<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3-mathml3.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="research-article" dtd-version="1.3" xml:lang="EN">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Neurosci.</journal-id>
<journal-title-group>
<journal-title>Frontiers in Neuroscience</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Neurosci.</abbrev-journal-title>
</journal-title-group>
<issn pub-type="epub">1662-453X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fnins.2026.1754128</article-id>
<article-version article-version-type="Version of Record" vocab="NISO-RP-8-2008"/>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Research</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Suppression of miR-195 attenuates oxygen&#x2013;glucose deprivation/reperfusion-induced BBB destruction, possibly via targeting BCL2L2</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Dong</surname>
<given-names>Mingyan</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/2722042"/>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Project administration" vocab-term-identifier="https://credit.niso.org/contributor-roles/project-administration/">Project administration</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="validation" vocab-term-identifier="https://credit.niso.org/contributor-roles/validation/">Validation</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="conceptualization" vocab-term-identifier="https://credit.niso.org/contributor-roles/conceptualization/">Conceptualization</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="methodology" vocab-term-identifier="https://credit.niso.org/contributor-roles/methodology/">Methodology</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &#x0026; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-review-editing/">Writing &#x2013; review &#x0026; editing</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="investigation" vocab-term-identifier="https://credit.niso.org/contributor-roles/investigation/">Investigation</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="supervision" vocab-term-identifier="https://credit.niso.org/contributor-roles/supervision/">Supervision</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Formal analysis" vocab-term-identifier="https://credit.niso.org/contributor-roles/formal-analysis/">Formal analysis</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Data curation" vocab-term-identifier="https://credit.niso.org/contributor-roles/data-curation/">Data curation</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; original draft" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-original-draft/">Writing &#x2013; original draft</role>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Huang</surname>
<given-names>Lihui</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="conceptualization" vocab-term-identifier="https://credit.niso.org/contributor-roles/conceptualization/">Conceptualization</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &#x0026; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-review-editing/">Writing &#x2013; review &#x0026; editing</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Formal analysis" vocab-term-identifier="https://credit.niso.org/contributor-roles/formal-analysis/">Formal analysis</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Data curation" vocab-term-identifier="https://credit.niso.org/contributor-roles/data-curation/">Data curation</role>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhang</surname>
<given-names>Qiaohong</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="conceptualization" vocab-term-identifier="https://credit.niso.org/contributor-roles/conceptualization/">Conceptualization</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Data curation" vocab-term-identifier="https://credit.niso.org/contributor-roles/data-curation/">Data curation</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &#x0026; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-review-editing/">Writing &#x2013; review &#x0026; editing</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Formal analysis" vocab-term-identifier="https://credit.niso.org/contributor-roles/formal-analysis/">Formal analysis</role>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhu</surname>
<given-names>Shuchen</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Data curation" vocab-term-identifier="https://credit.niso.org/contributor-roles/data-curation/">Data curation</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &#x0026; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-review-editing/">Writing &#x2013; review &#x0026; editing</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="conceptualization" vocab-term-identifier="https://credit.niso.org/contributor-roles/conceptualization/">Conceptualization</role>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Piao</surname>
<given-names>Yicui</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &#x0026; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-review-editing/">Writing &#x2013; review &#x0026; editing</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Data curation" vocab-term-identifier="https://credit.niso.org/contributor-roles/data-curation/">Data curation</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="conceptualization" vocab-term-identifier="https://credit.niso.org/contributor-roles/conceptualization/">Conceptualization</role>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Liu</surname>
<given-names>Zijie</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &#x0026; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-review-editing/">Writing &#x2013; review &#x0026; editing</role>
</contrib>
</contrib-group>
<aff id="aff1"><institution>National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital and Shenzhen Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College</institution>, <city>Shenzhen</city>, <country country="cn">China</country></aff>
<author-notes>
<corresp id="c001"><label>&#x002A;</label>Correspondence: Mingyan Dong, <email xlink:href="mailto:153504729@qq.com">153504729@qq.com</email></corresp>
</author-notes>
<pub-date publication-format="electronic" date-type="pub" iso-8601-date="2026-02-10">
<day>10</day>
<month>02</month>
<year>2026</year>
</pub-date>
<pub-date publication-format="electronic" date-type="collection">
<year>2026</year>
</pub-date>
<volume>20</volume>
<elocation-id>1754128</elocation-id>
<history>
<date date-type="received">
<day>25</day>
<month>11</month>
<year>2025</year>
</date>
<date date-type="rev-recd">
<day>11</day>
<month>01</month>
<year>2026</year>
</date>
<date date-type="accepted">
<day>16</day>
<month>01</month>
<year>2026</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2026 Dong, Huang, Zhang, Zhu, Piao and Liu.</copyright-statement>
<copyright-year>2026</copyright-year>
<copyright-holder>Dong, Huang, Zhang, Zhu, Piao and Liu</copyright-holder>
<license>
<ali:license_ref start_date="2026-02-10">https://creativecommons.org/licenses/by/4.0/</ali:license_ref>
<license-p>This is an open-access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License (CC BY)</ext-link>. The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</license-p>
</license>
</permissions>
<abstract>
<sec>
<title>Background</title>
<p>MicroRNAs (miRNAs) are highly expressed in the brain and represent promising therapeutic targets for the treatment of ischemic stroke. Previous studies have shown that microRNA-195 (miR-195) is associated with apoptosis and is significantly upregulated in the serum of patients with ischemic stroke. We aimed to confirm the role of miR-195 in brain microvascular endothelial cell (BMEC) apoptosis and blood&#x2013;brain barrier (BBB) integrity.</p>
</sec>
<sec>
<title>Materials and methods</title>
<p>bEnd.3 cells were exposed to oxygen&#x2013;glucose deprivation/reperfusion (OGD/R). RT-qPCR was used to determine the relative expression of miRNA-195. Bioinformatics analysis using the TargetScan database predicted BCL2L2 as a potential target of miR-195. A BBB model was constructed by culturing bEnd.3 cells in the upper Transwell chambers. Transepithelial/transendothelial electrical resistance (TEER) and the fluorescein isothiocyanate (FITC)-dextran assay were used to assess BBB permeability. Immunofluorescence staining for caspase-3, TdT-mediated dUTP nick end labeling (TUNEL) staining, and flow cytometric analysis were used to measure bEnd.3 cell apoptosis. Tight junction proteins (TJPs) expression was determined using western blot analysis.</p>
</sec>
<sec>
<title>Results</title>
<p>miR-195 expression was upregulated in the <italic>in vitro</italic> OGD/R model. miR-195 mimics exacerbated cellular apoptosis and BBB disruption following OGD/R, whereas the miR-195 inhibitor alleviated OGD/R-induced apoptosis and BBB impairment. Overexpression of miR-195 significantly reduced BCL2L2 expression, and luciferase reporter assays confirmed that miR-195 directly binds to BCL2L2. Co-transfection of miR-195 mimics and BCL2L2 partially reversed the effects of miR-195 mimics on cell survival and barrier function.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>Our results suggest that the miR-195/BCL2L2 axis plays a critical role in the regulation of bEnd.3 cell apoptosis. Modulation of miR-195 may represent a novel therapeutic strategy for targeting BMEC apoptosis in ischemic stroke.</p>
</sec>
</abstract>
<kwd-group>
<kwd>apoptosis</kwd>
<kwd>BBB</kwd>
<kwd>BCL2L2</kwd>
<kwd>miR-195</kwd>
<kwd>OGD/R</kwd>
</kwd-group>
<funding-group>
<funding-statement>The author(s) declared that financial support was received for this work and/or its publication. This study was supported by Shenzhen High-level Hospital Construction Fund.</funding-statement>
