Department of Cardiology, Changhai Hospital, Second Military Medical University, Shanghai 200433, China.
Department of Medicine, Shanghai Pulmonary Hospital, Tongji University, Shanghai 200433, China.
J Mol Cell Cardiol. 2021 Dec;161:9-22. doi: 10.1016/j.yjmcc.2021.07.010. Epub 2021 Jul 31.
Pulmonary vascular remodeling due to excessive growth factor production and pulmonary artery smooth muscle cells (PASMCs) proliferation is the hallmark feature of pulmonary arterial hypertension (PAH). Recent studies suggest that miR-663 is a potent modulator for tumorigenesis and atherosclerosis. However, whether miR-663 involves in pulmonary vascular remodeling is still unclear.
By using quantitative RT-PCR, we found that miR-663 was highly expressed in normal human PASMCs. In contrast, circulating level of miR-663 dramatically reduced in PAH patients. In addition, in situ hybridization showed that expression of miR-663 was decreased in pulmonary vasculature of PAH patients. Furthermore, MTT and cell scratch-wound assay showed that transfection of miR-663 mimics significantly inhibited platelet derived growth factor (PDGF)-induced PASMCs proliferation and migration, while knockdown of miR-663 expression enhanced these effects. Mechanistically, dual-luciferase reporter assay revealed that miR-663 directly targets the 3'UTR of TGF-β1. Moreover, western blots and ELISA results showed that miR-663 decreased PDGF-induced TGF-β1 expression and secretion, which in turn suppressed the downstream smad2/3 phosphorylation and collagen I expression. Finally, intratracheal instillation of adeno-miR-663 efficiently inhibited the development of pulmonary vascular remodeling and right ventricular hypertrophy in monocrotaline (MCT)-induced PAH rat models.
These results indicate that miR-663 is a potential biomarker for PAH. MiR-663 decreases PDGF-BB-induced PASMCs proliferation and prevents pulmonary vascular remodeling and right ventricular hypertrophy in MCT-PAH by targeting TGF-β1/smad2/3 signaling. These findings suggest that miR-663 may represent as an attractive approach for the diagnosis and treatment for PAH.
由于生长因子过度产生和肺动脉平滑肌细胞(PASMCs)增殖导致的肺血管重构是肺动脉高压(PAH)的显著特征。最近的研究表明,miR-663 是肿瘤发生和动脉粥样硬化的有效调节剂。然而,miR-663 是否涉及肺血管重构尚不清楚。
通过定量 RT-PCR,我们发现 miR-663 在正常的人 PASMCs 中高度表达。相比之下,PAH 患者的循环 miR-663 水平显著降低。此外,原位杂交显示 miR-663 在 PAH 患者的肺血管中表达减少。此外,MTT 和细胞划痕实验表明,miR-663 模拟物的转染显著抑制血小板衍生生长因子(PDGF)诱导的 PASMCs 增殖和迁移,而 miR-663 表达的敲低增强了这些作用。机制上,双荧光素酶报告基因实验显示 miR-663 可直接靶向 TGF-β1 的 3'UTR。此外,Western blot 和 ELISA 结果表明,miR-663 降低了 PDGF 诱导的 TGF-β1 表达和分泌,进而抑制了下游 smad2/3 磷酸化和胶原 I 表达。最后,腺相关病毒-miR-663 的气管内滴注有效地抑制了野百合碱(MCT)诱导的 PAH 大鼠模型中的肺血管重构和右心室肥厚的发展。
这些结果表明,miR-663 是 PAH 的一个潜在的生物标志物。miR-663 通过靶向 TGF-β1/smad2/3 信号通路,减少 PDGF-BB 诱导的 PASMCs 增殖,并预防 MCT-PAH 中的肺血管重构和右心室肥厚。这些发现表明,miR-663 可能成为诊断和治疗 PAH 的一种有吸引力的方法。