Dexmedetomidine alleviates myocardial injury and inflammation in diabetic myocardial ischemia-reperfusion rats
	    		
		   		
		   			
		   		
	    	
    	 
    	10.16352/j.issn.1001-6325.2024.11.1538
   		
        
        	
        		- VernacularTitle:右美托咪定减轻糖尿病心肌缺血/再灌注大鼠心肌损伤及炎性反应
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Bin LIU
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Wenping LIU
			        		
			        		;
		        		
		        		
		        		
			        		Tao JIN
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. 河北省沧州中西医结合医院 麻醉科,河北 沧州 061000
			        		
		        		
	        		
        		 
        	
        	
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		dexmetomidine;
			        		
			        		
			        		
				        		miR-490-3p/FOXO1 axis;
			        		
			        		
			        		
				        		myocardial ischemia/reperfusion in diabetes;
			        		
			        		
			        		
				        		myocardial injury;
			        		
			        		
			        		
				        		in-flammation
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:
	            		
	            			Basic & Clinical Medicine
	            		
	            		 2024;44(11):1538-1543
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:Chinese
 
            
            
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		        	Abstract:
			       	
			       		
				        
				        	Objective To explore the effect and mechanism of dexmedetomidine(DEX)on myocardial injury and inflammation of rats with diabetic myocardial ischemia-reperfusion(MI/R).Methods The rats were divided into sham group,model grousp[The type 2 diabetes mellitus(T2DM)model was replicated by feeding high-fat and high-sugar combined with streptozotocin injection;MI/R injury model was replicated by coronary artery ligation],DEX group(T2DM model rats were injected with 10 μg/kg DEX through tail vein),antagomir NC group(T2DM model rats were injected with 10 μg/kg DEX and antagomir NC through tail vein),miR-490-3p antagomir group(T2DM model rats were injected with 10 μg/kg DEX and miR-490-3p antagomir via tail vein).RT-qPCR was applied to detect the expression of miR-490-3p and forkhead box O1(FOXO1)mRNA;Blood glucose meter was applied to measure fasting blood glucose(FBG)in rats;The level of fasting insulin(FINS),creatine kinase isoenzyme(CK-MB),lactate dehydrogenase(LDH)and inflammatory factors interleukin-1β(IL-1β)and tumor necrosis factor-α(TNF-α)was measured by ELISA;HE staining microscopy was applied to observe pathological damage of myocar-dial tissue;TTC staining microscopy was applied to determine the size of myocardial infarction;Dual luciferase assay was applied to verify the relationship between miR-490-3p and FOXO1;Western blot was applied to detect the ex-pression of FOXO1 protein in myocardial tissue.Results Compared with the sham group,the FBG,FINS,CK-MB,LDH,IL-1β,TNF-α,myocardial infarction area,FOXO1 mRNA and protein expression in model group were all in-creased,while miR-490-3p expression decreased(P<0.05);Compared with the model group,the FBG,FINS,CK-MB,LDH,IL-1β,TNF-α,myocardial infarction area,FOXO1 mRNA and protein expression in rats from DEX group decreased,the miR-490-3p expression increased(P<0.05);Down regulation of miR-490-3p was able to signifi-cantly baffle the improvement of DEX on myocardial injury and inflammation in diabetes MI/R rats(P<0.05);FOXO1 had a target-specific regulatory relationship with miR-490-3p.Conclusions DEX may inhibit inflammation and alleviate myocardial injury induced by MI/R in diabetic rat models by regulating the miR-490-3p/FOXO1 axis.