Abstract
Aberrant vascular smooth muscle cell (VSMC) proliferation and migration are a major pathological phenomenon in vascular disease characterized by intimal thickening. The important role of the mammalian target of rapamycin (mTOR) signaling in VSMC proliferation has been previously reported. Consequently, down-regulation of mTOR pathway may be an effective way of controlling excessive VSMC proliferation. Since microRNAs (miRNA) are newly emerging regulators of virtually all the biological processes including cellular proliferation, miRNAs targeting mTOR pathway may be utilized to suppress aberrant VSMC proliferation during pathologic conditions. Thus, in the present study, we screened miRNAs targeting mTOR, and we identified miR-761 as a new mTOR targeting miRNA. Luciferase assay using luciferase vector containing 3’UTR of mTOR indicated that miR-761 directly targets mTOR mRNA leading to suppression of mTOR protein expression. Our data also indicate that miR-761 expression decreases during angiotensin II (AngII)-induced proliferation of VSMCs, and exogenous miR-761 delivery effectively inhibit the AngII-induced VSMC proliferation. Additionally, the results of migration tests demonstrate that down-regulation of mTOR using exogenous miR-761 suppresses AngII-induced migration of VSMCs as well. Taken together, the present study provided evidence that miR-761 can be a potent anti-proliferative agent for vascular diseases such as atherosclerosis and restenosis, and warrants further studies to validate the effectiveness of miR-761 in vivo.
Introduction
Known as intimal hyperplasia, aberrant proliferation and migration of vascular smooth muscle cells (VSMCs) has been implicated in the development and progression of vascular diseases such asatherosclerosis and restenosis [26, 28]. Under physiologic conditions, the phenotype of VSMCs is predominantly contractile and quiescent [18]. However, in response to vascular injury, various growth factors such as epidermal growth factor (EGF), fibroblast growth factor (FGF), platelet-derived growth factor (PDGF), and angiotensin II (AngII) are produced inducing VSMC proliferation [23]. These growth factors activate corresponding receptors leading to initiation of signaling pathways, and one of the important pathways for VSMC proliferation is phosphoinositide 3-kinase (PI3K) signaling [9]. The serine–threonine kinase Akt (also known as protein kinase B, PKB) is a key downstream component of PI3K pathway [11]. Upon PI3K activation, Akt phosphorylates and inhibits the activity of glycogen synthase kinase-3 beta (GSK3β) [7], which normally stimulates export and degradation of cyclin D [1], hence activation of PI3K signaling pathway stabilizes cyclin D and enhances proliferation [27]. Mammalian target of rapamycin (mTOR) is a critical regulator in cell proliferation that phosphorylated and activated by phosphatidylinositol 3-kinase (PI3K)/ AKT pathway [10]. Activated mTOR propagates signals through phosphorylation of downstream molecules p70 S6 kinase (P70S6K) and eukaryotic initiation factor 4E binding protein 1 (4EBP1) [12]. Such mTOR pathway -mediated SMC proliferation has been demonstrated in previous study used AngII as a proliferation inducing agent [16]. Thus, considering the important role of mTOR pathway in SMC proliferation, disruption of mTOR pathway may be an effective way of preventing excessive SMC proliferation under pathologic conditions such as atherosclerosis orrestenosis.
MicroRNAs (miRNAs), small (∼23 nucleotides) highly conserved non-coding RNAs, negatively control expression of protein promoting degradation or suppressing translation of target mRNAs by binding to 3’ untranslated region (3’UTR) in target gene [17]. MicroRNAs regulate various biological functions including, apoptosis [31], cell cycle [3], differentiation [14], and proliferation [13]. The aberrant changes of miRNAs in the vascular wall after angioplasty have been reported [15]. Thus, in the present study, we examined feasibility of exogenous PI3K/AKT/mTOR-targeting miRNA-mediated regulation of AngII-induced excessive VSMC proliferation. First we screened miRNAs for targeting mTOR based on miRNA target prediction program, and the effect of selected miRNA on AngII-induced VSMC proliferation was further examined.
Materials and methods
Isolation and culture of rat aortic VSMCs
All experimental procedures for animal studies were approved by the Committee for the Care and Use of Laboratory Animals, Yonsei University College of Medicine, and performed in accordance with the Committee’s guidelines and regulations for animal care. The thoracic aortas from 6- to 8-week-old Sprague–Dawley rats were removed and transferred into serum-free DMEM (Dulbecco’s modified Eagle’s medium; Invitrogen, USA) containing 100 units/ml penicillin and 100 mg/ml streptomycin. The connective tissues were removed and the aorta was transferred to a petri dish containing 5 ml of an enzyme dissociation mixture containing DMEM with 1 mg/ml collagenase type I (Sigma, USA) and 0.5 mg/ml elastase (USB Bioscience, USA), and incubated for 30 min at 37°C. The adventitia was stripped with forceps under a microscope. The aorta was transferred into a plastic tube containing 5 ml enzyme dissociation mixture and incubated for 2 hr at 37°C. The suspension was centrifuged (1500 rpm for 10 min), and the pellet was re-suspended with 10% fetal bovine serum (FBS) containing DMEM with. Rat aortic SMCs were cultured in DMEM supplement with 10% FBS, 100 IU/ml penicillin and 100 mg/ml streptomycin in 75 cm2 flasks at 37°C in a humidified atmosphere of 95% air and 5% CO2 (Forma Scientific, USA).
