%0 Journal Article %A Mayoral-Gonzalez, Isabel %A Calderon-Sanchez, Eva M %A Galeano-Otero, Isabel %A Martin-Bornez, Marta %A Gutierrez-Carretero, Encarnacion %A Fernandez-Velasco, Maria %A Domenech, Nieves %A Crespo-Leiro, Maria Generosa %A Gomez, Ana Maria %A Ordoñez-Fernandez, Antonio %A Hmadcha, Abdelkrim %A Smani, Tarik %T Cardiac protection induced by urocortin-2 enables the regulation of apoptosis and fibrosis after ischemia and reperfusion involving miR-29a modulation. %D 2022 %@ 2162-2531 %U http://hdl.handle.net/10668/22458 %X Urocortin-2 (Ucn-2) has demonstrated cardioprotective actions against myocardial ischemia-reperfusion (I/R) injuries. Herein, we explored the protective role of Ucn-2 through microRNAs (miRNAs) post-transcriptional regulation of apoptotic and pro-fibrotic genes. We determined that the intravenous administration of Ucn-2 before heart reperfusion in a Wistar rat model of I/R recovered cardiac contractility and decreased fibrosis, lactate dehydrogenase release, and apoptosis. The infusion of Ucn-2 also inhibited the upregulation of 6 miRNAs in revascularized heart. The in silico analysis indicated that miR-29a and miR-451_1∗ are predicted to target many apoptotic and fibrotic genes. Accordingly, the transfection of neonatal rat ventricular myocytes with mimics overexpressing miR-29a, but not miR-451_1∗, prevented I/R-induced expression of pro- and anti-apoptotic genes such as Apaf-1, Hmox-1, and Cycs, as well as pro-fibrotic genes Col-I and Col-III. We also confirmed that Hmox-1, target of miR-29a, is highly expressed at the mRNA and protein levels in adult rat heart under I/R, whereas, Ucn-2 abolished I/R-induced mRNA and protein upregulation of HMOX-1. Interestingly, a significant upregulation of Hmox-1 was observed in the ventricle of ischemic patients with heart failure, correlating negatively with the left ventricle ejection fraction. Altogether, these data indicate that Ucn-2, through miR-29a regulation, provides long-lasting cardioprotection, involving the post-transcriptional regulation of apoptotic and fibrotic genes. %K Ucn-2 %K apoptosis %K cardiac remodeling %K fibrosis %K heart failure %K ischemia and reperfusion %K miRNA %~