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Updated: Jul 1, 2026

Screening Assays to Characterize Novel Endothelial Regulators Involved in the Inflammatory Response
Published on: September 15, 2017
IL1R2 identified as a key hub gene regulating vascular endothelial function in Kawasaki disease
Xiaofeng Hong1, Qianwen Wang1, Tian Lan1
1The Ward II of Pediatric, Jinhua Maternal and Child Health Care Hospital, Jinhua, 321099, Zhejiang, People's Republic of China.
Insights
Kawasaki disease (KD) involves immune cells affecting blood vessels. This study identifies key genes in peripheral blood mononuclear cells (PBMCs) and their interaction with endothelial cells, offering insights into KD pathogenesis.
Area of Science:
- Immunology
- Pediatric cardiology
- Molecular biology
Background:
- Kawasaki disease (KD) is a leading cause of acquired heart disease in children, characterized by vasculitis.
- Coronary artery lesions (CAL) are a severe complication of KD.
- Peripheral blood mononuclear cells (PBMCs) are implicated in KD pathogenesis.
Purpose of the Study:
- To identify key genes (hub genes) involved in KD using RNA sequencing.
- To investigate the role of PBMCs and their interaction with human umbilical vein endothelial cells (HUVECs) in KD.
- To validate gene expression changes in KD patients with and without CAL.
Main Methods:
- RNA sequencing (RNA-seq) of PBMCs from acute KD patients and healthy controls.
- Validation of differentially expressed mRNAs (DE-mRNAs) in KD patients with and without CAL.
- Co-culture experiments with PBMCs and HUVECs, followed by real-time PCR and ELISA.
Main Results:
- 6039 DE-mRNAs were identified, with 30 selected as hub genes.
- KD PBMCs impaired HUVECs viability and migration.
- Specific gene expression patterns (IL1R2, FCGR1A, CD177) were observed in acute KD, KD with CAL, and convalescence stages.
Conclusions:
- PBMC-HUVEC interactions play a significant role in KD.
- Distinct molecular signatures in PBMCs correlate with KD severity and disease stage.
- Findings enhance understanding of KD pathophysiology and potential therapeutic targets.
Abstract:
Kawasaki disease (KD) is a multisystemic vasculitis of unknown aetiology in children. KD with coronary artery lesion (CAL) is now the leading acquired heart disease in children. Peripheral blood mononuclear cells (PBMCs) play roles in KD. We identified hub genes based on RNA sequencing data and validated them in PBMCs and human umbilical vein endothelial cells (HUVECs) co-culture with PBMCs. Expression profiling by high throughput sequencing (RNA-seq data) PBMCs from 12 acute KD patients and 12 healthy controls was performed to screen differentially expressed mRNAs (DE-mRNAs). We selected 20 KD with CAL, 20 KD patients without CAL and 40 healthy controls for validation, and established HUVECs co-culture with PBMCs. Real time-PCR was finally conducted to confirm the reliability and validity of the expression level of DE-mRNAs from PBMC-HUVECs co-cultures. A total of 6039 DE-mRNAs were found (2267 upregulated, 3772 downregulated). Thirty hub genes were selected. KD PBMCs significantly impaired HUVECs viability and migration. IL1R2 was downregulated, FCGR1A, and CD177 mRNAs were upregulated in acute KD and KD with CAL. IL1R2 was elevated, FCGR1A and CD177 mRNAs were downregulated in convalescence and KD without CAL. And the real-time PCR and ELISA results showed IL1R2 was downregulated in acute KD PBMC-HUVECs co-cultures and elevated in convalescence. These findings may improve our understanding of PBMCs and PBMC-HUVECs co-cultures with PBMCs in KD.
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