 was detected by immunofluorescent assay as the hallmark of SG production. Each experiment was replicated 3 times and the data are presented as the mean &#x000B1; SEM.</p></sec>
<sec>
<title>Immunofluorescence staining</title>
<p>PC12 cells were grown on glass coverslips in 24 well-plates at 1&#x000D7;10<sup>5</sup> cells per well. According to the experimental protocol, cells were transfected or co-transfected with miR-335 mimic, miR-335 inhibitor, small interfering (si)-RNA-ROCK2 and pLUC-ROCK2 plasmids, and then stimulated with serum-free medium for 24 h. Following fixation with 4% paraformaldehyde for 30 min at room temperature, PC12 cells were permeabilized with 0.3% Triton X-100 and blocked with 5% BSA. Then cells were incubated with diluted primary antibody (cat. no. 12133-2-AP; rabbit anti-TIA1 antibody; 1:1,000; ProteinTech Group, Inc.) at 4&#x000B0;C overnight. and incubated with the secondary antibody (cat. no. ab150077; Alexa Fluor488-conjugated goat anti-rabbit antibody; 1:5,000; Abcam) for 1 h in the dark. The PC12 cells were rinsed three times with PBS and stained with DAPI solution (BIOSS, Beijing, China) for nuclear labeling. The staining results were observed with a confocal laser scanning microscope (LSM 800; Carl Zeiss AG, Oberkochen, Germany). The formation of SGs was evaluated by calculating the percentage of positive cells with Image Pro Plus software (Version 6.0; Media Cybernetics, Inc.). Each experiment was replicated 3 times and the data are presented as the mean &#x000B1; SEM.</p></sec>
<sec>
<title>Flow cytometry analysis</title>
<p>PC12 cells were grown in 6 well-plates (5&#x000D7;10<sup>5</sup> cells per well) and divided into different groups including: Control, model, miR-335 mimic, miR-335 inhibitor, siRNA-ROCK2 and NC groups. Each group was transfected with the respective miRNA or siRNA and then incubated with serum-free medium for 24 h except the control group. Control group was incubated with RPMI-1640 medium containing 10% fetal bovine serum (Gibco; Thermo Fisher Scientific, Inc.). An Annexin V-FITC Apoptosis Staining/Detection kit (cat. no. ab14085; Abcam) was used to detect the levels of apoptosis. PC12 cells were digested with 0.25% Trypsin and resuspended with 500 &#x000B5;l binding buffer. Annexin V and propidium iodide (5 &#x000B5;l) were then added into the suspension and labeled for 5 min in the dark. The percentage of apoptotic cells was detected using a flow cytometer (AccuriC6; BD Biosciences, Franklin Lakes, NJ, USA). Accuri CFlow software (Version 1.0; BD Biosciences) was used to analyze the data. Each experiment was replicated 3 times and the data are presented as the mean &#x000B1; SEM.</p></sec>
<sec>
<title>Transfection of siRNA-ROCK2 in PC12 cells</title>
<p>Three different siRNA-ROCK2 inserts were purchased from Guangzhou RiboBio Co., Ltd., which specifically bound and degraded the ROCK2 mRNA. Using Lipofectamine<sup>&#x000AE;</sup> 2000, PC12 cells were transfected with siRNA-ROCK2-1, siRNA-ROCK2-2 and siRNA-ROCK2-3 (100 nM) for 6 h in 6-well plates (5&#x000D7;10<sup>5</sup> cells per well). After 24 h transfection, western blotting and PCR were used to select the most efficient segment. The sequences of siRNA-ROCK2 were as follows: siRNA-ROCK2-1, 5&#x02032;-CATGGTGCATTGTGATACA-3&#x02032;; siRNA-ROCK2-2, 5&#x02032;-CAGAAGTGCAAGTCTATTA-3&#x02032;; and siRNA-ROCK2-3, 5&#x02032;-CTCAAGCTGTGAATAAGTT-3&#x02032;.</p></sec>
<sec>
<title>Western blotting analysis</title>
<p>The cerebral cortices of the isch-emic brain and PC12 cells were collected for immunoblotting analysis and lysed with radioimmunoprecipitation assay lysis buffer (Thermo Fisher Scientific, Inc.) for 20 min on ice. The cell debris were removed by centrifuging at 12,000 &#x000D7; g for 10 min at 4&#x000B0;C and the supernatant was harvested for further evaluation (stored at &#x02212;80&#x000B0;C). The bicinchoninic acid method was used to detect protein concentration. Total protein (30 &#x000B5;g) was separated by 10% SDS-PAGE and transferred to 0.45 &#x000B5;m polyvinylidene difluoride membranes (EMD Millipore, Billerica, MA, USA). After blocking with 5% BSA for 2 h at room temperature, the membranes were incubated with primary antibodies (ROCK2, cat. no. ab71598, 1:1,000; TIA1, cat. no. ab140595, 1:1,000; active caspase-3, cat. no. ab2302, 1:1,000; Bcl-2; cat. no. ab692, 1:1,000; GAPDH, cat. no. ab8245, 1:5,000; Abcam) at 4&#x000B0;C overnight. After rinsing with Tris-buffered saline &#x02212;0.01% Tween-20, the membranes were incubated with the secondary antibodies &#x0005B;horseradish peroxidase (HRP)-conjugated goat anti-rabbit, cat. no. ab6721; HRP-conjugated goat anti-mouse, cat. no. ab6789; 1:5,000; Abcam&#x0005D; for 1 h at room temperature. Enhanced chemiluminescence (ECL) western blotting substrate (Pierce; Thermo Fisher Scientific, Inc.) was applied to visualize the bands. Image acquisition was performed using the Tanon-6200 gel imaging system (Tanon Science and Technology Co., Ltd., Shanghai, China). Image processing software (ImageJ; Versionm 14.8; National Institutes of Health) was used to analyze the images. Each experiment was replicated 3 times and the data are presented as the mean &#x000B1; SEM.</p></sec>
