Oxidative stress dependent microRNA-34a activation via PI3Kα reduces the expression of sirtuin-1 and sirtuin-6 in epithelial cells

Sirtuin-1 (SIRT1) and SIRT6, NAD+-dependent Class III protein deacetylases, are putative anti-aging enzymes, down-regulated in patients with chronic obstructive pulmonary disease (COPD), which is characterized by the accelerated ageing of the lung and associated with increased oxidative stress. Here, we show that oxidative stress (hydrogen peroxide) selectively elevates microRNA-34a (miR-34a) but not the related miR-34b/c, with concomitant reduction of SIRT1/-6 in bronchial epithelial cells (BEAS2B), which was also observed in peripheral lung samples from patients with COPD. Over-expression of a miR-34a mimic caused a significant reduction in both mRNA and protein of SIRT1/-6, whereas inhibition of miR-34a (antagomir) increased these sirtuins. Induction of miR-34a expression with H2O2 was phosphoinositide-3-kinase (PI3K) dependent as it was associated with PI3Kα activation as well as phosphatase and tensin homolog (PTEN) reduction. Importantly, miR-34a antagomirs increased SIRT1/-6 mRNA levels, whilst decreasing markers of cellular senescence in airway epithelial cells from COPD patients, suggesting that this process is reversible. Other sirtuin isoforms were not affected by miR-34a. Our data indicate that miR-34a is induced by oxidative stress via PI3K signaling, and orchestrates ageing responses under oxidative stress, therefore highlighting miR-34a as a new therapeutic target and biomarker in COPD and other oxidative stress-driven aging diseases.

Scientific RepoRts | 6:35871 | DOI: 10.1038/srep35871 including inflammation, cellular senescence, DNA repair, genomic stability and autophagy; via the deacetylation of upstream regulatory proteins. SIRT1 deacetylates NF-κ B, forkhead box class O (FOXO)-3, p21, p16, p53, Klotho, β -catenin/Wnt and histones, all of which contribute to the pathology of COPD 12,14,15,17,18 . P16 and p21, which are cyclin-dependent kinase inhibitor proteins and induce G1 stage cell cycle arrest 19 , are well-known markers of senescence and have been shown to be elevated in expression in cells taken from COPD patients 13,20 . In this regard, SIRT1 has been implicated in the regulation of both senescence and the expression of p16 and p21 14 . SIRT1 and SIRT6 are down-regulated in expression in the peripheral lungs of patients with COPD, and this is mimicked in vitro by oxidative stress 12,21 . The down-regulation of SIRT1 in patients with COPD has been attributed to post-translational modifications and proteasomal degradation 21 . However, it is well documented that a decrease in the mRNA levels of SIRT1 and SIRT6 is found in patients with COPD, with no proposed mechanism 12,22 .
Micro-RNAs (miRNAs) are small endogenous non-coding RNAs, which are typically 18-23 nucleotides in length, and regulate the expression of several target genes and may act as a link between different signaling pathways. Mature miRNAs bind to a target mRNAs at complementary sites within the 3′ -untranslated region (3′ -UTR), triggering the down-regulation and suppression of the target gene 23 . miRNAs have been extensively studied in relation to disease due to their importance in an array of biological processes; including aging, cell proliferation, and apoptosis 17,18,24 . Recent studies have examined the roles of miRNA in COPD [25][26][27][28] , with miR-34a being shown to be up-regulated in patients with severe COPD 29 . MiR-34a has been shown to be an important regulator of SIRT1 in colon epithelial, breast cancer and endothelial cells [30][31][32] . MiR-34a has also been recently linked with the down-regulation of SIRT6 when over-expressed in primary human keratinocytes 33 . As well as regulating the expression of the SIRT1 and SIRT6, miR-34a has been shown to directly regulate the expression of Protein phosphatase-1 nuclear targeting subunit (PNUTS) 24 ; this protein is associated with ageing and regulates several pathways involved in accelerated aging, including the regulation of telomere length, DNA damage responses and cell cycle progression 24,34 .
Currently no link has been demonstrated between miR-34a and the decreased levels of SIRT1 and SIRT6 in patients with COPD. It is therefore hypothesized that elevated levels of miR-34a, found within the peripheral lung of patients with COPD, may regulate the expression of SIRT1 and SIRT6 under conditions of increased oxidative stress. Understanding whether miR-34a regulates the translation of SIRT1 and SIRT6 is crucial in understanding this miRNAs role in the pathology of COPD or oxidative stress driven aging diseases.

