miR-21 normalizes vascular smooth muscle proliferation and improves coronary collateral growth in metabolic syndrome

Rebecca Hutcheson1, Jennifer Chaplin2, Brenda Hutcheson1

  • 1Department of Pharmacology, New York Medical College, Valhalla, New York, USA;

Insights

Excessive cell proliferation, driven by miR-21 in metabolic syndrome, impairs coronary collateral growth (CCG). Blocking miR-21 improved CCG in rats, suggesting a therapeutic target for cardiovascular disease.

Area of Science:

  • Cardiovascular Biology
  • Molecular Medicine
  • Regenerative Medicine

Background:

  • Inadequate coronary collateral growth (CCG) is linked to impaired cell proliferation.
  • Proangiogenic growth factors fail to improve CCG despite stimulating cell proliferation.
  • Metabolic syndrome is associated with increased growth factors and impaired CCG.

Purpose of the Study:

  • To investigate if excessive cell proliferation contributes to impaired CCG in metabolic syndrome.
  • To explore the role of miR-21 in regulating cell proliferation and CCG in metabolic syndrome models.

Main Methods:

  • Comparison of CCG and cell proliferation markers (PCNA, Ki-67, cyclin A, etc.) in normal (SD) and metabolic syndrome (JCR) rats subjected to repetitive ischemia (RI).
  • Assessment of miR-21 expression levels in both rat models during RI.
  • Intervention with anti-miR-21 therapy in JCR rats to evaluate its effect on cell proliferation and CCG.

Main Results:

  • CCG was impaired in JCR rats compared to SD rats following RI.
  • JCR rats exhibited greater and sustained cell proliferation than SD rats during RI.
  • Sustained miR-21 expression in JCR rats correlated with excessive proliferation of vascular smooth muscle cells and impaired CCG.
  • Anti-miR-21 treatment significantly improved CCG in JCR rats by reducing cell proliferation.

Conclusions:

  • Excessive, miR-21-dependent cell proliferation during later stages of collateral remodeling is a key factor in impaired CCG in metabolic syndrome.
  • Targeting miR-21 may offer a novel therapeutic strategy to enhance CCG in patients with metabolic syndrome and cardiovascular disease.