<sec>
<title>Immunoprecipitation assays</title>
<p>According to the manufacturer's protocol of the Direct Magnetic IP/Co-IP kit (Pierce; Thermo Fisher Scientific, Inc.), the protein extracted from the rat brain tissues was quantified by a bicinchoninic acid assay following addition of phosphatase and protease inhibitors. A total of 500 &#x000B5;g protein (1&#x02013;2 mg/ml) was incubated with 25 &#x000B5;l TIA1-coupled magnetic beads for 2 h at room temperature on a rotator. After washing and eluting the binding beads, TIA1 protein was collected and a western blotting assay was used to detect the phosphorylation levels. ECL western blotting substrate (Pierce; Thermo Fisher Scientific, Inc.) was used to visualize the bands. Image acquisition was performed with the Tanon-6200 gel imaging system (Tanon Science and Technology Co., Ltd.). Image processing software (ImageJ; National Institutes of Health) was used to analyze the images. Each experiment was replicated 3 times and the data are presented as the mean &#x000B1; SEM.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>The experimental data are presented as the mean &#x000B1; SEM. SPSS 22.0 software (IBM Corp., Armonk, NY, USA) was used for statistical analysis. The figures were all produced using GraphPad Prism (Version 6.0; GraphPad Software, Inc., La Jolla, CA, USA). Student's t-test was used to analyze the difference between two groups. The comparison between multiple groups was analyzed using one-way analysis of variance followed by Tukey's multiple comparisons test as the post hoc test. P&#x0003C;0.05 was considered to indicate a statistically significant difference. Each experiment was replicated 3 times.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>SG formation is reduced and apoptosis levels are elevated in MCAO rats following 24 h of reperfusion</title>
<p>To evaluate the optimal point of reperfusion in the MCAO model, rats subjected to MCAO (n=36 rats, 6 rats/group) were sacrificed at 0, 6, 12, 24 or 36 h following reperfusion. The brain tissues were harvested and infarct volume was detected by TTC staining. SG formation and apoptosis levels were detected by immunohistochemical and TUNEL staining in frozen brain sections, respectively. The results revealed that SG formation peaked at 6 h postreperfusion, then progressively decreased until 24 h and increased at 36 h (<xref rid="IJMM-43-03-1452-g00" ref-type="fig">Fig. 1A</xref>). Apoptosis levels and infarct volume exhibited similar patterns during different time points following reperfusion, which peaked significantly at 24 h post-reperfusion and reduced at 36 h post-reperfusion (P&#x0003C;0.0001; <xref rid="IJMM-43-03-1452-g00" ref-type="fig">Fig. 1B and C</xref>). At 24 h post-reperfusion, SG formation was at the lowest level, whereas apoptosis and infarct volume were at the highest levels. However, at 36 h post-reperfusion, SG formation was increased, whereas apoptosis and infarct volume were decreased; this may be due to the recovery ability of the rats. These data suggested that MCAO injury may reduce SG formation and elevate apoptosis levels at 24 h. In addition, 24 h post-reperfusion was the optimal time point to investigate the association between SG formation and apoptosis.</p></sec>
<sec>
<title>The expression of miR-335 is significantly decreased in MCAO rats</title>
<p>A total of 24 male SD rats were randomly divided into control and model groups (12 rats/group). The MCAO model was established using the suture method. Following 24 h of reperfusion, all of the rats were sacrificed by CO<sub>2</sub> asphyxiation, the detailed procedure were performed as described previously (<xref rid="b30-ijmm-43-03-1452" ref-type="bibr">30</xref>). The relative expression of miR-335 was measured by RT-qPCR (<xref ref-type="supplementary-material" rid="SD1-ijmm-43-03-1452">Fig. S1A</xref>). Neurological deficit scoring was performed to evaluate the model. The whole brains were removed for TTC staining. Compared with the control group, the infarct volume and behavioral score significantly increased in the model group (P&#x0003C;0.001 and P=0.0026; <xref rid="IJMM-43-03-1452-g01" ref-type="fig">Fig. 2A and B</xref>), which verified the success of MCAO model establishment. Representative TTC-stained coronal sections of each group were presented in <xref rid="IJMM-43-03-1452-g01" ref-type="fig">Fig. 2C</xref>. An miRNA microarray assay was performed to determine the miRNAs with specific expression in the ischemic cortices of rats. When compared with the control group, there were 20 miRNAs which included 4 upregulated miRNAs and 16 downregulated miRNAs that exhibited differential expression in the model group. miR-335 exhibited the most obvious differential expression in downregulated miRNAs (<xref rid="IJMM-43-03-1452-g01" ref-type="fig">Fig. 2D</xref>). This experimental result was confirmed by the qPCR assay of multiple miRNAs (miR-335, miR-361-3p, miR-290, miR-292-3p, miR-296-5p and miR-3473) in the two groups. Compared with the control group, the miR-335 expression of the model group was significantly decreased (P&#x0003C;0.0001; <xref rid="IJMM-43-03-1452-g01" ref-type="fig">Fig. 2E</xref>). These findings suggested that miR-335 expression was reduced in MCAO rats.</p></sec>
