Circ-MBOAT2 Regulates Angiogenesis via the miR-495/NOTCH1 Axis and Associates with Myocardial Perfusion in Patients

Wei Gao1,2, Chenguang Li1,2, Jie Yuan1,2

  • 1Department of Cardiology, Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital, Fudan University, Shanghai 200032, China.

Insights

Circular RNA MBOAT2 (circ-MBOAT2) promotes blood vessel growth via the miR-495/NOTCH1 pathway in coronary chronic total occlusion (CTO) patients. This pathway impacts myocardial perfusion improvement after revascularization.

Area of Science:

  • Cardiovascular Biology
  • Molecular Medicine
  • RNA Biology

Background:

  • Coronary chronic total occlusion (CTO) revascularization outcomes are debated.
  • Collateral circulation and myocardial perfusion are critical in CTO.
  • Circular RNAs (circRNAs) regulate angiogenesis, but their role in CTO is unknown.

Purpose of the Study:

  • To investigate the role of circ-MBOAT2 in angiogenesis in CTO patients.
  • To elucidate the molecular mechanism of circ-MBOAT2 in regulating angiogenesis.
  • To determine the association of circ-MBOAT2 and miR-495 with myocardial perfusion post-CTO revascularization.

Main Methods:

  • High-throughput sequencing of circulating circRNAs and miRNAs in CTO and stable coronary artery disease patients.
  • Verification of circ-MBOAT2 and miR-495 expression in patient cohorts.
  • In vitro and in vivo studies to explore circ-MBOAT2's role in angiogenesis and the miR-495/NOTCH1 axis.
  • Clinical correlation analysis with myocardial perfusion assessed by SPECT.

Main Results:

  • circ-MBOAT2 was significantly upregulated, and miR-495 was downregulated in CTO patients.
  • circ-MBOAT2 promoted endothelial cell tube formation and migration via the miR-495/NOTCH1 axis.
  • circ-MBOAT2 and miR-495 expression levels correlated with myocardial perfusion improvement after CTO revascularization.

Conclusions:

  • circ-MBOAT2 promotes angiogenesis through the miR-495/NOTCH1 pathway in CTO.
  • circ-MBOAT2 and miR-495 are associated with myocardial perfusion in CTO patients.
  • circ-MBOAT2 and miR-495 represent potential therapeutic targets and prognostic biomarkers for CTO.