Startseite Circ-UBR4 regulates the proliferation, migration, inflammation, and apoptosis in ox-LDL-induced vascular smooth muscle cells via miR-515-5p/IGF2 axis
Artikel Open Access

Circ-UBR4 regulates the proliferation, migration, inflammation, and apoptosis in ox-LDL-induced vascular smooth muscle cells via miR-515-5p/IGF2 axis

  • Liuliu Feng , Tianhua Liu , Jun Shi , Yu Wang , Yuya Yang , Wenyin Xiao und Yanyan Bai EMAIL logo
Veröffentlicht/Copyright: 30. August 2023

Abstract

The aim of our study is to disclose the role and underlying molecular mechanisms of circular RNA ubiquitin protein ligase E3 component n-recognin 4 (circ-UBR4) in atherosclerosis (AS). Our data showed that circ-UBR4 expression was upregulated in AS patients and oxidized low-density lipoprotein (ox-LDL)-induced vascular smooth muscle cells (VSMCs) compared with healthy volunteer and untreated VSMCs. In addition, ox-LDL stimulated proliferation, migration, and inflammation but decreased apoptosis in VSMCs, which were overturned by the inhibition of circ-UBR4. miR-515-5p was sponged by circ-UBR4, and its inhibitor reversed the inhibitory effect of circ-UBR4 knockdown on proliferation, migration, and inflammation in ox-LDL-induced VSMCs. Insulin-like growth factor2 (IGF2) was a functional target of miR-515-5p, and overexpression of IGF2 reversed the suppressive effect of miR-515-5p on ox-LDL-stimulated VSMCs proliferation, migration, and inflammation. Collectively, circ-UBR4 knockdown decreased proliferation, migration, and inflammation but stimulated apoptosis in ox-LDL-induced VSMCs by targeting the miR-515-5p/IGF2 axis.

1 Introduction

Atherosclerosis (AS), an inflammatory disease, is a crucial pathogenic factor of most cardiovascular and cerebrovascular diseases, characterized by lipid metabolism disorder and chronic inflammation [1,2]. AS is a multistep disease and can be induced by various risk factors [3]. The dysfunction and inflammation of vascular smooth muscle cells (VSMCs) are closely related to AS progression [4], and oxidized low-density lipoprotein (ox-LDL)-induced VSMCs’ injury are often used to construct AS models in vitro [5,6]. Therefore, elucidation of the molecular mechanism affecting ox-LDL induced VSMCs injury is expected to provide potential molecular targets for the treatment of AS.

Circular RNAs (circRNAs) are novel group of endogenous non-coding RNAs with a circular structure generated by back-splicing [7]. Previous research confirmed that circRNAs played significant functions in AS progression and served as independent markers for AS diagnosis [8]. For example, the inhibition of circCHFR impeded the cell growth and mobility of VSMCs through microRNA (miRNA)-mRNA network [9]. Hsa_circ_0010283 is derived from the ubiquitin protein ligase E3 component n-recognin 4 (UBR4) gene, also named as circ-UBR4. Circ-UBR4 was initially manifested to be highly expressed in ox-LDL-treated VSMCs by circRNA microarray analysis [9], and the functional effects of circ-UBR4 on ox-LDL-treated VSMC activities were partly elucidated [10,11]. However, the regulatory mechanisms of circ-UBR4 in AS progression are complex and have not been fully uncovered. Therefore, circ-UBR4 was selected as a target in our study to explore its role and molecular mechanism in ox-LDL-induced VSMCs injury, providing more evidence for it to be a potential target in AS therapy.

miRNAs are non-coding and single-strand RNAs (18–25 nucleotides) and play vital roles in multiple pathological processes [12]. Mechanistically, miRNAs have been confirmed to function inhibitory effects on gene expression by targeting 3′untranslational region (UTR) of their target genes [13]. Abundant reports discovered that miR-515-5p acted as a tumor-suppressor in numerous tumors [14,15,16]. We guessed that miR-515-5p also played significant roles in AS progression.

Insulin-like growth factor2 (IGF2) is a member of insulin-like growth factor (IGF) family [17]. The potential association between IGF family and hematological malignancies was revealed in a previous report [18]. Interestingly, Sun et al. also revealed that ox-LDL-induced upregulation of IGF2 could activate downstream IGF-related pathways, thereby enhancing the proliferation of VSMCs [19]. Therefore, the roles and functional effects of IGF2 were explored in AS progression.

In this research, ox-LDL-stimulated VSMCs were used as cell models of AS. Through bioinformatics analysis, we found that circ-UBR4 had complementary binding sites for miR-515-5p, and miR-515-5p could target IGF2. Therefore, we determined the role of circ-UBR4 and investigated the interplays among circ-UBR4, miR-515-5p, and IGF2 in ox-LDL-induced VSMCs.

2 Materials and methods

2.1 Serum samples

The serum samples were collected from 31 AS patients and 25 healthy normal controls in Shanghai Shidong hospital. The written informed consent was acquired from each patient and volunteer, and our study was approved by the Ethics Committee of Shanghai Shidong hospital.

2.2 Cell culture

T/G HA-VSMCs (derived from Aorta) were purchased from ATCC (catalogue: PCS-100-012; Manassas, VA, USA) and cultured in Dulbecco’s modified eagle medium (GIBCO BRL, Grand Island, NY, USA) containing 10% (v/v) fetal bovine serum (FBS; Thermo Fisher Scientific, Carlsbad, CA, USA) at 37°C with 5% CO2. The medium was replaced for every 2 or 3 days. Cells between passages 3 and 6 were employed in this study. To establish cell models of AS, VSMCs were treated with ox-LDL (Thermo Fisher Scientific) with different concentrations for 24 h or 50 μg/mL for different times. In function experiments, VSMCs were treated with 50 μg/mL of ox-LDL for 24 h after transfection for 24 h.

2.3 Cell transfection

Short interfering RNA (siRNA) targeting circ-UBR4 (si-circ-UBR4), control (si-NC), circ-UBR4 overexpression vector (circ-UBR4), empty vector (pCD5-ciR), IGF2-overexpression vector (IGF2), and empty vector (pcDNA) were designed and optimized by GenePharma (Shanghai, China). MiR-515-5p mimic (miR-515-5p), miR-NC, miR-515-5p inhibitor (anti-miR-515-5p), and anti-miR-NC were synthesized by Sangon (Shanghai, China). For cell transfection, VSMCs were seeded into 24-well plates (5 × 104 cells/well) and then transfected with plasmids (2 μg), miRNA oligonucleotides (50 nM), or siRNA (50 nM) by Lipofectamine 2000 reagent (Thermo Fisher Scientific) referring to the recommended protocol.

2.4 Real-time quantitative PCR (RT-qPCR)

Total RNAs were isolated by TRIzol reagent (Invitrogen, Carlsbad, CA, USA) in compliance with the manufacturer’s direction. After quantifying under the Nanodrop 2000c (Thermo Fisher Scientific), the extracted RNA was used to transcribe into complementary DNA (cDNA) by First-Strand cDNA Synthesis SuperMix (CapitalBio, Beijing, China). RT-qPCR reactions were performed by SYBR Green Real-Time PCR Master Mix (Thermo Fisher Scientific) under the Roche LightCycler (Roche, Basel, Switzerland). The comparative threshold cycle (Ct) method was carried out to evaluate the relative expression of target RNAs, with glyceraldehyde-3-phosphate dehydrogenase (GAPDH) or nuclear RNA U6 as the control. The primer sequences were as follows: circ-UBR4, 5′-AGTGTGGTTACAGCCAGCTC-3′ (forward) and 5′-ACCATAACTACCAGCGGCAC-3′ (reverse); UBR4, 5′-CCCCGGAACCAACTTCAGTC-3′ (forward) and 5′-TTGGCGGATTTCATCATTGCT-3′ (reverse); miR-515-5p, 5′-GCCGAGTTCTCCAAAAGAAAGC-3′ (forward) and 5′-CAGTGCAGGGTCCGAGGTAT-3′ (reverse); IGF2, 5′-ACGAAATATCCCGCCTCATTTAC-3′ (forward) and 5′-GCAGTTTCCGAGTCAGTGTTCA-3′ (reverse); U6, 5′-CTCGCTTCGGCAGCACA-3′ (forward) and 5′-AACGCTTCACGAATTTGCGT-3′ (reverse); and GAPDH, 5′-TGAACCATGAGAAGTATGAC-3′ (forward) and 5′-TCTTACTCCTTGGAGGCCA-3′ (reverse).

