PMID- 30924864 OWN - NLM STAT- MEDLINE DCOM- 20200728 LR - 20200728 IS - 1755-3245 (Electronic) IS - 0008-6363 (Linking) VI - 115 IP - 13 DP - 2019 Nov 1 TI - Long noncoding RNA NEAT1 modulates immune cell functions and is suppressed in early onset myocardial infarction patients. PG - 1886-1906 LID - 10.1093/cvr/cvz085 [doi] AB - AIMS: Inflammation is a key driver of atherosclerosis and myocardial infarction (MI), and beyond proteins and microRNAs (miRs), long noncoding RNAs (lncRNAs) have been implicated in inflammation control. To obtain further information on the possible role of lncRNAs in the context of atherosclerosis, we obtained comprehensive transcriptome maps of circulating immune cells (peripheral blood mononuclear cells, PBMCs) of early onset MI patients. One lncRNA significantly suppressed in post-MI patients was further investigated in a murine knockout model. METHODS AND RESULTS: Individual RNA-sequencing (RNA-seq) was conducted on PBMCs from 28 post-MI patients with a history of MI at age /=3 months before study participation, and from 31 healthy individuals without manifest cardiovascular disease or family history of MI as controls. RNA-seq revealed deregulated protein-coding transcripts and lncRNAs in post-MI PBMCs, among which nuclear enriched abundant transcript (NEAT1) was the most highly expressed lncRNA, and the only one significantly suppressed in patients. Multivariate statistical analysis of validation cohorts of 106 post-MI patients and 85 controls indicated that the PBMC NEAT1 levels were influenced (P = 0.001) by post-MI status independent of statin intake, left ventricular ejection fraction, low-density lipoprotein or high-density lipoprotein cholesterol, or age. We investigated NEAT1-/- mice as a model of NEAT1 deficiency to evaluate if NEAT1 depletion may directly and causally alter immune regulation. RNA-seq of NEAT1-/- splenocytes identified disturbed expression and regulation of chemokines/receptors, innate immunity genes, tumour necrosis factor (TNF) and caspases, and increased production of reactive oxygen species (ROS) under baseline conditions. NEAT1-/- spleen displayed anomalous Treg and TH cell differentiation. NEAT1-/- bone marrow-derived macrophages (BMDMs) displayed altered transcriptomes with disturbed chemokine/chemokine receptor expression, increased baseline phagocytosis (P < 0.0001), and attenuated proliferation (P = 0.0013). NEAT1-/- BMDMs responded to LPS with increased (P < 0.0001) ROS production and disturbed phagocytic activity (P = 0.0318). Monocyte-macrophage differentiation was deregulated in NEAT1-/- bone marrow and blood. NEAT1-/- mice displayed aortic wall CD68+ cell infiltration, and there was evidence of myocardial inflammation which could lead to severe and potentially life-threatening structural damage in some of these animals. CONCLUSION: The study indicates distinctive alterations of lncRNA expression in post-MI patient PBMCs. Regarding the monocyte-enriched NEAT1 suppressed in post-MI patients, the data from NEAT1-/- mice identify NEAT1 as a novel lncRNA-type immunoregulator affecting monocyte-macrophage functions and T cell differentiation. NEAT1 is part of a molecular circuit also involving several chemokines and interleukins persistently deregulated post-MI. Individual profiling of this circuit may contribute to identify high-risk patients likely to benefit from immunomodulatory therapies. It also appears reasonable to look for new therapeutic targets within this circuit. CI - Published on behalf of the European Society of Cardiology. All rights reserved. (c) The Author(s) 