</funding-group>
<counts>
<fig-count count="6"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="43"/>
<page-count count="10"/>
<word-count count="5735"/>
</counts>
<custom-meta-group>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Neuroscience Methods and Techniques</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="sec1">
<title>Introduction</title>
<p>Recently, ischemic stroke research has shifted its focus from neurons to the neurovascular unit (<xref ref-type="bibr" rid="ref33">Wang et al., 2021</xref>). The blood&#x2013;brain barrier (BBB), a highly selective barrier within the neurovascular unit, comprises brain microvascular endothelial cells (BMECs) in close communication with pericytes and astrocytes (<xref ref-type="bibr" rid="ref28">Schaeffer and Iadecola, 2021</xref>). The BBB is an important target in cerebral ischemia/reperfusion (I/R) injury (<xref ref-type="bibr" rid="ref39">Zhang et al., 2024</xref>). BMEC apoptosis and disruption of tight junction proteins (TJPs) play important roles in I/R injury after ischemic stroke (<xref ref-type="bibr" rid="ref35">Yang et al., 2019</xref>). Attenuating BMEC apoptosis and preserving TJPs are beneficial for stabilizing the BBB after cerebral ischemia.</p>
<p>MicroRNAs (miRNAs) are noncoding RNAs approximately 18&#x2013;22 nucleotides in length that play crucial roles in various fundamental biological processes, including cell proliferation, differentiation, and apoptosis (<xref ref-type="bibr" rid="ref26">Pozniak et al., 2022</xref>; <xref ref-type="bibr" rid="ref14">Jorge et al., 2021</xref>; <xref ref-type="bibr" rid="ref8">Galagali and Kim, 2020</xref>). Many miRNAs exhibit altered expression levels after ischemic stroke and have been proposed as diagnostic markers (<xref ref-type="bibr" rid="ref25">Payne et al., 2023</xref>; <xref ref-type="bibr" rid="ref4">Bsat et al., 2021</xref>; <xref ref-type="bibr" rid="ref7">Eyileten et al., 2025</xref>). Several miRNAs are involved in regulating the permeability of the BBB after cerebral I/R injury (<xref ref-type="bibr" rid="ref25">Payne et al., 2023</xref>; <xref ref-type="bibr" rid="ref7">Eyileten et al., 2025</xref>; <xref ref-type="bibr" rid="ref11">Gugliandolo et al., 2021</xref>). The level of microRNA-195 (miR-195) in serum collected during the acute phase of acute stroke patients was significantly elevated (<xref ref-type="bibr" rid="ref38">Zhai et al., 2020</xref>). miR-195 has been shown to regulate cell apoptosis by binding to target genes (<xref ref-type="bibr" rid="ref20">Lin et al., 2021</xref>; <xref ref-type="bibr" rid="ref21">Liu et al., 2021</xref>; <xref ref-type="bibr" rid="ref9">Gao et al., 2022</xref>).</p>
<p>BCL2L2 is a crucial apoptosis regulatory protein that functions as a downstream target of miRNAs to modulate apoptotic processes (<xref ref-type="bibr" rid="ref37">Yu et al., 2021</xref>; <xref ref-type="bibr" rid="ref40">Zhang et al., 2016</xref>). After searching the online miRNA TargetScan database<xref ref-type="fn" rid="fn0001"><sup>1</sup></xref>, we found that BCL2L2 is a potential target of miR-195. Reducing the expression of miR-195 may exert a protective effect against I/R injury. Therefore, this study was designed to investigate the regulatory role of the miR-195/BCL2L2 molecular axis in I/R-induced BBB injury.</p>
</sec>
<sec sec-type="materials|methods" id="sec2">
<title>Materials and methods</title>
<sec id="sec3">
<title>Cell culture, oxygen&#x2013;glucose deprivation/reperfusion (OGD/R) treatment, and plasmid transfection</title>
<p>Cerebral microvascular endothelial cells (bEnd.3 cells; Bioleaf Biotech, Shanghai, China) were cultured in an incubator (5% CO2, 95% O2), with saturated humidity at 37&#x202F;&#x00B0;C. After reaching 80% confluence, bEnd.3 cells were prepared for transfection. miR-195 mimics, miR-195 inhibitors, and a BCL2L2 overexpression plasmid (oe-BCL2L2) were purchased from RiboBio (Guangzhou, China). We used Lip2000 (Invitrogen, USA) according to the manufacturer&#x2019;s instructions for plasmid transfection. In addition, 48&#x202F;h after transfection, cells transfected with the overexpression plasmid were harvested. The cells were placed in a tri-gas incubator containing 1% O2, 5% CO2, and 94% N2 at 37&#x202F;&#x00B0;C in glucose-free Dulbecco&#x2019;s Modified Eagle Medium for 6&#x202F;h, followed by reperfusion in normal medium with glucose under95% air and 5% CO2for 6&#x202F;h. Cells were collected for subsequent biochemical analysis.</p>
</sec>
<sec id="sec4">
<title>RT-qPCR</title>
<p>Total RNA was extracted from cells and tissues using TRIzol reagent (Thermo, USA). The RNA was then reverse-transcribed into cDNA using the PrimeScript RT Reagent Kit (TaKaRa Bio, Japan). Afterward, RT-PCR was performed using the SYBGREEN PCR Master Mix Kit (ComWin, Beijing, China). The Ct value for each well was recorded. U6 was used as the internal reference for miR-195. The fold changes were calculated using relative quantification (the 2-&#x25B3;&#x25B3;Ct method). The primer sequences used were as follows:</p><list list-type="simple">
<list-item>
<p>miR-195F: 5&#x2032;-TAGCAGCACAGAAATATTGGC-3&#x2032;</p>
</list-item>
<list-item>
<p>R: 5&#x2032;-GCTGTCAACGATACGCTACGTA-3&#x2032;</p>
</list-item>
<list-item>
<p>U6F: 5&#x2032;-CTCGCTTCGGCAGCACA-3&#x2032;</p>
</list-item>
<list-item>
<p>R: 5&#x2032;-AACGCTTCACGAATTTGCGT-3&#x2032;</p>
</list-item>
</list>
</sec>
<sec id="sec5">
<title>Western blotting</title>
<p>Total proteins were extracted from cultured cells using RIPA lysis buffer (Abiowell, China). Protein concentrations were measured using a BCA protein assay kit (Abiowell, China). Extracted proteins were separated using 10% SDS-PAGE and then electrotransferred to PVDF membranes. The membranes were blocked with TBST containing 5% non-fat milk for 90&#x202F;min and then incubated overnight with primary antibodies against occludin (1:5000, Proteintech), claudin-5 (1:5000, Proteintech), BCL2L2 (1:1000, Proteintech), and <italic>&#x03B2;</italic>-actin (1:5000, Proteintech). Afterward, the membranes were washed and incubated for 1&#x202F;h with secondary antibodies at room temperature. Immunocomplexes on the membrane were visualized using enhanced chemiluminescence reagent (K-12045-D50, Advansta, USA). The ImageJ software (LOCI, Madison, WI, USA) was used for the quantitative analysis of the western blot results.</p>
</sec>
<sec id="sec6">
<title>Flow cytometric analysis of apoptosis</title>
<p>bEnd.3 cells were treated with overexpression plasmids for 48&#x202F;h and subjected to oxygen&#x2013;glucose deprivation/reperfusion (OGD/R). Cell apoptosis was analyzed by flow cytometry using the Annexin V-APC apoptosis detection kit (KeyGEN, Nanjing, China) according to the manufacturer&#x2019;s instructions. Briefly, cells were collected after digestion with ethylenediaminetetraacetic acid (EDTA)-free trypsin, washed, and resuspended in PBS. The cell suspension was mixed with 5 &#x03BC;L Annexin V-APC and 5 &#x03BC;L propidium iodide, then incubated at room temperature for 10&#x202F;min in the dark. The cells were subsequently analyzed by flow cytometry, and the data were processed using the FlowJo software.</p>
</sec>
<sec id="sec7">
<title>Construction of an <italic>in vitro</italic> BBB model</title>
<p>bEnd.3 cells were seeded on type I collagen-coated 24-well Transwell culture inserts (0.33&#x202F;cm2, 0.4-&#x03BC;m pore size; Corning, BD Biosciences). A BBB model was established once the cells formed a confluent monolayer. The barrier function of the BBB model was evaluated by determining transepithelial/transendothelial electrical resistance (TEER) and using the fluorescein isothiocyanate (FITC)-dextran permeability assay.</p>
</sec>
<sec id="sec8">
<title>Transepithelial/Transendothelial electrical resistance</title>
<p>The barrier integrity of bEnd.3 cells was assessed by measuring TEER using an ERS-2 Voltohmmeter (Millipore, USA). All TEER values were normalized to the area of the membrane (0.33&#x202F;cm<sup>2</sup>) and corrected for the resistance without cells.</p>
</sec>
<sec id="sec9">
<title>FITC-dextran permeability assay</title>
<p>BBB model permeability was assessed using the FITC-dextran permeability assay. bEnd.3 cells were seeded onto 24-well Transwell upper chambers (0.33&#x202F;cm2, 0.4-&#x03BC;m pore size; Corning). After OGD12h/R6h, 1&#x202F;mg/mL FITC-dextran was added to the upper layer of the chamber. After 1&#x202F;h, lower chamber samples were collected. The absorbance of the lower chamber samples was measured using a fluorescence spectrophotometer (490&#x202F;nm excitation and 525&#x202F;nm emission).</p>
</sec>
<sec id="sec10">
<title>TUNEL staining</title>
<p>To assess cell apoptosis after OGD/R insult, TdT-mediated dUTP nick end labeling (TUNEL) staining (Yisheng Biotechnology, Shanghai, China) was performed to detect the apoptotic rate. In brief, BMECs were incubated with proteinase K. The terminal deoxynucleotidyl transferase (TdT) and fluorescein-conjugated dUTP were added to the cell samples. Nuclei were counterstained with 4&#x2019;,6-diamidino-2-phenylindole (DAPI; Wellbio Biotechnology, Shanghai, China). TUNEL-positive cells were analyzed using fluorescence microscopy (Motic BA410E, Xiamen, China).</p>
</sec>
<sec id="sec11">
<title>Luciferase assay</title>
<p>The luciferase reporter vector pmiR-BCL2L2-WT (wild type) was constructed by cloning BCL2L2 cDNA, which contains the binding site of miR-195. The luciferase reporter vector pmiR-BCL2L2-Mut(mutant) was constructed by inserting the mutant BCL2L2 sequence. According to the manufacturer&#x2019;s instructions, the luciferase reporter vector was co-transfected with miR-195 mimics into BMECs using Lipofectamine 2000 (Invitrogen). Renilla luciferase reporters were used as an internal control. Luciferase assay was performed after 48&#x202F;h using the Dual-Luciferase Reporter Assay System (Promega Biotech).</p>