<sec>
<title>miR-335 treatment increases SG formation and reduces the ischemia-induced injury, ROCK2 protein expression and apoptosis levels in MCAO rats</title>
<p>To investigate the protective effect of miR-335 <italic>in vivo</italic>, 48 male SD rats were randomly divided into 4 groups (control, model, miR-335 mimic and miR-335 inhibitor groups; 12 rats/group). The MCAO model was established using the suture method in rats. miR-335 mimics or the miR-335 inhibitor were immediately injected into the left lateral ventricle of the rats in the corresponding groups following neurological deficit scoring at 0 h. Following 24 h of reperfusion, all of the rats were sacrificed and brain tissues were harvested for the subsequent analyses. The TTC staining (<xref rid="IJMM-43-03-1452-g02" ref-type="fig">Fig. 3A</xref>) and neurological deficit scores were used to evaluate the MCAO model. Compared with the model group, the infarct volume and behavioral score significantly decreased in the mimic group (P=0.0029 and P=0.0104, respectively; <xref rid="IJMM-43-03-1452-g02" ref-type="fig">Fig. 3B and C</xref>). In addition, when compared with the model group, ROCK2 and caspase-3 expression markedly reduced in the miR-335 mimic group (P=0.0107; P=0.0272), whereas TIA1 and Bcl-2 expression increased (P&#x0003C;0.0001; P=0.0020). The immunohistochemical staining of TIA1 was utilized to detect the production of SG. According to the results of immunohistochemistry, the miR-335 mimic significantly promoted TIA1 expression when compared with the model group (P&#x0003C;0.0001; <xref rid="IJMM-43-03-1452-g02" ref-type="fig">Fig. 3E</xref>). The apoptosis levels were detected by TUNEL staining in frozen brain sections. In contrast to the model group, the miR-335 mimic significantly reduced the apoptotic levels of the ischemic brain (P=0.0236; <xref rid="IJMM-43-03-1452-g02" ref-type="fig">Fig. 3F</xref>). These results indicated that miR-335 increased SG formation and reduced the ischemia-induced injury, ROCK2 protein expression and apoptosis levels in MCAO rats. By analyzing the data, the present study revealed that there was a negative correlation between ROCK2 and TIA1 expression <italic>in vivo</italic>.</p></sec>
<sec>
<title>miR-335 inhibits the phosphorylation level of TIA1 in a MCAO rat model</title>
<p>To study the potential mechanism of miR-335 promoting SG assembly, the present study conducted immunoprecipitation to detect the phosphorylation level of TIA1 in the ischemic cortex of MCAO rats. As presented in <xref rid="IJMM-43-03-1452-g03" ref-type="fig">Fig. 4A</xref>, TIA1 phosphorylation was increased in the model and inhibitor groups when compared with control group. In addition, TIA1 phosphorylation was significantly inhibited in the miR-335 mimic group compared with the model (P=0.0011). The mechanism underlying how miR-335 promotes SG formation and the regulatory relationship between ROCK2 and TIA1 phosphorylation is presented in <xref rid="IJMM-43-03-1452-g03" ref-type="fig">Fig. 4B</xref>. These results indicated that miR-335 inhibits the phosphorylation level of TIA1 by decreasing the kinase activity of ROCK2 in MCAO rats.</p></sec>
<sec>
<title>miR-335 directly targets the 3&#x02032;UTR of ROCK2 mRNA in PC12 cells</title>
<p>Using bioinformatics software (TargetScan, <ext-link ext-link-type="uri" xlink:href="http://www.targetscan.org">www.targetscan.org</ext-link>; miRBase, <ext-link ext-link-type="uri" xlink:href="http://www.mirbase.org">www.mirbase.org</ext-link>), the present study demonstrated that there were predicted binding sites of miR-335 in the 3&#x02032;-UTR of ROCK2 mRNA (<xref rid="IJMM-43-03-1452-g04" ref-type="fig">Fig. 5A</xref>). To verify this result, a dual luciferase reporter system assay was performed in PC12 cells. Cells transfected with miR-335 NC and pLUC-ROCK2 WT plasmid were treated as the NC. The plasmid profile is presented in <xref rid="IJMM-43-03-1452-g04" ref-type="fig">Fig. 5B</xref>. Compared with the NC group, the relative luciferase activity of cells co-transfected with pLUC-ROCK2 plasmid and miR-335 mimic was significantly decreased (P=0.0022; <xref rid="IJMM-43-03-1452-g04" ref-type="fig">Fig. 5C</xref>). These results confirm that the 3&#x02032;-UTR of ROCK2 mRNA may be the target of miR-335 in PC12 cells.</p></sec>
<sec>
<title>miR-335 promotes SG formation, reduces ROCK2 expression and suppresses cell apoptosis in serum-free cells</title>
