TY - JOUR A1 - Winek, Katarzyna A1 - Lobentanzer, Sebastian A1 - Nadorp, Bettina A1 - Dubnov, Serafima A1 - Dames, Claudia A1 - Jagdmann, Sandra A1 - Moshitzky, Gilli A1 - Hotter, Benjamin A1 - Meisel, Christian A1 - Greenberg, David S. A1 - Shifman, Sagiv A1 - Klein, Jochen A1 - Shenhar-Tsarfaty, Shani A1 - Meisel, Andreas A1 - Soreq, Hermona T1 - Transfer RNA fragments replace microRNA regulators of the cholinergic poststroke immune blockade T2 - Proceedings of the National Academy of Sciences N2 - Stroke is a leading cause of death and disability. Recovery depends on a delicate balance between inflammatory responses and immune suppression, tipping the scale between brain protection and susceptibility to infection. Peripheral cholinergic blockade of immune reactions fine-tunes this immune response, but its molecular regulators are unknown. Here, we report a regulatory shift in small RNA types in patient blood sequenced 2 d after ischemic stroke, comprising massive decreases of microRNA levels and concomitant increases of transfer RNA fragments (tRFs) targeting cholinergic transcripts. Electrophoresis-based size-selection followed by qRT-PCR validated the top six up-regulated tRFs in a separate cohort of stroke patients, and independent datasets of small and long RNA sequencing pinpointed immune cell subsets pivotal to these responses, implicating CD14+ monocytes in the cholinergic inflammatory reflex. In-depth small RNA targeting analyses revealed the most-perturbed pathways following stroke and implied a structural dichotomy between microRNA and tRF target sets. Furthermore, lipopolysaccharide stimulation of murine RAW 264.7 cells and human CD14+ monocytes up-regulated the top six stroke-perturbed tRFs, and overexpression of stroke-inducible tRF-22-WE8SPOX52 using a single-stranded RNA mimic induced down-regulation of immune regulator Z-DNA binding protein 1. In summary, we identified a “changing of the guards” between small RNA types that may systemically affect homeostasis in poststroke immune responses, and pinpointed multiple affected pathways, which opens new venues for establishing therapeutics and biomarkers at the protein and RNA level. Y1 - 2020 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/73568 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-735686 SN - 1091-6490 VL - 117 IS - 51 SP - 32606 EP - 32616 PB - National Academy of Sciences CY - Washington, DC ER -