Spinal cord injury (SCI) is a complex pathological condition that results in an abnormal or total absence of motor and sensory functions and that leads to devastating physical and social consequences for patients worldwide [
1,
2]. The damage derived from a traumatic SCI starts with a primary injury due to the direct contusion, laceration, or/and compression, inducing cell death, mainly by necrotic processes. After that, the injury progresses towards a second phase that includes diverse pathological processes such as excitotoxicity, oxidative stress, or exacerbated immune response. This noxious environment leads to further structural and functional alterations that spread neural cell death spatial and temporally from the initial trauma site to the neighbor cells [
3]. In this phase, the main form of neural cell death is apoptosis, a programmed cell death highly regulated [
4], promoted by both internal and external stimuli. Apoptosis is favored by the alteration of the gene expression balance [
5,
6], including the up-regulation of pro-apoptotic proteins such as caspases, and the down-regulation of anti-apoptotic proteins such as Bcl-2 family and the inhibitor of apoptosis protein family (IAPs) [
7,
8]. The human IAP family consists of 8 members and it is defined by the presence of the baculoviral inhibitory repeat (BIR), a highly conserved ~70 amino-acid sequence [
9]. Although all members of this family possess these BIR domains, only cIAP1, cIAP2, and XIAP show anti-apoptotic activity [
10]. The IAP family members have several cytoprotective functions and their downregulation after injury makes neural cells more susceptible to cell death processes [
11,
12]. Through the binding of XIAP´s domains, this anti-apoptotic factor has shown the most potent activity to prevent cell apoptosis by inhibiting the processing, activation, and maturation of the initiator caspase-9 and the effector caspases-3 and -7 [
13,
14]. Even though the endogenous XIAP is not required for the survival of neurons under physiological conditions [
15], its downregulation or knock-out makes neurons more vulnerable to multiple apoptotic triggers [
16,
17,
18,
19,
20]. Indeed, it has been also shown that the overexpression of XIAP protein is sufficient to prevent neuronal cell death following SCI, axotomy, cerebral ischemia [
11], and hypoxia [
21]. Therefore, all these data suggest that XIAP protein serves as a natural “safety brake” that can restrict neural death in traumatic or pathological situations. XIAP, but not other members of the IAP family -such as cIAP-1 and cIAP-2-, becomes cleaved in the first days following SCI, which has been linked to caspase activation and increased risk of apoptosis of neural cells [
20,
22]. In addition to cleavage, different studies reveal that SCI causes a reduction in XIAP protein levels during the first week after injury ([
23], [
24] in press) which may also contribute to increase spinal cell vulnerability when cell death processes are most prominent.[
21,
23,
24].
In addition, SCI induces changes in epigenetic regulators of gene expression such as miRNAs (miRNAs) [
25,
26]. The miRNAs are short (19-25 nt) non-coding RNA sequences, involved in the regulation of cell physiological and pathophysiological mechanisms, including cell proliferation or death [
27,
28,
29,
30,
31,
32,
33]. Studies from our group and other laboratories have shown the dysregulation of miRNA expression following traumatic SCI including those that regulate programmed cell death proteins [
34,
35,
36]. The incremented miR-711 expression after SCI is associated with downregulation of the pro-survival protein Akt [
37], whereas decreases in miR-27a may facilitate programmed cell death by allowing expression of pro-apoptotic Bcl-2 family proteins such as Noxa, Puma, and Bax [
38]. XIAP expression is also shown to be regulated by miRNAs in a variety of cell types and pathological conditions. Liu et cols. observed that downregulation of miR-192-5p up-regulates the expression of XIAP, decreasing the apoptosis of nerve cells, and promoting the repair and regeneration after sciatic nerve injury [
39]. Similarly, Siegel´s study showed that the downregulation of miR-23a is associated with a reduction in cell death after cerebral injury by increasing XIAP levels and the subsequent decrease in caspase activation [
40].
The main aim of the present work was to identify miRNAs with altered expression after SCI which can regulate XIAP expression. We obtained several miRNA candidates and validated in vitro miR-199a-5p as a post-transcriptional regulator of XIAP as well as the expression changes of both miR-199a-5p and XIAP in an in vivo SCI model. These results provide new insights into the role of miR-199a-5p in neural cell death after SCI.