2.5 RNase R treatment and nuclear-cytoplasmic fractionation

Purified RNAs were incubated with RNase R (Epicentre Technologies, Madison, USA), followed by purification with Trizol (Invitrogen).

In addition, Cytoplasmic and Nuclear RNA Purification Kit was used for nuclear-cytoplasmic fractionation assay. Briefly, ice-cold lysis buffer J was added into culture plate to lyse VSMCs. After centrifuging, supernatant was collected as cytoplasmic RNA. The precipitate containing the nuclear RNA was incubated with buffer SK. Finally, cytoplasmic RNA and nuclear RNA were eluted with elution buffer E.

2.6 MTT assay

VSMCs were planted into 96-well plates (5,000 cells per well) and cultured at 37°C with 5% CO2. After incubation for 24 h, 20 μL of MTT solution (5 mg/mL; Thermo Fisher Scientific) was added into each well at 37°C, and cells were allowed to incubate for another 4 h. The formatted crystal formazan was dissolved by dimethyl sulfoxide (Thermo Fisher Scientific). Microplate reader was used to assess optical density value at 490 nm.

2.7 EdU assay

Cell proliferation was also evaluated by EdU incorporation assay using an EdU Apollo DNA in vitro kit (RiboBio, Guangzhou, China). Briefly, cells after transfection were incubated in 96-well plates (5,000 cells per well) for 24 h at 37°C and next subjected with 100 μL of 50 μM EdU per well. After culturing cells with EdU for 12 h, cells were fixed and then counterstained with DAPI. The EdU staining was observed via a fluorescence microscopy (Mshot, Guangdong, China).

2.8 Flow cytometry assay

Apoptosis of VSMCs was assessed by Annexin V-FITC Apoptosis Detection Kit (BD Pharmingen, Franklin Lakes, NJ, USA). After incubation for 24 h, transfected VSMCs were harvested as a single cell suspension (1 × 106/mL) by trypsin digestion. The staining buffer containing Annexin V-FITC and propidium iodide was added to incubate VSMCs at 4°C for 30 min. The Flow Cytometer (Beckman Coulter, Miami, FL, USA) was used for apoptosis assay.

2.9 Transwell assay

For in vitro cell migration assay, 24-well transwell chamber (BD Pharmingen, San Jose, CA, USA) was used. VSMCs resuspended in 200 µL medium without FBS (5 × 104 cells/well) were seeded into the upper compartment, while complete medium was used as nutrients to induce cell migration. After 24 h, the remaining culture medium and the cells that did not migrate were removed carefully, while the migrated cells were fixed and then stained with 0.1% crystal violet (Thermo Fisher Scientific). The migrated cells were imaged under a microscope (100× amplification; Mshot). The number of migrated cells was counted in five randomly selected regions.

2.10 Enzyme-linked immunosorbent assay (ELISA)

Cell culture supernatants were harvested by centrifugation at 1,000 × g for 10 min. The ELISA kit (Invitrogen; #BMS223INST; #BMS213HS; and #KAC1211) was used to detect the levels of tumor necrosis factor-α (TNF-α), Interleukin-6 (IL-6), and Interleukin-1β (IL-1β) according to the commodity instruction. The concentrations of TNF-α, IL-6, and IL-1β were obtained based on standard curve.

2.11 Western blot assay

Briefly, a protein extraction kit (Applygen Technologies, Beijing, China) was used to extract protein from VSMCs. Protein concentration was assessed by bicinchoninic acid protein assay (Applygen Technologies). 30 μg of protein was fractionated by sodium dodecyl sulfate-polyacrylamide gels and electroblotted onto nitrocellulose membranes (Bio-Rad, Hercules, CA, USA). The membranes were incubated in 4% skim milk solution and then reacted with antibodies at 4°C overnight, including anti-β-actin (ab8226, Abcam, Cambridge, MA, USA), anti-CyclinD1 (ab16633, Abcam), anti-matrix metallopeptidase 9 (MMP9; ab76003, Abcam), anti-BCL2-Associated X (Bax; ab325033, Abcam), anti-B-cell lymphoma-2 (Bcl-2; ab196495, Abcam), and anti-IGF2 (ab177467, Abcam). After washing with Tris-buffered saline with Tween 20, the membranes were incubated with HRP-conjugated secondary antibodies (Abcam). Finally, the Alpha Innotech Imaging System (ProteinSimple, Santa Clara, CA, USA) was used to visualize protein signal. The band density was analyzed using Image J software (NIH, Bethesda, MA, USA).

2.12 Dual-luciferase reporter assay

The downstream targets of circ-UBR4 and miR-515-5p were predicted by circRNA interactome (https://circinteractome.irp.nia.nih.gov/) and Starbase (http://starbase.sysu.edu.cn/), respectively. The circ-UBR4 sequences containing miR-515-5p binding sites were inserted into pmirGLO luciferase vector (GeneCreat, Wuhan, China), named as WT-circ-UBR4, with MUT-circ-UBR4 as control. Similarly, the wild- and mutant-type of IGF2 luciferase reporter vector (WT-IGF2 3′UTR and MUT-IGF2 3′UTR) were synthesized by GeneCreat. VSMCs were transfected with luciferase reporter vectors in the presence or absence of miR-515-5p by Lipofectamine 2000 (Thermo Fisher Scientific). Relative luciferase activity was assessed under the VICTOR2 fluorometry (PerkinElmer, Waltham, MA, USA) at 48 h post-transfection.

2.13 RNA immunoprecipitation (RIP) assay

RIP assay was carried out using Imprint® RIP kit (Sigma, Louis, MO, USA) according to manufacturer’s instruction. For RIP assay, VSMCs were lysed in RIP lysis buffer, followed by incubation with magnetic beads embracing Ago2 (Millipore, Billerica, MA, USA) or IgG (Millipore) antibodies for 24 h at 4°C. The level of RNA enriched by RIP was assessed by RT-qPCR.

2.14 Pull-down assay

miR-515-5p probe and miR-NC probe were labeled with biotin by RiboBio (Bio-miR-515-5p and Bio-miR-NC). VSMCs were transfected with Bio-miR-515-5p and Bio-miR-NC and subsequently lysed by lysis reagent (Thermo Fisher Scientific). Cell lysates were cultured with Streptavidin-Dynabeads (Thermo Fisher Scientific). RNA complexes pulled down by Bio-miR-515-5p and Bio-miR-NC were captured by beads. RNA samples were washed from beads and analyzed by RT-qPCR.

2.15 Statistical analysis

For each experiment, we set three duplications in adjacent three wells of 96- or 24-well plates. A total of three independent experiments were performed at few days interval using the same batch of frozen cells at passages 3–6. All quantitative data were displayed as mean value ± standard deviation. SPSS 21.0 software (IBM, Somers, NY, USA) was used to process data and analyze differences. The statistical differences in different groups were analyzed by Student’s t-test or analysis of variance (followed by Tukey’s post-hoc test). P-value less than 0.05 was considered to be statistically significant.

3 Results

3.1 circ-UBR4 was overexpressed in ox-LDL-stimulated VSMCs

Schematic diagram in Figure 1a manifested the information of circ-UBR4, showing that circ-UBR4 was produced from UBR4 gene (NM_020765), with 3358 bp in length. We detected circ-UBR4 expression in the serum of AS patients or healthy normal controls and confirmed that circ-UBR4 was overexpressed in AS patients (Figure A1). In order to analyze the potential role of circ-UBR4 in AS progression, we used ox-LDL-stimulated VSMCs as cell models of AS in vitro. As presented in Figure 1b, circ-UBR4 was significantly and dose-dependently increased in ox-LDL-stimulated VSMCs. Also, treatment with 50 μg/mL of ox-LDL significantly enhanced the expression of circ-UBR4 in VSMCs in a time-dependent manner (Figure 1c). RT-qPCR assay suggested the predominant cytoplasmic distribution of circ-UBR4 in VSMCs (Figure 1d). Furthermore, circ-UBR4 could resist the digestion of RNase R when compared with linear-UBR4 (Figure 1e). Therefore, the function of circ-UBR4 was explored in ox-LDL-stimulated VSMCs.