Results
SIRT1 and miR-34a expression in COPD lung. The expression of SIRT1 and miR-34a were examined in peripheral lung samples taken from control subjects (which included non-smokers and smokers) and COPD patients who had various stages of the disease (patient details described in Table S1). As previously reported 12 SIRT1 mRNA, normalized to the expression of a house keeper gene (GNB2L1), was confirmed to be significantly down-regulated in the peripheral lungs of patients with COPD (Fig. 1A). In contrast, miR-34a was significantly up-regulated in patients with COPD compared to age-matched subjects without the disease (Fig. 1B). Within these samples there was a trend towards higher miR-34a expression with lower SIRT1 mRNA expression, but the correlation was not statistically significant (data not shown). MiR-34a gene expression also showed a trend towards an increase with age (data not shown), in agreement others previous finding in aged mice 24 . This induction seemed to be selective for miR-34a as the other two closely related miRNA-34 family members, miRNA-34b and miR-NA-34c, showed a trend towards reduced expression in COPD (Fig. 1C,D). Both have previously been shown to be down-regulated in patients with COPD, with significance being associated with emphysema severity 35 . MiR-34a was also shown to be significantly up-regulated in sputum cell samples taken from a different cohort of COPD patients (Table S2, Fig. 1E) and in primary epithelial cells taken from COPD patients undergo lung revision surgery (Fig. 1F).

Oxidative stress regulates expression of both miR-34a and SIRT1 in airway epithelial cells.
To evaluate the effects of oxidative stress on both miR-34a and SIRT1 expression, immortalized human bronchial epithelial cells (BEAS2B) were treated for 48 hours with varying concentration of hydrogen peroxide (H 2 O 2 ). A concentration-dependent increase in the levels of miR-34a was observed in cells treated with H 2 O 2 , with significant increases at concentrations 75, 100 and 150 μ M ( Fig. 2A). Conversely, both the mRNA and protein levels of SIRT1 were reduced at 100 and 150 μ M of H 2 O 2 (Fig. 2B,C). Time-course studies demonstrated that miR-34a induction was observed at 24 hours, indicating that miR-34a expression is induced prior to the maximal decrease of SIRT1 mRNA at 48 hours (Fig. 2D,E). SIRT1 protein was also decreased 48 hours after H 2 O 2 treatment (Fig. 2F). These data suggest that oxidative stress modulates the expression of both SIRT1 and miR-34a in bronchial epithelial cells.
MiR-34a directly regulates the expression of SIRT1. To assess whether miR-34a was directly regulating the expression of SIRT1 in bronchial epithelial cells luciferase reporter experiments were performed, assessing whether miR-34a directly bound to the 3′ UTR of SIRT1. A luciferase reporter plasmid with the 3′ UTR of SIRT1 cloned downstream of the luciferase gene was transfected into BEAS2B cells. At the same time, a double-stranded RNA mimic of miR-34a was over-expressed. In both the presence and absence of oxidative stress, over-expression of a miR-34a mimic significantly reduced luciferase activity, suggesting that miR-34a directly binds to the 3′ UTR of SIRT1 mRNA under normal and oxidative conditions (Fig. 3A,B). In addition, over-expression of a miR-34a mimic led to a decrease in both the mRNA and protein levels of SIRT1 under normal and oxidative stress (Fig. 3C,D), suggesting a direct causal link between increased miR-34a and decreased SIRT1. Inhibition of miR-34a restores SIRT1 expression to pre-oxidative stress levels. To assess whether the effects of oxidative stress on the expression of SIRT1 could be prevented, a miR-34a antagomir was over-expressed in BEAS2B cells. Over-expression led to increased SIRT1 mRNA expression under non-oxidative conditions, but this was not significant. Under conditions of oxidative stress (H 2 O 2 100 μ M), where SIRT1 mRNA levels are decreased, over-expressing the miR-34a antagomir restored the level of SIRT1 mRNA and protein to baseline conditions (Fig. 3E,F).
MiR-34a antagomirs were also over-expressed in primary epithelial cells from COPD patients. Overexpression of the antagomir significantly decreased miR-34a expression, with this decrease leading to a significant increase in the mRNA expression of SIRT1 (Fig. 3G,H). These data suggested that miRNA antagomirs have the ability to rescue the loss of SIRT1 mRNA in COPD cells. The mRNA expression of p16 and p21 were also examined after the over-expression of miR-34a antagomirs. The expression of both of these markers of senescence was decreased after treatment (Fig. 3I,J), suggesting miR-34a antagomirs to prevent the induction of senescence in these cells. Similarly, the expression of hTERT, a key component of telomerase was examined, although not significant, an increase in hTERT expression was observed (Fig. 3K).
