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Rajanikant G. K. · Pierre Gressens  Sreekala S. Nampoothiri  Gokul Surendran · Cindy Bokobza IschemiRs: MicroRNAs in Ischemic Stroke From Basics to Clinics IschemiRs: MicroRNAs in Ischemic Stroke Rajanikant G. K. (cid:129) Pierre Gressens (cid:129) Sreekala S. Nampoothiri (cid:129) Gokul Surendran (cid:129) Cindy Bokobza IschemiRs: MicroRNAs in Ischemic Stroke From Basics to Clinics RajanikantG.K. PierreGressens SchoolofBiotechnology NeuroDiderot,Inserm NationalInstituteofTechnologyCalicut UniversitédeParis Calicut,India Paris,France SreekalaS.Nampoothiri GokulSurendran DevelopmentandPlasticity SchoolofBiotechnology oftheNeuroendocrineBrain NationalInstituteofTechnologyCalicut LilleNeuroscience&Cognition Calicut,India INSERM1172 Lille,France CindyBokobza NeuroDiderot,Inserm UniversitédeParis Paris,France ISBN978-981-15-4797-3 ISBN978-981-15-4798-0 (eBook) https://doi.org/10.1007/978-981-15-4798-0 #SpringerNatureSingaporePteLtd.2020 Thisworkissubjecttocopyright.AllrightsarereservedbythePublisher,whetherthewholeorpart of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation,broadcasting,reproductiononmicrofilmsorinanyotherphysicalway,andtransmissionor informationstorageandretrieval,electronicadaptation,computersoftware,orbysimilarordissimilar methodologynowknownorhereafterdeveloped. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt fromtherelevantprotectivelawsandregulationsandthereforefreeforgeneraluse. Thepublisher,theauthors,andtheeditorsaresafetoassumethattheadviceandinformationinthisbook arebelievedtobetrueandaccurateatthedateofpublication.Neitherthepublishernortheauthorsorthe editorsgiveawarranty,expressedorimplied,withrespecttothematerialcontainedhereinorforany errorsoromissionsthatmayhavebeenmade.Thepublisherremainsneutralwithregardtojurisdictional claimsinpublishedmapsandinstitutionalaffiliations. ThisSpringerimprintispublishedbytheregisteredcompanySpringerNatureSingaporePteLtd. The registered company address is: 152 Beach Road, #21-01/04 Gateway East, Singapore 189721, Singapore Preface MicroRNAs are small endogenous noncoding RNA molecules that function as a regulatorofgeneexpressionattheposttranscriptionallevel.Inrecentyears,thescientific communityhaswitnessedamassiveincreaseinthewealthofknowledgethatbridgesthe microRNA and its strategic role as a biomarker and therapeutic in a wide range of diseases, including ischemic stroke. However, there is still a lack of comprehensive detailslinkingthissmallRNAmoleculetoanischemicstroke,themorepreponderant among the two main types of stroke. This monograph is intended as a medium to examine the emerging role of microRNAs in cerebral ischemia. The book addresses topics related to the activity of microRNAsin multiple pathological manifestations of strokessuchasoxidativestress,excitotoxicity,celldeathtrends,theiruseasabiomarker, diagnosticagents,andcurrentlypracticedtherapeuticinterventions.Italsohighlightsthe latestresearchonhowmicroRNAshelpinneuroregenerationduringpoststrokeevents, themyriadofcomputationaltoolsanddatabasesusedinmicroRNAresearch,andhow theymodulateothercerebrovasculardiseases.Thebookconcludeswithaspecialinsight intothepotentialsofdevelopingmicroRNA-basedtherapiesforischemicstroke. Thisbookisthefirstofitskindtobringtogetherpiecesofpuzzleconcerningthe effectofthemicroRNAsontheischemicstroke.Giventhevastliteratureavailablein publiclibraries,ourbookseekstoprovidereaderswithcutting-edgeknowledgeon microRNAcoveringvariousaspectsofstroke.Thisalonemakesourbook,onethat researchersinthisareawouldbepleasedtohaveintheirbookshelves.Thisbookcan serve as a comprehensive tool for researchers, doctoral and graduate students, and cliniciansinthefieldofmiRNAandischemicstrokeandaidinthedevelopmentof reliablebiomarkersandneurotherapeuticsbyidentifyingsuitablemicroRNAs. We would like to thank the Springer team, especially Madhurima Kahali and SelvakumarRajendran,fortheirpatient,professional,andconstantsupportthrough- outtheproductionofthisbook. Calicut,India RajanikantG.K. Paris,France PierreGressens Lille,France SreekalaS.Nampoothiri Calicut,India GokulSurendran Paris,France CindyBokobza v Contents PartI microRNAsandIschemicStroke:BacktoBasics 1 microRNAsinNormalBrainPhysiology. . . . . . . . . . . . . . . . . . . . . 