Figure 1 
                  The expression level of circ-UBR4 in ox-LDL-stimulated VSMCs. (a) The information of circ-UBR4 structure and formation. (b) and (c) The relative expression level of circ-UBR4 was evaluated by RT-qPCR in ox-LDL-stimulated VSMCs. (d) The expression levels of circ-UBR4, GAPDH, and U6 were assessed by RT-qPCR in cytoplasmic and nuclear fraction RNAs. (e) RT-qPCR was used to show the expression of linear-UBR4 and circ-UBR4 in VSMCs after treatment with RNase R. ***P < 0.001.
Figure 1

The expression level of circ-UBR4 in ox-LDL-stimulated VSMCs. (a) The information of circ-UBR4 structure and formation. (b) and (c) The relative expression level of circ-UBR4 was evaluated by RT-qPCR in ox-LDL-stimulated VSMCs. (d) The expression levels of circ-UBR4, GAPDH, and U6 were assessed by RT-qPCR in cytoplasmic and nuclear fraction RNAs. (e) RT-qPCR was used to show the expression of linear-UBR4 and circ-UBR4 in VSMCs after treatment with RNase R. ***P < 0.001.

3.2 Knockdown of circ-UBR4 reversed ox-LDL-stimulated VSMCs functions

As circ-UBR4 was overexpressed in ox-LDL-stimulated VSMCs, we next investigated the functional effects of circ-UBR4 inhibition in ox-LDL-stimulated VSMCs. Treatment with 50 μg/mL of ox-LDL enhanced the expression of circ-UBR4 in VSMCs, which was abolished by transfection with si-circ-UBR4 (Figure 2a). The results of MTT assay revealed that cell viability increased by ox-LDL was obviously inhibited by transfection with si-circ-UBR4 (Figure 2b). Similarly, knockdown of circ-UBR4 suppressed the inflammation in ox-LDL-stimulated VSMCs by reducing TNF-α, IL-6, and IL-1β levels (Figure 2c–e). Besides, ox-LDL-aggravated EdU incorporation and the number of migrated cells in VSMCs were largely repressed by circ-UBR4 downregulation (Figure 2f and g). Treatment with ox-LDL could inhibit cell apoptosis, while this effect was reversed by the knockdown of circ-UBR4 (Figure 2h). The results of western blot assay indicated that MMP9, CyclinD1, and Bcl-2 were upregulated, while Bax was downregulated in ox-LDL-stimulated VSMCs. However, the alterations induced by ox-LDL were all reversed by knockdown of circ-UBR4 (Figure 2i). Therefore, knockdown of circ-UBR4 inhibited cell proliferation, migration, and inflammation but promoted apoptosis in ox-LDL-stimulated VSMCs.

Figure 2 
                  Inhibition of circ-UBR4 regulated proliferation, apoptosis, migration, and inflammation of ox-LDL-stimulated VSMCs. (a)–(i) VSMCs were divided into four groups: Control, ox-LDL, ox-LDL + si-NC, and ox-LDL + si-circ-UBR4. Un-treated VSMCs were used as Control. (a) The expression of circ-UBR4 was determined by RT-qPCR. (b) MTT assay was used for examining cell viability. (c)–(e) The levels of TNF-α, IL-6, and IL-1β were measured by ELISA. (f) EdU assay was used to examine cell proliferation. (g) Transwell assay was used to assess VSMCs migration. (h) The apoptosis of VSMCs was assessed by flow cytometry. (i) The protein expression levels of MMP9, CyclinD1, Bax, and Bcl-2 were quantified by western blot assay. *P < 0.05, **P < 0.01, ***P < 0.001.
Figure 2

Inhibition of circ-UBR4 regulated proliferation, apoptosis, migration, and inflammation of ox-LDL-stimulated VSMCs. (a)–(i) VSMCs were divided into four groups: Control, ox-LDL, ox-LDL + si-NC, and ox-LDL + si-circ-UBR4. Un-treated VSMCs were used as Control. (a) The expression of circ-UBR4 was determined by RT-qPCR. (b) MTT assay was used for examining cell viability. (c)–(e) The levels of TNF-α, IL-6, and IL-1β were measured by ELISA. (f) EdU assay was used to examine cell proliferation. (g) Transwell assay was used to assess VSMCs migration. (h) The apoptosis of VSMCs was assessed by flow cytometry. (i) The protein expression levels of MMP9, CyclinD1, Bax, and Bcl-2 were quantified by western blot assay. *P < 0.05, **P < 0.01, ***P < 0.001.

3.3 miR-515-5p was a direct target of circ-UBR4

The circRNA interactome software predicted that circ-UBR4 had more targeted miRNAs. Through literature research, four miRNAs (miR-144-3p, miR-326, miR-370-3p, and miR-515-5p) with low expression in AS and having an inhibition on proliferation and metastasis of VSMCs were selected for RT-qPCR analysis. The results show that circ-UBR4 knockdown could affect the expression of multiple miRNAs, but si-circ-UBR4 had the most obvious promotion effect on miR-515-5p expression (Figure A2). Therefore, miR-515-5p was selected as the target of circ-UBR4 for this study. The possible complementary sequences between circ-UBR4 and miR-515-5p are presented in Figure 3a. The upregulation of miR-515-5p led to great loss of luciferase activity in WT-circ-UBR4 group, while luciferase activity in MUT-circ-UBR4 group was not affected by miR-515-5p overexpression (Figure 3b). In RIP assay, the immunopurification of Ago2 can be performed to confirm the interaction between miRNA and target genes by detecting RNA enrichment. The results of RIP assay revealed that circ-UBR4 and miR-515-5p were all enriched by Ago2 (Figure 3c). Additionally, pull-down assay showed that high abundance of circ-UBR4 could be pulled down by Bio-miR-515-5p probe (Figure 3d). The above data confirmed the interaction between circ-UBR4 and miR-515-5p. MiR-515-5p expression was inhibited by ox-LDL in VSMCs in a dose-dependent manner and time-dependent manner (Figure 3e–f).

Figure 3 
                  Circ-UBR4 regulated miR-515-5p expression in VSMCs. (a) Schematic diagram presented the complementary sequences between circ-UBR4 and miR-515-5p. (b)–(d) The potential association between circ-UBR4 and miR-515-5p was analyzed by dual-luciferase reporter, RIP, and pull-down assays. (e and f) RT-qPCR assay was performed to determine expression level of miR-515-5p in ox-LDL-stimulated VSMCs. ***P < 0.001.
Figure 3

Circ-UBR4 regulated miR-515-5p expression in VSMCs. (a) Schematic diagram presented the complementary sequences between circ-UBR4 and miR-515-5p. (b)–(d) The potential association between circ-UBR4 and miR-515-5p was analyzed by dual-luciferase reporter, RIP, and pull-down assays. (e and f) RT-qPCR assay was performed to determine expression level of miR-515-5p in ox-LDL-stimulated VSMCs. ***P < 0.001.

3.4 miR-515-5p inhibitor reversed the effect of circ-UBR4 knockdown on ox-LDL-induced VSMCs functions

The association between circ-UBR4 and miR-515-5p was investigated in ox-LDL-induced VSMCs. Transfection with anti-miR-515-5p abolished the upregulation of miR-515-5p expression in si-circ-UBR4-transfected VSMCs (Figure 4a). Inhibition of miR-515-5p could rescue the inhibition effect of si-circ-UBR4 on the viability, inflammation factor levels, proliferation, and migration of ox-LDL-treated VSMCs (Figure 4b–g). In addition, the downregulation of miR-515-5p protected VSMCs from si-circ-UBR4-induced apoptosis in ox-LDL-treated VSMCs (Figure 4h). MiR-515-5p knockdown also restored the expression of CyclinD1, MMP9, and Bcl-2 inhibited by circ-UBR4 silencing, and repressed the expression of Bax promoted by circ-UBR4 silencing in ox-LDL-treated VSMCs (Figure 4i). Therefore, the knockdown of miR-515-5p abolished circ-UBR4 inhibition-induced effects on ox-LDL-treated VSMCs. We measured the expression levels of both circ-UBR4 and miR-515-5p in the same ox-LDL-treated cells, and confirmed that circ-UBR4 was increased and miR-515-5p was decreased in ox-LDL-induced VSMCs (Figure A3a). In VSMCs transfected with circ-UBR4 overexpression vector, we found that circ-UBR4 was markedly promoted and miR-515-5p was significantly inhibited (Figure A3b). In addition, we examined cell proliferation, inflammation, migration, and apoptosis in ox-LDL-induced VSMCs-transfected circ-UBR4 overexpression vector. The circ-UBR4 expression was remarkably enhanced after the transfection of circ-UBR4 overexpression vector in ox-LDL-induced VSMCs (Figure A3c). Then, function experiments showed that circ-UBR4 overexpression promoted cell viability, the levels of inflammation factors (TNF-α, IL-6, and IL-1β), EdU incorporation, and the number of migrated cells, while suppressed apoptosis rate in ox-LDL-induced VSMCs (Figure A3d–j). These data confirmed that circ-UBR4 inhibited miR-515-5p expression to promote cell proliferation, migration, and inflammation, and inhibit apoptosis.

