Abstract
Cerebral stroke is a major cause of death and physical disability throughout the world, yet therapeutic options remain limited. The outcomes of stroke injury are critical, causing an extensive burden to both the individual patient and society. Current interventions for stroke injury have been demonstrated to be inadequate, mostly attributable to a lack of understanding of the cellular and molecular changes that occur following an ischemic cerebral stroke. MicroRNAs (miRNAs) are small, endogenous, noncoding RNA molecules that have capacity as post-transcriptional negative regulators of a target mRNA by base-pairing with the 3′- untranslated region (3′-UTR). Novel methodologies are being produced to get miRNA-related therapeutics into the brain over an intact BBB, including chemical modification, use of targeting molecules and methods of disrupting the BBB. However, circulating miRNAs are novel, stable, and potential biomarkers for the early diagnosis of acute stroke in humans. These miRNA profiles also indicate the severity of stroke results related to age and sex in rodents. In this chapter, we focus on the pathophysiological role of miRNAs as novel diagnostic and prognostic biomarkers, in addition to promising therapeutic interventions in cerebral stroke patients.
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Abbreviations
- BDNF:
-
Brain-derived neurotrophic factor
- COX2:
-
Cyclooxygenase 2
- e-NOS:
-
Endothelial-NOS
- FAP-1:
-
Fas-associated protein-tyrosine phosphatase 1
- FasL:
-
Fas ligand
- FGF2:
-
Fibroblast growth factor 2
- GAX:
-
Growth arrest-specific homeobox
- GLT-1:
-
Glutamate transporter-1
- GluR2:
-
Glutamate receptor 2
- HOXA5:
-
Homeobox A5
- HSPA12B:
-
Heat shock protein A12B
- iASPP:
-
Inhibitory member of the apoptosis-stimulating proteins of p53 family
- IGF-1:
-
Insulin-like growth factor 1
- IL:
-
Interleukin
- KIT:
-
Kit ligand
- MDA:
-
Malondialdehyde
- MMP-9:
-
Metalloproteinases 9
- MnSOD:
-
Manganese SOD
- MyD88:
-
Myeloid differentiation primary response gene 88
- NCX1:
-
Sodium–calcium exchanger-1
- NMDA:
-
N-Methyl-D-aspartate
- NPC:
-
Neuronal progenitor cell
- Nrf2:
-
Nuclear factor erythroid-2 related factor 2
- PUMA:
-
p53 upregulated modulator of apoptosis
- ROS:
-
Reactive oxygen species
- SOCS1:
-
Suppressor of cytokine signaling 1
- SOD:
-
Superoxide dismutase
- Sox9:
-
Sry-box 9
- TGF-β:
-
Transforming growth factor-β
- TLR:
-
Toll-like receptor
- TNF:
-
Tumor necrosis factor
- VEGF:
-
Vascular endothelial growth factor
References
Mukherjee, D., & Patil, C. G. (2011). Epidemiology and the global burden of stroke. World Neurosurgery, 76(6), S85–S90.
Beal, C. C. (2010). Gender and stroke symptoms: A review of the current literature. Journal of Neuroscience Nursing, 42(2), 80–87.
Liu, X., Li, F., Zhao, S., Luo, Y., Kang, J., Zhao, H., Yan, F., Li, S., & Ji, X. (2013). MicroRNA-124–mediated regulation of inhibitory member of apoptosis-stimulating protein of p53 family in experimental stroke. Stroke, 44(7), 1973–1980.
Liu, F. J., Lim, K. Y., Kaur, P., Sepramaniam, S., Armugam, A., Wong, P. T. H., & Jeyaseelan, K. (2013). microRNAs involved in regulating spontaneous recovery in embolic stroke model. PLoS One, 8(6), e66393.
Ouyang, Y. B., Xu, L., Lu, Y., Sun, X., Yue, S., Xiong, X. X., & Giffard, R. G. (2013). Astrocyte-enriched miR-29a targets PUMA and reduces neuronal vulnerability to forebrain ischemia. Glia, 61(11), 1784–1794.
Yang, Z. B., Zhang, Z., Li, T. B., Lou, Z., Li, S. Y., Yang, H., Yang, J., Luo, X. J., & Peng, J. (2014). Up-regulation of brain-enriched miR-107 promotes excitatory neurotoxicity through down-regulation of glutamate transporter-1 expression following ischaemic stroke. Clinical Science, 127(12), 679–689.
Harraz, M. M., Eacker, S. M., Wang, X., Dawson, T. M., & Dawson, V. L. (2012). MicroRNA-223 is neuroprotective by targeting glutamate receptors. Proceedings of the National Academy of Sciences, 109(46), 18962–18967.