<p>To investigate the protective effect of miR-335 <italic>in vitro</italic>, a serum-free cell model was used in the present study. The stimulatory time experiments indicated that 24 h stimulation generated the most obvious SG formation (<xref rid="IJMM-43-03-1452-g05" ref-type="fig">Fig. 6A</xref>). Then the PC12 cells were cultured in 6/24-well plates and divided into 6 groups: Control, model, miR-335 mimic, miR-335 NC, miR-335 inhibitor and miR-335 inhibitor NC groups. The relative expression of miR-335 was measured by RT-qPCR (<xref ref-type="supplementary-material" rid="SD1-ijmm-43-03-1452">Fig. S1B</xref>). Following transfection with an miR-335 mimic, mimic NC, inhibitor and inhibitor NC respectively, the cells were cultured with serum-free stimulation for 24 h in RPMI-1640 medium. As presented in <xref rid="IJMM-43-03-1452-g05" ref-type="fig">Fig. 6B</xref>, compared with the model group, ROCK2 expression significantly decreased and TIA1 expression increased significantly in the miR-335 mimic group (P&#x0003C;0.0001; P&#x0003C;0.0001). According to the results of immunofluorescence staining (<xref rid="IJMM-43-03-1452-g05" ref-type="fig">Fig. 6C</xref>), the miR-335 mimic significantly promoted SG production (P&#x0003C;0.0001). As presented in <xref rid="IJMM-43-03-1452-g05" ref-type="fig">Fig. 6D</xref>, compared with the model group, apoptosis levels were significantly reduced in the miR-335 mimic group (P&#x0003C;0.0001). These results indicated that miR-335 promoted SG formation, decreased ROCK2 expression and prevented cell apoptosis in the serum-free cell model.</p></sec>
<sec>
<title>ROCK2 silencing enhances SG formation and reduces the apoptosis level in serum-free cells</title>
<p>To analyze the effect of ROCK2 <italic>in vitro</italic>, the present study performed RNA interference (RNAi) to silence the expression of ROCK2 in serum-free cells. PC12 cells were transfected with siRNA-ROCK2-1, siRNA-ROCK2-2 and siRNA-ROCK2-3 (100 nM) for 6 and 12 h in 6-well plates (1&#x000D7;10<sup>5</sup> cells per well) to select the most effective segment and transfection time point. The relative expression of ROCK mRNA was measured by RT-qPCR (<xref ref-type="supplementary-material" rid="SD1-ijmm-43-03-1452">Fig. S1C</xref>). Western blotting results demonstrated that siRNA-ROCK2-1 transfected for 6 h was the most effective method to silence ROCK2 expression (<xref rid="IJMM-43-03-1452-g06" ref-type="fig">Fig. 7A</xref>). Furthermore, compared with the model group, ROCK2 expression significantly decreased and TIA1 expression significantly increased in the siRNA-ROCK2 group (P=0.0013; P=0.0046; <xref rid="IJMM-43-03-1452-g06" ref-type="fig">Fig. 7B</xref>). As presented in <xref rid="IJMM-43-03-1452-g06" ref-type="fig">Fig. 7C</xref>, in contrast to the model group, SG formation was increased in the siRNA-ROCK2 group (P=0.0002). Flow cytometry analysis was used to evaluate apoptosis levels in the cell model. Compared with the model group, the apoptosis level significantly reduced in the siRNA-ROCK2 group (P&#x0003C;0.0001; <xref rid="IJMM-43-03-1452-g06" ref-type="fig">Fig. 7D</xref>). These results indicated that ROCK2 silencing promoted SG formation, elevated TIA1 protein expression and prevented cell apoptosis in serum-free cells.</p></sec>
<sec>
<title>ROCK2 silencing significantly attenuates the effect of miR-335 on SG formation and apoptosis</title>
<p>According to the aforementioned results, the present study revealed that miR-335 promoted SG formation and suppressed cell apoptosis in PC12 cells with serum-free stimulation. Previous studies have demonstrated that the target gene can be regulated by multiple miRNAs (<xref rid="b31-ijmm-43-03-1452" ref-type="bibr">31</xref>,<xref rid="b32-ijmm-43-03-1452" ref-type="bibr">32</xref>). Therefore, to investigate the association between the protective function of miR-335 and ROCK2, co-transfection of miR-335 and siRNA-ROCK2 was performed in the serum-free cell model. As presented in <xref rid="IJMM-43-03-1452-g07" ref-type="fig">Fig. 8A</xref>, compared with the model group, ROCK2 expression was significantly inhibited in the co-transfection and siRNA-ROCK2 groups (P=0.0024; P=0.0035), and TIA1 expression was significantly increased in these two groups (P=0.0009; P=0.0030). Furthermore, there was no significant difference in ROCK2 and TIA1 expression between the siRNA-ROCK2 and co-transfection groups (P=0.9885; P=0.7090). In contrast to the model group, SG formation was markedly increased in the co-transfection and siRNA-ROCK2 groups (P=0.0019; P=0.0034), however, no significant difference was identified between these two groups (P=0.9591; <xref rid="IJMM-43-03-1452-g07" ref-type="fig">Fig. 8B</xref>). Flow cytometry analysis was used to detect the level of apoptosis. Compared with the model group, the apoptotic level was significantly down-regulated in the co-transfection and siRNA-ROCK2 groups (P=0.0003; P=0.0008), however, no significant difference was identified when comparing these two groups (P=0.7818; <xref rid="IJMM-43-03-1452-g07" ref-type="fig">Fig. 8C</xref>). These results indicated that miR-335 specifically targeted the ROCK2 3&#x02032;-UTR to promote SG formation, reduce ROCK2 expression and suppress cell apoptosis.