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Updated: May 15, 2026

Analysis of Combinatorial miRNA Treatments to Regulate Cell Cycle and Angiogenesis
Published on: March 30, 2019
Apolipoprotein E-mediated cell cycle arrest linked to p27 and the Cox2-dependent repression of miR221/222
Devashish Kothapalli1, Paola Castagnino, Daniel J Rader
1Department of Pharmacology, University of Pennsylvania Perelman School of Medicine, 3620 Hamilton Walk, Philadelphia, PA 19104-6084, USA.
Objective:
In addition to its effects on cholesterol levels, apoE3 has lipid-independent effects that contribute to cardiovascular protection; one of these effects is the ability to inhibit cell cycling in VSMCs. The goal of this study was to identify and characterize cell cycle-regulatory mechanisms responsible for the anti-mitogenic effect of apoE.
Methods And Results:
Primary VSMCs were stimulated with serum in the absence or presence of apoE3. apoE3 upregulated expression of the cdk inhibitor, p27(kip1), in primary VSMCs, and this effect required Cox2 and activation of PGI(2)-IP signaling. The microRNA family, miR221/222 has recently been identified as a post-translational regulator of p27, and apoE3 inhibited miR221/222 expression in a Cox2- and PGI(2)/IP-dependent manner. Moreover, reconstituted miR222 expression was sufficient to override the effects of apoE on p27 expression and S phase entry. The ability to repress expression of miR221/222 is shared by apoE3-containing HDL but is absent from apoA-1, LDL and apoE-depleted HDL. All three apoE isoforms regulate miR221/222, and the effect is independent of the C-terminal lipid-binding domain. miR221/222 levels are increased in the aortae of apoE3-null mice and reduced when apoE3 expression is reconstituted by adeno-associated virus infection. Thus, regulation of miR221/222 by apoE3 occurs in vivo as well as in vitro.
Conclusions:
ApoE inhibits VSMC proliferation by regulating p27 through miR221/222. Control of cell cycle-regulatory microRNAs adds a new dimension to the spectrum of cardiovascular protective effects afforded by apoE and apoE-HDL.
Insights
Apolipoprotein E3 (apoE3) inhibits vascular smooth muscle cell proliferation by downregulating miR221/222, leading to increased p27 expression. This mechanism enhances cardiovascular protection by controlling cell cycle regulation.
Area of Science:
- Cardiovascular Biology
- Molecular Biology
- Cell Biology
Background:
- Apolipoprotein E (apoE) exerts lipid-independent cardiovascular protective effects.
- One such effect is the inhibition of vascular smooth muscle cell (VSMC) proliferation.
- The precise cell cycle regulatory mechanisms underlying apoE's anti-mitogenic action require elucidation.
Purpose of the Study:
- To identify and characterize the cell cycle regulatory mechanisms responsible for apoE's anti-mitogenic effect on VSMCs.
- To investigate the role of microRNAs in apoE-mediated cell cycle control.
Main Methods:
- Primary VSMCs were stimulated with serum in the presence or absence of apoE3.
- Expression levels of p27(kip1), Cox2, PGI(2)-IP signaling, and miR221/222 were analyzed.
- miR222 expression was reconstituted to assess its impact on p27 and S phase entry.
- Experiments were conducted in vitro and in vivo using apoE3-null mice.
Main Results:
- ApoE3 upregulated the cyclin-dependent kinase inhibitor p27(kip1) in VSMCs via Cox2 and PGI(2)-IP signaling.
- ApoE3 inhibited the expression of miR221/222, which post-translationally regulate p27.
- Reconstitution of miR222 expression reversed the effects of apoE3 on p27 and S phase entry.
- ApoE3-containing HDL, but not LDL or apoA-1, repressed miR221/222 expression.
- Regulation of miR221/222 by apoE isoforms was independent of the C-terminal lipid-binding domain.
- miR221/222 levels were elevated in apoE3-null mice and reduced upon apoE3 reconstitution.
Conclusions:
- Apolipoprotein E inhibits VSMC proliferation by modulating p27 expression through the regulation of miR221/222.
- This microRNA-dependent pathway represents a novel mechanism contributing to the cardiovascular protective effects of apoE and apoE-HDL.
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