</sec>
<sec id="sec12">
<title>Caspase-3 activity</title>
<p>Cells cultured in dishes were fixed with 4% paraformaldehyde for 30&#x202F;min. After washing three times with PBS, the cells were permeabilized with 0.3% Triton X-100 at 37&#x202F;&#x00B0;C for 30&#x202F;min, washed again with PBS, and blocked with 5% BSA for 1&#x202F;h. Subsequently, the cells were incubated with a primary antibody against caspase-3 at 4&#x202F;&#x00B0;C overnight, followed by incubation with a fluorescently labeled anti-rabbit IgG secondary antibody at 37&#x202F;&#x00B0;C for 90&#x202F;min. After three washes with PBS, nuclei were stained with DAPI working solution at 37&#x202F;&#x00B0;C for 10&#x202F;min. Images were captured using a fluorescence microscope.</p>
</sec>
<sec id="sec13">
<title>Statistical analysis</title>
<p>All quantitative data are presented as mean &#x00B1; standard error of the mean (SEM). Differences were evaluated using one-way ANOVA (with Tukey&#x2019;s multiple comparisons test) or Student&#x2019;s <italic>t</italic>-test (two groups). All statistical analyses were performed using GraphPad Prism 10 (GraphPad Software). Statistical significance was set at a <italic>p</italic>-value of &#x003C;0.05.</p>
</sec>
</sec>
<sec sec-type="results" id="sec14">
<title>Results</title>
<sec id="sec15">
<title>miR-195 in bEnd.3 cells increased after OGD/R</title>
<p>Previous studies have indicated that altered expression of miR-195 in patients with ischemic stroke may suggest its potential as a diagnostic biomarker (<xref ref-type="bibr" rid="ref38">Zhai et al., 2020</xref>). Since miR-195 is expressed in BMECs, we employed an OGD/R model to investigate its role in modulating BBB stability during ischemic stroke. RT-qPCR analysis showed that miR-195 in bEnd.3 cells under OGD/R conditions increased significantly compared to the control group (<xref ref-type="fig" rid="fig1">Figure 1A</xref>). This finding suggests that the upregulation of miR-195 may be involved in cellular responses to I/R injury. Subsequent experiments demonstrated that transfection with miR-195 mimics markedly enhanced cellular miR-195 expression, whereas transfection with a miR-195 inhibitor significantly reduced its expression level relative to the control group (<xref ref-type="fig" rid="fig1">Figure 1B</xref>).</p>
<fig position="float" id="fig1">
<label>Figure 1</label>
<caption>
<p>Mi-195 expression was markedly upregulated following OGD/R. <bold>(A)</bold> Relative expression of miR-195 in bEnd.3 cells after OGD/R treatment (<italic>n</italic>&#x202F;=&#x202F;5, mean &#x00B1; SEM). <bold>(B)</bold> Relative expression of miR-195 in bEnd.3 cells after transfection with miR-195 mimics or miR-195 inhibitors, as detected by RT-qPCR (<italic>n</italic>&#x202F;=&#x202F;5, mean &#x00B1; SEM). &#x002A;<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05 between the two indicated groups. <italic>n</italic>, number of cell samples.</p>
</caption>
<graphic xlink:href="fnins-20-1754128-g001.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Bar graphs showing miR-195 relative expression. Panel A compares control and OGD/R, with OGD/R showing higher expression. Panel B shows control, miR-195 mimics, and miR-195 inhibitor; miR-195 mimics display notably higher expression. Asterisks indicate statistical significance.</alt-text>
</graphic>
</fig>
</sec>
<sec id="sec16">
<title>Downregulation of miR-195 alleviated BBB damage after OGD/R</title>
<p>We used the monolayer of the bEnd.3 cells grown on the Transwell insert as an <italic>in vitro</italic> BBB model. To examine the effect of miR-195 expression on cerebral ischemic injury, we transfected the bEnd.3 cells with miR-195 mimics or miR-195 inhibitors, and the effects of miR-195 on BBB function after OGD/R injury was assessed. Permeability of the <italic>in vitro</italic> BBB model was assessed after OGD/R. Relative bEnd.3 cell permeability was evaluated by measuring the permeability of FITC-dextran (40&#x202F;kDa) across the cell monolayer and by determining TEER values. The FITC-dextran (40&#x202F;kDa) leakage test showed that the permeability of bEnd.3 cells exposed to OGD/R increased significantly compared to the control group. Compared to the OGD/R group, miR-195 mimics increased cellular permeability, whereas the miR-195 inhibitor reversed this effect (<xref ref-type="fig" rid="fig2">Figure 2A</xref>). Consistent with the permeability results, the TEER of the endothelial monolayer exposed to OGD/R was significantly reduced compared to the control group. The miR-195 inhibitor protected the endothelial monolayer from OGD/R-induced TEER reduction, while miR-195 mimics exacerbated the decline in TEER following OGD/R (<xref ref-type="fig" rid="fig2">Figure 2B</xref>).</p>
<fig position="float" id="fig2">
<label>Figure 2</label>
<caption>
<p>OGD/R affected BBB permeability. MiR-195 inhibitors abolished the effect of OGD/R on BBB integrity, while miR-195 mimics exacerbated the effect of OGD/R on BBB integrity. <bold>(A)</bold> Permeability of bEnd.3 cells was analyzed using fluorescein isothiocyanate (FITC)-dextran (<italic>n</italic>&#x202F;=&#x202F;5, mean &#x00B1; SEM). <bold>(B)</bold> TEER of bEnd.3 cell monolayers in the different groups (<italic>n</italic>&#x202F;=&#x202F;5, mean &#x00B1; SEM). &#x002A;<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05 between the two indicated groups. <italic>n</italic>, number of cell samples.</p>
</caption>
<graphic xlink:href="fnins-20-1754128-g002.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Bar graphs showing the effects of different treatments: A) FITC-dextran permeability (percent of control) increases significantly in the OGD/R group, further rising with miR-195 mimics, and decreasing with the miR-195 inhibitor. B) TEER value (percent of control) decreases in OGD/R, further dropping with miR-195 mimics, but increases with the miR-195 inhibitor. Asterisks indicate statistical significance.</alt-text>
</graphic>
</fig>
</sec>
<sec id="sec17">
<title>Downregulation of miR-195 attenuated OGD/R-induced apoptosis in bEnd.3 cells</title>
<p>It is well established that apoptosis of BMECs increases after ischemic stroke, leading to enhanced BBB permeability. Annexin V/PI staining analysis showed that the apoptotic rate of bEnd.3 cells was significantly increased after OGD/R compared to the control group. Transfection with the miR-195 inhibitor attenuated OGD/R-induced apoptosis, whereas miR-195 mimics promoted apoptotic cell death (<xref ref-type="fig" rid="fig3">Figures 3A</xref>,<xref ref-type="fig" rid="fig3">B</xref>). These findings from Annexin V/PI analysis were further confirmed by TUNEL assay (<xref ref-type="fig" rid="fig3">Figures 3C</xref>,<xref ref-type="fig" rid="fig3">D</xref>).</p>
<fig position="float" id="fig3">
<label>Figure 3</label>
<caption>
<p>OGD/R induced bEnd.3 cell apoptosis, and this effect was reversed by the miR-195 inhibitor, while miR-195 mimics exacerbated this apoptotic response. <bold>(A)</bold> Annexin V and propidium iodide (PI) staining of bEnd.3 cells, analyzed by flow cytometry to identify apoptotic cells (Annexin V<sup>+</sup>/PI<sup>&#x2212;</sup> and Annexin V<sup>+</sup>/PI<sup>+</sup>). <bold>(B)</bold> Quantitative analysis of the apoptotic rate in bEnd.3 cells (<italic>n</italic>&#x202F;=&#x202F;5, mean &#x00B1; SEM). &#x002A;<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05 between the two indicated groups. <italic>n</italic>&#x202F;=&#x202F;number of cell samples. <bold>(C,D)</bold> DAPI/TUNEL double staining of bEnd.3 cells (DAPI: blue, TUNEL: green), and quantitative analysis of TUNEL staining (<italic>n</italic>&#x202F;=&#x202F;5, mean &#x00B1; SEM). &#x002A;<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05 between the two indicated groups. <italic>n</italic>, number of cell samples.</p>
</caption>
<graphic xlink:href="fnins-20-1754128-g003.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Flow cytometry and bar graphs illustrate apoptosis rates under different conditions. Panel A shows flow cytometry plots with control, OGD/R, miR-195 mimics, and inhibitor. Panel B's bar graph compares apoptosis rates across these treatments, showing significant differences. Panel C displays microscopy images with TUNEL and DAPI staining for control and experimental groups. Panel D's bar graph presents apoptosis rates for these groups, showing statistical significance. Asterisks denote significance.</alt-text>
</graphic>
</fig>
</sec>
<sec id="sec18">
<title>BCL2L2 is a miR-195 target gene</title>
<p>To uncover the underlying mechanism through which miR-195 protects bEnd.3 cells from OGD/R-induced injury, we used a target searching parameter<xref ref-type="fn" rid="fn0002"><sup>2</sup></xref> to identify the targets of miR-195. Among the predicted targets, BCL2L2, which is an important regulator of apoptosis, attracted our interest. The 3&#x2032;-UTR of the BCL2L2 mRNA possesses a binding site for miR-195 (<xref ref-type="fig" rid="fig4">Figure 4A</xref>). Moreover, to examine the regulatory effect of miR-195 on BCL2L2 expression, bEnd.3 cells were transfected with miR-195 mimics. As expected, miR-195 overexpression significantly decreased BCL2L2 protein levels in bEnd.3 cells (<xref ref-type="fig" rid="fig4">Figures 4B</xref>,<xref ref-type="fig" rid="fig4">C</xref>). To further investigate whether miR-195 binds to the 3&#x2032;-UTR region of the BCL2L2 mRNA, a psiCHECK vector containing the 3&#x2032;-UTR fragment of BCL2L2 was constructed, and a luciferase assay was performed in HEK293 cells. As expected, miR-195 mimics significantly suppressed luciferase activity in the BCL2L2-WT group, whereas it had no effect on luciferase activity in the BCL2L2-MUT group (<xref ref-type="fig" rid="fig4">Figure 4D</xref>). These results confirm that BCL2L2 is a target gene of miR-195.</p>