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Ischemic brain injury is mediated by multiple mechanisms (<xref rid="b33-ijmm-43-03-1452" ref-type="bibr">33</xref>) and SG assembly may serve a protective role in the delayed progression of ischemic brain injury. However, few studies have focused on the roles of miRNAs in the SG assembly of stroke. The present study used MCAO and serum-free cell models to mimic various pathological features in the early stages of stroke to further investigate the roles of miRNAs in SG assembly in AIS. The major results of the present study were as follows: i) An inverse association between SG formation and apoptotic level was identified in MCAO rats; ii) miR-335 was decreased in the MCAO rats and the mRNA of ROCK2 was the effective target of miR-335; and iii) the SG formation promoted by miR-335 inhibits apoptosis levels by inhibiting ROCK2 expression in AIS. The results also demonstrated that the miR-335-ROCK2 signaling pathway may serve an important role in SG formation and apoptosis levels in stroke and this pathway may be a pivotal target for treatment in AIS.</p>
<p>An important result of the present study was that an inverse association between SG formation and apoptosis was observed in MCAO rats. Previous studies have demonstrated that TIA1 expression could be used as a hallmark for SG presence (<xref rid="b34-ijmm-43-03-1452" ref-type="bibr">34</xref>&#x02013;<xref rid="b36-ijmm-43-03-1452" ref-type="bibr">36</xref>). SG formation peaked at 6 h following reperfusion and decreased at 24 h after reperfusion; apoptosis levels were the lowest at 6 h post-reperfusion and peaked at 24 h following reperfusion. These observations suggest that decreasing SG formation may promote apoptotic levels and aggravate brain injury in MCAO rats. These results are consistent with a recent study that revealed that SGs have a dynamic structure and exert an anti-apoptosis function in stressed cells (<xref rid="b37-ijmm-43-03-1452" ref-type="bibr">37</xref>). The results of the present study suggested that the dynamic regulation of SGs may serve as a protective pathway in stroke.</p>
<p>Another important finding of present study was that miR-335 promoted SG formation in MCAO rats and PC12 cells with serum-free stimulation. Microarray data and qPCR detection identified that miR-335 was specifically reduced in MCAO rats. These results are consistent with the results of previous study that suggested that dysregulation of miRNAs can be linked to ischemic stroke (<xref rid="b38-ijmm-43-03-1452" ref-type="bibr">38</xref>). Furthermore, it has been reported that miRNAs can affect the formation of SGs (<xref rid="b39-ijmm-43-03-1452" ref-type="bibr">39</xref>). However, the role of miR-335 on SG formation in response to stroke remains unknown. The present study demonstrated that miR-335 treatment increased SG formation and reduced the apoptotic level in animal and cell experiments, which protects the brain from ischemic injury. This conclusion was consistent with a previous report (<xref rid="b30-ijmm-43-03-1452" ref-type="bibr">30</xref>). Under stress conditions, SG formation enhances cell survival and prevents apoptosis (<xref rid="b40-ijmm-43-03-1452" ref-type="bibr">40</xref>). If the stress is persistent, SG will be degraded and followed by apoptosis initiation (<xref rid="b41-ijmm-43-03-1452" ref-type="bibr">41</xref>). There have been several studies investigating the association between SG and apoptosis (<xref rid="b42-ijmm-43-03-1452" ref-type="bibr">42</xref>&#x02013;<xref rid="b44-ijmm-43-03-1452" ref-type="bibr">44</xref>). Therefore, increasing SG formation promoted by miR-335 may be a therapeutic strategy for stroke. The results of the present study suggested that the target gene silencing function of miR-335 may act as a mediator between SG formation and apoptosis <italic>in vivo</italic> and <italic>in vitro</italic>. This finding may indicate the molecular mechanism underlying the anti-apoptotic effect of SG formation in AIS.</p>
<p>In the present study, an important mechanism was revealed as miR-335 was observed to regulate SG formation by targeting the mRNA of ROCK2. Bioinformatics analysis predicted that ROCK2 mRNA is targeted by miR-335 and ROCK2 served an important role in ischemic stroke (<xref rid="b45-ijmm-43-03-1452" ref-type="bibr">45</xref>,<xref rid="b46-ijmm-43-03-1452" ref-type="bibr">46</xref>). ROCKs can lead to the phosphorylation of downstream substrates and induce alterations in cellular function. The present study demonstrated that ROCK2 increased along with the elevated levels of apoptosis and was negatively correlated with SG formation <italic>in vivo</italic> and <italic>in vitro.