PMID- 33842584 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220422 IS - 2305-5839 (Print) IS - 2305-5847 (Electronic) IS - 2305-5839 (Linking) VI - 9 IP - 5 DP - 2021 Mar TI - RUNX2 promotes vascular injury repair by activating miR-23a and inhibiting TGFBR2. PG - 363 LID - 10.21037/atm-20-2661 [doi] LID - 363 AB - BACKGROUND: Previous evidence has suggested that the transcription factor, runt-related transcription factor 2 (RUNX2), promotes the repair of vascular injury and activates the expression of microRNA-23a (miR-23a). TGF-beta receptor type II (TGFBR2) has been found to mediate smooth muscle cells (SMCs) following arterial injury. However, the interactions among RUNX2, miR-23a and TGFBR2 in vascular injury have not been investigated thoroughly yet. Therefore, we aim to explore the mechanism of how RUNX2 triggers the expression of miR-23a and its effects on the repair of vascular injury. METHODS: C57BL/6 mice were used to produce a model of arterial injury in vivo. Mouse arterial SMCs were isolated for in vitro cell injury induction by 100 nmol/L tumor necrosis factor-alpha (TNF-alpha). Gain-and loss-of-function studies were conducted to assess cell viability and apoptosis by using cell counting kit (CCK)-8 assay and flow cytometry respectively. The levels of TNF-alpha, interleukin-6 (IL-6), and monocyte chemotactic protein-1 (MCP-1) were examined by enzyme-linked immunosorbent assay (ELISA). The interaction between RUNX2 and miR-23a was identified by chromatin immunoprecipitation (ChIP) and dual luciferase reporter assays, while the targeting relationship between miR-23a and TGFBR2 was analyzed by RNA immunoprecipitation (RIP) and dual luciferase reporter assays. RESULTS: Both RUNX2 and miR-23a exhibited low levels of expressions, while TGFBR2 had a high level of expression in mice with induced arterial injury. RUNX2 was found to bind to the promoter of miR-23a and activate miR-23a, while miR-23a targeted TGFBR2. Ectopic RUNX2 expression inhibited inflammatory cell infiltration, and promoted collagen content by upregulating miR-23a and downregulating TGFBR2. Furthermore, the overexpression of RUNX2 increased viability and decreased apoptosis in vascular smooth muscle cells (VSMCs) by activating miR-23a. CONCLUSIONS: The overexpression of RUNX2 elevated the expression of miR-23, thus inhibiting TGFBR2 and promoting vascular injury repair. CI - 2021 Annals of Translational Medicine. All rights reserved. FAU - Wu, Kai AU - Wu K AD - Department of Rehabilitation, Xiangya Hospital, Central South University, Changsha, China. FAU - Cai, Zhou AU - Cai Z AD - Department of General & Vascular Surgery, Xiangya Hospital, Central South University, Changsha, China. FAU - Liu, Bo AU - Liu B AD - Department of General Surgery, The Second Xiangya Hospital, Central South University, Changsha, China. FAU - Hu, Yu AU - Hu Y AD - Center for Experimental Medical Research, The Third Xiangya Hospital, Central South University, Changsha, China. FAU - Yang, Pu AU - Yang P AD - Department of General & Vascular Surgery, Xiangya Hospital, Central South University, Changsha, China. LA - eng PT - Journal Article PL - China TA - Ann Transl Med JT - Annals of translational medicine JID - 101617978 PMC - PMC8033336 OTO - NOTNLM OT - Runt-related transcription factor 2 (RUNX2) OT - TGF-beta receptor type II (TGFBR2) OT - artery injury OT - microRNA-23a (miR-23a) OT - vascular injury repair COIS- Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at http://dx.doi.org/10.21037/atm-20-2661). The authors have no conflicts of interest to declare. EDAT- 2021/04/13 06:00 MHDA- 2021/04/13 06:01 PMCR- 2021/03/01 CRDT- 2021/04/12 06:25 PHST- 2021/04/12 06:25 [entrez] PHST- 2021/04/13 06:00 [pubmed] PHST- 2021/04/13 06:01 [medline] PHST- 2021/03/01 00:00 [pmc-release] AID - atm-09-05-363 [pii] AID - 10.21037/atm-20-2661 [doi] PST - ppublish SO - Ann Transl Med. 2021 Mar;9(5):363. doi: 10.21037/atm-20-2661.