Figure 4 
                  Knockdown of circ-UBR4-mediated effects in ox-LDL-stimulated VSMCs were abolished by silencing miR-515-5p. (a) RT-qPCR was performed to assess miR-515-5p level in VSMCs transfected with si-NC, si-circ-UBR4, si-circ-UBR4 + anti-miR-NC, or si-circ-UBR4 + anti-miR-515-5p. (b)–(i) VSMCs were divided into six groups: Control, ox-LDL, ox-LDL + si-NC, ox-LDL + si-circ-UBR4, ox-LDL + si-circ-UBR4 + anti-miR-NC, and ox-LDL + si-circ-UBR4 + anti-miR-515-5p. Untreated VSMCs were used as Control. (b) MTT assay was conducted to analyze cell viability. (c)–(e) The inflammation was assessed by measuring the levels of TNF-α, IL-6, and IL-1β by ELISA. (f) EdU assay was conducted to analyze cell proliferation. (g) The apoptosis of VSMCs was examined by flow cytometry assay. (h) The transwell was used to analyze VSMCs migration. (i) Western blot assay was performed to test protein expression levels of MMP9, CyclinD1, Bax, and Bcl-2 in VSMCs. *P < 0.05, **P < 0.01, ***P < 0.001.
Figure 4

Knockdown of circ-UBR4-mediated effects in ox-LDL-stimulated VSMCs were abolished by silencing miR-515-5p. (a) RT-qPCR was performed to assess miR-515-5p level in VSMCs transfected with si-NC, si-circ-UBR4, si-circ-UBR4 + anti-miR-NC, or si-circ-UBR4 + anti-miR-515-5p. (b)–(i) VSMCs were divided into six groups: Control, ox-LDL, ox-LDL + si-NC, ox-LDL + si-circ-UBR4, ox-LDL + si-circ-UBR4 + anti-miR-NC, and ox-LDL + si-circ-UBR4 + anti-miR-515-5p. Untreated VSMCs were used as Control. (b) MTT assay was conducted to analyze cell viability. (c)–(e) The inflammation was assessed by measuring the levels of TNF-α, IL-6, and IL-1β by ELISA. (f) EdU assay was conducted to analyze cell proliferation. (g) The apoptosis of VSMCs was examined by flow cytometry assay. (h) The transwell was used to analyze VSMCs migration. (i) Western blot assay was performed to test protein expression levels of MMP9, CyclinD1, Bax, and Bcl-2 in VSMCs. *P < 0.05, **P < 0.01, ***P < 0.001.

3.5 IGF2 was a functional gene of miR-515-5p

The online software Starbase was used to predict the target genes of miR-515-5p. We found that miR-515-5p had putative binding regions in 3′UTR of IGF2 mRNA (Figure 5a). Besides, the overexpression of miR-515-5p reduced the luciferase activity of WT-IGF2 3′UTR group but not MUT-IGF2 3′UTR group (Figure 5b). RIP assay also suggested that miR-515-5p and IGF2 were enriched in Ago2-immunoprecipitated complex when compared with control group, revealing the association between miR-515-5p and IGF2 (Figure 5c). Treatment with ox-LDL increased the mRNA and protein expression levels of IGF2 in VSMCs in dose-dependent manner and time-dependent manner (Figure 5d–g). Transfection with miR-515-5p mimic increased the expression of miR-515-5p in VSMCs, while miR-515-5p decreased in VSMCs after transfection with anti-miR-515-5p (Figure 5h). More importantly, IGF2 was substantially increased in the presence of anti-miR-515-5p in VSMCs but decreased in miR-515-5p-transfected cells, suggesting that IGF2 was negatively regulated by miR-515-5p (Figure 5i and j). These results together suggested that IGF2 was a direct target of miR-515-5p.

Figure 5 
                  MiR-515-5p regulated the expression of IGF2 in VSMCs. (a) The binding regions between miR-515-5p and IGF2 were shown. (b) and (c) Dual-luciferase reporter and RIP assays were used to confirm the association between miR-515-5p and IGF2. (d)–(g) RT-qPCR and western blot assays were used to examine IGF2 levels in ox-LDL-stimulated VSMCs. (h) The expression level of miR-515-5p was assessed by RT-qPCR in VSMCs transfected with miR-NC, miR-515-5p, anti-miR-NC, or anti-miR-515-5p. (i) and (j) The mRNA and protein expression levels of IGF2 were measured by RT-qPCR and western blot assays in VSMCs transfected with miR-NC, miR-515-5p, anti-miR-NC, or anti-miR-515-5p. *P < 0.05, **P < 0.01, ***P < 0.001.
Figure 5

MiR-515-5p regulated the expression of IGF2 in VSMCs. (a) The binding regions between miR-515-5p and IGF2 were shown. (b) and (c) Dual-luciferase reporter and RIP assays were used to confirm the association between miR-515-5p and IGF2. (d)–(g) RT-qPCR and western blot assays were used to examine IGF2 levels in ox-LDL-stimulated VSMCs. (h) The expression level of miR-515-5p was assessed by RT-qPCR in VSMCs transfected with miR-NC, miR-515-5p, anti-miR-NC, or anti-miR-515-5p. (i) and (j) The mRNA and protein expression levels of IGF2 were measured by RT-qPCR and western blot assays in VSMCs transfected with miR-NC, miR-515-5p, anti-miR-NC, or anti-miR-515-5p. *P < 0.05, **P < 0.01, ***P < 0.001.

3.6 Overexpression of IGF2 reversed miR-515-5p-induced effects on ox-LDL-stimulated VSMCs functions

The expression level of IGF2 was inhibited by the overexpression of miR-515-5p in ox-LDL-stimulated VSMCs, which was overturned by transfection with IGF2 (Figure 6a and b). The upregulation of miR-515-5p inhibited the viability, inflammation, proliferation, and migration in ox-LDL-stimulated VSMCs, while these effects were counteracted by the overexpression of IGF2 (Figure 6c–h). MiR-515-5p enrichment-triggered apoptosis of ox-LDL-treated VSMCs was largely inhibited by IGF2 overexpression (Figure 6i). Also, miR-515-5p decreased the Cyclin D1, MMP9, and Bcl-2 protein expression, while it enhanced the Bax protein expression in ox-LDL-stimulated VSMCs. However, these effects were reversed by significantly decreased IGF2 overexpression (Figure 6j). Above all, miR-515-5p regulated proliferation, migration, inflammation, and apoptosis in ox-LDL-stimulated VSMCs by targeting IGF2.