<fig position="float" id="fig4">
<label>Figure 4</label>
<caption>
<p>MIR-195 negatively regulated BCL2L2 expression. <bold>(A)</bold> Predicted binding site of miR-195 and BCL2L2. <bold>(B)</bold> Protein expression of BCL2L2 in bEnd.3 cells measured by western blot analysis. <bold>(C)</bold> Quantitative analysis of BCL2L2 protein levels (<italic>n</italic>&#x202F;=&#x202F;3, mean &#x00B1; SEM). <bold>(D)</bold> Luciferase activity of BCL2L2-WT and BCL2L2-MUT determined by dual-luciferase reporter assay (<italic>n</italic>&#x202F;=&#x202F;5, mean &#x00B1; SEM). &#x002A;<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05 between the two indicated groups. <italic>n</italic>, number of cell samples.</p>
</caption>
<graphic xlink:href="fnins-20-1754128-g004.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Figure shows four panels related to BCL2L2 and miR-195 interactions. Panel A displays the alignment between BCL2L2 3' UTR and has-miR-195-5p. Panel B shows a Western blot with bands for BCL2L2 and &#x03B2;-actin across four conditions: mimics-control, miR-195 mimics, inhibitor-control, and miR195-inhibitor. Panel C presents a bar graph comparing BCL2L2/&#x03B2;-actin ratios for the same conditions, with significant differences indicated. Panel D is a bar graph depicting relative fluorescence activity between BCL2L2-MUT and BCL2L2-WT under mimics-control and miR-195 mimics conditions, highlighting a significant difference.</alt-text>
</graphic>
</fig>
</sec>
<sec id="sec19">
<title>miR-195 regulates cellular barrier function by targeting BCL2L2</title>
<p>TJPs, particularly occludin and claudin-5, are significant regulators of BBB assembly and function in BMECs (<xref ref-type="bibr" rid="ref42">Zhao et al., 2022</xref>; <xref ref-type="bibr" rid="ref16">Langen et al., 2019</xref>). To further investigate the mechanism of miR-195 in the BBB under <italic>in vitro</italic> conditions, bEnd.3 cells were subjected to OGD/R treatment. The expression levels of occludin and claudin-5 were assessed using western blot analysis and immunofluorescence staining. It has been established that occludin and claudin-5 expressions are markedly reduced in bEnd.3 cells following OGD/R (<xref ref-type="bibr" rid="ref41">Zhang et al., 2023</xref>; <xref ref-type="bibr" rid="ref17">Li and Tian, 2021</xref>). Compared to the OGD/R group, overexpression of BCL2L2 (oe-BCL2L2) attenuated the degradation of occludin and claudin-5, whereas miR-195 mimics promoted their degradation. Notably, co-transfection with miR-195 mimics and oe-BCL2L2 partially reversed the effects induced by miR-195 mimics alone (<xref ref-type="fig" rid="fig5">Figures 5A</xref>&#x2013;<xref ref-type="fig" rid="fig5">C</xref>). Further supporting these findings, TEER and FITC-dextran (40&#x202F;kDa) permeability assays showed that miR-195 increased the degradation of occludin and claudin-5, an effect that could be partially rescued by oe-BCL2L2 (<xref ref-type="fig" rid="fig5">Figures 5D</xref>,<xref ref-type="fig" rid="fig5">E</xref>).</p>
<fig position="float" id="fig5">
<label>Figure 5</label>
<caption>
<p>Mi-195 exacerbated OGD/R-induced BBB disruption and TJP degradation by targeting BCL2L2. <bold>(A)</bold> Western blot analysis showed that miR-195 treatment decreased the expression of occludin and claudin-5. <bold>(B)</bold> Quantitative analysis of occludin protein levels (<italic>n</italic>&#x202F;=&#x202F;3, mean &#x00B1; SEM). <bold>(C)</bold> Quantitative analysis of claudin-5 protein levels (<italic>n</italic>&#x202F;=&#x202F;3, mean &#x00B1; SEM). <bold>(D)</bold> Permeability of bEnd.3 cells was examined using fluorescein isothiocyanate-dextran (<italic>n</italic>&#x202F;=&#x202F;5, mean &#x00B1; SEM). <bold>(E)</bold> bEnd.3 cell monolayer permeability was measured using TEER assays (<italic>n</italic>&#x202F;=&#x202F;5, mean &#x00B1; SEM). &#x002A;<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05 compared with the indicated group.</p>
</caption>
<graphic xlink:href="fnins-20-1754128-g005.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Western blot analysis and bar graphs depicting the effects of different treatments (OGD/R, miR-195 mimics, oe-NC, oe-BCL2L2, and combinations) on occludin, claudin-5, and &#x03B2;-actin expression. Graphs (B, C, D, E) show quantifications, with significant differences marked by asterisks. Variables include occludin/&#x03B2;-actin ratio, claudin-5/&#x03B2;-actin ratio, FITC-dextran percentage, and TEER values.</alt-text>
</graphic>
</fig>
</sec>
<sec id="sec20">
<title>miR-195 regulates cell apoptosis by targeting BCL2L2</title>
<p>To further investigate the mechanisms through which miR-195 regulates apoptosis in bEnd.3 cells, cellular apoptosis was assessed by measuring the fluorescence intensity of caspase-3 and Annexin V following OGD/R treatment. Both assays demonstrated that oe-BCL2L2 reduced OGD/R-induced apoptosis, whereas miR-195 mimics promoted it. Compared to the OGD/R group, caspase-3 fluorescence intensity increased in the OGD/R&#x202F;+&#x202F;miR-195 mimic group but decreased in the OGD/R&#x202F;+&#x202F;oe-BCL2L2 group. Moreover, the pro-apoptotic effect of miR-195 mimics was reversed in the group co-transfected with miR-195 mimics and oe-BCL2L2 (<xref ref-type="fig" rid="fig6">Figures 6A</xref>,<xref ref-type="fig" rid="fig6">B</xref>). The flow cytometry results were consistent with those from the caspase-3 fluorescence intensity assay. Specifically, compared to the OGD/R group, apoptosis was enhanced in the OGD/R&#x202F;+&#x202F;miR-195 mimic group but attenuated in the OGD/R&#x202F;+&#x202F;oe-BCL2L2 group. Similarly, co-transfection with miR-195 mimics and oe-BCL2L2 abolished the pro-apoptotic effect induced by miR-195 mimics (<xref ref-type="fig" rid="fig6">Figures 6C</xref>,<xref ref-type="fig" rid="fig6">D</xref>).</p>
<fig position="float" id="fig6">
<label>Figure 6</label>
<caption>
<p>MIR-195 can promote the apoptotic rate of OGD/R-treated bEnd.3 cells by downregulating BCL2L2 expression. <bold>(A)</bold> Expression of caspase-3 analyzed by immunofluorescent staining. <bold>(B)</bold> Quantification of the fluorescence intensity of caspase-3 (<italic>n</italic>&#x202F;=&#x202F;5, mean &#x00B1; SEM). <bold>(C)</bold> Annexin V and propidium iodide double-staining of bEnd.3 cells, analyzed by flow cytometry. <bold>(D)</bold> Quantitative analysis of apoptosis in Annexin V/PI-stained cells by flow cytometry (<italic>n</italic>&#x202F;=&#x202F;5, mean &#x00B1; SEM).</p>
</caption>
<graphic xlink:href="fnins-20-1754128-g006.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Figure A shows fluorescence microscopy images of cells under different treatments, stained for caspase-3 and DAPI. Figure B is a bar graph displaying fluorescence activity percentages for various treatments with significant differences marked. Figure C presents flow cytometry dot plots for apoptosis analysis under different conditions. Figure D is a bar graph illustrating apoptosis rates in percentage for each treatment group, highlighting statistically significant differences. Asterisks indicate significance.</alt-text>
</graphic>
</fig>
</sec>
</sec>
<sec sec-type="discussion" id="sec21">
<title>Discussion</title>
<p>Ischemic stroke is a major cause of brain injury, and its treatment remains challenging (<xref ref-type="bibr" rid="ref12">Ho and Powers, 2025</xref>; <xref ref-type="bibr" rid="ref24">Paul and Candelario-Jalil, 2021</xref>). The disruption of BBB structure and function following acute ischemic stroke contributes to a worsened prognosis through the induction of edema and hemorrhage (<xref ref-type="bibr" rid="ref2">Alonso-Alonso et al., 2022</xref>; <xref ref-type="bibr" rid="ref23">Nian et al., 2020</xref>). In the present study, we found that downregulation of miR-195 expression exerted a protective effect against OGD/R-induced endothelial barrier injury. Further investigation revealed that downregulation of miR-195 reduced apoptosis in bEnd.3 cells by enhancing BCL2L2 expression.</p>
<p>BMECs form the BBB through TJPs and maintain its function (<xref ref-type="bibr" rid="ref15">Kadry et al., 2020</xref>). Previous studies have shown that BBB disruption in ischemic stroke is associated with apoptosis of bEnd.3 cells (<xref ref-type="bibr" rid="ref13">Huang et al., 2022</xref>; <xref ref-type="bibr" rid="ref18">Li et al., 2023</xref>). The role of miR-195 in cell apoptosis remains controversial. miR-195-5p suppresses apoptosis induced by intracerebral hemorrhage through the inhibition of MMP-9/MMP-2 expression (<xref ref-type="bibr" rid="ref30">Tsai et al., 2024</xref>). Overexpression of miR-195-5p alleviates apoptosis caused by cerebral I/R injury via the PTEN-AKT signaling pathway (<xref ref-type="bibr" rid="ref27">Ren et al., 2021</xref>). Furthermore, in an OGD/R model, miR-195 alleviated apoptosis by suppressing the IKK&#x03B1;-mediated NF-&#x03BA;B pathway (<xref ref-type="bibr" rid="ref34">Yang et al., 2021</xref>). However, substantial evidence also indicates that miR-195 can promote apoptosis in different models. For instance, miR-195 enhances hypoxia/reoxygenation-induced cardiomyocyte apoptosis by downregulating c-myb (<xref ref-type="bibr" rid="ref5">Chen et al., 2016</xref>). Similarly, miR-195-5p inhibits neuronal cell proliferation and accelerates apoptosis by targeting GFRA4 (<xref ref-type="bibr" rid="ref32">Wang et al., 2021</xref>). Inhibition of miR-195 reduces hypoxia-induced cardiomyocyte apoptosis by targeting PPAR&#x03B3; and FASN (<xref ref-type="bibr" rid="ref19">Lin et al., 2021</xref>). In our study, miR-195 exerted a pro-apoptotic effect on bEnd.3 cells under OGD/R conditions, as confirmed by flow cytometry and TUNEL staining. These observations suggest that miR-195 may function either as a pro-apoptotic or anti-apoptotic factor. The role of miR-195 in apoptosis is highly complex and likely depends on cell type, specific context, and the apoptotic signaling pathways involved.</p>
