microRNA overexpression in slow transit constipation leads to reduced NaV1.5 current and altered smooth muscle contractility

Autor: Heidi K. Chua, Vikram Joshi, Gianrico Farrugia, Rondell P. Graham, Constanza Alcaino, Peter R. Strege, Mona El Refaey, Amelia Mazzone, Robert R. Cima, Tamas Ordog, Stefan Calder, Daniel J. Tschumperlin, David W. Larson, Peter J. Mohler, Simon J. Gibbons, Andrew J. Haak, Yujiro Hayashi, Arthur Beyder, Peng Du, Cheryl E. Bernard
Rok vydání: 2019
Předmět:
Zdroj: Gut
ISSN: 1468-3288
0017-5749
Popis: ObjectiveThis study was designed to evaluate the roles of microRNAs (miRNAs) in slow transit constipation (STC).DesignAll human tissue samples were from the muscularis externa of the colon. Expression of 372 miRNAs was examined in a discovery cohort of four patients with STC versus three age/sex-matched controls by a quantitative PCR array. Upregulated miRNAs were examined by quantitative reverse transcription qPCR (RT-qPCR) in a validation cohort of seven patients with STC and age/sex-matched controls. The effect of a highly differentially expressed miRNA on a custom human smooth muscle cell line was examined in vitro by RT-qPCR, electrophysiology, traction force microscopy, and ex vivo by lentiviral transduction in rat muscularis externa organotypic cultures.ResultsThe expression of 13 miRNAs was increased in STC samples. Of those miRNAs, four were predicted to target SCN5A, the gene that encodes the Na+ channel NaV1.5. The expression of SCN5A mRNA was decreased in STC samples. Let-7f significantly decreased Na+ current density in vitro in human smooth muscle cells. In rat muscularis externa organotypic cultures, overexpression of let-7f resulted in reduced frequency and amplitude of contraction.ConclusionsA small group of miRNAs is upregulated in STC, and many of these miRNAs target the SCN5A-encoded Na+ channel NaV1.5. Within this set, a novel NaV1.5 regulator, let-7f, resulted in decreased NaV1.5 expression, current density and reduced motility of GI smooth muscle. These results suggest NaV1.5 and miRNAs as novel diagnostic and potential therapeutic targets in STC.
Databáze: OpenAIRE