3 1.1 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 1.2 microRNABiogenesis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 1.3 miRNAintheBrain. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 1.3.1 miRNAinNeurons. . . . . . . . . . . . . . . . . . . . . . . . . . 6 1.3.2 miRNAinOligodendrocytes. . . . . . . . . . . . . . . . . . . . 7 1.3.3 miRNAinAstrocytes. . . . . . . . . . . . . . . . . . . . . . . . . 8 1.3.4 miRNAinMicroglia. . . . . . . . . . . . . . . . . . . . . . . . . 8 1.4 Conclusion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 2 IschemicStroke:AnImperativeNeedforEffectiveTherapy. . . . . . 15 2.1 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 2.2 CurrentTreatmentChoicesforIschemicStrokeVictims. . . . . . 16 2.2.1 IVPharmacologicalThrombolysis. . . . . . . . . . . . . . . . 16 2.2.2 EndovascularRecanalizationStrategies. . . . . . . . . . . . 18 2.3 OtherReperfusionStrategies. . . . . . . . . . . . . . . . . . . . . . . . . . 23 2.4 Post-IschemicNeuroprotectiveAgents. . . . . . . . . . . . . . . . . . . 24 2.5 Conclusion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 PartII microRNAsinIschemicStrokePathophysiology:ABird’s EyeView 3 MicroRNAsinIschemicStrokePathophysiology:Special EmphasisonEarlyMolecularEvents. . . . . . . . . . . . . . . . . . . . . . . 33 3.1 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 3.2 Post-IschemicGlutamateExcitotoxicityandIonicImbalance. . . 34 3.2.1 miRNAsTargetingGlutamateReceptors. . . . . . . . . . . 36 3.2.2 miRNAsandGlutamateTransporters. . . . . . . . . . . . . . 37 3.2.3 miRNARegulationofPost-IschemicCalciumOverload. 37 3.3 miRNAsinPost-IschemicOxidativeStressRegulation. . . . . . . 39 vii viii Contents 3.3.1 EndogenousAntioxidantDefenseMechanisms. . . . . . . 39 3.3.2 OxidativeStress-InducedMitochondrialDysfunction. . 41 3.3.3 miRNAsandtheMasterRegulatorNrf2. . . . . . . . . . . 41 3.3.4 EndothelialIntegrityandBlood–BrainBarrier. . . . . . . 42 3.4 Conclusion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 4 microRNARegulationofIschemicStrokeInflammatory andImmuneResponse. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 4.1 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 4.2 StrokeImmunology. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50 4.3 microRNAsAssociatedwithIschemicNeuro-Inflammation. . . . 51 4.4 microRNAsandInnateImmuneCellsinIschemicStroke. . . . . 53 4.5 Conclusion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54 References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54 5 RegulatoryRoleofmicroRNAsinIschemicCellDeath. . . . . . . . . . 59 5.1 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59 5.2 Apoptosis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60 5.2.1 IntrinsicPathway. . . . . . . . . . . . . . . . . . . . . . . . . . . . 61 5.2.2 ExtrinsicPathway. . . . . . . . . . . . . . . . . . . . . . . . . . . 61 5.3 Autophagy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61 5.4 MicroRNAsandAutophagy. . . . . . . . . . . . . . . . . . . . . . . . . . 62 5.5 MicroRNAsandApoptosis. . . . . . . . . . . . . . . . . . . . . . . . . . . 63 References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65 6 TheEmergingRoleofmicroRNAsinPost-ischemicAngiogenesis andNeurogenesis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67 6.1 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67 6.2 Post-StrokeInducedNeurogenesis. . . . . . . . . . . . . . . . . . . . . . 