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Circular RNA SCMH1 promotes persistent brain repair via N6-methyladenosine methylation post stroke
Ying Bai1, Ningbo Cai1, Liying Wen1
1Department of Pharmacology, Jiangsu Provincial Key Laboratory of Critical Care Medicine, School of Medicine, Southeast University, Nanjing 210009, China.
Brain : a Journal of Neurology
|May 7, 2026
Summary
A single dose of circular RNA SCMH1 (circSCMH1) triggers a self-sustaining loop, enhancing brain repair after stroke. This mechanism provides sustained therapeutic effects, unlike traditional therapies requiring repeated dosing.
Area of Science:
- Molecular Biology
- Neuroscience
- Biochemistry
Background:
- Circular RNAs (circRNAs) offer sustained therapeutic effects from single-dose administration.
- The molecular mechanisms behind circRNA persistence remain unclear.
- Understanding circRNA persistence is key for developing advanced nucleic acid therapeutics.
Purpose of the Study:
- To elucidate the molecular basis of sustained therapeutic effects from single-dose circRNA administration.
- To investigate the self-sustaining loop mechanism of circSCMH1 in brain repair.
- To identify key proteins involved in circSCMH1 persistence and efficacy.
Main Methods:
- Single-cell RNA sequencing (scRNA-seq) and methylated RNA immunoprecipitation sequencing (MeRIP-seq).
- Development of a modified circSCMH1 variant (ΔcircSCMH1) to distinguish endogenous and exogenous sources.
- Utilized genetic animal models, including Exportin-4-deficient mice.
Main Results:
- Exogenous circSCMH1 establishes a self-sustaining loop, elevating endogenous circSCMH1 levels in the peri-infarct region.
- Microglial FTO demethylase activity and YTHDC1 protein are crucial for circSCMH1 biogenesis and nuclear export.
- Impaired nuclear export of circSCMH1 in Exportin-4-deficient mice abolished sustained brain repair and sensorimotor recovery.
Conclusions:
- A single dose of circSCMH1 promotes brain repair via a self-sustaining loop involving endogenous circRNA biogenesis.
- The findings reveal a novel mechanism for prolonged therapeutic efficacy of circRNA therapeutics.
- This approach holds significant translational potential for stroke treatment, minimizing the need for repeated dosing.
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