Abstract:Objective To investigate the effects of MicroRNA-181b (miR-181b) and toll like receptor 4 (TLR4) in the progress of Neonatal hypoxic-ischemic brain damage (HIBD) and the underlying mechanism. Methods Brain tissues of 1 or 2 days old SD newborn rats were isolated and cultured as primary neurons. Hypoxia ischemia cell model was established with standardized procedure. Cellular proliferation and cell apoptosis rate of primary cultured cortical neurons were determined by CKK-8 assay and flow cytometry assay, respectively. Expression of miR-181b and TLR4 was modulated by transient transfection, and the activity of TLR4 regulated by miR-181b was evaluated by a dual luciferase reporter assay. Levels of MiR-181b and TLR4 were determined by Real-time quantitative PCR and Western blot. Results Expression of miR-181b was significantly increased in hypoxic-ischemic damaged rat cortical neurons when compared with control group (P < 0.05), while overexpression of miR-181b apparently reversed hypoxia-induced cell damage (P < 0.05). Dual luciferase reporter assay demonstrated that miR-181b directly targeted the 3’-UTR of the TLR4, resulting in inhibition of the post-transcriptional translation of TLR4. Further mechanism researches revealed that knockdown of TLR4 expression by si-TLR4 transfection significantly upregulated cell viability in rat cortical neurons subjected to hypoxic-ischemic damage, which was abolished by anti-miR-181b transfection treatment. Co-transfection of anti-miR-181b and si-TLR4 in rat cortical neurons were partially attenuated hypoxia induced damage (P < 0.05). Conclusions MiR-181b protects rat cortical neurons under hypoxic-ischemic condition through regulating of TLR4.