PMID- 37645966 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240210 DP - 2023 Aug 14 TI - Inhibiting Anti-angiogenic VEGF165b Activates a Novel miR-17-20a-Calcipressin-3 Pathway that Revascularizes Ischemic Muscle in Peripheral Artery Disease. LID - rs.3.rs-3213504 [pii] LID - 10.21203/rs.3.rs-3213504/v1 [doi] AB - BACKGROUND: VEGF(165)a increases the expression of microRNA-17-92 cluster, promoting developmental, retinal, and tumor angiogenesis. We have previously shown that VEGF(165)b, an alternatively spliced VEGF-A isoform, inhibits the VEGFR-STAT3 pathway in ischemic endothelial cells (ECs) to decrease their angiogenic capacity. In ischemic macrophages (Mos), VEGF(165)b inhibits VEGFR1 to induce S100A8/A9 expression, which drives M1-like polarization. Our current study aims to determine whether VEGF(165)b inhibition promotes perfusion recovery by regulating the miR-17-92 cluster in preclinical PAD. METHODS: Hind limb ischemia (HLI) induced by femoral artery ligation and resection was used as a preclinical PAD model. Hypoxia serum starvation (HSS) was used as an in vitro PAD model. VEGF(165)b was inhibited/neutralized by an isoform-specific VEGF(165)b antibody. RESULTS: Systematic analysis of miR-17-92 cluster members (miR-17-18a-19a-19b-20a-92) in experimental-PAD models showed that VEGF(165)b-inhibition induces miRNA-17-20a (within miR-17-92 cluster) in HSS-ECs and HSS-bone marrow derived macrophages (BMDMs) vs. respective normal and/or isotype matched IgG controls to enhance perfusion-recovery. Consistent with the bioinformatics analysis that revealed RCAN3 as a common target of miR-17 and miR-20a, Argonaute-2 pull-down assays showed decreased miR-17-20a expression and higher RCAN3 expression in the RISC complex of HSS-ECs and HSS-BMDMs vs. the respective controls. Inhibiting miR-17-20a induced RCAN3 levels to decrease ischemic angiogenesis and promoted M1-like polarization to impair perfusion recovery. Finally, using STAT3 inhibitors, S100A8/A9 silencers and VEGFR1-deficient ECs and Mos, we show that VEGF(165)b inhibition activates the miR-17-20a-RCAN3 pathway independent of VEGFR1-STAT3 or VEGFR1-S100A8/A9 in ischemic ECs and ischemic Mos, respectively. CONCLUSION: Our data revealed a hereunto unrecognized therapeutic 'miR-17-20a-RCAN3' pathway in the ischemic vasculature that is VEGFR1-STAT3/S100A8/A9 independent and is activated only upon VEGF(165)b inhibition in PAD. FAU - Batan, S AU - Batan S AD - Vascular Biology Center, Department of Medicine, Augusta University, Augusta-GA-30912. FAU - Kuppuswamy, S AU - Kuppuswamy S AD - Vascular Biology Center, Department of Medicine, Augusta University, Augusta-GA-30912. FAU - Wood, M AU - Wood M AD - Medical College of Georgia, Augusta University, Augusta-GA-30912. FAU - Reddy, M AU - Reddy M AD - Medical College of Georgia, Augusta University, Augusta-GA-30912. FAU - Annex, B H AU - Annex BH AD - Vascular Biology Center, Department of Medicine, Augusta University, Augusta-GA-30912. FAU - Ganta, V C AU - Ganta VC AD - Vascular Biology Center, Department of Medicine, Augusta University, Augusta-GA-30912. LA - eng GR - R01 HL141325/HL/NHLBI NIH HHS/United States GR - R01 HL150003/HL/NHLBI NIH HHS/United States GR - R01 HL146673/HL/NHLBI NIH HHS/United States GR - R01 HL101200/HL/NHLBI NIH HHS/United States GR - R01 HL148590/HL/NHLBI NIH HHS/United States GR - R01 GM129074/GM/NIGMS NIH HHS/United States PT - Preprint DEP - 20230814 PL - United States TA - Res Sq JT - Research square JID - 101768035 UIN - Commun Med (Lond). 2024 Jan 5;4(1):3. PMID: 38182796 PMC - PMC10462251 OTO - NOTNLM OT - Angiogenesis OT - Ischemia OT - Macrophage polarization OT - OncomiR OT - VEGF-A isoforms COIS- Competing interests: The authors declare no conflict of interest in the study. EDAT- 2023/08/30 06:48 MHDA- 2023/08/30 06:49 PMCR- 2023/08/28 CRDT- 2023/08/30 04:03 PHST- 2023/08/30 06:48 [pubmed] PHST- 2023/08/30 06:49 [medline] PHST- 2023/08/30 04:03 [entrez] PHST- 2023/08/28 00:00 [pmc-release] AID - rs.3.rs-3213504 [pii] AID - 10.21203/rs.3.rs-3213504/v1 [doi] PST - epublish SO - Res Sq [Preprint]. 2023 Aug 14:rs.3.rs-3213504. doi: 10.21203/rs.3.rs-3213504/v1.