Figure 6 
                  The miR-515-5p/IGF2 axis regulated proliferation, migration, inflammation, and apoptosis of ox-LDL-stimulated VSMCs. (a) and (b) The expression of IGF2 was assessed by RT-qPCR and western blot assays in VSMCs transfected with miR-NC, miR-515-5p, miR-515-5p + pcDNA, or miR-515-5p + IGF2. (c)–(j) ox-LDL-stimulated VSMCs were transfected with miR-NC, miR-515-5p, miR-515-5p + pcDNA, or miR-515-5p + IGF2, with untreated VSMCs as Control. (c) The cell viability of VSMCs was assessed by MTT assay. (d)–(f) ELISA was used to determine the levels of TNF-α, IL-6, and IL-1β in VSMCs. (g) The cell proliferation of VSMCs was assessed by EdU assay. (h) The migration of VSMCs was examined by transwell assay. (i) The apoptosis of VSMCs was examined by flow cytometry. (j) The protein expression levels of CyclinD1, MMP9, Bax, and Bcl-2 were assessed by western blot. *P < 0.05, **P < 0.01, ***P < 0.001.
Figure 6

The miR-515-5p/IGF2 axis regulated proliferation, migration, inflammation, and apoptosis of ox-LDL-stimulated VSMCs. (a) and (b) The expression of IGF2 was assessed by RT-qPCR and western blot assays in VSMCs transfected with miR-NC, miR-515-5p, miR-515-5p + pcDNA, or miR-515-5p + IGF2. (c)–(j) ox-LDL-stimulated VSMCs were transfected with miR-NC, miR-515-5p, miR-515-5p + pcDNA, or miR-515-5p + IGF2, with untreated VSMCs as Control. (c) The cell viability of VSMCs was assessed by MTT assay. (d)–(f) ELISA was used to determine the levels of TNF-α, IL-6, and IL-1β in VSMCs. (g) The cell proliferation of VSMCs was assessed by EdU assay. (h) The migration of VSMCs was examined by transwell assay. (i) The apoptosis of VSMCs was examined by flow cytometry. (j) The protein expression levels of CyclinD1, MMP9, Bax, and Bcl-2 were assessed by western blot. *P < 0.05, **P < 0.01, ***P < 0.001.

3.7 circ-UBR4 regulated IGF2 by targeting miR-515-5p

As shown in Figure 7a and b, circ-UBR4 knockdown decreased the expression of IGF2 in ox-LDL-stimulated VSMCs, which was recused by the silencing of miR-515-5p, at both mRNA and protein levels. To sum up, circ-UBR4 regulated IGF2 expression by targeting miR-515-5p, thereby promoting cell proliferation, inflammation, and migration in ox-LDL-stimulated VSMCs (Figure 7c).

Figure 7 
                  Circ-UBR4 governed the miR-515-5p/IGF2 axis. (a) and (b) The mRNA and protein expression levels of IGF2 were measured by RT-qPCR and western blot assays in VSMCs transfected with si-NC, si-circ-UBR4, si-circ-UBR4 + anti-miR-NC, or si-circ-UBR4 + anti-miR-515-5p. (c) A model for circ-UBR4/miR-515-5p/IGF2 axis was displayed. **P < 0.01, ***P < 0.001.
Figure 7

Circ-UBR4 governed the miR-515-5p/IGF2 axis. (a) and (b) The mRNA and protein expression levels of IGF2 were measured by RT-qPCR and western blot assays in VSMCs transfected with si-NC, si-circ-UBR4, si-circ-UBR4 + anti-miR-NC, or si-circ-UBR4 + anti-miR-515-5p. (c) A model for circ-UBR4/miR-515-5p/IGF2 axis was displayed. **P < 0.01, ***P < 0.001.

4 Discussion

AS is a common risk factor for cardiovascular and cerebrovascular diseases all over the world [20]. Although majority of basic and clinical research focusing on AS, the pathogenesis mechanism of AS is not fully addressed. Our data suggested that the suppression of circ-UBR4 decreased proliferation, migration, and inflammation, while it increased the apoptosis in ox-LDL-stimulated VSMCs by targeting the miR-515-5p/IGF2 axis.

As we all know, ox-LDL could stimulate migration and proliferation of VSMCs [21]. Under pathological conditions, migrated and proliferated VSMCs in intimal layer of artery were found to participate in the early AS formation [22]. Besides, it was identified that ox-LDL stimulated cell adhesion molecules expression and thus induced a series of pathological changes, including inflammatory reactions and injury [23]. Therefore, ox-LDL-induced VSMCs were widely used as cell models of AS. Not surprisingly, inflammatory reaction was also associated with the pathogenesis of AS [24]. The pro-inflammatory cytokines, including TNF-α and IL-6, could induce dysfunction of VSMCs and promote AS progression [25]. We also confirmed that the productions of TNF-α, IL-6, and IL-1β were increased in ox-LDL-induced VSMCs.

Recently, circRNAs function as competitive endogenous RNAs to sponge miRNAs and then suppress their functions, which has been confirmed in the development of AS [26]. For example, Guo et al. reported a series of differentially expressed circRNAs in ox-LDL-induced VSMCs, including circ-UBR4 [27]. Recently, Ding et al. reported that the circ-UBR4/miR-370-3p/high mobility group box 1 networks mediated cell proliferation of ox-LDL-treated VSMCs, suggesting the important roles of circ-UBR4 in AS [10]. Our results suggested that miR-515-5p was involved in the regulatory mechanism of circ-UBR4 in AS progression.

The previous research confirmed that miR-515-5p was implicated in the development of human diseases by targeting key mRNAs, such as chromobox homolog 4 [28], IL-6 [29], and YES proto-oncogene 1 [30]. In addition, miR-515-5p was confirmed to play an important role in AS progression, and long noncoding RNA LOXL1 antisense RNA 1 could sponge miR-515-5p to facilitate the development of AS [31]. Similar to the above conclusion, we found that miR-515-5p regulated proliferation, migration, inflammation, and apoptosis of ox-LDL-treated VSMCs by targeting IGF2.

Zaina et al. provided the atherogenic activity of IGF2 in mice lacking apolipoprotein E [32]. Mechanistically, IGF2 was also involved in proliferation and apoptosis of ox-LDL-induced VSMC, and it was reported as a functional target of miR-148b [33], miR-424-5p [34], and miR-210-3p [35]. Besides, the pro-inflammation characteristic of IGF2 also was confirmed in ox-LDL-stimulate THP-1 macrophages [36]. Therefore, IGF2 served as an active participant in AS progression.

Taken together, circ-UBR4 regulated the proliferation, migration, inflammation, and apoptosis of ox-LDL-induced VSMCs via miR-515-5p/IGF2 axis. Our study enriched the role of circ-UBR4 in ox-LDL-induced VSMCs and thus provided a new perspective to understand AS pathogenesis. However, some limitations existed in our present study. We only determined the role of circ-UBR4 in cell models of AS in vitro, and animal models of AS were not provided in our present study. Therefore, VSMCs from various resources and animal models should be used to further validate our present findings in future work.

5 Conclusion

In summary, treatment with ox-LDL increased the expression of circ-UBR4 in VSMCs. We also demonstrated that the downregulation of circ-UBR4 could effectively repress proliferation, migration, and inflammation but increase apoptosis of ox-LDL-induced VSMCs via miR-515-5p/IGF2 axis, hinting that circ-UBR4 might be a new diagnostic marker for AS patients.


tel: +86-021-25066666

  1. Funding information: This work was supported by Key Discipline in Yangpu District, Shanghai (YP19ZA09).

  2. Author contributions: Conceptualization and methodology: Tianhua Liu and Jun Shi; formal analysis and data curation: Yu Wang, Yuya Yang, and Wenyin Xiao; validation and investigation: Wenyin Xiao and Yanyan Bai; writing – original draft preparation and writing – review and editing: Liuliu Feng, Tianhua Liu, and Jun Shi. All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Conflict of interest: The authors declare that they have no competing interest.

  4. Data availability statement: The analyzed datasets generated during the present study are available from the corresponding author on reasonable request.

Appendix

Figure A1 
                  The expression of circ-UBR4 in the serum of AS patients or healthy normal controls. RT-qPCR was used to detect the expression of circ-UBR4 in the serum of AS patients (n = 31) or healthy normal controls (n = 25). ***P < 0.001.
Figure A1

The expression of circ-UBR4 in the serum of AS patients or healthy normal controls. RT-qPCR was used to detect the expression of circ-UBR4 in the serum of AS patients (n = 31) or healthy normal controls (n = 25). ***P < 0.001.

Figure A2 
                  The selection of targeted miRNA of circ-UBR4. The expression of 4 miRNAs (miR-144-3p, miR-326, miR-370-3p and miR-515-5p) was detected by RT-qPCR in VSMCs transfected with si-circ-UBR4 or si-NC. **P < 0.01, ***P < 0.001.
Figure A2

The selection of targeted miRNA of circ-UBR4. The expression of 4 miRNAs (miR-144-3p, miR-326, miR-370-3p and miR-515-5p) was detected by RT-qPCR in VSMCs transfected with si-circ-UBR4 or si-NC. **P < 0.01, ***P < 0.001.