68 6.2.1 miRNARegulationofEarlyStagesofNeurogenesis. . . 68 6.2.2 NeuronalMaturationandIntegration. . . . . . . . . . . . . . 71 6.2.3 miRNAsRegulatingNeurotrophicFactors. . . . . . . . . . 73 6.2.4 miRNAsandNeurogenesisSignalingPathways. . . . . . 74 6.3 miRNARegulationofPost-IschemicAngiogenesis. . . . . . . . . . 75 6.3.1 EC-SpecificmiRNAsinAngiogenesis. . . . . . . . . . . . . 76 6.3.2 Post-IschemicmiRNARegulationofAngiogenic Factors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76 6.4 CouplingAngiogenesisandNeurogenesisPost-Ischemia. . . . . . 79 6.5 Conclusion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80 References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80 7 MicroRNAsasPotentialDiagnostic,Prognostic,andTherapeutic BiomarkersinIschemicStroke. . . . . . . . . . . . . . . . . . . . . . . . . . . . 87 7.1 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87 7.2 ImportantCirculatingmicroRNAsinIschemicStroke. . . . . . . . 89 7.2.1 Let7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89 Contents ix 7.2.2 MiRNA-125a-5p/miR-125b-5p/miR-125b-2(cid:1). . . . . . . . 90 7.3 EmbolicStrokeVersusThromboticStroke. . . . . . . . . . . . . . . . 90 7.4 CellDeath. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 7.5 Inflammation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91 7.6 NeurogenesisandAngiogenesis. . . . . . . . . . . . . . . . . . . . . . . . 91 References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92 8 InterplayBetweenmicroRNAsandOtherCerebrovascular Diseases. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95 8.1 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95 8.2 HemorrhagicStroke. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96 8.3 IntracerebralHemorrhage. . . . . . . . . . . . . . . . . . . . . . . . . . . . 96 8.3.1 microRNAsasICHBiomarkers. . . . . . . . . . . . . . . . . 96 8.3.2 RegulatoryRoleofmicroRNAsinICH. . . . . . . . . . . . 97 8.4 SubarachnoidHemorrhage. . . . . . . . . . . . . . . . . . . . . . . . . . . . 99 8.4.1 microRNAsasSAHBiomarkers. . . . . . . . . . . . . . . . . 99 8.4.2 DiseaseModifyingRoleofmicroRNAsinSAH. . . . . . 101 8.5 Conclusions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101 References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103 9 NewInsightsintotheRegulatoryRoleoflncRNA,circRNA, piRNAs,andceRNAsinIschemicStroke. . . . . . . . . . . . . . . . . . . . 107 9.1 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107 9.1.1 Non-codingRNAsataGlance. . . . . . . . . . . . . . . . . . 107 9.2 NewPlayersintheGame. . . . . . . . . . . . . . . . . . . . . . . . . . . . 109 9.2.1 LongNon-codingRNA. . . . . . . . . . . . . . . . . . . . . . . 109 9.2.2 CircularRNA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110 9.2.3 PIWIRNA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111 9.3 Conclusion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112 9.4 FuturePerspective.. . . . . . . . . .. . . . . . . . . . .. . . . . . . . . .. . 112 References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112 PartIII IschemiRs:TheBenchandBeyond 10 ComputationalResourcesformicroRNAResearch. . . . . . . . . . . . . 117 10.1 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117 10.2 MiRNAIdentification. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118 10.3 MicroRNAPrediction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118 10.4 MicroRNADiseaseInteraction. . . . . . . . . . . . . . . . . . . . . . . . 120 10.5 MicroRNA-TargetInteraction. . . . . . . . . . . . . . . . . . . . . . . . . 120 10.6 MicroRNAInteractionwithTranscriptionFactors. . . . . . . . . . . 