Zhang, L., Li, Y. J., Wu, X. Y., Hong, Z., & Wei, W. S. (2015). MicroRNA-181c negatively regulates the inflammatory response in oxygen-glucose-deprived microglia by targeting Toll-like receptor 4. Journal of Neurochemistry, 132(6), 713–723.
Ni, J., Wang, X., Chen, S., Liu, H., Wang, Y., Xu, X., Cheng, J., Jia, J., & Zhen, X. (2015). MicroRNA let-7c-5p protects against cerebral ischemia injury via mechanisms involving the inhibition of microglia activation. Brain, Behavior, and Immunity, 49, 75–85.
Vinciguerra, A., Formisano, L., Cerullo, P., Guida, N., Cuomo, O., Esposito, A., Di Renzo, G., Annunziato, L., & Pignataro, G. (2014). MicroRNA-103-1 selectively downregulates brain NCX1 and its inhibition by anti-miRNA ameliorates stroke damage and neurological deficits. Molecular Therapy, 22(10), 1829–1838.
Chi, W., Meng, F., Li, Y., Li, P., Wang, G., Cheng, H., Han, S., & Li, J. (2014). Impact of microRNA-134 on neural cell survival against ischemic injury in primary cultured neuronal cells and mouse brain with ischemic stroke by targeting HSPA12B. Brain Research, 1592, 22–33.
Wang, P., Liang, X., Lu, Y., Zhao, X., & Liang, J. (2016). MicroRNA-93 downregulation ameliorates cerebral ischemic injury through the Nrf2/HO-1 defense pathway. Neurochemical Research, 41(10), 2627–2635.
Zhai, F., Zhang, X., Guan, Y., Yang, X., Li, Y., Song, G., & Guan, L. (2012). Expression profiles of microRNAs after focal cerebral ischemia/reperfusion injury in rats. Neural Regeneration Research, 7(12), 917.
Dharap, A., Bowen, K., Place, R., Li, L. C., & Vemuganti, R. (2009). Transient focal ischemia induces extensive temporal changes in rat cerebral microRNAome. Journal of Cerebral Blood Flow & Metabolism, 29(4), 675–687.
Schickel, R., Park, S. M., Murmann, A. E., & Peter, M. E. (2010). miR-200c regulates induction of apoptosis through CD95 by targeting FAP-1. Molecular Cell, 38(6), 908–915.
Wen, Y., Zhang, X., Dong, L., Zhao, J., Zhang, C., & Zhu, C. (2015). Acetylbritannilactone modulates microRNA-155-mediated inflammatory response in ischemic cerebral tissues. Molecular Medicine, 21(1), 197.
Buller, B., Liu, X., Wang, X., Zhang, R. L., Zhang, L., Hozeska-Solgot, A., Chopp, M., & Zhang, Z. G. (2010). MicroRNA-21 protects neurons from ischemic death. The FEBS Journal, 277(20), 4299–4307.
Tao, Z., Zhao, H., Wang, R., Liu, P., Yan, F., Zhang, C., Ji, X., & Luo, Y. (2015). Neuroprotective effect of microRNA-99a against focal cerebral ischemia-reperfusion injury in mice. Journal of the Neurological Sciences, 355(1), 113–119.
Iyer, A., Zurolo, E., Prabowo, A., Fluiter, K., Spliet, W. G., van Rijen, P. C., Gorter, J. A., & Aronica, E. (2012). MicroRNA-146a: A key regulator of astrocyte-mediated inflammatory response. PLoS One, 7(9), e44789.
Yin, K. J., Deng, Z., Huang, H., Hamblin, M., Xie, C., Zhang, J., & Chen, Y. E. (2010). miR-497 regulates neuronal death in mouse brain after transient focal cerebral ischemia. Neurobiology of Disease, 38(1), 17–26.
Suárez, Y., Fernández-Hernando, C., Pober, J. S., & Sessa, W. C. (2007). Dicer dependent microRNAs regulate gene expression and functions in human endothelial cells. Circulation Research, 100(8), 1164–1173.
Zhao, H., Wang, J., Gao, L., Wang, R., Liu, X., Gao, Z., Tao, Z., Xu, C., Song, J., Ji, X., & Luo, Y. (2013). MiRNA-424 protects against permanent focal cerebral ischemia injury in mice involving suppressing microglia activation. Stroke, 44(6), 1706–1713.