<p>BCL2L2, a member of the Bcl2 family, is located at band q11.2-q12 on human chromosome 14 and serves as a critical regulator of cell death. It encodes the BCL-W protein, whose promoter region is highly conserved among humans, mice, and rats (<xref ref-type="bibr" rid="ref31">Uittenbogaard et al., 2009</xref>; <xref ref-type="bibr" rid="ref10">Gibson et al., 1996</xref>). Previous studies have suggested that BCL-W may play a significant role in regulating neuronal death following ischemic brain injury (<xref ref-type="bibr" rid="ref36">Yin et al., 2010</xref>; <xref ref-type="bibr" rid="ref29">Sun et al., 2003</xref>). Its anti-apoptotic mechanism is associated with the inhibition of the death effectors BAX and BAK (<xref ref-type="bibr" rid="ref22">Mansour et al., 2025</xref>; <xref ref-type="bibr" rid="ref6">Czabotar et al., 2014</xref>).</p>
<p>The mechanism through which miR-195 regulates apoptosis in bEnd.3 cells may be mediated through the suppression of downstream anti-apoptotic proteins. Target gene prediction using TargetScan (see text footnote 1) identified complementary binding sites between miR-195 and BCL2L2. Western blot analysis showed that inhibition of miR-195 promoted BCL2L2 expression, while overexpression of miR-195 downregulated BCL2L2 expression. Subsequent dual-luciferase reporter assay revealed a direct targeting interaction between miR-195 and BCL2L2. Both western blot and dual-luciferase reporter results suggested that BCL2L2 is a target gene of miR-195. MiR-195 may affect the homeostasis of the BBB after I/R injury by reducing the expression of BCL2L2.</p>
<p>TJPs, such as occludin and claudin-5, are known to play crucial roles in regulating BBB permeability during ischemic stroke (<xref ref-type="bibr" rid="ref43">Zheng et al., 2023</xref>; <xref ref-type="bibr" rid="ref1">Abdullahi et al., 2018</xref>). Previous studies have indicated that apoptosis can induce the endocytosis and degradation of TJPs (<xref ref-type="bibr" rid="ref3">Bojarski et al., 2004</xref>). Attenuation of apoptosis may contribute to the preservation of BBB integrity by preventing the degradation of TJPs. In our study, we found that miR-195 promoted apoptosis in bEnd.3 cells, increased cellular barrier permeability, and further enhanced the degradation of occludin and claudin-5. These effects were reversed by overexpression of BCL2L2. Therefore, we speculate that the underlying mechanism through which BCL2L2 partially reverses miR-195-mediated exacerbation of OGD/R-induced apoptosis and BBB disruption involves its anti-apoptotic function.</p>
<p>Here, we provide the first evidence that downregulation of miR-195 exerts a protective effect against BBB disruption following OGD/R, suggesting that the miR-195/BCL2L2 pathway might be a potential therapeutic target for ischemic stroke.</p>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="sec22">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/supplementary material, further inquiries can be directed to the corresponding author.</p>
</sec>
<sec sec-type="ethics-statement" id="sec23">
<title>Ethics statement</title>
<p>Ethical approval was not required for the studies on animals in accordance with the local legislation and institutional requirements because only commercially available established cell lines were used.</p>
</sec>
<sec sec-type="author-contributions" id="sec24">
<title>Author contributions</title>
<p>MD: Project administration, Validation, Conceptualization, Methodology, Writing &#x2013; review &#x0026; editing, Investigation, Supervision, Formal analysis, Data curation, Writing &#x2013; original draft. LH: Conceptualization, Writing &#x2013; review &#x0026; editing, Formal analysis, Data curation. QZ: Conceptualization, Data curation, Writing &#x2013; review &#x0026; editing, Formal analysis. SZ: Data curation, Writing &#x2013; review &#x0026; editing, Conceptualization. YP: Writing &#x2013; review &#x0026; editing, Data curation, Conceptualization. ZL: Writing &#x2013; review &#x0026; editing.</p>
</sec>
<sec sec-type="COI-statement" id="sec25">
<title>Conflict of interest</title>
<p>The author(s) declared that this work was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="ai-statement" id="sec26">
<title>Generative AI statement</title>
<p>The author(s) declared that Generative AI was not used in the creation of this manuscript.</p>
<p>Any alternative text (alt text) provided alongside figures in this article has been generated by Frontiers with the support of artificial intelligence and reasonable efforts have been made to ensure accuracy, including review by the authors wherever possible. If you identify any issues, please contact us.</p>
</sec>
<sec sec-type="disclaimer" id="sec27">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<ref-list>
<title>References</title>
<ref id="ref1"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Abdullahi</surname><given-names>W.</given-names></name> <name><surname>Tripathi</surname><given-names>D.</given-names></name> <name><surname>Ronaldson</surname><given-names>P. T.</given-names></name></person-group> (<year>2018</year>). <article-title>Blood-brain barrier dysfunction in ischemic stroke: targeting tight junctions and transporters for vascular protection</article-title>. <source>Am. J. Physiol. Cell Physiol.</source> <volume>315</volume>, <fpage>C343</fpage>&#x2013;<lpage>C356</lpage>. doi: <pub-id pub-id-type="doi">10.1152/ajpcell.00095</pub-id>, <pub-id pub-id-type="pmid">29949404</pub-id></mixed-citation></ref>
<ref id="ref2"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Alonso-Alonso</surname><given-names>M. L.</given-names></name> <name><surname>Sampedro-Viana</surname><given-names>A.</given-names></name> <name><surname>Fern&#x00E1;ndez-Rodicio</surname><given-names>S.</given-names></name> <name><surname>Bazarra-Barreiros</surname><given-names>M.</given-names></name> <name><surname>Ouro</surname><given-names>A.</given-names></name> <name><surname>Sobrino</surname><given-names>T.</given-names></name> <etal/></person-group>. (<year>2022</year>). <article-title>Need for a paradigm shift in the treatment of ischemic stroke: the blood-brain barrier</article-title>. <source>Int. J. Mol. Sci.</source> <volume>23</volume>:<fpage>9486</fpage>. doi: <pub-id pub-id-type="doi">10.3390/ijms23169486</pub-id>, <pub-id pub-id-type="pmid">36012745</pub-id></mixed-citation></ref>
<ref id="ref3"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bojarski</surname><given-names>C.</given-names></name> <name><surname>Weiske</surname><given-names>J.</given-names></name> <name><surname>Sch&#x00F6;neberg</surname><given-names>T.</given-names></name> <name><surname>Schr&#x00F6;der</surname><given-names>W.</given-names></name> <name><surname>Mankertz</surname><given-names>J.</given-names></name> <name><surname>Schulzke</surname><given-names>J. D.</given-names></name> <etal/></person-group>. (<year>2004</year>). <article-title>The specific fates of tight junction proteins in apoptotic epithelial cells</article-title>. <source>J. Cell Sci.</source> <volume>117</volume>, <fpage>2097</fpage>&#x2013;<lpage>2107</lpage>. doi: <pub-id pub-id-type="doi">10.1242/jcs.01071</pub-id>, <pub-id pub-id-type="pmid">15054114</pub-id></mixed-citation></ref>
<ref id="ref4"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bsat</surname><given-names>S.</given-names></name> <name><surname>Halaoui</surname><given-names>A.</given-names></name> <name><surname>Kobeissy</surname><given-names>F.</given-names></name> <name><surname>Moussalem</surname><given-names>C.</given-names></name> <name><surname>El Houshiemy</surname><given-names>M. N.</given-names></name> <name><surname>Kawtharani</surname><given-names>S.</given-names></name> <etal/></person-group>. (<year>2021</year>). <article-title>Acute ischemic stroke biomarkers: a new era with diagnostic promise?</article-title> <source>Acute Med. Surg.</source> <volume>8</volume>:<fpage>e696</fpage>. doi: <pub-id pub-id-type="doi">10.1002/ams2.696</pub-id>, <pub-id pub-id-type="pmid">34745637</pub-id></mixed-citation></ref>
<ref id="ref5"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname><given-names>C.</given-names></name> <name><surname>Jia</surname><given-names>K. Y.</given-names></name> <name><surname>Zhang</surname><given-names>H. L.</given-names></name> <name><surname>Fu</surname><given-names>J.</given-names></name></person-group> (<year>2016</year>). <article-title>MiR-195 enhances cardiomyocyte apoptosis induced by hypoxia/reoxygenation injury via downregulating c-myb</article-title>. <source>Eur. Rev. Med. Pharmacol. Sci.</source> <volume>20</volume>, <fpage>3410</fpage>&#x2013;<lpage>3416</lpage>.</mixed-citation></ref>
<ref id="ref6"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Czabotar</surname><given-names>P. E.</given-names></name> <name><surname>Lessene</surname><given-names>G.</given-names></name> <name><surname>Strasser</surname><given-names>A.</given-names></name> <name><surname>Adams</surname><given-names>J. M.</given-names></name></person-group> (<year>2014</year>). <article-title>Control of apoptosis by the BCL-2 protein family: implications for physiology and therapy</article-title>. <source>Nat. Rev. Mol. Cell Biol.</source> <volume>15</volume>, <fpage>49</fpage>&#x2013;<lpage>63</lpage>. doi: <pub-id pub-id-type="doi">10.1038/nrm3722</pub-id></mixed-citation></ref>