</italic> The observations of the present study suggest that ROCK2 functions as a mediator between apoptosis and SG formation. To verify ROCK2 functions in cells, RNAi experiments were performed with ROCK2 silencing and miR-335 co-transfection in this study. The results of the present study confirm that ROCK2 inhibited the expression of TIA1, which resulted in the reduction of SG formation and increased apoptosis level. In previous studies (<xref rid="b47-ijmm-43-03-1452" ref-type="bibr">47</xref>&#x02013;<xref rid="b50-ijmm-43-03-1452" ref-type="bibr">50</xref>), the association between the dynamic generation of SG and the post-translational modification of crucial RBPs has been investigated. These studies demonstrated that SG nucleating factors can be phosphorylated in the serine and threonine residues by specific kinases, which generally reduce the interactions between RBPs and mRNAs, and finally decrease SG assembly. It should be noted that miR-335 inhibited TIA1 phosphorylation in MCAO rats in the present study. This may be explained by the potential mechanism that the serine/threonine residue sites of TIA1 may be phosphorylated by the kinase activity of ROCK2, which in turn impacts the assembly of SG under stress conditions.</p>
<p>There are several important clinical implications of these results. Firstly, miR-335 may be a potential biomarker for the early diagnosis of stroke. miR-335 was decreased in the ischemic cortices of MCAO rats, which is consistent with a previous study which revealed that plasma miR-335 expression decreased in patients with AIS (<xref rid="b51-ijmm-43-03-1452" ref-type="bibr">51</xref>). Secondly, there are currently few therapies to protect against the progression of stroke. The present study has revealed that miR-335 inhibited apoptosis by promoting SG formation in AIS. Finally, it is important to identify therapeutic targets for the effective protection against cerebral ischemic impairments. In conclusion, the results of the present study support novel potential therapeutic targets for AIS based on the regulation of the miR-335-ROCK2 signaling pathway in SG formation.</p></sec>
<sec sec-type="supplementary-material">
<title>Supplementary Materials</title>
<supplementary-material id="SD1-ijmm-43-03-1452" content-type="local-data">
<media xlink:href="Supplementary_Data.pdf" mimetype="application" mime-subtype="pdf"/></supplementary-material></sec></body>
<back>
<sec sec-type="other">
<title>Funding</title>
<p>The present study was supported by the National Natural Science Foundation of China (grant no. 81673770) and the National Natural Science Foundation of Guangdong province (grant no. 2017A030312009).</p></sec>
<sec sec-type="materials">
<title>Availability of data and materials</title>
<p>The data and materials generated during the study are available from the corresponding author on reasonable request.</p></sec>
<sec sec-type="other">
<title>Authors' contributions</title>
<p>WS performed the experiments and wrote the manuscript. SY performed the experiments and analyzed the data. ZR, XL, ZW and YL performed the cell and animal experiments. JZ and RD provided the reagents/materials. SZ performed the histological examinations of the brain. YwL designed the experiments and analyzed the data. DC conceived and designed the experiments. All authors have read and approved the final manuscript.</p></sec>
<sec sec-type="other">
<title>Ethics approval and consent to participate</title>
<p>All animal experiments were approved by the Care and Use of Experimental Animals Committee of Guangzhou University of Chinese Medicine and performed according to the National Institute of Health Guide for the Care and Use of Laboratory Animals.</p></sec>
<sec sec-type="other">
<title>Patient consent for publication</title>
<p>Not applicable.</p></sec>
<sec sec-type="other">
<title>Competing interest</title>
<p>All authors declare that they have no competing interest to disclose.</p></sec>
<ack>
<title>Acknowledgments</title>
<p>Not applicable.</p></ack>
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<floats-group>
<fig id="IJMM-43-03-1452-g00" position="float">
<label>Figure 1</label>
<caption>
<p>An inverse association between SG formation and apoptosis in a MCAO model following 24 h reperfusion. (A) SG formation was inhibited in the MCAO model after 24 h reperfusion. (B) Apoptosis levels were elevated in MCAO rats following 24 h reperfusion. (C) Infarct volume was the greatest following 24 h reperfusion in the MCAO model. TTC staining was used for the measurement of infarct size. Data are presented as the mean &#x000B1; standard error of the mean. <sup>&#x0002A;&#x0002A;&#x0002A;</sup>P&#x0003C;0.001 and <sup>&#x0002A;&#x0002A;&#x0002A;&#x0002A;</sup>P&#x0003C;0.0001 vs. the control group; <sup>#</sup>P&#x0003C;0.05 6 h vs. 24 h (one-way analysis of variance test). Each experiment was replicated 3 times. The control group underwent sham surgery (the common carotid artery of rats in control group was isolated with no ligation). Scale bars, 25 &#x000B5;m. SG, stress granules; MCAO, middle cerebral artery occlusion.</p></caption>
<graphic xlink:href="IJMM-43-03-1452-g00.tif"/></fig>
<fig id="IJMM-43-03-1452-g01" position="float">
<label>Figure 2</label>
<caption>