Figure A3 
                  Effects of circ-UBR4 on miR-515-5p expression and ox-LDL-stimulated VSMCs function. (a) The expression levels of circ-UBR4 and miR-515-5p were assessed by RT-qPCR in VSMCs treated with or without ox-LDL. (b) The expression levels of circ-UBR4 and miR-515-5p were assessed by RT-qPCR in VSMSc transfected with pCD5-ciR or circ-UBR4 overexpression vector. (c–j) Ox-LDL-stimulated VSMCs were transfected with pCD5-ciR or circ-UBR4 overexpression vector, with un-treated cells as Control. (c) The circ-UBR4 expression was detected by RT-qPCR. (d) Cell viability was assessed by MTT assay. (e–g) ELISA was used to determine the levels of TNF-α, IL-6, and IL-1β. (h) Cell proliferation was assessed by EdU assay. (i) VSMCs migration was examined by transwell assay. (j) Cell apoptosis was examined by flow cytometry. *P < 0.05, **P < 0.01, ***P < 0.001.
Figure A3

Effects of circ-UBR4 on miR-515-5p expression and ox-LDL-stimulated VSMCs function. (a) The expression levels of circ-UBR4 and miR-515-5p were assessed by RT-qPCR in VSMCs treated with or without ox-LDL. (b) The expression levels of circ-UBR4 and miR-515-5p were assessed by RT-qPCR in VSMSc transfected with pCD5-ciR or circ-UBR4 overexpression vector. (c–j) Ox-LDL-stimulated VSMCs were transfected with pCD5-ciR or circ-UBR4 overexpression vector, with un-treated cells as Control. (c) The circ-UBR4 expression was detected by RT-qPCR. (d) Cell viability was assessed by MTT assay. (e–g) ELISA was used to determine the levels of TNF-α, IL-6, and IL-1β. (h) Cell proliferation was assessed by EdU assay. (i) VSMCs migration was examined by transwell assay. (j) Cell apoptosis was examined by flow cytometry. *P < 0.05, **P < 0.01, ***P < 0.001.

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Received: 2022-12-26
Revised: 2023-05-19
Accepted: 2023-06-19
Published Online: 2023-08-30

© 2023 the author(s), published by De Gruyter

This work is licensed under the Creative Commons Attribution 4.0 International License.

