Sep 2026· Journal of Stroke & Cerebrovascular Diseases· pp.
108739
· 0 citations· 38 references
Medicine
TL;DR
The findings support that restoration of miR-642b-3p alleviates post-ICH cerebral edema and neurological deficits via targeted inhibition of SERPINE1-mediated inflammation, involving suppression of NLRP3 inflammasome and promotion of M2 polarization.
Abstract
INTRODUCTION
The pathological mechanism of post-intracerebral hemorrhage (ICH) brain injury remains incompletely clarified. This study aims to clarify the role and molecular mechanism of miR-642b-3p in ICH, thereby providing a potential candidate target for clinical treatment.
MATERIAL AND
Methods
We enrolled 66 ICH patients and 70 matched healthy controls with strict inclusion/exclusion criteria, and used multivariable linear regression to analyze independent correlates of miR-642b-3p and SERPINE1. Collagenase-induced rat ICH models with pre-calculated sample size, random grouping and blinded tests were established, followed by intracerebroventricular injection of 5 nmol/rat miR-642b-3p agomir. Neurological function, brain edema and inflammatory cytokines were detected via mNSS, mLPT and ELISA. LPS-stimulated BV-2 microglia, dual-luciferase assay and SERPINE1 overexpression rescue experiments were adopted to validate the miRNA-target regulatory cascade. NLRP3 inflammasome components and microglial polarization markers were further assessed by qPCR.
Results
miR-642b-3p decreased while SERPINE1 increased in patient serum and rat brain tissue; hematoma volume and GCS score independently predicted their expression. miR-642b-3p overexpression suppressed SERPINE1, relieved edema, improved neurofunction and lowered proinflammatory cytokines in vivo. In LPS-treated BV-2 cells, miR-mimic reversed abnormal SERPINE1 elevation and inflammation, whereas SERPINE1 overexpression abolished such protective effects. Dual-luciferase assay verified direct binding between miR-642b-3p and SERPINE1 3'UTR. Moreover, miR-642b-3p inhibited NLRP3 inflammasome activation and promoted microglial M2 polarization by targeting SERPINE1.
Conclusion
Our findings support that restoration of miR-642b-3p alleviates post-ICH cerebral edema and neurological deficits via targeted inhibition of SERPINE1-mediated inflammation, involving suppression of NLRP3 inflammasome and promotion of M2 polarization. The miR-642b-3p/SERPINE1 axis may serve as a promising therapeutic target for ICH.
BACKGROUND
Sevoflurane (Sevo) is widely applied in clinical anesthesia practice, and exposure to this agent has been linked to cognitive impairment.
PURPOSE
This study aimed to explore how microRNA-519a-3p (miR-519a-3p) contributes to Sevo-induced cognitive impairment and the molecular mechanisms involved.
METHODS...
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