<p>miR-335 expression is significantly decreased in the MCAO model. (A) The infarct volume of the model group was significantly increased compared with the control group. Brain tissues were sectioned into 6 slices of 2-mm thickness. TTC staining was used for the measurement of infarct size. <sup>&#x0002A;&#x0002A;&#x0002A;&#x0002A;</sup>P&#x0003C;0.0001 vs. the control group (Student's t-test). (B) The neurological score of the MCAO model group was increased significantly at 24 h. The 0 (green) and 24 h (red) neurological scores of the control group were considered as the zero points. <sup>&#x0002A;&#x0002A;</sup>P&#x0003C;0.01, 0 h vs. 24 h (Student's t-test). (C) Representative TTC-stained serial sections (left panel) and the most severely damaged section (right panel) of each group. The third slices of the brain were considered to be the most severely damaged sections. (D) The expression of miR-335 was decreased in the miRNA microarray assay. miR-335 was marked with a red rectangle. (E) The expression of rno-miR-335 was significantly reduced in the MCAO model. The qPCR assay of the 6 selected miRNAs (miR-335, miR-361-3p, miR-290, miR-292-3p, miR-296-5p and miR-3473) was performed to determine the differential expression in the MCAO model. Data are presented as the mean &#x000B1; standard error of the mean. <sup>&#x0002A;&#x0002A;&#x0002A;&#x0002A;</sup>P&#x0003C;0.0001 vs. control group (Student's t-test). Control group was under sham surgery. Each experiment was replicated 3 times. MCAO, middle cerebral artery occlusion; miR/miRNA, microRNA; rno, <italic>Rattus norvegicus</italic>.</p></caption>
<graphic xlink:href="IJMM-43-03-1452-g01.tif"/></fig>
<fig id="IJMM-43-03-1452-g02" position="float">
<label>Figure 3</label>
<caption>
<p>miR-335 treatment increases SG formation and reduces ischemia-induced brain damage, ROCK2 protein expression and apoptosis levels. (A) Representative TTC-stained coronal sections of each group. Serial sections are shown in the left panel, the third sections are shown in right panel. (B) miR-335 reduced infarct volume in the MCAO model. TTC staining was used for the measurement of infarct size. <sup>&#x0002A;&#x0002A;</sup>P&#x0003C;0.01, vs. model group (one-way ANOVA test). (C) miR-335 reduced neurological deficits scores in MCAO model. <sup>&#x0002A;</sup>P&#x0003C;0.05, 0 h vs. 24 h (Student's t-test). (D) miR-335 reduced ROCK2 and caspase3 expression and increased TIA1 and Bcl-2 expression in MCAO rats (6 rats/group). <sup>&#x0002A;</sup>P&#x0003C;0.05 and <sup>&#x0002A;&#x0002A;</sup>P&#x0003C;0.01 vs. model group (one-way ANOVA test). (E) miR-335 promoted SG formation in MCAO rats (6 rats/group). <sup>&#x0002A;&#x0002A;&#x0002A;&#x0002A;</sup>P&#x0003C;0.0001 vs. model group (one-way ANOVA test). (F) miR-335 suppressed the apoptosis levels in the MCAO model. TUNEL staining in frozen sections was used to evaluate the levels of apoptosis. Data were presented as the mean &#x000B1; standard error of the mean. <sup>&#x0002A;</sup>P&#x0003C;0.05 vs. model group (one-way ANOVA test). Each experiment was replicated 3 times. Scale bars, 25 &#x000B5;m. Control group underwent sham surgery. SG, stress granules; MCAO, middle cerebral artery occlusion; miR, microRNA; ROCK2, Rho associated protein kinase 2; TIA1, T-cell intracellular antigen-1; Bcl-2, B-cell lymphoma 2; ANOVA, analysis of variance.</p></caption>
<graphic xlink:href="IJMM-43-03-1452-g02.tif"/></fig>
<fig id="IJMM-43-03-1452-g03" position="float">
<label>Figure 4</label>
<caption>
<p>miR-335 inhibits the phosphorylation level of TIA1 in the MCAO rat model. (A) TIA1 phosphorylation was significantly decreased by miR-335 in the immunoprecipitation assay. Protein extracted from the rat brain tissue was incubated with TIA1 coated beads and a western blotting assay was used to detect the levels of phosphorylation. Data were presented as the mean &#x000B1; standard error of the mean (6 rats/group). <sup>&#x0002A;&#x0002A;</sup>P&#x0003C;0.01 vs. the model group (one-way analysis of variance test). (B) Schematic representation of the proposed effect of miR-335 on ROCK2 activity and TIA1 phosphorylation in SG formation. Control group underwent sham surgery. TIA1, T-cell intracellular antigen-1; MCAO, middle cerebral artery occlusion; miR, microRNA; ROCK2, Rho associated protein kinase 2.</p></caption>
<graphic xlink:href="IJMM-43-03-1452-g03.tif"/></fig>
<fig id="IJMM-43-03-1452-g04" position="float">
<label>Figure 5</label>
<caption>
<p>3&#x02032;-UTR of ROCK2 was the specific target of miR-335. (A) miR-335 had binding sites in the 3&#x02032;-UTR of ROCK2. TargetScan and MiRBase were used to search for the target sites. (B) The construction profile of the pLUC-ROCK2 plasmid. The binding sequence in the 3&#x02032;-UTR of ROCK2 was replaced in the pLUC-ROCK2 MUT plasmid. (C) miR-335 reduced the relative luciferase activity of pLUC-ROCK2. PC12 cells were transfected with pLUC-ROCK2 vector (200 ng), miR-335 mimics (100 nM) or miR-335 NC (100 nM) for 48 h using Lipofectamine<sup>&#x000AE;</sup> 2000. <sup>&#x0002A;&#x0002A;</sup>P&#x0003C;0.05 vs. miR-335 NC+pLUC-ROCK2 group (One-way analysis of variance test). Data were presented as the mean &#x000B1; standard error of the mean. Each experiment was replicated 3 times. Untransfected cells were used as the control group. UTR, untranslated region; ROCK2, Rho associated protein kinase 2; miR, microRNA; NC, negative control; WT, wild type; MUT, mutant.</p></caption>