2019. For permissions, please email: journals.permissions@oup.com. FAU - Gast, Martina AU - Gast M AD - Department of Cardiology, Charite-Universitatsmedizin Berlin, Campus Benjamin Franklin, Charite Centrum 11, Hindenburgdamm 30, Berlin, Germany. FAU - Rauch, Bernhard H AU - Rauch BH AD - Institute for Pharmacology, Universitatsmedizin Greifswald, Felix-Hausdorff-Strasse 3, Greifswald, Germany. AD - German Center for Cardiovascular Research (DZHK), Site Greifswald, Felix-Hausdorff-Strasse 3, Greifswald. FAU - Haghikia, Arash AU - Haghikia A AD - Department of Cardiology, Charite-Universitatsmedizin Berlin, Campus Benjamin Franklin, Charite Centrum 11, Hindenburgdamm 30, Berlin, Germany. AD - RNA Biology Laboratory, RIKEN Advanced Research Institute, Wako, Saitama, Japan. FAU - Nakagawa, Shinichi AU - Nakagawa S AD - RNA Biology Laboratory, RIKEN Advanced Research Institute, Wako, Saitama, Japan. AD - Faculty of Pharmaceutical Sciences, Hokkaido University, Kita-12 jo, Nishi 6-chome, Kita-ku, Sapporo, Japan. FAU - Haas, Jan AU - Haas J AD - Department of Cardiology, Institute for Cardiomyopathies, University Hospital Heidelberg, Im Neuenheimer Feld 669, Heidelberg, Germany. AD - German Center for Cardiovascular Research (DZHK), Site Heidelberg, Im Neuenheimer Feld 669, Heidelberg, Germany. FAU - Stroux, Andrea AU - Stroux A AD - Institute for Biometry and Clinical Epidemiology, Hindenburgdamm 30, Berlin, Germany. FAU - Schmidt, David AU - Schmidt D AD - Department of Cardiology, Charite-Universitatsmedizin Berlin, Campus Benjamin Franklin, Charite Centrum 11, Hindenburgdamm 30, Berlin, Germany. FAU - Schumann, Paul AU - Schumann P AD - Department of Cardiology, Charite-Universitatsmedizin Berlin, Campus Benjamin Franklin, Charite Centrum 11, Hindenburgdamm 30, Berlin, Germany. FAU - Weiss, Stefan AU - Weiss S AD - Interfaculty Institute for Genetics and Functional Genome Research, University of Greifswald, Felix-Hausdorff-Strasse 8, Greifswald, Germany. FAU - Jensen, Lars AU - Jensen L AD - Interfaculty Institute for Genetics and Functional Genome Research, University of Greifswald, Felix-Hausdorff-Strasse 8, Greifswald, Germany. FAU - Kratzer, Adelheid AU - Kratzer A AD - Department of Cardiology, Charite-Universitatsmedizin Berlin, Campus Benjamin Franklin, Charite Centrum 11, Hindenburgdamm 30, Berlin, Germany. FAU - Kraenkel, Nicolle AU - Kraenkel N AD - Department of Cardiology, Charite-Universitatsmedizin Berlin, Campus Benjamin Franklin, Charite Centrum 11, Hindenburgdamm 30, Berlin, Germany. FAU - Muller, Christian AU - Muller C AD - Clinic for General and Interventional Cardiology, University Heart Center Hamburg, Martinistrasse 52, Hamburg, Germany. AD - German Center for Cardiovascular Research (DZHK), Site Hamburg/Lubeck/Kiel, Martinistrasse 52, Hamburg, Germany. FAU - Bornigen, Daniela AU - Bornigen D AD - Clinic for General and Interventional Cardiology, University Heart Center Hamburg, Martinistrasse 52, Hamburg, Germany. AD - German Center for Cardiovascular Research (DZHK), Site Hamburg/Lubeck/Kiel, Martinistrasse 52, Hamburg, Germany. FAU - Hirose, Tetsuro AU - Hirose T AD - Institute for Genetic Medicine, Hokkaido University, Sapporo, Japan. FAU - Blankenberg, Stefan AU - Blankenberg S AD - Clinic for General and Interventional Cardiology, University Heart Center Hamburg, Martinistrasse 52, Hamburg, Germany. AD - German Center for Cardiovascular Research (DZHK), Site Hamburg/Lubeck/Kiel, Martinistrasse 52, Hamburg, Germany. FAU - Escher, Felicitas AU - Escher F AD - German Center for Cardiovascular Research (DZHK), Site