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pmid26097555
      Int+J+Clin+Exp+Pathol 2015 ; 8 (4 ): 3735-41
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  • Trimetazidine protects against hypoxia-reperfusion-induced cardiomyocyte apoptosis by increasing microRNA-21 expression #MMPMID26097555
  • Yang Q ; Yang K ; Li AY
  • Int J Clin Exp Pathol 2015[]; 8 (4 ): 3735-41 PMID26097555 show ga
  • Myocardial tissue injury caused by ischemia and hypoxia is a major cause of fatal diseases, including coronary atherosclerosis resulting from myocardial infarction and stroke. Trimetazidine (TMZ), as an anti-ischemic and antioxidant agent, has been demonstrated to preventing ischemia/reperfusion-induced cardiomyocyte apoptosis. However, the anti-apoptosis mechanism of TMZ has not been fully elucidated. The present study demonstrated that miR-21 involved trimetazidine-induced anti-apoptosis during H/R injury in H9C2 cell. In this study, TMZ increased miR-21 expression which further upregulated the Akt signaling activity via suppressing the expression of phosphatase and tensin homolog (PTEN) in H/R H9C2 cell. The increased activity of Akt signaling decreased the ratio of Bax/Bcl-2 and the expression of caspase-3 and inhibited H/R induced apoptosis. In conclusion, this study revealed the mechanism that TMZ up-regulated miR-21 expression, then miR-21 targeted PTEN increasing the PI3K pathway and finally the activation of this pathway counteracted the apoptotic effect of hypoxia/reperfusion.
  • |Apoptosis/*drug effects [MESH]
  • |Caspase 3/metabolism [MESH]
  • |Cell Line [MESH]
  • |Humans [MESH]
  • |Hypoxia/metabolism [MESH]
  • |MicroRNAs/*metabolism [MESH]
  • |Myocardial Reperfusion Injury/*metabolism [MESH]
  • |Myocytes, Cardiac/*drug effects/metabolism [MESH]
  • |PTEN Phosphohydrolase/metabolism [MESH]
  • |Proto-Oncogene Proteins c-akt/metabolism [MESH]
  • |Signal Transduction/physiology [MESH]
  • |Trimetazidine/*pharmacology [MESH]


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