<graphic xlink:href="IJMM-43-03-1452-g04.tif"/></fig>
<fig id="IJMM-43-03-1452-g05" position="float">
<label>Figure 6</label>
<caption>
<p>miR-335 promotes SG formation, reduces ROCK2 expression and cell apoptosis in serum-free cells. (A) Stimulation for 24 h produced the most obvious SG formation in PC12 cells. Immunofluorescence staining was used to observe SG formation. <sup>&#x0002A;&#x0002A;&#x0002A;&#x0002A;</sup>P&#x0003C;0.0001 vs. the control group. (B) miR-335 reduced ROCK2 expression and increased TIA1 expression in the serum-free cell model. miR-335 mimic and mimic NC was transfected into cells at a 50 nM final concentration and miR-335 inhibitor and inhibitor NC was transfected at a final concentration of 100 nM in 6-wells plate. Untransfected cells were used as the control group.<sup>&#x0002A;&#x0002A;&#x0002A;&#x0002A;</sup>P&#x0003C;0.0001 vs. the model group. (C) miR-335 promoted SG formation in the serum-free cell model. <sup>&#x0002A;&#x0002A;&#x0002A;&#x0002A;&#x0002A;</sup>P&#x0003C;0.0001 vs. the model group. (D) miR-335 suppressed cell apoptosis in the serum-free cell model. The apoptotic rate was detected by flow cytometry analysis using an Annexin V-FITC apoptosis detection kit. <sup>&#x0002A;&#x0002A;&#x0002A;&#x0002A;</sup>P&#x0003C;0.0001 vs. the model group. Data are presented as the mean &#x000B1; standard error of the mean. One-way analysis of variance test. Each experiment was replicated 3 times. Scale bars, 10 &#x000B5;m. miR, microRNA; SG, stress granules; MCAO, middle cerebral artery occlusion; TIA1, T-cell intracellular antigen-1; ROCK2, Rho associated protein kinase 2; NC, negative control; FITC, fluorescein isothiocyanate.</p></caption>
<graphic xlink:href="IJMM-43-03-1452-g05.tif"/></fig>
<fig id="IJMM-43-03-1452-g06" position="float">
<label>Figure 7</label>
<caption>
<p>ROCK2 silencing enhances SG formation and attenuates apoptosis levels in the serum-free cell model. (A) siRNA-ROCK2-1 transfection for 6 h was the most efficient in reducing ROCK2 expression. PC12 cells were transfected with diverse siRNA-ROCK2 segments at a 100 nM final concentration in 6-well plates. <sup>&#x0002A;&#x0002A;&#x0002A;</sup>P&#x0003C;0.001 vs. the control group. (B) ROCK2 silencing reduced ROCK2 expression and increased TIA1 expression in the serum-free cell model. Transfection of siRNA-ROCK2-1 and siRNA-ROCK2 NC into cells at a 100 nM final concentration in 6-well plates. After serum-free stimulation for 24 h, PC12 cells were collected for western blotting analysis. <sup>&#x0002A;&#x0002A;</sup>P&#x0003C;0.01 vs. the model group. (C) ROCK2 silencing promoted SG formation in the serum-free cell model. <sup>&#x0002A;&#x0002A;&#x0002A;</sup>P&#x0003C;0.001 vs. the model group. (D) ROCK2 silencing suppressed cell apoptosis in serum-free cells. Flow cytometry analysis was used for detection. <sup>&#x0002A;&#x0002A;&#x0002A;&#x0002A;</sup>P&#x0003C;0.0001 vs. the model group. Data were presented as the mean &#x000B1; standard error of the mean. One-way analysis of variance test. Untransfected cells were used as the control group. Each experiment was replicated 3 times. Scale bars, 10 &#x000B5;m. ROCK2, Rho associated protein kinase 2; SG, stress granules; siRNA, small interfering RNA.</p></caption>
<graphic xlink:href="IJMM-43-03-1452-g06.tif"/></fig>
<fig id="IJMM-43-03-1452-g07" position="float">
<label>Figure 8</label>
<caption>
<p>ROCK2 silencing significantly attenuates the effect of miR-335 on SG formation and apoptosis. (A) miR-335 had no significant effect on ROCK2 and TIA1 protein expression following ROCK2 silencing. PC12 cells were transfected with siRNA-ROCK2 (100 nM) or miR-335 mimic (50 nM) for 6 h in 6-well plates (1&#x000D7;10<sup>5</sup> cells per well). <sup>&#x0002A;&#x0002A;</sup>P&#x0003C;0.01 vs. the model group. (B) ROCK2 silencing attenuated the effect of miR-335 on SG formation. <sup>&#x0002A;&#x0002A;</sup>P&#x0003C;0.01, vs. the model group. (C) ROCK2 silencing significantly attenuated the effect of miR-335 on apoptosis. Flow cytometry analysis was used for detection. Data were presented as the mean &#x000B1; standard error of the mean. <sup>&#x0002A;&#x0002A;&#x0002A;&#x0002A;</sup>P&#x0003C;0.001 vs. the model group. Each experiment was replicated 3 times. One-way analysis of variance test. Untransfected cells were used as the control group. Scale bars, 10 &#x000B5;m. ROCK2, Rho associated coiled-coil containing protein kinase 2; TIA1, T-cell intracellular antigen-1; SG, stress granules; miR, microRNA; NS, no significant differences.</p></caption>
<graphic xlink:href="IJMM-43-03-1452-g07.tif"/></fig></floats-group></article>
