TABLE 1.
Therapies for treating MIRI by targeting non-coding RNAs to regulate autophagy.
| Treatment | Non-coding RNAs served as druggable targets | Mechanism | References |
|---|---|---|---|
| Puerarin | LncRNA ANRIL | Puerarin improved cardiomyocyte activity, and alleviated the MIRI by upregulation of ANRIL, which reduced LDH and MDA levels, inhibited the H/R induced autophagy and apoptosis of cardiomyocytes | Han et al. (2021) |
| Morphine | UCA1/miR-128 | Morphine Postconditioning educed the size of myocardial infarction by inhibiting autophagy and apoptosis via regulation of UCA1/miR-128/HSP7 axis | Chen et al. (2018) |
| Citrate | miR-142-3p | Citrate pretreatment inhibited cell apoptosis and autophagy induced by H/R injury, decreased LDH and MDA levels, and alleviated H/R injury by miR-142-3p/Rac1 aix | Xiang et al. (2020) |
| Exosome | miR-30a | The miR-30a inhibitors carried by exosomes could reduce the contents of AST, CPK and MDA in serum, increase the activity of SOD, inhibit the expression of ULK1 and Beclin-1, reduce autophagy, and inhibit the apoptosis of myocardial cells in MIRI rats | Xu et al. (2019) |
| Bone Marrow Mesenchymal Stem Cell Derived Exosomal (BMMSCs) | miR-29c | Exosomes derived from BMMSCs contained high concentrations of miR-29C, which attenuated MIRI by inhibiting excessive autophagy via PTEN/Akt/mTOR signaling pathway | Li et al. (2020a) |
| Epigallocatechin gallate (EGCG) | miR-384-5p | EGCG preconditioning increased cell viability and reduced the size of myocardial infarction through adjusting miR-384-5p targets Beclin-1 to attenuate the expression of the I/R-induced autophagy flux via PI3K/Akt pathway | Zhang et al. (2019a) |
| salvianolic acid B (Sal B) | miR-30a | Sal B regulated Beclin-1 through miR-30/PI3K/Akt pathway, which inhibited I/R-induced autophagy, improved cell viability, reduced LDH leakage and alleviated MIRI. | Li et al. (2016) |
| Mesenchymal stem cells (MSCs) | let-7b | MSCs modified with let-7b could improve the survival rate of transplanted cells, reduce infarct size and promote the repair of myocardial injury by reducing the expression of autophagy-related genes BECN1, ATG5, ATG7 and ATG12 | Ham et al. (2015) |
| Rosuvastatin (RS) | miR-17-3p | RS could promote autophagy, reduce LDH leakage and improve cell viability by inhibiting miR-17-3p. It could also reduce apoptosis by cleaved caspase-3/Cyto C signaling pathway | Wang X. et al. (2019) |
| Sevoflurane | miR-206 | Sevoflurane post-conditioning could inhibit autophagy, apoptosis, and myocardial fibrosis, promote free radical clearance, promote free radical clearance, and improve MIRI by inhibiting miR-206 to activate AMPK/Nampt signaling pathway | Li et al. (2020b) |
| Sevoflurane | miR-208a | Sevoflurane post-conditioning could enhance SOD activity, inhibit the expression of MDA and facilitate the activation of the PI3K/AKT pathway via inhibition of miR-208a, thereby alleviating MIRI. | Shi et al. (2020) |
| Propofol | miR-20b-5p | Propofol preconditioning reduced apoptosis, and alleviated H/R injury via upregulation of mib-20b-5p, which targeted ULK1 to inhibit autophagy | Zhen et al. (2020) |
| Hypoxia postconditioning (HPostC) | miR-30a | HPostC promoted the expression of miR-30a through DNMT3b, thereby inhibiting BECN1-mediated autophagy and alleviating H/R injury. It is speculated that Ischemic postconditioning (IPostC) can also reduce I/R injury of elderly cardiac myocytes by targeting miR-30a | Wang et al. (2020) |
| Osthole | miR-30a | Osthole could promote autophagy by down-regulating miR-30a to reduce collagen content in ischemic reperfusion myocardium, inhibit myocardial apoptosis combined with myocardial injury, and alleviate MIRI. | Liu et al. (2019) |
| Salidroside | circ-0000064 | Salidroside inhibited autophagy and apoptosis of cells by upregulation of CIRC-0000064, which improved myocardial function, decreased SOD, MDA, CK-MB and LDH levels, inhibited oxidative stress, reduced myocardial infarction size, thus alleviating MIRI | Jin et al. (2021) |