Abstract

Introduction: Repair of the endothelium after vascular injury is crucial for preserving endothelial integrity and preventing the development of vascular disease. The underlying mechanisms of endothelial cell repair are largely unknown. Here, we sought to investigate whether endothelial microparticles (EMP), released from apoptotic endothelial cells (ECs), influence EC repair. Methods and results: EMP were generated from human coronary endothelial cells (HCAEC) and characterized by confocal microscopy and flow cytometry. Systemic treatment of mice with EMP after electrical denudation of the endothelium accelerated reendothelialization in vivo (29.81±2.31 vs. 50.71±9.84, p<0.01, n=12-14). Human EMP incorporation by murine ECs was confirmed in subsequent experiments using flow cutometry and immunofluorescence. In vitro experiments revealed that EMP uptake in ECs promote EC migration (82.02±15.72 vs. 37.05±19.00, p<0.01, n=6) and proliferation (160.8±24.67 vs. 100.0±26.86, n=6), both critical steps in endothelial repair. In order to dissect the underlying mechanisms, Taqman microRNA-array was performed and microRNA (miR)-126 was identified as the predominantly expressed miR in EMP (n=3). Following experiments demonstrated that miR-126 was transported into recipient HCAEC by EMP and functionally regulated the target protein sprouty-related, EVH1 domain containing 1 (Spred1). Genetic downregulation of Spred1 in HCAEC increased EC migration and proliferation capacity. Knockdown of miR-126 in EMP abrogated EMP-mediated effects on HCAEC migration and proliferation in vitro and reendothelialization in vivo, confirming the crucial role of miR-126 in EMP-mediated endothelial regeneration. Next, we tested whether EMP generated under pathological hyperglycaemic conditions (defined as injured EMP, (iEMP)) differed in miR expression and function from EMP. Interestingly, Taqman microRNA-array analysis revelaed that miR-126 was the strongest regulated miR between iEMP and EMP (n=3). Subsequently, iEMP derived from glucose-treated ECs showed reduced endothelial repair capacity in vitro and in vivo. Finally, expression analysis of miR-126 in circulating microparticles from 176 patients with stable coronary artery disease with and without diabetes revealed a significantly reduced miR-126 expression in circulating microparticles from diabetic patients. Conclusion: Endothelial microparticles promote vascular endothelial repair by delivering functional microRNA-126 into recipient cells. This leads to downregulation of target protein Spred1 and improves migratory and proliferative EC capacity with subsequent improvement of EC repair. In pathological hyperglycaemic conditions, EMP-mediated miR-126 induced EC repair is altered.

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