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  71. circ_0004904 regulates the trophoblast cell in preeclampsia via miR-19b-3p/ARRDC3 axis
  72. NECAB3 promotes the migration and invasion of liver cancer cells through HIF-1α/RIT1 signaling pathway
  73. The poor performance of cardiovascular risk scores in identifying patients with idiopathic inflammatory myopathies at high cardiovascular risk
  74. miR-2053 inhibits the growth of ovarian cancer cells by downregulating SOX4
  75. Nucleophosmin 1 associating with engulfment and cell motility protein 1 regulates hepatocellular carcinoma cell chemotaxis and metastasis
  76. α-Hederin regulates macrophage polarization to relieve sepsis-induced lung and liver injuries in mice
  77. Changes of microbiota level in urinary tract infections: A meta-analysis
  78. Identification of key enzalutamide-resistance-related genes in castration-resistant prostate cancer and verification of RAD51 functions
  79. Falls during oxaliplatin-based chemotherapy for gastrointestinal malignancies – (lessons learned from) a prospective study
  80. Outcomes of low-risk birth care during the Covid-19 pandemic: A cohort study from a tertiary care center in Lithuania
  81. Vitamin D protects intestines from liver cirrhosis-induced inflammation and oxidative stress by inhibiting the TLR4/MyD88/NF-κB signaling pathway
  82. Integrated transcriptome analysis identifies APPL1/RPS6KB2/GALK1 as immune-related metastasis factors in breast cancer
  83. Genomic analysis of immunogenic cell death-related subtypes for predicting prognosis and immunotherapy outcomes in glioblastoma multiforme
  84. Circular RNA Circ_0038467 promotes the maturation of miRNA-203 to increase lipopolysaccharide-induced apoptosis of chondrocytes
  85. An economic evaluation of fine-needle cytology as the primary diagnostic tool in the diagnosis of lymphadenopathy
  86. Midazolam impedes lung carcinoma cell proliferation and migration via EGFR/MEK/ERK signaling pathway
  87. Network pharmacology combined with molecular docking and experimental validation to reveal the pharmacological mechanism of naringin against renal fibrosis
  88. PTPN12 down-regulated by miR-146b-3p gene affects the malignant progression of laryngeal squamous cell carcinoma
  89. miR-141-3p accelerates ovarian cancer progression and promotes M2-like macrophage polarization by targeting the Keap1-Nrf2 pathway
  90. lncRNA OIP5-AS1 attenuates the osteoarthritis progression in IL-1β-stimulated chondrocytes
  91. Overexpression of LINC00607 inhibits cell growth and aggressiveness by regulating the miR-1289/EFNA5 axis in non-small-cell lung cancer
  92. Subjective well-being in informal caregivers during the COVID-19 pandemic
  93. Nrf2 protects against myocardial ischemia-reperfusion injury in diabetic rats by inhibiting Drp1-mediated mitochondrial fission
  94. Unfolded protein response inhibits KAT2B/MLKL-mediated necroptosis of hepatocytes by promoting BMI1 level to ubiquitinate KAT2B
  95. Bladder cancer screening: The new selection and prediction model
  96. circNFATC3 facilitated the progression of oral squamous cell carcinoma via the miR-520h/LDHA axis
  97. Prone position effect in intensive care patients with SARS-COV-2 pneumonia
  98. Clinical observation on the efficacy of Tongdu Tuina manipulation in the treatment of primary enuresis in children
  99. Dihydroartemisinin ameliorates cerebral I/R injury in rats via regulating VWF and autophagy-mediated SIRT1/FOXO1 pathway
  100. Knockdown of circ_0113656 assuages oxidized low-density lipoprotein-induced vascular smooth muscle cell injury through the miR-188-3p/IGF2 pathway
  101. Low Ang-(1–7) and high des-Arg9 bradykinin serum levels are correlated with cardiovascular risk factors in patients with COVID-19
  102. Effect of maternal age and body mass index on induction of labor with oral misoprostol for premature rupture of membrane at term: A retrospective cross-sectional study
  103. Potential protective effects of Huanglian Jiedu Decoction against COVID-19-associated acute kidney injury: A network-based pharmacological and molecular docking study
  104. Clinical significance of serum MBD3 detection in girls with central precocious puberty
  105. Clinical features of varicella-zoster virus caused neurological diseases detected by metagenomic next-generation sequencing
  106. Collagen treatment of complex anorectal fistula: 3 years follow-up
  107. LncRNA CASC15 inhibition relieves renal fibrosis in diabetic nephropathy through down-regulating SP-A by sponging to miR-424
  108. Efficacy analysis of empirical bismuth quadruple therapy, high-dose dual therapy, and resistance gene-based triple therapy as a first-line Helicobacter pylori eradication regimen – An open-label, randomized trial
  109. SMOC2 plays a role in heart failure via regulating TGF-β1/Smad3 pathway-mediated autophagy
  110. A prospective cohort study of the impact of chronic disease on fall injuries in middle-aged and older adults
  111. circRNA THBS1 silencing inhibits the malignant biological behavior of cervical cancer cells via the regulation of miR-543/HMGB2 axis
  112. hsa_circ_0000285 sponging miR-582-3p promotes neuroblastoma progression by regulating the Wnt/β-catenin signaling pathway
  113. Long non-coding RNA GNAS-AS1 knockdown inhibits proliferation and epithelial–mesenchymal transition of lung adenocarcinoma cells via the microRNA-433-3p/Rab3A axis
  114. lncRNA UCA1 regulates miR-132/Lrrfip1 axis to promote vascular smooth muscle cell proliferation
  115. Twenty-four-color full spectrum flow cytometry panel for minimal residual disease detection in acute myeloid leukemia
  116. Hsa-miR-223-3p participates in the process of anthracycline-induced cardiomyocyte damage by regulating NFIA gene
  117. Anti-inflammatory effect of ApoE23 on Salmonella typhimurium-induced sepsis in mice
  118. Analysis of somatic mutations and key driving factors of cervical cancer progression
  119. Hsa_circ_0028007 regulates the progression of nasopharyngeal carcinoma through the miR-1179/SQLE axis
  120. Variations in sexual function after laparoendoscopic single-site hysterectomy in women with benign gynecologic diseases
  121. Effects of pharmacological delay with roxadustat on multi-territory perforator flap survival in rats
  122. Analysis of heroin effects on calcium channels in rat cardiomyocytes based on transcriptomics and metabolomics
  123. Risk factors of recurrent bacterial vaginosis among women of reproductive age: A cross-sectional study
  124. Alkbh5 plays indispensable roles in maintaining self-renewal of hematopoietic stem cells
  125. Study to compare the effect of casirivimab and imdevimab, remdesivir, and favipiravir on progression and multi-organ function of hospitalized COVID-19 patients
  126. Correlation between microvessel maturity and ISUP grades assessed using contrast-enhanced transrectal ultrasonography in prostate cancer
  127. The protective effect of caffeic acid phenethyl ester in the nephrotoxicity induced by α-cypermethrin
  128. Norepinephrine alleviates cyclosporin A-induced nephrotoxicity by enhancing the expression of SFRP1
  129. Effect of RUNX1/FOXP3 axis on apoptosis of T and B lymphocytes and immunosuppression in sepsis
  130. The function of Foxp1 represses β-adrenergic receptor transcription in the occurrence and development of bladder cancer through STAT3 activity
  131. Risk model and validation of carbapenem-resistant Klebsiella pneumoniae infection in patients with cerebrovascular disease in the ICU
  132. Calycosin protects against chronic prostatitis in rats via inhibition of the p38MAPK/NF-κB pathway
  133. Pan-cancer analysis of the PDE4DIP gene with potential prognostic and immunotherapeutic values in multiple cancers including acute myeloid leukemia
  134. The safety and immunogenicity to inactivated COVID-19 vaccine in patients with hyperlipemia
  135. Circ-UBR4 regulates the proliferation, migration, inflammation, and apoptosis in ox-LDL-induced vascular smooth muscle cells via miR-515-5p/IGF2 axis
  136. Clinical characteristics of current COVID-19 rehabilitation outpatients in China
  137. Luteolin alleviates ulcerative colitis in rats via regulating immune response, oxidative stress, and metabolic profiling
  138. miR-199a-5p inhibits aortic valve calcification by targeting ATF6 and GRP78 in valve interstitial cells
  139. The application of iliac fascia space block combined with esketamine intravenous general anesthesia in PFNA surgery of the elderly: A prospective, single-center, controlled trial
  140. Elevated blood acetoacetate levels reduce major adverse cardiac and cerebrovascular events risk in acute myocardial infarction
  141. The effects of progesterone on the healing of obstetric anal sphincter damage in female rats
  142. Identification of cuproptosis-related genes for predicting the development of prostate cancer
  143. Lumican silencing ameliorates β-glycerophosphate-mediated vascular smooth muscle cell calcification by attenuating the inhibition of APOB on KIF2C activity
  144. Targeting PTBP1 blocks glutamine metabolism to improve the cisplatin sensitivity of hepatocarcinoma cells through modulating the mRNA stability of glutaminase
  145. A single center prospective study: Influences of different hip flexion angles on the measurement of lumbar spine bone mineral density by dual energy X-ray absorptiometry
  146. Clinical analysis of AN69ST membrane continuous venous hemofiltration in the treatment of severe sepsis
  147. Antibiotics therapy combined with probiotics administered intravaginally for the treatment of bacterial vaginosis: A systematic review and meta-analysis
  148. Construction of a ceRNA network to reveal a vascular invasion associated prognostic model in hepatocellular carcinoma
  149. A pan-cancer analysis of STAT3 expression and genetic alterations in human tumors
  150. A prognostic signature based on seven T-cell-related cell clustering genes in bladder urothelial carcinoma
  151. Pepsin concentration in oral lavage fluid of rabbit reflux model constructed by dilating the lower esophageal sphincter
  152. The antihypertensive felodipine shows synergistic activity with immune checkpoint blockade and inhibits tumor growth via NFAT1 in LUSC
  153. Tanshinone IIA attenuates valvular interstitial cells’ calcification induced by oxidized low density lipoprotein via reducing endoplasmic reticulum stress
  154. AS-IV enhances the antitumor effects of propofol in NSCLC cells by inhibiting autophagy
  155. Establishment of two oxaliplatin-resistant gallbladder cancer cell lines and comprehensive analysis of dysregulated genes
  156. Trial protocol: Feasibility of neuromodulation with connectivity-guided intermittent theta-burst stimulation for improving cognition in multiple sclerosis
  157. LncRNA LINC00592 mediates the promoter methylation of WIF1 to promote the development of bladder cancer
  158. Factors associated with gastrointestinal dysmotility in critically ill patients
  159. Mechanisms by which spinal cord stimulation intervenes in atrial fibrillation: The involvement of the endothelin-1 and nerve growth factor/p75NTR pathways
  160. Analysis of two-gene signatures and related drugs in small-cell lung cancer by bioinformatics
  161. Silencing USP19 alleviates cigarette smoke extract-induced mitochondrial dysfunction in BEAS-2B cells by targeting FUNDC1
  162. Menstrual irregularities associated with COVID-19 vaccines among women in Saudi Arabia: A survey during 2022
  163. Ferroptosis involves in Schwann cell death in diabetic peripheral neuropathy
  164. The effect of AQP4 on tau protein aggregation in neurodegeneration and persistent neuroinflammation after cerebral microinfarcts
