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miR126-mediated alteration of vascular integrity in Rett syndrome
Tatsuya Osaki1,2, Zhengpeng Wan3,4, Koji Haratani5
1Picower Institute for Learning and Memory, Massachusetts Institute of Technology, Cambridge, MA, USA. osaki@mit.edu.
Molecular Psychiatry
|February 18, 2026
Summary
Rett syndrome (RTT) involves methyl-CpG binding protein 2 (MeCP2) mutations affecting brain vasculature. Our study shows MeCP2 mutations increase microvascular network permeability, linked to miR126-3p, offering potential therapeutic targets.
Area of Science:
- Neuroscience
- Vascular Biology
- Genetics
Background:
- Rett syndrome (RTT) is a neurodevelopmental disorder caused by mutations in methyl-CpG binding protein 2 (MeCP2).
- MeCP2 mutations affect not only neural cells but also non-neural cells, including brain vasculature-associated endothelial cells.
- Vascular integrity is critical for brain homeostasis, and its alteration may link to neurodegenerative diseases, but its role in RTT pathogenesis is unclear.
Purpose of the Study:
- To investigate the early developmental vascular impact of MeCP2 mutations in RTT using patient-derived induced pluripotent stem (iPS) cells.
- To establish a microvascular network model to study RTT pathogenesis.
- To identify molecular mechanisms underlying vascular alterations in RTT.
Main Methods:
- Developed a microvascular network model using RTT patient-derived iPS cells with specific MeCP2 mutations (R306C, R168X) and isogenic controls.
- Utilized CRISPR/Cas9 and doxycycline-inducible ETV2 expression for expedited endothelial cell differentiation.
- Performed microRNA profiling and RNA sequencing (RNAseq) on RTT-derived endothelial cells.
Main Results:
- RTT microvascular networks exhibited significantly higher permeability compared to isogenic controls, indicating altered barrier function due to MeCP2 mutation.
- Hyperpermeability in RTT endothelial cells was associated with the upregulation of miR126-3p.
- Restoring miR126-3p levels successfully rescued the hyperpermeability phenotype.
Conclusions:
- MeCP2 mutations in RTT lead to vascular impairment mediated by miR126-3p.
- This study highlights a non-neurogenic effect of MeCP2 mutations on brain vasculature.
- Findings suggest miR126-3p as a potential therapeutic target for RTT.
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