The Journal of Practical Medicine ›› 2026, Vol. 42 ›› Issue (6): 999-1007.doi: 10.3969/j.issn.1006-5725.2026.06.012

• Chronic Disease Control • Previous Articles     Next Articles

Study on the role and mechanism of inhibiting miR-203a-3p expression in collateral circulation reconstruction in rats with cerebral ischemia-reperfusion injury model

Mengxue ZANG1,Tianqi HAN1,Ying DAI1,Haiyan CHEN2,Lizhi PENG2,Yongming JIANG2,Guixin YANG2,Hui LIANG1,Xuebin LI1,2,Jianmin HUANG2()   

  1. 1.Graduate School of Youjiang Medical University for Nationalities,Baise 533000,Guangxi,China
    2.Department of Neurology,the Affiliated Hospital of Youjiang Medical University for Nationalities,Baise 533000,Guangxi,China
  • Received:2025-12-09 Revised:2026-01-14 Accepted:2026-01-15 Online:2026-03-25 Published:2026-03-26
  • Contact: Jianmin HUANG E-mail:bshuangjianmin@126.com

Abstract:

Objective To investigate the effect of lateral ventricle injection of miR-203a-3p antagonist(antagomir)on collateral circulation recanalization and its underlying mechanisms in rats with cerebral ischemia-reperfusion injury(CIRI). Methods Sprague-Dawley rats were randomly allocated into four experimental groups: the sham group, the model group, the antagomiR-NC group, and the antagomiR-203a-3p group. CIRI was induced in the model, antagomiR-NC, and antagomiR-203a-3p groups using the thread embolization technique to establish the CIRI model. Twenty-four hours prior to CIRI induction, rats in the antagomiR-NC and antagomiR-203a-3p groups received a stereotaxic injection of antagomiR-NC and miR-203a-3p antagomir, respectively, into the lateral ventricle. Rats in the sham and model groups were administered an equivalent volume of sterile saline via the same route and at the same time point.Behavioral assessments were conducted using the Zea-Longa scoring system. Cerebral infarction volume was measured using TTC staining. Collateral circulation status and microcirculatory blood perfusion (MBPU) in the rat cerebral cortex were monitored using laser speckle imaging. Cortical pathological morphology was observed through hematoxylin and eosin staining. RT-qPCR was employed to analyze the expression of miR-203a-3p, PIK3CA, PI3K, AKT, and Survivin mRNA in rat brain tissue. Western blotting was employed to detect the expression of PIK3CA, p-PI3K, PI3K, p-AKT, AKT and Survivin proteins. Results In comparison to the model group and the antagomiR-NC group, rats in the miR-203a-3p group demonstrated significantly reduced neurological deficit scores, notably decreased cerebral infarct volumes,substantially more collateral circulation anastomoses could be seen, and increased MBPU in the cerebral cortex. Pathological damage in cortical regions was mitigated, with miR-203a-3p mRNA expression levels markedly decreased, while mRNA expression levels of PIK3CA, PI3K, Akt, and Survivin were significantly elevated. Correspondingly, protein expression levels of PIK3CA, p-PI3K/PI3K、p-AKT/AKT and Survivin were markedly increased. Conclusions The inhibition of miR-203a-3p expression enhances cortical MBPU and the opening of collateral circulation in rats with CIRI, thereby reducing pathological damage and improving neurological function. This mechanism may be associated with the activation of the PIK3CA/PI3K/AKT/Survivin signaling pathway by the miR-203a-3p antagomir, which facilitates the reconstruction of collateral circulation.

Key words: miR-203a-3p, PIK3CA/PI3K/Akt/Survivin signaling pathway, cerebral ischemia reperfusion injury, collateral circulation, rats

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