Banerjee, S., Xie, N., Cui, H., Tan, Z., Yang, S., Icyuz, M., Abraham, E., & Liu, G. (2013). MicroRNA let-7c regulates macrophage polarization. The Journal of Immunology, 190(12), 6542–6549.
Hua, Z., Lv, Q., Ye, W., Wong, C. K. A., Cai, G., Gu, D., Ji, Y., Zhao, C., Wang, J., Yang, B. B., & Zhang, Y. (2006). MiRNA-directed regulation of VEGF and other angiogenic factors under hypoxia. PLoS One, 1(1), e116.
Xie, W., Li, M., Xu, N., Lv, Q., Huang, N., He, J., & Zhang, Y. (2013). MiR-181a regulates inflammation responses in monocytes and macrophages. PLoS One, 8(3), e58639.
Yan, W., Zhang, W., Sun, L., Liu, Y., You, G., Wang, Y., Kang, C., You, Y., & Jiang, T. (2011). Identification of MMP-9 specific microRNA expression profile as potential targets of anti-invasion therapy in glioblastoma multiforme. Brain Research, 1411, 108–115.
Zhang, J. F., Shi, L. L., Zhang, L., Zhao, Z. H., Liang, F., Xu, X., Zhao, L. Y., Yang, P. B., Zhang, J. S., & Tian, Y. F. (2016). MicroRNA-25 negatively regulates cerebral ischemia/reperfusion injury-induced cell apoptosis through Fas/FasL pathway. Journal of Molecular Neuroscience, 58(4), 507–516.
Wei, N., Xiao, L., Xue, R., Zhang, D., Zhou, J., Ren, H., Guo, S., & Xu, J. (2016). MicroRNA-9 mediates the cell apoptosis by targeting Bcl2l11 in ischemic stroke. Molecular Neurobiology, 53(10), 6809–6817.
Huang, W., Liu, X., Cao, J., Meng, F., Li, M., Chen, B., & Zhang, J. (2015). miR-134 regulates ischemia/reperfusion injury-induced neuronal cell death by regulating CREB signaling. Journal of Molecular Neuroscience, 55(4), 821–829.
Liu, P., Zhao, H., Wang, R., Wang, P., Tao, Z., Gao, L., Yan, F., Liu, X., Yu, S., Ji, X., & Luo, Y. (2014). MicroRNA-424 protects against focal cerebral ischemia and reperfusion injury in mice by suppressing oxidative stress. Stroke, 9, e91661.
Moon, J. M., Xu, L., & Giffard, R. G. (2013). Inhibition of microRNA-181 reduces forebrain ischemia-induced neuronal loss. Journal of Cerebral Blood Flow & Metabolism, 33(12), 1976–1982.
Selvamani, A., Sathyan, P., Miranda, R. C., & Sohrabji, F. (2012). An antagomir to microRNA Let7f promotes neuroprotection in an ischemic stroke model. PLoS One, 7(2), e32662.
Cheng, L. C., Pastrana, E., Tavazoie, M., & Doetsch, F. (2009). miR-124 regulates adult neurogenesis in the subventricular zone stem cell niche. Nature Neuroscience, 12(4), 399–408.
Xu, L. J., Ouyang, Y. B., Xiong, X., Stary, C. M., & Giffard, R. G. (2015). Post-stroke treatment with miR-181 antagomir reduces injury and improves long-term behavioral recovery in mice after focal cerebral ischemia. Experimental Neurology, 264, 1–7.
Edbauer, D., Neilson, J. R., Foster, K. A., Wang, C. F., Seeburg, D. P., Batterton, M. N., Tada, T., Dolan, B. M., Sharp, P. A., & Sheng, M. (2010). Regulation of synaptic structure and function by FMRP-associated microRNAs miR-125b and miR-132. Neuron, 65(3), 373–384.
Mellios, N., Huang, H. S., Grigorenko, A., Rogaev, E., & Akbarian, S. (2008). A set of differentially expressed miRNAs, including miR-30a-5p, act as post-transcriptional inhibitors of BDNF in prefrontal cortex. Human Molecular Genetics, 17(19), 3030–3042.
Yin, K. J., Olsen, K., Hamblin, M., Zhang, J., Schwendeman, S. P., & Chen, Y. E. (2012). Vascular endothelial cell-specific microRNA-15a inhibits angiogenesis in hindlimb ischemia. Journal of Biological Chemistry, 287(32), 27055–27064.
Chen, Y., & Gorski, D. H. (2008). Regulation of angiogenesis through a microRNA (miR-130a) that down-regulates antiangiogenic homeobox genes GAX and HOXA5. Blood, 111(3), 1217–1226.