MiR-34a also regulates the expression of SIRT6. Along with SIRT1, SIRT6 is the only other sirtuin isoform down-regulated in patients with COPD 12 . MiR-34a has also been shown to directly regulate SIRT6 expression by binding to the 3′UTR of SIRT6 mRNA, decreasing both the mRNA and protein expression 33 . To assess whether miR-34a regulates the expression of this isoform or any other members of the sirtuin family in epithelial cells, a miR-34a mimic was over-expressed and the mRNA expression of each sirtuin isoform assessed. Data showed that SIRT1 and SIRT6 were the only members of the sirtuin family down-regulated by the miR-34a mimic, with the mRNA expression of SIRT2, 3, 4, 5 and -7 being unaffected by the mimic (Fig. 4A), implying the importance of miR-34a in COPD.
SIRT6 expression was examined in our peripheral lung sample cohort, with data showing SIRT6 to be down-regulated at the mRNA level in COPD patients, but only when comparing non-smoking controls to patients with the most severe form of COPD (GOLD stage 4) (Fig. 4B). To assess whether oxidative stress was involved in the down-regulation of SIRT6, BEAS2B cells were treated with increasing concentrations of H 2 O 2 and the mRNA and protein levels of SIRT6 examined. At the higher concentrations of H 2 O 2 (75, 100 and 150 μ M) a significant decrease in the expression of SIRT6 was seen at both the mRNA and protein level (Fig. 4C,D). Over-expression of a miR-34a mimic led to the suppression of both the mRNA and protein expression of SIRT6 in epithelial cells under normal and oxidative conditions (Fig. 4E,F). When an antagomir of miR-34a was over-expressed, under conditions of oxidative stress, the expression of SIRT6 mRNA and protein was restored to pre-oxidative conditions (Fig. 4G,H). An antagomir of miR-34a over-expressed in bronchial epithelial cells taken from patients with COPD also led to a significant increase in the mRNA expression of SIRT6, suggesting the reduction of SIRT6 is reversible (Fig. 4I). These data, as similarly seen for SIRT1, suggest that miRNA antagomirs have the capability to restore the loss of SIRT6 mRNA in patients with COPD.  Oxidative stress modulates miR-34a expression via the PI3K pathway. To understand the potential mechanisms by which oxidative stress elevates the levels of miR-34a, the role of the PI3K signaling pathway was examined. This pathway has previously been implicated the regulation of SIRT1 via oxidative stress 36 and is a crucial signaling pathway in the pathogenesis of COPD 37 . As PI3Kα is the dominant isoform expressed in bronchial epithelial cells 35 PI3Kα was inhibited using PIK75, a PI3Kα selective inhibitor. PI3Kα inhibition led to  7). The band density of each blot is represented as a histogram and is the average of all experiments performed. Data are means ± SEM analyzed by Mann-Whitney, Paired student t-test, Kruskal-Wallis test with post hoc Dunns and One-way Anova with post hoc Bonferroni *P < 0.05, **P < 0.01, ***P < 0.001. a significant increase in the expression of both SIRT1 and SIRT6 in cells treated with H 2 O 2 compared to vehicle control (Fig. 5A,B), showing the importance of this pathway in the reduction of SIRT1 and SIRT6 under conditions of oxidative stress.
To further understand the mechanism by which the PI3K pathway regulates both SIRT1 and SIRT6, we examined the effect of PI3K inhibition on miR-34a expression, using 4 isoform specific PI3K inhibitors. H 2 O 2 -induced miR-34a expression in epithelial cells was significantly abrogated by PI3Kα (PIK75) and PI3Kγ inhibition (AS-605240), but not when PI3Kβ (GSK2636771) or PI3Kδ (IC-87114) were inhibited (Fig. 5C-F). When phosphatase and tensin homolog (PTEN), a negative regulator of PI3K signaling was knocked-down (Fig. 5G) under oxidative conditions, a significant decrease in SIRT1 and SIRT6 mRNA expression was seen (Fig. 5H,I). In addition to the loss of SIRT1 and SIRT6, an induction of miR-34a was seen (Fig. 5J), further implicating the dysregulation of the PI3K pathway in the expression of miR-34a, SIRT1 and SIRT6 in COPD.