Berlin, Hindenburgdamm 30, Berlin, Germany. AD - Institute of Cardiac Diagnostics and Therapy (IKDT), Hindenburgdamm 30, Berlin, Germany. AD - Department of Cardiology CVK, Hindenburgdamm 30, Berlin, Germany. FAU - Kuhl, Anja A AU - Kuhl AA AD - iPATH.Berlin-Core Unit Immunopathology, Charite-Universitatsmedizin Berlin, Berlin, Germany. FAU - Kuss, Andreas W AU - Kuss AW AD - Interfaculty Institute for Genetics and Functional Genome Research, University of Greifswald, Felix-Hausdorff-Strasse 8, Greifswald, Germany. FAU - Meder, Benjamin AU - Meder B AD - Department of Cardiology, Institute for Cardiomyopathies, University Hospital Heidelberg, Im Neuenheimer Feld 669, Heidelberg, Germany. AD - German Center for Cardiovascular Research (DZHK), Site Heidelberg, Im Neuenheimer Feld 669, Heidelberg, Germany. AD - Department of Genetics, Genome Technology Center, Stanford University Medical School, Stanford, CA, USA. FAU - Landmesser, Ulf AU - Landmesser U AD - Department of Cardiology, Charite-Universitatsmedizin Berlin, Campus Benjamin Franklin, Charite Centrum 11, Hindenburgdamm 30, Berlin, Germany. AD - German Center for Cardiovascular Research (DZHK), Site Berlin, Hindenburgdamm 30, Berlin, Germany. AD - Berlin Institute of Health (BIH), Anna-Louisa-Karsch-Strasse 2, Berlin, Germany. FAU - Zeller, Tanja AU - Zeller T AD - Clinic for General and Interventional Cardiology, University Heart Center Hamburg, Martinistrasse 52, Hamburg, Germany. AD - German Center for Cardiovascular Research (DZHK), Site Hamburg/Lubeck/Kiel, Martinistrasse 52, Hamburg, Germany. FAU - Poller, Wolfgang AU - Poller W AD - Department of Cardiology, Charite-Universitatsmedizin Berlin, Campus Benjamin Franklin, Charite Centrum 11, Hindenburgdamm 30, Berlin, Germany. AD - German Center for Cardiovascular Research (DZHK), Site Berlin, Hindenburgdamm 30, Berlin, Germany. AD - Berlin-Brandenburg Center for Regenerative Therapies (BCRT), Hindenburgdamm 30, Berlin, Germany. LA - eng PT - Journal Article PL - England TA - Cardiovasc Res JT - Cardiovascular research JID - 0077427 RN - 0 (Chemokines) RN - 0 (NEAT1 long non-coding RNA, human) RN - 0 (NEAT1 long non-coding RNA, mouse) RN - 0 (RNA, Long Noncoding) RN - 0 (Reactive Oxygen Species) SB - IM CIN - Cardiovasc Res. 2019 Nov 1;115(13):1813-1814. PMID: 31179492 MH - Adult MH - Age of Onset MH - Animals MH - Case-Control Studies MH - Cell Differentiation MH - Cells, Cultured MH - Chemokines/genetics/metabolism MH - Down-Regulation MH - Female MH - Humans MH - *Immunity, Innate MH - Leukocytes, Mononuclear/immunology/*metabolism MH - Macrophages/immunology/metabolism MH - Male MH - Mice, Knockout MH - Middle Aged MH - Myocardial Infarction/genetics/immunology/*metabolism MH - RNA, Long Noncoding/genetics/immunology/*metabolism MH - Reactive Oxygen Species/metabolism MH - Signal Transduction MH - Spleen/immunology/metabolism MH - T-Lymphocytes, Helper-Inducer/immunology/metabolism MH - T-Lymphocytes, Regulatory/immunology/metabolism MH - Time Factors OTO - NOTNLM OT - Cardiovascular innate immunity OT - Early myocardial infarction OT - Immunoregulatory genes OT - Long noncoding RNA OT - Pattern recognition receptors EDAT- 2019/03/30 06:00 MHDA- 2020/07/29 06:00 CRDT- 2019/03/30 06:00 PHST- 2018/06/15 00:00 [received] PHST- 2019/02/15 00:00 [revised] PHST- 2019/03/27 00:00 [accepted] PHST- 2019/03/30 06:00 [pubmed] PHST- 2020/07/29 06:00 [medline] PHST- 2019/03/30 06:00 [entrez] AID - 5423185 [pii] AID - 10.1093/cvr/cvz085 [doi] PST - ppublish SO - Cardiovasc Res. 2019 Nov 1;115(13):1886-1906. doi: 10.1093/cvr/cvz085.