<ref id="ref7"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Eyileten</surname><given-names>C.</given-names></name> <name><surname>Czajka</surname><given-names>P.</given-names></name> <name><surname>Domitrz</surname><given-names>I.</given-names></name> <name><surname>Wierzchowska-Ciok</surname><given-names>A.</given-names></name> <name><surname>Gasecka</surname><given-names>A.</given-names></name> <name><surname>Mirowska-Guzel</surname><given-names>D.</given-names></name> <etal/></person-group>. (<year>2025</year>). <article-title>Extracellular vesicle-derived miRNAs in ischemic stroke: roles in neuroprotection, tissue regeneration, and biomarker potential</article-title>. <source>Cell. Mol. Neurobiol.</source> <volume>45</volume>:<fpage>31</fpage>. doi: <pub-id pub-id-type="doi">10.1007/s10571-025-01551-3</pub-id>, <pub-id pub-id-type="pmid">40164816</pub-id></mixed-citation></ref>
<ref id="ref8"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Galagali</surname><given-names>H.</given-names></name> <name><surname>Kim</surname><given-names>J. K.</given-names></name></person-group> (<year>2020</year>). <article-title>The multifaceted roles of microRNAs in differentiation</article-title>. <source>Curr. Opin. Cell Biol.</source> <volume>67</volume>, <fpage>118</fpage>&#x2013;<lpage>140</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.ceb.2020.08.015</pub-id>, <pub-id pub-id-type="pmid">33152557</pub-id></mixed-citation></ref>
<ref id="ref9"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gao</surname><given-names>K. F.</given-names></name> <name><surname>Zhao</surname><given-names>Y. F.</given-names></name> <name><surname>Liao</surname><given-names>W. J.</given-names></name> <name><surname>Xu</surname><given-names>G. L.</given-names></name> <name><surname>Zhang</surname><given-names>J. D.</given-names></name></person-group> (<year>2022</year>). <article-title>CERS6-AS1 promotes cell proliferation and represses cell apoptosis in pancreatic cancer via miR-195-5p/WIPI2 axis</article-title>. <source>Kaohsiung J. Med. Sci.</source> <volume>38</volume>, <fpage>542</fpage>&#x2013;<lpage>553</lpage>. doi: <pub-id pub-id-type="doi">10.1002/kjm2.12522</pub-id>, <pub-id pub-id-type="pmid">35199935</pub-id></mixed-citation></ref>
<ref id="ref10"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gibson</surname><given-names>L.</given-names></name> <name><surname>Holmgreen</surname><given-names>S. P.</given-names></name> <name><surname>Huang</surname><given-names>D. C.</given-names></name> <name><surname>Bernard</surname><given-names>O.</given-names></name> <name><surname>Copeland</surname><given-names>N. G.</given-names></name> <name><surname>Jenkins</surname><given-names>N. A.</given-names></name> <etal/></person-group>. (<year>1996</year>). <article-title>Bcl-w, a novel member of the bcl-2 family, promotes cell survival</article-title>. <source>Oncogene</source> <volume>13</volume>, <fpage>665</fpage>&#x2013;<lpage>675</lpage>.</mixed-citation></ref>
<ref id="ref11"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gugliandolo</surname><given-names>A.</given-names></name> <name><surname>Silvestro</surname><given-names>S.</given-names></name> <name><surname>Sindona</surname><given-names>C.</given-names></name> <name><surname>Bramanti</surname><given-names>P.</given-names></name> <name><surname>Mazzon</surname><given-names>E.</given-names></name></person-group> (<year>2021</year>). <article-title>MiRNA: involvement of the MAPK pathway in ischemic stroke. A promising therapeutic target</article-title>. <source>Medicina</source> <volume>57</volume>:<fpage>1053</fpage>. doi: <pub-id pub-id-type="doi">10.3390/medicina57101053</pub-id>, <pub-id pub-id-type="pmid">34684090</pub-id></mixed-citation></ref>
<ref id="ref12"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ho</surname><given-names>J. P.</given-names></name> <name><surname>Powers</surname><given-names>W. J.</given-names></name></person-group> (<year>2025</year>). <article-title>Contemporary Management of Acute Ischemic Stroke</article-title>. <source>Annu. Rev. Med.</source> <volume>76</volume>, <fpage>417</fpage>&#x2013;<lpage>429</lpage>. doi: <pub-id pub-id-type="doi">10.1146/annurev-med-050823-094312</pub-id>, <pub-id pub-id-type="pmid">39496213</pub-id></mixed-citation></ref>
<ref id="ref13"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Huang</surname><given-names>L. Y.</given-names></name> <name><surname>Song</surname><given-names>J. X.</given-names></name> <name><surname>Cai</surname><given-names>H.</given-names></name> <name><surname>Wang</surname><given-names>P. P.</given-names></name> <name><surname>Yin</surname><given-names>Q. L.</given-names></name> <name><surname>Zhang</surname><given-names>Y. D.</given-names></name> <etal/></person-group>. (<year>2022</year>). <article-title>Healthy serum-derived exosomes improve neurological outcomes and protect blood-brain barrier by inhibiting endothelial cell apoptosis and reversing autophagy-mediated tight junction protein reduction in rat stroke model</article-title>. <source>Front. Cell. Neurosci.</source> <volume>16</volume>:<fpage>841544</fpage>. doi: <pub-id pub-id-type="doi">10.3389/fncel.2022.841544</pub-id>, <pub-id pub-id-type="pmid">35308117</pub-id></mixed-citation></ref>
<ref id="ref14"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Jorge</surname><given-names>A. L.</given-names></name> <name><surname>Pereira</surname><given-names>E. R.</given-names></name> <name><surname>Oliveira</surname><given-names>C. S.</given-names></name> <name><surname>Ferreira</surname><given-names>E. D. S.</given-names></name> <name><surname>Menon</surname><given-names>E. T. N.</given-names></name> <name><surname>Diniz</surname><given-names>S. N.</given-names></name> <etal/></person-group>. (<year>2021</year>). <article-title>MicroRNAs: understanding their role in gene expression and cancer</article-title>. <source>Einstein</source> <volume>19</volume>:<fpage>eRB5996</fpage>. doi: <pub-id pub-id-type="doi">10.31744/einstein_journal/2021RB5996</pub-id>, <pub-id pub-id-type="pmid">34287566</pub-id></mixed-citation></ref>
<ref id="ref15"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kadry</surname><given-names>H.</given-names></name> <name><surname>Noorani</surname><given-names>B.</given-names></name> <name><surname>Cucullo</surname><given-names>L.</given-names></name></person-group> (<year>2020</year>). <article-title>A blood-brain barrier overview on structure, function, impairment, and biomarkers of integrity</article-title>. <source>Fluids Barriers CNS</source> <volume>17</volume>:<fpage>69</fpage>. doi: <pub-id pub-id-type="doi">10.1186/s12987-020-00230-3</pub-id>, <pub-id pub-id-type="pmid">33208141</pub-id></mixed-citation></ref>
<ref id="ref16"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Langen</surname><given-names>U. H.</given-names></name> <name><surname>Ayloo</surname><given-names>S.</given-names></name> <name><surname>Gu</surname><given-names>C.</given-names></name></person-group> (<year>2019</year>). <article-title>Development and cell biology of the blood-brain barrier</article-title>. <source>Annu. Rev. Cell Dev. Biol.</source> <volume>35</volume>, <fpage>591</fpage>&#x2013;<lpage>613</lpage>. doi: <pub-id pub-id-type="doi">10.1146/annurev-cellbio-100617-062608</pub-id>, <pub-id pub-id-type="pmid">31299172</pub-id></mixed-citation></ref>
<ref id="ref17"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Li</surname><given-names>X.</given-names></name> <name><surname>Tian</surname><given-names>X.</given-names></name></person-group> (<year>2021</year>). <article-title>The protective effects of Pimavanserin against cerebral ischemia-induced brain injury</article-title>. <source>Bioengineered</source> <volume>12</volume>, <fpage>7481</fpage>&#x2013;<lpage>7494</lpage>. doi: <pub-id pub-id-type="doi">10.1080/21655979.2021.1978617</pub-id>, <pub-id pub-id-type="pmid">34605354</pub-id></mixed-citation></ref>
<ref id="ref18"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Li</surname><given-names>F.</given-names></name> <name><surname>Zhou</surname><given-names>F.</given-names></name> <name><surname>Yang</surname><given-names>B.</given-names></name></person-group> (<year>2023</year>). <article-title>MicroRNA152-3p protects against ischemia/reperfusion-induced Bbb destruction possibly targeting the MAP3K2/JNK/c-Jun pathway</article-title>. <source>Neurochem. Res.</source> <volume>48</volume>, <fpage>1293</fpage>&#x2013;<lpage>1304</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s11064-022-03828-1</pub-id>, <pub-id pub-id-type="pmid">36445489</pub-id></mixed-citation></ref>
<ref id="ref19"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lin</surname><given-names>J.</given-names></name> <name><surname>Maimaitiyiming</surname><given-names>A.</given-names></name> <name><surname>Chen</surname><given-names>S.</given-names></name> <name><surname>Xiao</surname><given-names>M.</given-names></name> <name><surname>Xian</surname><given-names>Z.</given-names></name></person-group> (<year>2021</year>). <article-title>Hypoxia-induced mir-27 and mir-195 regulate ATP consumption, viability, and metabolism of rat cardiomyocytes by targeting PPAR&#x03B3; and FASN expression</article-title>. <source>Aging (Albany NY)</source> <volume>13</volume>, <fpage>10158</fpage>&#x2013;<lpage>10174</lpage>. doi: <pub-id pub-id-type="doi">10.18632/aging.202778</pub-id>, <pub-id pub-id-type="pmid">33819184</pub-id></mixed-citation></ref>
