Abstract

Vascular remodeling can be caused by angiotensin II type 1 receptor (AT1R) autoantibody (AT1-AA), although the related mechanism remains unknown. Angiotensin II type 2 receptor (AT2R) plays multiple roles in vascular remodeling through cross-talk with AT1R in the cytoplasm. Here, we aimed to explore the role and mechanism of AT2R in AT1-AA-induced vascular smooth muscle cell (VSMC) migration, which is a key event in vascular remodeling. In vitro and in vivo, we found that AT2R can promote VSMC migration in AT1-AA-induced vascular remodeling. Moreover, AT2R expression was upregulated via Klf-5/IRF-1-mediated transcriptional and circErbB4/miR-29a-5p-mediated posttranscriptional mechanisms in response to AT1-AA. Our data provide a molecular basis for AT1-AA-induced AT2R expression by transcription factors, namely, a circular RNA and a microRNA, and showed that AT2R participated in AT1-AA-induced VSMC migration during the development of vascular remodeling. AT2R may be a potential target for the treatment of AT1-AA-induced vascular diseases.

Highlights

  • Vascular remodeling is closely related to various cardiovascular diseases, such as hypertension, atherosclerosis, and cardiomyopathy[1]

  • The cells treated with AT1-AA showed a stronger migratory ability than those treated with angiotensin II (Ang II), while IgG had no effect on cell migration (Fig. 1a and Supplementary Fig. S1a)

  • The results showed that actin filaments were recruited into thick, long actin bundles in the AT1-AA-treated cells, while no such phenomenon was observed in the Ang II treatment group (Fig. 1c)

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Summary

Introduction

Vascular remodeling is closely related to various cardiovascular diseases, such as hypertension, atherosclerosis, and cardiomyopathy[1]. The migration of vascular smooth muscle cells (VSMCs) from arterial media to intima plays a key role in the development of vascular remodeling because of its contribution to arterial intima thickening and lumen stenosis[2,3]. The renin-angiotensin system (RAS) is one of the major mediators of vascular remodeling and related diseases by regulating VSMC migration, promoting inflammation, etc.[4]. In addition to angiotensin II (Ang II), Ang II type 1 receptor (AT1R) autoantibody (AT1-AA) is a newly discovered agonist of AT1R5, which is involved in pathological changes in vascular diseases[6,7,8,9]. Ample evidence supports an important role for AT1-AA in vascular remodeling[11,12], the related molecular mechanism is not clear

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