Abstract

AimsTo investigate the consequences of oxidative stress and hypoxia on EPAC-1 expression during retinopathy.MethodsOxygen-induced retinopathy was induced in mice and EPAC-1 expression investigated by immunofluorescence. In silico analyses were used to identify a link between EPAC-1 expression and microRNA-7-5p in endothelial cells and confirmed by western blot analyses on cells expressing microRNA-7-5p. In vitro, endothelial cells were either incubated at 2% oxygen or transfected with microRNA-7-5p, and the effects of these treatments on EPAC-1 expression, endothelial hyperpermeability and NO production were assessed. In the Ins2Akita mouse model, levels of EPAC-1 expression as well as microRNA-7-5p were assessed by qPCR. Endothelial nitric oxide synthase was assessed by immunoblotting in the Ins2Akita model.ResultsHypoxia induces the expression of microRNA-7-5p that translationally inhibits the expression of EPAC-1 in endothelial cells, resulting in hyperpermeability and the loss of eNOS activity. Activation of EPAC-1 by the cAMP analogue 8-pCPT-2′-O-Me-cAMP reduced the sensitivity of EPAC-1 to oxidative stress and restored the endothelial permeability to baseline levels. Additionally, 8-pCPT-2′-O-Me-cAMP rescued eNOS activity and NO production. In mouse models of retinopathy, i.e., oxygen-induced retinopathy and the spontaneous diabetic heterozygous Ins2Akita mice, EPAC-1 levels are decreased which is associated with an increase in microRNA-7-5p expression and reduced eNOS activity.Conclusion/InterpretationIn retinopathy, EPAC-1 expression is decreased in a microRNA-7-mediated manner, contributing to endothelial dysfunction. Pharmacological activation of remnant EPAC-1 rescues endothelial function. Collectively, these data indicate that EPAC-1 resembles an efficacious and druggable target molecule for the amelioration of (diabetic) retinopathy.

Highlights

  • Introduction reduction in exchange protein activated by Cyclic adenosine monophosphate (cAMP) (EPAC)1 expression is associated with the hypoxia-induced expression of microRNA-7, resulting in translational repression

  • The effect of hypoxia on EPAC-1 expression was confirmed in endothelial cell cultures exposed to 2% or 20% oxygen, where EPAC-1 protein expression decreased (2.4-fold, p \ 0.01, Fig. 1d, e) when cells were exposed to hypoxia for 24 h

  • We show that hypoxia induces the expression of miR7 by endothelial cells in vitro and in vivo, reducing the expression of EPAC-1

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Summary

Results

Oxygen-induced retinopathy is associated with a marked decrease in EPAC-1 expression (Fig. 1a). Co-transfection of COS7 cells with miR-7 mimics and the EPAC-1 reporter construct decreased luciferase activity (2.6-fold) compared to scrambled controls (p \ 0.05), whereas the luciferase activity of the EPAC-2 reporter was unaffected (Fig. 2c). These data indicate that EPAC-1 is a specific target of miR7. Treating miR-7-expressing cells with 8-pCPT reduced endothelial hyperpermeability (1.7-fold, p \ 0.05), Fig. 2 Hypoxia induces microRNA-7-mediated suppression of EPAC-1. The addition of miR-7 mimics to endothelial cells did imitate the hypoxia-induced loss of eNOS activity as indicated by a reduction in eNOS phosphorylation at serine 1177 (p-eNOS/eNOS ratio; 1.7-fold decrease, p \ 0.01; Fig. 4e). Table 4) and found no other transcript which was decreased in both conditions

Discussion
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