Novel approach for cardioprotection: miR-450a ProtectomiR

Cardiovascular Research

14 May 2026
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ESC Journals

Abstract

AbstractBackground

Acute myocardial infarction (AMI) is one of the leading causes of death worldwide, however, there is still no clinically approved drug that effectively protects the heart during ischemia-reperfusion (I/R) injury. Such potential drugs could be microRNAs (miRNAs), which are small, non-coding RNA molecules, that play a key role in post-transcriptional gene regulation. We identified cardioprotective miRNA candidates termed ProtectomiRs in a translational porcine model of AMI. Among them, miR-450a was selected for further development.

Purpose

Here, we aimed to validate the cardiocytoprotective effect of miR-450a across species and explore the potential molecular mechanism of its action.

Methods

ProtectomiR candidates were identified in a translational porcine model of AMI and validated in neonatal rat cardiomyocytes and human AC16 cells under simulated I/R conditions. The effect of miR-450a mimic was assessed in different concentrations (25-100 nM) using cell viability measurements. To find the most appropriate dose for in vivo testing, miR-450a was further validated in lower concentrations as well (0.75-12.5 nM). Target genes of miR-450a were predicted by miRNAtarget™ software and pathways were analysed by KEGG and GO enrichment.

Results

Dose-response of miR-450a showed a bell-shaped curve, with 3.125 and 25 nM significantly enhanced cell viability in both cell culture models under simulated I/R. The predicted strongest target genes of miR-450a include SMAD family member 2 (SMAD2), death associated protein kinase 2 (DAPK2), superoxide dismutase 2 (SOD2), which are involved in TGFß signalling, apoptosis and redox regulation, respectively. GO and KEGG pathway analysis revealed mTOR and phosphatidylinositol signalling pathways which contribute to the cardioprotective effect of miR-450a.

Conclusions

MiR-450a represents a promising therapeutic candidate, exerting cardiocytoprotective effects in both rat and human cardiomyocytes through the regulation of gene network implicated in multiple cardioprotective signalling pathways. These findings suggest that miR-450a ProtectomiR is a potential lead molecule for the development of novel cardioprotective interventions.

Contributors

M Szabo
M Szabo

Author

Semmelweis University Budapest , Hungary

R N Nagy
R N Nagy

Author

B Franko
B Franko

Author

A Gyovai
A Gyovai

Author

O Fisher
O Fisher

Author

A Makkos
A Makkos

Author

B Agg
B Agg

Author

A Gorbe
A Gorbe

Author