MiR-34a regulates PNUTS, an age associated driver of the accelerated ageing phenotype in COPD patients. PNUTS (also known as PPP1R10), a direct target of miRNA-34a, has been shown to be down-regulated with age as well as being associated with the regulation of telomere length, DNA damage responses and apoptosis 24 , all of which are deregulated in COPD. The role of PNUTS in COPD pathogenesis has not been examined, with no previous studies investigating the expression of this phosphatase in COPD patients. When examining the mRNA expression of PNUTS, in our peripheral lung samples, a significant decrease in expression was seen in COPD patients (Fig. 6A), with the decrease being observed in patients with the most severe form of the disease ( Figure S1). The effects of oxidative stress on the mRNA expression of PNUTS was examined, showing PNUTS gene expression to be significantly down-regulated in epithelial cells treated with H 2 O 2 (100 and 150 μ M) (Fig. 6B). To assess direct regulation of PNUTS by miR-34a, a miR-34a mimic was over-expressed. Over-expression induced a significant decrease in the mRNA expression of PNUTS at basal levels and a further reduction in expression was seen in conditions of oxidative stress, although this was not significant (Fig. 6C). Over-expression of a miR-34a antagomir rescued the loss of PNUTS mRNA expression to above basal levels when treated with H 2 O 2 (Fig. 6D). An antagomir of miR-34a was also over-expressed in bronchial epithelial cells taken from patients with COPD. This led to a significant increase in the mRNA expression of PNUTS, suggesting the reduction of PNUTS in COPD patients could be reversible (Fig. 6E). These data, as similarly seen for SIRT1 and SIRT6, suggest that miRNA antagomirs have the capability to restore the loss of PNUTS mRNA in patients with COPD.

Discussion
SIRT1 and SIRT6 are putative anti-ageing molecules that have been shown to be significantly reduced in the lungs of COPD patients, in agreement with the view that COPD represents acceleration of lung aging 12,23 . They have both been shown to down-regulate inflammation through the modulation of NF-κ B signaling, reduce emphysema through inhibition of matrix metalloproteinase expression, and also regulate the expression of several anti-oxidant genes 12,14,38,39 . These findings have shown the importance of these two deacteylases in the pathology of COPD. Oxidative stress, a key feature of COPD, is believed to be a main driver of the down-regulation of SIRT1 and SIRT6 protein expression in COPD patients 12,21,39 . However, the mechanism by which the mRNA levels of these deacetylases are down regulated in COPD has not been understood until now.
MiRNAs have been extensively documented in COPD, with many miRNAs being associated with disease severity and clinical phenotypes 27,28,40 . However, much of this work has focused on alterations in expression between healthy and COPD patients, with little information on how the dysregulation of these miRNAs contribute to disease mechanisms 35,41 . Although miR-34a has been previously been shown to be up-regulated in the lungs of patients with COPD 29 , here, we show for the first time that abnormal regulation of miR-34a by oxidative stress causes parallel down-regulation of SIRT1 and SIRT6.
MiR-34a is known to regulate SIRT1 expression 30 , but this has not been examined in the context of COPD. Elevated levels of this miRNA were seen in lung homogenates from COPD patients in association with reduced expression of SIRT1. MiR-34a was also elevated in sputum and primary bronchial epithelial cells taken from COPD patients, suggesting increased miR-34a expression in a heterogeneous population of cells. To explore the specificity of these findings the expression of the two other members of the miRNA-34 family, miR-34b and miR-34c, were examined. These two miRNAs have previously been shown to be down-regulated in COPD patients 35 and we confirmed that both were reduced in COPD lung parenchyma, although this did not quite achieve statistical significance 35 . When, however, the control samples were further analyzed, separating smokers and non-smokers, a significant decrease in the expression of both miR-34b and miR-34c is seen (Figures S2 and S3). These data suggest smoking to regulate their expression, this however was not observed for miR-34a ( Figure S4). One explanation for the decreased expression of these two miRNAs could be the reduced expression of FOXO3a in COPD 42 . This transcription factor has been shown to regulate the expression of both these miRNAs 43 , but we found that FOXO3a silencing had no effect on the expression of miR-34a ( Figure S5).
