首页|miR-25a-5p促进乳腺癌蒽环类药物治疗所致的心肌损伤

miR-25a-5p促进乳腺癌蒽环类药物治疗所致的心肌损伤

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目的:探讨蒽环类药物诱导心肌毒性的机制和新的治疗靶点。方法:106例乳腺癌患者根据超声心动图检查鉴别出肿瘤治疗相关心功能障碍,分为心功能障碍组及对照组。通过微阵列技术高通量筛选两组患者差异表达miRNA。体外构建蒽环类药物诱导H9C2心肌细胞损伤模型,通过调控miR-25a-5p的表达,观察miR-25a-5p在蒽环类药物诱导H9C2心肌细胞损伤中的作用。结果:乳腺癌患者中9例发生肿瘤治疗相关心功能障碍,并从两组患者中鉴定出9个差异表达的miRNA。其中8个miRNA在体外模型中进一步得到验证,尤其是miR-25a-5p。通过上调miR-25a-5p,可进一步加重蒽环类药物诱导心肌细胞氧化损伤。结论:miR-25a-5p促进蒽环类药物诱导的心肌损伤,可能是新的生物标志物及治疗靶点。
The miR-25a-5p aggravating anthracycline-induced myocardial damage in breast cancer treatment
Objective:To explore the mechanism and new therapeutic targets of anthracycline-induced cardiotox-icity.Methods:A total of 106 cases of breast cancer patients were divided into cardiac dysfunction group and control group based on echocardiography to identify cancer therapeutics-related cardiac functional impairment.Differentially expressed miRNAs between the two groups were screened out by high-throughput microarray tech-nology.The model of H9C2 myocardial cell damage induced by anthracyclines was constructed in vitro,and the role of miR-25a-5p in the H9C2 myocardial cell damage induced by anthracyclines was observed by regulating the expression of miR-25a-5p.Results:Cancer therapeutics-related cardiac dysfunction occurred in 9 breast can-cer patients,and a total of 9 differentially expressed miRNAs were identified between the two groups.Eight of these miRNAs were further validatedin vitromodel,especially miR-25a-5p.Up-regulation of miR-25a-5p could further aggravate the anthracycline-induced oxidative damage in myocardial cells.Conclusion:The miR-25a-5p aggravates anthracycline-induced myocardial damage and may be a new biomarker and therapeutic target.

breast canceranthracyclinecancer therapeutics-related cardiac dysfunctionmiR-25a-5p

刘睿、吕雨桐、姜翠红、王高兴、赵志正

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中国中医科学院广安门医院南区肿瘤科,北京 102618

中国中医科学院广安门医院肿瘤科,北京 100053

乳腺癌 蒽环类药物 肿瘤治疗相关心功能障碍 miR-25a-5p

国家自然科学基金资助项目中国中医科学院广安门医院南区院级科研基金项目

81703918Y2020-03

2024

广西医科大学学报
广西医科大学

广西医科大学学报

CSTPCD
影响因子:0.788
ISSN:1005-930X
年,卷(期):2024.41(1)
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