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DOI: 10.1055/s-0045-1811947
miR-1 Promotes Apoptosis and Aggravates Myocardial Ischemia–Reperfusion Injury by Downregulating Insulin-Like Growth Factor-1
Authors
Funding This study was supported by the National Natural Science Foundation of China (81473453, 81673800) and the Projects of International Science and Technology Cooperation in Henan (182102410084).

Abstract
Objective
MicroRNA-1 (miR-1) aggravates myocardial ischemia–reperfusion (I/R) injury, whereas insulin-like growth factor-1 (IGF-1) maintains cardiomyocyte homeostasis. In this study, the aim is to investigate whether miR-1 can exacerbate I/R injury through the regulation of IGF-1.
Methods
The infarct area, lactate dehydrogenase, miR-1 level, and apoptosis level were examined in the Langendorff isolated rat I/R model. The hypoxia–reoxygenation model of rat cardiac myocytes and H9c2 cells were developed to determine the levels of miR-1, IGF-1 mRNA, and IGF-1 protein. Furthermore, the dual-luciferase assay was used to verify the relationship between miR-1 and IGF-1.
Results
Overexpression of miR-1 increased the level of apoptosis and decreased the IGF-1 expression. However, inhibition of miR-1 expression decreased the level of apoptosis, alleviated the degree of injury, and increased the IGF-1 expression. Overexpression of IGF-1 also reduced the degree of cellular damage and level of apoptosis caused by the overexpression of miR-1. When IGF-1 was knocked down, myocardial cells displayed more severe damage and a higher apoptosis level, even with decreased levels of miR-1.
Conclusion
miR-1 promotes apoptosis and aggravates I/R injury by downregulating IGF-1.
Keywords
miR-1 - insulin-like growth factor-1 - myocardial ischemia–reperfusion injury - hypoxia–reperfusion injury - apoptosisCRediT Authorship' Contributions Statement
Zhen Lei and Fei Yan: Methodology, data curation, and writing -original draft. Yan Shu, Tengyun Liang, Mengwen Zhang, Xinzhou Wang, and Haixia Gao: Methodology, and formal analysis. Hong Wu: Methodology, project administration,and writing-review & editing.
Publication History
Received: 12 April 2025
Accepted: 17 July 2025
Article published online:
30 September 2025
© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Georg Thieme Verlag KG
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