Increased oxidative stress is a key mechanism driving COPD pathogenesis, with elevated levels of oxidative stress persisting after smoking cessation 11 . Oxidative stress causes lung injury by inducing the depletion of glutathione (and other antioxidants), increasing and activating proteinases; all of which further perpetuate the levels of oxidative stress as well as inducing damage to lipids, nucleic acids and proteins 44 . However, the role of oxidative stress in the regulation of miRNAs has not previously been examined in COPD. Elevated oxidative stress decreased both the protein and mRNA levels of SIRT1, whilst up-regulating the expression of miR-34a. Interestingly, the induction of miR-34a began at between 8-24 hours after treatment, prior to the maximal decrease in SIRT1 mRNA and protein expression. This correlation led us to believe that oxidative stress may be inducing miR-34a, leading to a decrease in SIRT1, via the binding of miR-34a to SIRT1 mRNA, thereby inhibiting its translation and/or decreasing mRNA stability of SIRT1, resulting in its degradation. MiR-34a directly binds to the 3′ UTR of SIRT1 mRNA 30 , inducing a decrease in the protein and/or mRNA expression of this gene; this is via translation repression but may also be due to increased mRNA decay. Our data show that in bronchial epithelial cells, miR-34a directly binds to the 3′ UTR of SIRT1 mRNA, in both the absence and presence of oxidative stress, suggesting a direct regulatory effect. As the regulation of SIRT1 by miR-34a has been shown to decrease just the protein levels of SIRT1 in certain cell types 30,31 , but also the mRNA and protein levels of SIRT1 in other cell types 45 , we assessed the regulation of both in bronchial epithelial cells. Over-expression studies showed miR-34a regulated both mRNA and protein expression of SIRT1, with the same results also being observed for SIRT6. These data imply a new mechanism by which the mRNA and protein levels of both SIRT1 and SIRT6 are decreased in parallel in patients with COPD.
As miR-34a has only been shown previously to regulate the expression of SIRT1 and SIRT6 30,33 , the only two members of the sirtuin family to be down-regulated in COPD 12 , we wanted to assess whether miR-34a was specific against just these two isoforms or the rest of the family. We first examined multiple miRNA target prediction websites; two target prediction websites miRanda and miRTarBase predicted only SIRT7 to also be a target of miR-34a. To further validate this we over-expressed a miR-34a mimic and assessed these effects on the mRNA expression of SIRT2, 3, 4, 5 and − 7. Over-expression of miR-34a mimics had no effect on the expression of either of these family members, including SIRT7. These data suggest not only the specificity of this mimic, but also the importance of miR-34a in regulating only the sirtuin isoforms that are down-regulated in COPD, showing the importance of this miRNA in the disease.
To investigate whether the decrease in expression of SIRT1 and SIRT6 under conditions of oxidative stress could be prevented, miR-34a was inhibited in the presence of H 2 O 2 . Results showed both the mRNA and protein levels of SIRT1 and SIRT6 to be down-regulated in conditions of oxidative stress, but this decrease was completely prevented when miR-34a was inhibited by a specific antagomir. These findings were further validated when examining the effects of the miR-34a antagomir in COPD epithelial cells, which are known to have decreased sirtuin-1 and sirtuin-6 expression. A significant increase in the mRNA expression of SIRT1 and SIRT6 was seen in these primary epithelial cells when miR-34a was suppressed using the antagomir. These data imply that the reduction in SIRT1 and SIRT6 mRNA levels could be restored in COPD patients, suggesting administration of these antagomirs as a potential therapy to reverse the accelerated aging phenotype of COPD patients. P21 and p16 are two important cyclin-dependent kinase inhibitors, which mediate cellular senescence 19 and are associated with the ageing phenotype in COPD patients 46 . Over-expression of the miR-34a antagomir in COPD primary epithelial cells led to a significant decrease in the expression of p21 and p16. The mechanism by which miR-34a may be regulating the expression of p21 and p16 is not fully elucidated. However, SIRT1 has been previously shown to decrease the expression of p21 30 in a miR-34a-dependent manner and SIRT1 is known to regulate both p21 and p16 expression under oxidative conditions 14 . In addition to examining the effects of the antagomir on these senescence markers we examined the antaogmirs effect on hTERT expression, a key component of telomerase. MiR-34a has previously been shown to regulate the expression of this protein, inducing cellular senescence 47 . Although not significant, an increase in the expression of hTERT is seen, suggesting a further mechanism by which miR-34a may be inducing cellular senescence. These data suggest miR-34a may act as a master regulator of the accelerating ageing phenotype, driving three distinct pathways, all of which can lead to accelerated ageing of the lung.