121 10.7 FutureProspects. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121 References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122 x Contents 11 MicroRNA-TargetedTherapeuticsforIschemicStroke:Status, GapsandtheWayForward. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125 11.1 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125 11.2 RestorationofmiRNAFunctionasaPotentialIschemic StrokeTherapy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126 11.3 DevelopmentofAnti-miRNA-BasedIschemicStroke Therapeutics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127 11.3.1 AntisenseOligonucleotides. . . . . . . . . . . . . . . . . . . . . 127 11.3.2 ChemicallyModifiedAntisenseOligonucleotides/ Antagomirs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 128 11.3.3 LockedNucleicAcid(LNA). . . . . . . . . . . . . . . . . . . . 128 11.3.4 miRNASponge. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129 11.4 DeliveryofmiRNAModulatorsforIschemicStrokeTherapy. . 130 11.4.1 Viral-BasedmiRNADeliverySystem. . . . . . . . . . . . . 130 11.4.2 Non-ViralmiRNADeliverySystems. . . . . . . . . . . . . . 131 11.4.3 ExosomalMediatedDeliveryofmiRNAs. . . . . . . . . . 133 11.5 PharmacologicalAgentsandSmall-MoleculesasTherapeutic ModulatorsofmiRNAs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133 11.6 Challenges,Perspectives,andWay-Forward. . . . . . . . . . . . . . . 134 References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135 About the Authors RajanikantG.K. iscurrentlyworkingasaProfessorattheSchoolofBiotechnol- ogyandservedastheCoordinatorofDBT—BioinformaticsInfrastructureFacilityat National Institute of Technology Calicut, Calicut, India. Having done his Ph.D. in RadiationBiologyandToxicologyfromDivisionofRadiobiologyandToxicology, ManipalUniversity,Manipal,India,hewasalsoawardedaSeniorResearchFellow- shipfromIndianCouncilofMedicalResearch,GovernmentofIndia,NewDelhi,for theyear2001–2004.Tilldate,hehasworkedasaPrincipalInvestigatorinvarious government-fundedresearchprojectsandhasfurtherguidedandsupervisedseveral Doctorate and Post-Doctorate students and researchers. He has also successfully appliedforanIndianPatentintheyear2017forusingapharmaceuticalcomposition consisting of 1,4-DI(1H-benzimidazol-2-YL)-1,2,3,4-butanetetrol (BTT) as an ischemic neuroprotectant. He has also been invited as a speaker to various presti- gious conferences and has conducted many conferences, workshops, and seminars successfully.Hehasseveralarticlesinrenownednationalandinternationaljournals, aswellasbookchaptersandeditedvolumes,tohiscredit. Pierre Gressens is presently holding several prominent positions, including a Research Officer (DR1 Inserm) and Director, UMR 1141 Inserm-Paris University, Robert Debré Hospital, Paris, France; Professor of Fetal and Neonatal Neurology, KCL, London, UK; Consultant, Service of Pediatric Neurology, Robert Debré Hospital, Paris, France; Director, PremUP Foundation, Paris; Coordinator of the University-Hospital Department PROTECT, Robert Debré Hospital, Paris; and Vice-Deanfor Research,Paris-Diderot MedicalSchool, Paris,France.Heobtained hisM.D.andPh.D.degreesfromUniversityofLouvainMedicalSchoolatBrussels, Belgium. He has received various honors, such as Roger de Spoelberch award for neurosciences (Switzerland) in 2010, FRM Fondation Guillaumat-Piel award (France) in 2013, and the Elsie Widdowson Lecture at the Neonatal Society, London, UK in 2017. He has been invited as a speaker to various prestigious conferences. He has published his research/review articles in many international journalsofgreatrepute. SreekalaS.Nampoothiri iscurrentlyapostdoctoralresearcheratINSERM1172, Development and plasticity of the neuroendocrine brain, Lille Neuroscience & xi

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