<ref id="ref20"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lin</surname><given-names>X. L.</given-names></name> <name><surname>Zheng</surname><given-names>Z. Y.</given-names></name> <name><surname>Zhang</surname><given-names>Q. S.</given-names></name> <name><surname>Zhang</surname><given-names>Z.</given-names></name> <name><surname>An</surname><given-names>Y. Z.</given-names></name></person-group> (<year>2021</year>). <article-title>Expression of miR-195 and its target gene Bcl-2 in human intervertebral disc degeneration and their effects on nucleus pulposus cell apoptosis</article-title>. <source>J. Orthop. Surg. Res.</source> <volume>16</volume>:<fpage>412</fpage>. doi: <pub-id pub-id-type="doi">10.1186/s13018-021-02538-8</pub-id>, <pub-id pub-id-type="pmid">34183039</pub-id></mixed-citation></ref>
<ref id="ref21"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname><given-names>Z.</given-names></name> <name><surname>Zhang</surname><given-names>L.</given-names></name> <name><surname>Chen</surname><given-names>W.</given-names></name> <name><surname>Yuan</surname><given-names>F.</given-names></name> <name><surname>Yang</surname><given-names>Z.</given-names></name> <name><surname>Liu</surname><given-names>S.</given-names></name> <etal/></person-group>. (<year>2021</year>). <article-title>miR-195-5p regulates cell proliferation, apoptosis, and invasion of thyroid cancer by targeting telomerase reverse transcriptase</article-title>. <source>Bioengineered</source> <volume>12</volume>, <fpage>6201</fpage>&#x2013;<lpage>6209</lpage>. doi: <pub-id pub-id-type="doi">10.1080/21655979.2021.1963908</pub-id>, <pub-id pub-id-type="pmid">34482792</pub-id></mixed-citation></ref>
<ref id="ref22"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mansour</surname><given-names>M. A.</given-names></name> <name><surname>El-Salamoni</surname><given-names>M. A.</given-names></name> <name><surname>Mostafa</surname><given-names>H. N.</given-names></name></person-group> (<year>2025</year>). <article-title>Harnessing PUMA's lethal potential: BCL-2 family dynamics and novel strategies to combat cancer recurrence</article-title>. <source>Cancer Treat. Res. Commun.</source> <volume>44</volume>:<fpage>100975</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.ctarc.2025.100975</pub-id>, <pub-id pub-id-type="pmid">40780064</pub-id></mixed-citation></ref>
<ref id="ref23"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nian</surname><given-names>K.</given-names></name> <name><surname>Harding</surname><given-names>I. C.</given-names></name> <name><surname>Herman</surname><given-names>I. M.</given-names></name> <name><surname>Ebong</surname><given-names>E. E.</given-names></name></person-group> (<year>2020</year>). <article-title>Blood-brain barrier damage in ischemic stroke and its regulation by endothelial Mechanotransduction</article-title>. <source>Front. Physiol.</source> <volume>11</volume>:<fpage>605398</fpage>. doi: <pub-id pub-id-type="doi">10.3389/fphys.2020.605398</pub-id>, <pub-id pub-id-type="pmid">33424628</pub-id></mixed-citation></ref>
<ref id="ref24"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Paul</surname><given-names>S.</given-names></name> <name><surname>Candelario-Jalil</surname><given-names>E.</given-names></name></person-group> (<year>2021</year>). <article-title>Emerging neuroprotective strategies for the treatment of ischemic stroke: An overview of clinical and preclinical studies</article-title>. <source>Exp. Neurol.</source> <volume>335</volume>:<fpage>113518</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.expneurol.2020.113518</pub-id>, <pub-id pub-id-type="pmid">33144066</pub-id></mixed-citation></ref>
<ref id="ref25"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Payne</surname><given-names>C. T.</given-names></name> <name><surname>Tabassum</surname><given-names>S.</given-names></name> <name><surname>Wu</surname><given-names>S.</given-names></name> <name><surname>Hu</surname><given-names>H.</given-names></name> <name><surname>Gusdon</surname><given-names>A. M.</given-names></name> <name><surname>Choi</surname><given-names>H. A.</given-names></name> <etal/></person-group>. (<year>2023</year>). <article-title>Role of microRNA-34a in blood-brain barrier permeability and mitochondrial function in ischemic stroke</article-title>. <source>Front. Cell. Neurosci.</source> <volume>17</volume>:<fpage>1278334</fpage>. doi: <pub-id pub-id-type="doi">10.3389/fncel.2023.1278334</pub-id>, <pub-id pub-id-type="pmid">37927446</pub-id></mixed-citation></ref>
<ref id="ref26"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Pozniak</surname><given-names>T.</given-names></name> <name><surname>Shcharbin</surname><given-names>D.</given-names></name> <name><surname>Bryszewska</surname><given-names>M.</given-names></name></person-group> (<year>2022</year>). <article-title>Circulating microRNAs in medicine</article-title>. <source>Int. J. Mol. Sci.</source> <volume>23</volume>:<fpage>3996</fpage>. doi: <pub-id pub-id-type="doi">10.3390/ijms23073996</pub-id>, <pub-id pub-id-type="pmid">35409354</pub-id></mixed-citation></ref>
<ref id="ref27"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ren</surname><given-names>X.</given-names></name> <name><surname>Wang</surname><given-names>Z.</given-names></name> <name><surname>Guo</surname><given-names>C.</given-names></name></person-group> (<year>2021</year>). <article-title>MiR-195-5p ameliorates cerebral ischemia-reperfusion injury by regulating the PTEN-AKT signaling pathway</article-title>. <source>Neuropsychiatr. Dis. Treat.</source> <volume>17</volume>, <fpage>1231</fpage>&#x2013;<lpage>1242</lpage>. doi: <pub-id pub-id-type="doi">10.2147/NDT.S297975</pub-id>, <pub-id pub-id-type="pmid">33958865</pub-id></mixed-citation></ref>
<ref id="ref28"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Schaeffer</surname><given-names>S.</given-names></name> <name><surname>Iadecola</surname><given-names>C.</given-names></name></person-group> (<year>2021</year>). <article-title>Revisiting the neurovascular unit</article-title>. <source>Nat. Neurosci.</source> <volume>24</volume>, <fpage>1198</fpage>&#x2013;<lpage>1209</lpage>. doi: <pub-id pub-id-type="doi">10.1038/s41593-021-00904-7</pub-id>, <pub-id pub-id-type="pmid">34354283</pub-id></mixed-citation></ref>
<ref id="ref29"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sun</surname><given-names>Y.</given-names></name> <name><surname>Jin</surname><given-names>K.</given-names></name> <name><surname>Clark</surname><given-names>K. R.</given-names></name> <name><surname>Peel</surname><given-names>A.</given-names></name> <name><surname>Mao</surname><given-names>X. O.</given-names></name> <name><surname>Chang</surname><given-names>Q.</given-names></name> <etal/></person-group>. (<year>2003</year>). <article-title>Adeno-associated virus-mediated delivery of BCL-w gene improves outcome after transient focal cerebral ischemia</article-title>. <source>Gene Ther.</source> <volume>10</volume>, <fpage>115</fpage>&#x2013;<lpage>122</lpage>. doi: <pub-id pub-id-type="doi">10.1038/sj.gt.3301868</pub-id>, <pub-id pub-id-type="pmid">12571640</pub-id></mixed-citation></ref>
<ref id="ref30"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tsai</surname><given-names>Y. C.</given-names></name> <name><surname>Chang</surname><given-names>C. H.</given-names></name> <name><surname>Chong</surname><given-names>Y. B.</given-names></name> <name><surname>Wu</surname><given-names>C. H.</given-names></name> <name><surname>Tsai</surname><given-names>H. P.</given-names></name> <name><surname>Cheng</surname><given-names>T. L.</given-names></name> <etal/></person-group>. (<year>2024</year>). <article-title>MicroRNA-195-5p attenuates intracerebral-hemorrhage-induced brain damage by inhibiting MMP-9/MMP-2 expression</article-title>. <source>Biomedicine</source> <volume>12</volume>:<fpage>1373</fpage>. doi: <pub-id pub-id-type="doi">10.3390/biomedicines12061373</pub-id>, <pub-id pub-id-type="pmid">38927580</pub-id></mixed-citation></ref>
<ref id="ref31"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Uittenbogaard</surname><given-names>M.</given-names></name> <name><surname>Baxter</surname><given-names>K. K.</given-names></name> <name><surname>Chiaramello</surname><given-names>A.</given-names></name></person-group> (<year>2009</year>). <article-title>Cloning and characterization of the 5&#x2019;UTR of the rat anti-apoptotic Bcl-w gene</article-title>. <source>Biochem. Biophys. Res. Commun.</source> <volume>389</volume>, <fpage>657</fpage>&#x2013;<lpage>662</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.bbrc.2009.09.049</pub-id>, <pub-id pub-id-type="pmid">19766102</pub-id></mixed-citation></ref>
<ref id="ref32"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>G.</given-names></name> <name><surname>Wang</surname><given-names>H.</given-names></name> <name><surname>Zhang</surname><given-names>L.</given-names></name> <name><surname>Guo</surname><given-names>F.</given-names></name> <name><surname>Wu</surname><given-names>X.</given-names></name> <name><surname>Liu</surname><given-names>Y.</given-names></name></person-group> (<year>2021</year>). <article-title>MiR-195-5p inhibits proliferation and invasion of nerve cells in Hirschsprung disease by targeting GFRA4</article-title>. <source>Mol. Cell. Biochem.</source> <volume>476</volume>, <fpage>2061</fpage>&#x2013;<lpage>2073</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s11010-021-04055-y</pub-id>, <pub-id pub-id-type="pmid">33515383</pub-id></mixed-citation></ref>
