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        <identifier>oai:figshare.com:article/34038108</identifier>
        <datestamp>2026-10-01T04:25:17Z</datestamp>
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          <dc:title>Supplementary file 1_PMEPA1 attenuates myocardial ischemia-reperfusion injury via interaction with NEDD4 and involvement of the TGF-β/SMAD pathway.docx</dc:title>
          <dc:creator>Weilong Zhong (3329061)</dc:creator>
          <dc:creator>Yanan Li (94033)</dc:creator>
          <dc:creator>Baoze Qu (23848212)</dc:creator>
          <dc:subject>Pharmacology</dc:subject>
          <dc:subject>machine learning</dc:subject>
          <dc:subject>myocardial ischemia-reperfusion injury</dc:subject>
          <dc:subject>Nedd4</dc:subject>
          <dc:subject>PMEPA1</dc:subject>
          <dc:subject>protein-protein interaction</dc:subject>
          <dc:description>Introduction&lt;p&gt;Myocardial ischemia-reperfusion injury (MIRI) remains a significant challenge in cardiovascular medicine, and its molecular mechanisms are not yet fully elucidated.&lt;/p&gt;Methods&lt;p&gt;In the present study, integrated transcriptomic analysis combined with machine learning identified PMEPA1 as a key gene consistently downregulated in both rat models of MIRI and H9c2 cardiomyocytes subjected to ischemia –reperfusion injury. A series of in vivo and in vitro experiments, including gene overexpression and knockdown, cell viability and proliferation assays, flow cytometry, Western blot, co-immunoprecipitation, and immunofluorescence, were performed to investigate the role and underlying mechanism of PMEPA1 in MIRI.&lt;/p&gt;Results&lt;p&gt;Overexpression of PMEPA1 enhanced cardiomyocyte proliferation, reduced apoptosis, and inhibited activation of the TGF-β/SMAD signaling pathway. Further investigation revealed a direct interaction between PMEPA1 and the E3 ubiquitin ligase NEDD4. Both NEDD4 overexpression and PMEPA1 knockdown aggravated cardiomyocyte injury and increased activation of the TGF-β/SMAD pathway. Notably, the detrimental effects of NEDD4 overexpression were attenuated in the absence of PMEPA1, suggesting a PMEPA1-dependent mechanism.&lt;/p&gt;Discussion&lt;p&gt;These findings highlight a novel NEDD4–PMEPA1 axis in the regulation of TGF-β/SMAD signaling during myocardial injury and provide new insights into potential molecular targets for the treatment of cardiovascular disease.&lt;/p&gt;</dc:description>
          <dc:date>2026-10-01T04:25:17Z</dc:date>
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          <dc:identifier>10.3389/fphar.2026.1881951.s001</dc:identifier>
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          <dc:rights>CC BY 4.0</dc:rights>
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