Sepramaniam, S., Armugam, A., Lim, K. Y., Karolina, D. S., Swaminathan, P., Tan, J. R., & Jeyaseelan, K. (2010). MicroRNA 320a functions as a novel endogenous modulator of aquaporins 1 and 4 as well as a potential therapeutic target in cerebral ischemia. Journal of Biological Chemistry, 285(38), 29223–29230.
Jickling, G. C., & Sharp, F. R. (2015). Biomarker panels in ischemic stroke. Stroke, 46(3), 915–920.
Sepramaniam, S., Tan, J. R., Tan, K. S., DeSilva, D. A., Tavintharan, S., Woon, F. P., Wang, C. W., Yong, F. L., Karolina, D. S., Kaur, P., & Liu, F. J. (2014). Circulating microRNAs as biomarkers of acute stroke. International Journal of Molecular Sciences, 15(1), 1418–1432.
Onwuekwe, I. O., & Ezeala-Adikaibe, B. (2012). Ischemic stroke and neuroprotection. Annals of Medical and Health Sciences Research, 2(2), 186–190.
Guyot, L. L., Diaz, F. G., O’Regan, M. H., McLeod, S., Park, H., & Phillis, J. W. (2001). Real-time measurement of glutamate release from the ischemic penumbra of the rat cerebral cortex using a focal middle cerebral artery occlusion model. Neuroscience Letters, 299(1), 37–40.
Ohta, K., Graf, R., Rosner, G., & Heiss, W. D. (2001). Calcium ion transients in peri-infarct depolarizations may deteriorate ion homeostasis and expand infarction in focal cerebral ischemia in cats. Stroke, 32(2), 535–543.
Annunziato, L., Pignataro, G., & Di Renzo, G. F. (2004). Pharmacology of brain Na+/Ca2+ exchanger: From molecular biology to therapeutic perspectives. Pharmacological Reviews, 56(4), 633–654.
Boscia, F., Gala, R., Pignataro, G., De Bartolomeis, A., Cicale, M., Ambesi-Impiombato, A., Di Renzo, G., & Annunziato, L. (2006). Permanent focal brain ischemia induces isoform-dependent changes in the pattern of Na+/Ca2+ exchanger gene expression in the ischemic core, periinfarct area, and intact brain regions. Journal of Cerebral Blood Flow & Metabolism, 26(4), 502–517.
Tortiglione, A., Pignataro, G., Minale, M., Secondo, A., Scorziello, A., Di Renzo, G. F., Amoroso, S., Caliendo, G., Santagada, V., & Annunziato, L. (2002). Na+/Ca2+ exchanger in Na+ efflux-Ca2+ influx mode of operation exerts a neuroprotective role in cellular models of in vitro anoxia and in vivo cerebral ischemia. Annals of the New York Academy of Sciences, 976(1), 408–412.
Jickling, G. C., & Sharp, F. R. (2011). Blood biomarkers of ischemic stroke. Neurotherapeutics, 8(3), 349.
Zhan, X., Jickling, G. C., Tian, Y., Stamova, B., Xu, H., Ander, B. P., Turner, R. J., Mesias, M., Verro, P., Bushnell, C., & Johnston, S. C. (2011). Transient ischemic attacks characterized by RNA profiles in blood. Neurology, 77(19), 1718–1724.
Hacke, W., Kaste, M., Fieschi, C., von Kummer, R., Davalos, A., Meier, D., Larrue, V., Bluhmki, E., Davis, S., Donnan, G., & Schneider, D. (1998). Randomised double-blind placebo-controlled trial of thrombolytic therapy with intravenous alteplase in acute ischaemic stroke (ECASS II). The Lancet, 352(9136), 1245–1251.
Albers, G. W., Bates, V. E., Clark, W. M., Bell, R., Verro, P., & Hamilton, S. A. (2000). Intravenous tissue-type plasminogen activator for treatment of acute stroke: The Standard Treatment with Alteplase to Reverse Stroke (STARS) study. JAMA, 283(9), 1145–1150.
Wahlgren, N., Ahmed, N., Dávalos, A., Ford, G. A., Grond, M., Hacke, W., Hennerici, M. G., Kaste, M., Kuelkens, S., Larrue, V., & Lees, K. R. (2007). Thrombolysis with alteplase for acute ischaemic stroke in the Safe Implementation of Thrombolysis in Stroke-Monitoring Study (SITS-MOST): An observational study. The Lancet, 369(9558), 275–282.
Kuebler, P., & Genentech, Inc., 2007. Method of treating stroke with thrombolytic agent. U.S. Patent Application 11/832,291.