  165. Activation of UBEC2 by transcription factor MYBL2 affects DNA damage and promotes gastric cancer progression and cisplatin resistance
  166. Analysis of clinical characteristics in proximal and distal reflux monitoring among patients with gastroesophageal reflux disease
  167. Exosomal circ-0020887 and circ-0009590 as novel biomarkers for the diagnosis and prediction of short-term adverse cardiovascular outcomes in STEMI patients
  168. Upregulated microRNA-429 confers endometrial stromal cell dysfunction by targeting HIF1AN and regulating the HIF1A/VEGF pathway
  169. Bibliometrics and knowledge map analysis of ultrasound-guided regional anesthesia
  170. Knockdown of NUPR1 inhibits angiogenesis in lung cancer through IRE1/XBP1 and PERK/eIF2α/ATF4 signaling pathways
  171. D-dimer trends predict COVID-19 patient’s prognosis: A retrospective chart review study
  172. WTAP affects intracranial aneurysm progression by regulating m6A methylation modification
  173. Using of endoscopic polypectomy in patients with diagnosed malignant colorectal polyp – The cross-sectional clinical study
  174. Anti-S100A4 antibody administration alleviates bronchial epithelial–mesenchymal transition in asthmatic mice
  175. Prognostic evaluation of system immune-inflammatory index and prognostic nutritional index in double expressor diffuse large B-cell lymphoma
  176. Prevalence and antibiogram of bacteria causing urinary tract infection among patients with chronic kidney disease
  177. Reactive oxygen species within the vaginal space: An additional promoter of cervical intraepithelial neoplasia and uterine cervical cancer development?
  178. Identification of disulfidptosis-related genes and immune infiltration in lower-grade glioma
  179. A new technique for uterine-preserving pelvic organ prolapse surgery: Laparoscopic rectus abdominis hysteropexy for uterine prolapse by comparing with traditional techniques
  180. Self-isolation of an Italian long-term care facility during COVID-19 pandemic: A comparison study on care-related infectious episodes
  181. A comparative study on the overlapping effects of clinically applicable therapeutic interventions in patients with central nervous system damage
  182. Low intensity extracorporeal shockwave therapy for chronic pelvic pain syndrome: Long-term follow-up
  183. The diagnostic accuracy of touch imprint cytology for sentinel lymph node metastases of breast cancer: An up-to-date meta-analysis of 4,073 patients
  184. Mortality associated with Sjögren’s syndrome in the United States in the 1999–2020 period: A multiple cause-of-death study
  185. CircMMP11 as a prognostic biomarker mediates miR-361-3p/HMGB1 axis to accelerate malignant progression of hepatocellular carcinoma
  186. Analysis of the clinical characteristics and prognosis of adult de novo acute myeloid leukemia (none APL) with PTPN11 mutations
  187. KMT2A maintains stemness of gastric cancer cells through regulating Wnt/β-catenin signaling-activated transcriptional factor KLF11
  188. Evaluation of placental oxygenation by near-infrared spectroscopy in relation to ultrasound maturation grade in physiological term pregnancies
  189. The role of ultrasonographic findings for PIK3CA-mutated, hormone receptor-positive, human epidermal growth factor receptor-2-negative breast cancer
  190. Construction of immunogenic cell death-related molecular subtypes and prognostic signature in colorectal cancer
  191. Long-term prognostic value of high-sensitivity cardiac troponin-I in patients with idiopathic dilated cardiomyopathy
  192. Establishing a novel Fanconi anemia signaling pathway-associated prognostic model and tumor clustering for pediatric acute myeloid leukemia patients
  193. Integrative bioinformatics analysis reveals STAT2 as a novel biomarker of inflammation-related cardiac dysfunction in atrial fibrillation
  194. Adipose-derived stem cells repair radiation-induced chronic lung injury via inhibiting TGF-β1/Smad 3 signaling pathway
  195. Real-world practice of idiopathic pulmonary fibrosis: Results from a 2000–2016 cohort
  196. lncRNA LENGA sponges miR-378 to promote myocardial fibrosis in atrial fibrillation
  197. Diagnostic value of urinary Tamm-Horsfall protein and 24 h urine osmolality for recurrent calcium oxalate stones of the upper urinary tract: Cross-sectional study
  198. The value of color Doppler ultrasonography combined with serum tumor markers in differential diagnosis of gastric stromal tumor and gastric cancer
  199. The spike protein of SARS-CoV-2 induces inflammation and EMT of lung epithelial cells and fibroblasts through the upregulation of GADD45A
  200. Mycophenolate mofetil versus cyclophosphamide plus in patients with connective tissue disease-associated interstitial lung disease: Efficacy and safety analysis
  201. MiR-1278 targets CALD1 and suppresses the progression of gastric cancer via the MAPK pathway
  202. Metabolomic analysis of serum short-chain fatty acid concentrations in a mouse of MPTP-induced Parkinson’s disease after dietary supplementation with branched-chain amino acids
  203. Cimifugin inhibits adipogenesis and TNF-α-induced insulin resistance in 3T3-L1 cells
  204. Predictors of gastrointestinal complaints in patients on metformin therapy
  205. Prescribing patterns in patients with chronic obstructive pulmonary disease and atrial fibrillation
  206. A retrospective analysis of the effect of latent tuberculosis infection on clinical pregnancy outcomes of in vitro fertilization–fresh embryo transferred in infertile women
  207. Appropriateness and clinical outcomes of short sustained low-efficiency dialysis: A national experience
  208. miR-29 regulates metabolism by inhibiting JNK-1 expression in non-obese patients with type 2 diabetes mellitus and NAFLD
  209. Clinical features and management of lymphoepithelial cyst
  210. Serum VEGF, high-sensitivity CRP, and cystatin-C assist in the diagnosis of type 2 diabetic retinopathy complicated with hyperuricemia
  211. ENPP1 ameliorates vascular calcification via inhibiting the osteogenic transformation of VSMCs and generating PPi
  212. Significance of monitoring the levels of thyroid hormone antibodies and glucose and lipid metabolism antibodies in patients suffer from type 2 diabetes
  213. The causal relationship between immune cells and different kidney diseases: A Mendelian randomization study
  214. Interleukin 33, soluble suppression of tumorigenicity 2, interleukin 27, and galectin 3 as predictors for outcome in patients admitted to intensive care units
  215. Identification of diagnostic immune-related gene biomarkers for predicting heart failure after acute myocardial infarction
  216. Long-term administration of probiotics prevents gastrointestinal mucosal barrier dysfunction in septic mice partly by upregulating the 5-HT degradation pathway
  217. miR-192 inhibits the activation of hepatic stellate cells by targeting Rictor
  218. Diagnostic and prognostic value of MR-pro ADM, procalcitonin, and copeptin in sepsis
  219. Review Articles
  220. Prenatal diagnosis of fetal defects and its implications on the delivery mode
  221. Electromagnetic fields exposure on fetal and childhood abnormalities: Systematic review and meta-analysis
  222. Characteristics of antibiotic resistance mechanisms and genes of Klebsiella pneumoniae
  223. Saddle pulmonary embolism in the setting of COVID-19 infection: A systematic review of case reports and case series
  224. Vitamin C and epigenetics: A short physiological overview
  225. Ebselen: A promising therapy protecting cardiomyocytes from excess iron in iron-overloaded thalassemia patients
  226. Aspirin versus LMWH for VTE prophylaxis after orthopedic surgery
  227. Mechanism of rhubarb in the treatment of hyperlipidemia: A recent review
  228. Surgical management and outcomes of traumatic global brachial plexus injury: A concise review and our center approach
  229. The progress of autoimmune hepatitis research and future challenges
  230. METTL16 in human diseases: What should we do next?
  231. New insights into the prevention of ureteral stents encrustation
  232. VISTA as a prospective immune checkpoint in gynecological malignant tumors: A review of the literature
  233. Case Reports
  234. Mycobacterium xenopi infection of the kidney and lymph nodes: A case report
  235. Genetic mutation of SLC6A20 (c.1072T > C) in a family with nephrolithiasis: A case report
  236. Chronic hepatitis B complicated with secondary hemochromatosis was cured clinically: A case report
  237. Liver abscess complicated with multiple organ invasive infection caused by hematogenous disseminated hypervirulent Klebsiella pneumoniae: A case report
  238. Urokinase-based lock solutions for catheter salvage: A case of an upcoming kidney transplant recipient
  239. Two case reports of maturity-onset diabetes of the young type 3 caused by the hepatocyte nuclear factor 1α gene mutation
  240. Immune checkpoint inhibitor-related pancreatitis: What is known and what is not
  241. Does total hip arthroplasty result in intercostal nerve injury? A case report and literature review
  242. Clinicopathological characteristics and diagnosis of hepatic sinusoidal obstruction syndrome caused by Tusanqi – Case report and literature review
  243. Synchronous triple primary gastrointestinal malignant tumors treated with laparoscopic surgery: A case report
  244. CT-guided percutaneous microwave ablation combined with bone cement injection for the treatment of transverse metastases: A case report
  245. Malignant hyperthermia: Report on a successful rescue of a case with the highest temperature of 44.2°C
  246. Anesthetic management of fetal pulmonary valvuloplasty: A case report
  247. Rapid Communication
  248. Impact of COVID-19 lockdown on glycemic levels during pregnancy: A retrospective analysis
  249. Erratum
  250. Erratum to “Inhibition of miR-21 improves pulmonary vascular responses in bronchopulmonary dysplasia by targeting the DDAH1/ADMA/NO pathway”
  251. Erratum to: “Fer exacerbates renal fibrosis and can be targeted by miR-29c-3p”
  252. Retraction
  253. Retraction of “Study to compare the effect of casirivimab and imdevimab, remdesivir, and favipiravir on progression and multi-organ function of hospitalized COVID-19 patients”
  254. Retraction of “circ_0062491 alleviates periodontitis via the miR-142-5p/IGF1 axis”
  255. Retraction of “miR-223-3p alleviates TGF-β-induced epithelial-mesenchymal transition and extracellular matrix deposition by targeting SP3 in endometrial epithelial cells”
  256. Retraction of “SLCO4A1-AS1 mediates pancreatic cancer development via miR-4673/KIF21B axis”
  257. Retraction of “circRNA_0001679/miR-338-3p/DUSP16 axis aggravates acute lung injury”
  258. Retraction of “lncRNA ACTA2-AS1 inhibits malignant phenotypes of gastric cancer cells”
  259. Special issue Linking Pathobiological Mechanisms to Clinical Application for cardiovascular diseases
  260. Effect of cardiac rehabilitation therapy on depressed patients with cardiac insufficiency after cardiac surgery
  261. Special issue The evolving saga of RNAs from bench to bedside - Part I
  262. FBLIM1 mRNA is a novel prognostic biomarker and is associated with immune infiltrates in glioma
  263. Special Issue Computational Intelligence Methodologies Meets Recurrent Cancers - Part III
  264. Development of a machine learning-based signature utilizing inflammatory response genes for predicting prognosis and immune microenvironment in ovarian cancer
Heruntergeladen am 31.10.2025 von https://www.degruyterbrill.com/document/doi/10.1515/med-2023-0751/html?lang=de
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