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Updated: Jan 18, 2026

In Silico Identification and Characterization of circRNAs During Host-Pathogen Interactions
Published on: October 21, 2022
Circular RNA profiling reveals an abundant circPTK2 that contributes everolimus-induced endothelial cell dysfunction
Yixin Zhao1, Jiangrong Wang1, Xiaomeng Jia1
1Department of Cardiology, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Jinan, China.
Background:
mTOR inhibitors released from drug-eluting stents (DESs) play a critical role in the pathogenesis of in-stent neoatherosclerosis (ISNA), contributing to the development of late in-stent restenosis (ISR). Circular RNAs (circRNAs) are emerging as key regulators in various pathophysiological processes, but their involvement in ISNA remains unclear.
Methods:
The expression pattern of circRNAs in human umbilical vein endothelial cells (HUVECs) treated with everolimus (EVL) was analysed using RNA sequencing. The expression levels of circRNAs, miR-1-5p, and the downstream targets ACVR2B/StarD13 were measured by quantitative real-time PCR. The effects of circPTK2 on cell proliferation, migration, apoptosis, and permeability in EVL-treated endothelial cells were assessed using cell counting kit-8, scratch, Annexin-V FITC and PI double-staining, and transwell assays. Bioinformatics analysis and dual luciferase assay were used to identify the interaction between circPTK2 and miR-1-5p. The association between circPTK2, miR-1-5p, and ACVR2B/StarD13 was further evaluated by functional rescue experiments.
Results:
CircPTK2 was significantly upregulated in EVL-treated HUVECs. Knockdown of circPTK2 reversed the EVL-induced suppression of cell viability and migration, reduced apoptosis, and alleviated endothelial barrier leakage. Conversely, circPTK2 overexpression produced the opposite effects. Mechanistically, circPTK2 acted as a sponge for miR-1-5p, leading to increased expression of its target genes ACVR2B and StarD13. Silencing ACVR2B or StarD13 partially attenuated the exacerbating effects of miR-1-5p inhibition on EVL-induced endothelial dysfunction. Moreover, inflammatory conditions affected the expressions of circPTK2, miR-1-5p, and ACVR2B/StarD13.
Conclusions:
CircPTK2 regulates EVL-induced endothelial dysfunction via the miR-1-5p/ACVR2B/StarD13 axis, providing novel insights for the treatment of late ISR after DES implantation.
Insights
Circular RNA PTK2 (circPTK2) exacerbates endothelial dysfunction induced by everolimus, a drug-eluting stent component. Targeting the circPTK2/miR-1-5p/ACVR2B/StarD13 pathway may offer new treatments for in-stent restenosis.
Area of Science:
- Cardiovascular Biology
- Molecular Biology
- Genomics
Background:
- Drug-eluting stents (DESs) utilize mTOR inhibitors, which can promote in-stent neoatherosclerosis (ISNA) and late in-stent restenosis (ISR).
- Circular RNAs (circRNAs) are implicated in various diseases, but their role in ISNA is not well understood.
Purpose of the Study:
- To investigate the role of circRNAs in everolimus-induced endothelial dysfunction.
- To elucidate the molecular mechanisms underlying circRNA involvement in ISNA.
Main Methods:
- RNA sequencing to profile circRNAs in everolimus-treated human umbilical vein endothelial cells (HUVECs).
- Quantitative real-time PCR to measure circRNA, miR-1-5p, and target gene expression.
- Cellular assays (proliferation, migration, apoptosis, permeability) to assess circPTK2 function.
- Bioinformatics, dual luciferase, and functional rescue experiments to determine molecular interactions.
Main Results:
- CircPTK2 was significantly upregulated in everolimus-treated HUVECs.
- CircPTK2 knockdown reversed everolimus-induced endothelial dysfunction, while overexpression worsened it.
- CircPTK2 functions as a miR-1-5p sponge, upregulating ACVR2B and StarD13 expression.
- Inflammatory conditions modulated the expression of circPTK2, miR-1-5p, and ACVR2B/StarD13.
Conclusions:
- CircPTK2 plays a critical role in everolimus-induced endothelial dysfunction through the miR-1-5p/ACVR2B/StarD13 pathway.
- This pathway represents a potential therapeutic target for late ISR following DES implantation.
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