<ref id="ref33"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>L.</given-names></name> <name><surname>Xiong</surname><given-names>X.</given-names></name> <name><surname>Zhang</surname><given-names>L.</given-names></name> <name><surname>Shen</surname><given-names>J.</given-names></name></person-group> (<year>2021</year>). <article-title>Neurovascular unit: a critical role in ischemic stroke</article-title>. <source>CNS Neurosci. Ther.</source> <volume>27</volume>, <fpage>7</fpage>&#x2013;<lpage>16</lpage>. doi: <pub-id pub-id-type="doi">10.1111/cns.13561</pub-id>, <pub-id pub-id-type="pmid">33389780</pub-id></mixed-citation></ref>
<ref id="ref34"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yang</surname><given-names>X. L.</given-names></name> <name><surname>Cao</surname><given-names>C. Z.</given-names></name> <name><surname>Zhang</surname><given-names>Q. X.</given-names></name></person-group> (<year>2021</year>). <article-title>MiR-195 alleviates oxygen-glucose deprivation/reperfusion-induced cell apoptosis via inhibition of IKK&#x03B1;-mediated NF-&#x03BA;B pathway</article-title>. <source>Int. J. Neurosci.</source> <volume>131</volume>, <fpage>755</fpage>&#x2013;<lpage>764</lpage>. doi: <pub-id pub-id-type="doi">10.1080/00207454.2020.1754212</pub-id>, <pub-id pub-id-type="pmid">32271641</pub-id></mixed-citation></ref>
<ref id="ref35"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yang</surname><given-names>C.</given-names></name> <name><surname>Hawkins</surname><given-names>K. E.</given-names></name> <name><surname>Dor&#x00E9;</surname><given-names>S.</given-names></name> <name><surname>Candelario-Jalil</surname><given-names>E.</given-names></name></person-group> (<year>2019</year>). <article-title>Neuroinflammatory mechanisms of blood-brain barrier damage in ischemic stroke</article-title>. <source>Am. J. Physiol. Cell Physiol.</source> <volume>316</volume>, <fpage>C135</fpage>&#x2013;<lpage>C153</lpage>. doi: <pub-id pub-id-type="doi">10.1152/ajpcell.00136.2018</pub-id>, <pub-id pub-id-type="pmid">30379577</pub-id></mixed-citation></ref>
<ref id="ref36"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yin</surname><given-names>K. J.</given-names></name> <name><surname>Deng</surname><given-names>Z.</given-names></name> <name><surname>Huang</surname><given-names>H.</given-names></name> <name><surname>Hamblin</surname><given-names>M.</given-names></name> <name><surname>Xie</surname><given-names>C.</given-names></name> <name><surname>Zhang</surname><given-names>J.</given-names></name> <etal/></person-group>. (<year>2010</year>). <article-title>miR-497 regulates neuronal death in mouse brain after transient focal cerebral ischemia</article-title>. <source>Neurobiol. Dis.</source> <volume>38</volume>, <fpage>17</fpage>&#x2013;<lpage>26</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.nbd.2009.12.021</pub-id>, <pub-id pub-id-type="pmid">20053374</pub-id></mixed-citation></ref>
<ref id="ref37"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yu</surname><given-names>T.</given-names></name> <name><surname>Yu</surname><given-names>J.</given-names></name> <name><surname>Lu</surname><given-names>L.</given-names></name> <name><surname>Zhang</surname><given-names>Y.</given-names></name> <name><surname>Zhou</surname><given-names>Y.</given-names></name> <name><surname>Zhou</surname><given-names>Y.</given-names></name> <etal/></person-group>. (<year>2021</year>). <article-title>MT1JP-mediated miR-24-3p/BCL2L2 axis promotes Lenvatinib resistance in hepatocellular carcinoma cells by inhibiting apoptosis</article-title>. <source>Cell. Oncol.</source> <volume>44</volume>, <fpage>821</fpage>&#x2013;<lpage>834</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s13402-021-00605-0</pub-id>, <pub-id pub-id-type="pmid">33974236</pub-id></mixed-citation></ref>
<ref id="ref38"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhai</surname><given-names>Y.</given-names></name> <name><surname>Zhu</surname><given-names>Z.</given-names></name> <name><surname>Li</surname><given-names>H.</given-names></name> <name><surname>Zhao</surname><given-names>C.</given-names></name> <name><surname>Huang</surname><given-names>Y.</given-names></name> <name><surname>Wang</surname><given-names>P.</given-names></name></person-group> (<year>2020</year>). <article-title>miR-195 and miR-497 in acute stroke and their correlations with post-stroke cognitive impairment</article-title>. <source>Int. J. Clin. Exp. Pathol.</source> <volume>13</volume>, <fpage>3092</fpage>&#x2013;<lpage>3099</lpage>, <pub-id pub-id-type="pmid">33425109</pub-id></mixed-citation></ref>
<ref id="ref39"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname><given-names>M.</given-names></name> <name><surname>Liu</surname><given-names>Q.</given-names></name> <name><surname>Meng</surname><given-names>H.</given-names></name> <name><surname>Duan</surname><given-names>H.</given-names></name> <name><surname>Liu</surname><given-names>X.</given-names></name> <name><surname>Wu</surname><given-names>J.</given-names></name> <etal/></person-group>. (<year>2024</year>). <article-title>Ischemia-reperfusion injury: molecular mechanisms and therapeutic targets</article-title>. <source>Signal Transduct. Target. Ther.</source> <volume>9</volume>:<fpage>12</fpage>. doi: <pub-id pub-id-type="doi">10.1038/s41392-023-01688-x</pub-id>, <pub-id pub-id-type="pmid">38185705</pub-id></mixed-citation></ref>
<ref id="ref40"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname><given-names>F.</given-names></name> <name><surname>Meng</surname><given-names>W.</given-names></name> <name><surname>Tong</surname><given-names>B.</given-names></name></person-group> (<year>2016</year>). <article-title>Down-regulation of MicroRNA-133b suppresses apoptosis of Lens epithelial cell by up-regulating BCL2L2 in age-related cataracts</article-title>. <source>Med. Sci. Monit.</source> <volume>22</volume>, <fpage>4139</fpage>&#x2013;<lpage>4145</lpage>. doi: <pub-id pub-id-type="doi">10.12659/msm.896975</pub-id>, <pub-id pub-id-type="pmid">27802259</pub-id></mixed-citation></ref>
<ref id="ref41"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname><given-names>R.</given-names></name> <name><surname>Wu</surname><given-names>F.</given-names></name> <name><surname>Cheng</surname><given-names>B.</given-names></name> <name><surname>Wang</surname><given-names>C.</given-names></name> <name><surname>Bai</surname><given-names>B.</given-names></name> <name><surname>Chen</surname><given-names>J.</given-names></name></person-group> (<year>2023</year>). <article-title>Apelin-13 prevents the effects of oxygen-glucose deprivation/reperfusion on bEnd.3 cells by inhibiting AKT-mTOR signaling</article-title>. <source>Exp. Biol. Med. (Maywood)</source> <volume>248</volume>, <fpage>146</fpage>&#x2013;<lpage>156</lpage>. doi: <pub-id pub-id-type="doi">10.1177/15353702221139186</pub-id>, <pub-id pub-id-type="pmid">36573455</pub-id></mixed-citation></ref>
<ref id="ref42"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhao</surname><given-names>Y.</given-names></name> <name><surname>Gan</surname><given-names>L.</given-names></name> <name><surname>Ren</surname><given-names>L.</given-names></name> <name><surname>Lin</surname><given-names>Y.</given-names></name> <name><surname>Ma</surname><given-names>C.</given-names></name> <name><surname>Lin</surname><given-names>X.</given-names></name></person-group> (<year>2022</year>). <article-title>Factors influencing the blood-brain barrier permeability</article-title>. <source>Brain Res.</source> <volume>1788</volume>:<fpage>147937</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.brainres.2022.147937</pub-id>, <pub-id pub-id-type="pmid">35568085</pub-id></mixed-citation></ref>
<ref id="ref43"><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zheng</surname><given-names>X.</given-names></name> <name><surname>Ren</surname><given-names>B.</given-names></name> <name><surname>Gao</surname><given-names>Y.</given-names></name></person-group> (<year>2023</year>). <article-title>Tight junction proteins related to blood-brain barrier and their regulatory signaling pathways in ischemic stroke</article-title>. <source>Biomed. Pharmacother.</source> <volume>165</volume>:<fpage>115272</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.biopha.2023.115272</pub-id>, <pub-id pub-id-type="pmid">37544283</pub-id></mixed-citation></ref>
</ref-list>
<fn-group>
<fn fn-type="custom" custom-type="edited-by" id="fn0003">
<p>Edited by: <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/431319/overview">Giuseppe Caruso</ext-link>, Saint Camillus International University of Health and Medical Sciences, Italy</p></fn>
<fn fn-type="custom" custom-type="reviewed-by" id="fn0004">
<p>Reviewed by: <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/3123008/overview">Abdulaziz S. Bamahel</ext-link>, Jiamusi University, China</p>
<p><ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/3316180/overview">Masahiro Hatakeyama</ext-link>, Niigata University, Japan</p></fn>
</fn-group>
<fn-group>
<fn id="fn0001"><label>1</label><p><ext-link xlink:href="http://www.targetscan.org/vert_72/" ext-link-type="uri">http://www.targetscan.org/vert_72/</ext-link></p></fn>
<fn id="fn0002"><label>2</label><p><ext-link xlink:href="http://www.targetscan.org" ext-link-type="uri">www.targetscan.org</ext-link></p></fn>
</fn-group>
<fn-group>
<fn fn-type="abbr" id="abbrev1"><label>Abbreviations:</label><p>miRNAs, microRNAs; miR-195, microRNA-195; OGD/R, Oxygen&#x2013;Glucose Deprivation/Reperfusion; BMECs, Brain Microvascular Endothelial Cells; BBB, Blood&#x2013;Brain Barrier; TJPs, Tight Junction Proteins; I/R, Ischemia/Reperfusion; TEER, Transendothelial Electrical Resistance.</p></fn>
</fn-group>
</back>
</article>