Son, S., Jang, J., Youn, H., Lee, S., Lee, D., Lee, Y. S., Jeong, J. M., Kim, W. J., & Lee, D. S. (2011). A brain-targeted rabies virus glycoprotein-disulfide linked PEI nanocarrier for delivery of neurogenic microRNA. Biomaterials, 32(21), 4968–4975.
Pardridge, W. M. (2004). Intravenous, non-viral RNAi gene therapy of brain cancer. Expert Opinion on Biological Therapy, 4(7), 1103–1113.
Pardridge, W. M. (2007). shRNA and siRNA delivery to the brain. Advanced Drug Delivery Reviews, 59(2), 141–152.
Ruberti, F., Barbato, C., & Cogoni, C. (2012). Targeting microRNAs in neurons: Tools and perspectives. Experimental Neurology, 235(2), 419–426.
Liu, X. S., Chopp, M., Zhang, R. L., Tao, T., Wang, X. L., Kassis, H., Hozeska-Solgot, A., Zhang, L., Chen, C., & Zhang, Z. G. (2011). MicroRNA profiling in subventricular zone after stroke: MiR-124a regulates proliferation of neural progenitor cells through Notch signaling pathway. PLoS One, 6(8), e23461.
Bouchie, A. (2013). First microRNA mimic enters clinic. Nature Biotechnology, 31, 577.
Leclercq, M., Diallo, A. B., & Blanchette, M. (2017). Prediction of human miRNA target genes using computationally reconstructed ancestral mammalian sequences. Nucleic Acids Research, 45(2), 556–566.
Ouyang, Y. B., Lu, Y., Yue, S., Xu, L. J., Xiong, X. X., White, R. E., Sun, X., & Giffard, R. G. (2012). miR-181 regulates GRP78 and influences outcome from cerebral ischemia in vitro and in vivo. Neurobiology of Disease, 45(1), 555–563.
Zhu, F., Liu, J. L., Li, J. P., Xiao, F., Zhang, Z. X., & Zhang, L. (2014). MicroRNA-124 (miR-124) regulates Ku70 expression and is correlated with neuronal death induced by ischemia/ reperfusion. Journal of Molecular Neuroscience, 52(1), 148–155.
Ouyang, Y. B., Lu, Y., Yue, S., & Giffard, R. G. (2012). miR-181 targets multiple Bcl-2 family members and influences apoptosis and mitochondrial function in astrocytes. Mitochondrion, 12(2), 213–219.
Yin, K. J., Hamblin, M., & Eugene Chen, Y. (2015). Angiogenesis-regulating microRNAs and ischemic stroke. Current Vascular Pharmacology, 13(3), 352–365.
Bhalala, O. G., Srikanth, M., & Kessler, J. A. (2013). The emerging roles of microRNAs in CNS injuries. Nature Reviews Neurology, 9(6), 328–339.
Allen, C. L., & Bayraktutan, U. (2009). Oxidative stress and its role in the pathogenesis of ischaemic stroke. International Journal of Stroke, 4(6), 461–470.
Jeck, W. R., Sorrentino, J. A., Wang, K., Slevin, M. K., Burd, C. E., Liu, J., Marzluff, W. F., & Sharpless, N. E. (2013). Circular RNAs are abundant, conserved, and associated with ALU repeats. RNA, 19(2), 141–157.
Lu, D., & Xu, A. D. (2016). Mini review: Circular RNAs as potential clinical biomarkers for disorders in the central nervous system. Frontiers in Genetics, 7, 53.
Han, B., Zhang, Y., Zhang, Y., Bai, Y., Chen, X., Huang, R., Wu, F., Leng, S., Chao, J., Zhang, J. H., & Hu, G. (2018). Novel insight into circular RNA HECTD1 in astrocyte activation via autophagy by targeting MIR142-TIPARP: Implications for cerebral ischemic stroke. Autophagy, 14(7), 1164–1184.
Acknowledgement
AKT gratefully acknowledges the financial support provided by the Department of Science and Technology-Science Engineering Research Board (DST-SERB) (PDF/2016/002996/LS), New Delhi, India, and the Indian Institute of Technology (Banaras Hindu University), Varanasi-221005, for providing facilities and support.
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Tripathi, A.K., Tiwari, S.K., Mishra, P., Jain, M. (2019). Emerging Role of microRNAs in Cerebral Stroke Pathophysiology. In: Patnaik, R., Tripathi, A., Dwivedi, A. (eds) Advancement in the Pathophysiology of Cerebral Stroke. Springer, Singapore. https://doi.org/10.1007/978-981-13-1453-7_10
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