Previous studies of the signaling pathways regulating miR-34a expression have implicated p53 and NF-κ B signaling, with both of these transcription factors being shown to bind directly to the promoter of miR-34a 48,49 . NF-κ B signaling is up-regulated in patients with COPD 15 and plays an important role in the up-regulation of inflammatory mediators seen within disease 50 . p53 is also up-regulated in patients with COPD and correlates with increased miR-34a expression 29,51 . However, in p53 knock-out mice the high expression of miR-34a in lungs persists, suggesting that p53-independent mechanisms may also regulate miR-34a transcription in the lung 52 . We therefore sought to understand whether further upstream mechanisms, known to be induced by oxidative stress and associated with COPD, were involved in the induction of miR-34a.
The PI3K signaling pathway is an important signaling pathway in the progression of COPD, being implicated in corticosteroid insensitivity in COPD patients and also being shown to be activated by oxidative stress 37,53 .
To assess the role of this pathway in the regulation of SIRT1, SIRT6 and miR-34a various PI3K inhibitors were utilized. Inhibition of PI3Kα , the predominant isoform in bronchial epithelial cells, led to a significant increase in the expression of both SIRT1 and SIRT6 compared to controls when under conditions of oxidative stress. To understand the potential mechanism by which PI3K signaling modulated SIRT1 and SIRT6 expression the effect of isoform specific inhibition of the PI3K pathway on the expression of miR-34a was examined. Inhibition of PI3Kα led to a significant decrease in the expression of miR-34a, suggesting that activation of PI3K signaling by oxidative stress may induce miR-34a expression in patients with COPD. Interestingly, PI3Kγ , but not PI3Kδ or PI3Kβ , also appears to be involved in the regulation of miR-34a in epithelial cells. However, this inhibitor is believed to inhibit PI3Kα at the concentration used 54 and may therefore suggest that only PI3Kα is regulating miR-34a expression in these conditions. The role of PTEN was also examined, as previously unpublished work by our group has shown this protein to be down-regulated in COPD patients. Knock-down of PTEN, the major endogenous inhibitor of PI3K signaling resulted in a significant increase in the levels of miR-34a and concomitant decrease in the mRNA expression of SIRT1 and SIRT6, further demonstrating the importance of the PI3K pathway in the regulation of miR-34a by oxidative stress. How PI3Kα and PI3K-γ isoforms regulate the expression of miR-34a remains unclear. However, PI3K signaling is known to induce NF-κ B signaling via Akt 55 , suggesting that PI3K signaling may activate this transcription factor leading to its binding to the miR-34a promoter, thereby inducing miR-34a expression in bronchial epithelial cells.
As well as regulating the expression of SIRT1 and SIRT6, miR-34a has been shown to directly inhibit the expression of PNUTS 24 . This age associated protein has been shown to be important in the regulation of telomere length, apoptosis and DNA damage repair, all of which are deregulated in COPD. We therefore hypothesized that this protein might be down-regulated in patients in COPD, via the induction of miR-34a, through its induction by elevated oxidative stress. A decrease in the mRNA expression of PNUTS was seen in peripheral lung samples taken from COPD patients, with further data suggesting that the mRNA levels of PNUTS could be decreased by oxidative stress in BEAS2B cells. MiR-34a mimic and antagomir studies also confirmed the direct regulation of this protein by miR-34a. The over-expression of a miR-34a antagomir rescued the mRNA levels of PNUTS in epithelial cells from diseased patients, suggesting the reduction in the expression of this gene could be reversible in patients with COPD. The loss of PNUTS, via miR-34a, may induce apoptosis, cell cycle suppression and also senescence in COPD patients.
This study shows miR-34a to directly and specifically regulate the expression of SIRT1 and SIRT6 in bronchial epithelial cells. These data suggest a potential new mechanism by which the elevated levels of oxidative stress found within the peripheral lungs of patients with COPD decreases both the mRNA and protein expression of SIRT1 and SIRT6, as observed in patients with COPD. Over-expression of a miR-34a antagomir in bronchial epithelial cells from COPD patients suggests the decrease in SIRT1 and SIRT6 mRNA levels can be restored, preventing any further loss of these putative anti-ageing molecules. We also show PNUTS to be down-regulated in COPD patients and that miR-34a directly regulates the expression of this protein. These data suggest miR-34a may act as a master regulator in the expression of several anti-ageing molecules, showing the importance of this miRNA in the progression of COPD. MiR-34a antagomirs may therefore have the potential to be a new therapy to prevent further down-regulation of these anti-ageing molecules, slowing down the accelerated ageing phenotype of the lung and the loss of lung function in COPD patients. Finally, miR-34a may be a potential biomarker of cellular senescence in COPD.