Selection of miRNA targeting mTOR
First, miRNAs predicted to target mTOR were retrieved using a publicly available database (TargetScan, www.targetscan.org). The efficiency of miRNAs in down- regulating mTOR expression was empirically determined by Western blot using mTOR specific antibodies.
MicroRNA transfection
Transfections of miRNA mimics and anti-miRNAs were performed using siLentFect™ Lipid reagent (Life Science Research). Mature specific miRNA and miR-control (Genolution Pharmaceuticals, Inc., Korea) were used at a final concentration of 100 nM. Anti-miR was used at a final concentration of 50 or 100 nM. After 4 hr incubation in a CO2 incubator at 37°C, the medium was changed to 10% FBS containing DMEM.
Cell proliferation assay
Rat aortic VSMCs were plated in 96-well plates at 5×103 per well. Cells were transfected with miRNA mimics 24 hr prior to AngII (Sigma) exposure for 48 hr. After treatment, 10 ul of the WST-1 [2-(2-methoxy-4-nitrophenyl)-3-(4-nitrophenyl)-5-(2,4-disulfophenyl)-2H-tetrazolium, monosodium salt] solution (Dojindo, Japan) was added to each well and incubated at 37°C for 2 hr to allow formation of WST-1 formazan. The Absorbance of a water soluble formazan dye was measured at 450 nm using a microplate reader (Molecular Devices, USA). Experiments were performed in triplicate.
Real-time polymerase chain reaction (PCR)
Total RNA was isolated with TRIzol® Reagent (Life Technologies, USA). In brief, 100 ng purified total RNA was used for reverse transcription (Taqman® MicroRNA Reverse Transcriptase Kit, Applied Biosystems, USA) in combination with Taqman® MicroRNA Assays for quantification of specific miRNAs and U6 control transcripts, according to the manufacturer’s conditions. The threshold cycle (Ct) of each target gene was automatically defined, located in the linear amplification phase of the PCR, and normalized to control U6 (ΔCt value).
Reverse transcription polymerase chain reaction (RT-PCR)
Cellular total RNA was isolated with TRIzol® Reagent (Life Technologies, USA). Single-stranded cDNA was synthesized from total RNA using a reverse transcription system (Promega, USA) according to the manufacturer’s protocol. The primer sequences were as follows: GAPDH, sense: 5’ – GGT GAT GCT GAG TA - 3’ and antisense: 5’ – GGA TGC AGG GAT GAT GTT CT– 3’ (369bp); mTOR, sense: 5’ – TTG AGG TTG CTA TGA CCA GAG AGA A– 3’ and antisense: 5’ – TTA CCA GAA AGG ACA CCA GCC AAT G– 3’ (540bp).
Western Blot Analysis
VSMCs cultured in 60-mm dishes were treated with or without miRNA mimics that were predicted to target mTOR and stimulated with AngII. Proteins were separated in a 10% SDS-polyacrylamide gel and transferred to PVDF membrane (Millipore, USA). After blocking the membrane with TBS-T (TBS-tween 20, 0.1% tween 20) containing 5% (w/v) non-fat dried skimmed milk powder for 1 hr at room temperature, membranes were washed twice with TBS-T and incubated with primary antibodies for 1 hr at room temperature or overnight at 4°C. The membrane was washed three times with TBS-T for 5 min and incubated with HRP (horseradish peroxidase)-conjugated secondary antibody for 1 hr at room temperature. After extensive washing, the bands were detected using ECL® (enhanced chemiluminescence) reagent (AbClon, Republic of Korea). The band intensities were detected using a Photo-Image System (Molecular Dynamics, Canada). The primary antibodies were from Cell Signaling (mTOR:2972, p-mTOR:2971, P70S6K:9202, p-P70S6K:9206, 4EBP1:9452, p-4EBP1:9459, cyclin D1:9262), except the β-actin (Abcam, ab8227).
Luciferase reporter assay
We synthesized the 3′-UTR of rat mTOR containing the predicted binding sites for corresponding miRNA. The 3’-UTR fragments were then cloned into the pmirGLO vector (pmTOR-3UTR). HeLa cell was plated at 1×105 in 12 well plates. After 24 hr, the cells were co-transfected with pmTOR-3UTR vector, negative control miRNA mimic (NC), miR-761, or anti-miR-761 using siLentFect™ Lipid reagent. The Renilla luciferase was used for normalization. Luciferase activity was measured by the Dual Luciferase assay (Promega, USA) according to the manufacturer’s instructions after 24 hr. Each assay was repeated three times.
Migration assay
VSMCs (8×103 cells) were seeded onto the upper chamber of a Transwell filter with 8 μm pores (Costar Corning, USA) coated with 10 μg/ml fibronectin. The cells were deprived of serum for 24 hr, and AngII-containing stimulating medium (50 nM) was added to the lower chamber. Transwell chambers were incubated at 37°C for 24 hr. After incubation, the cells migrated through the pores of the filter were stained with 0.25% crystal violet. Non-migrating cells on the upper side of the filter were removed with cotton swabs.
Wound healing assay
VSMCs were plated at a density of 8×104 cells/well in six-well plates. After the cells had reached 90% confluence, cells were deprived of serum for 24 hr. After incubation, wounds were produced by scratching with 200 μL pipette tips. The leading edge of the wounds was marked as a baseline. The medium was replaced with or without serum-deprived medium-containing AngII (50 nM), and the cells were incubated for 0, 6, 12, and 24 hr. Images were captured using an Axiovert 40 C inverted microscope (Carl Zeiss, Germany) equipped with a Powershot A640 digital camera (Canon, Japan).
Ring assay
The rat aorta was isolated and cleaned of perivascular adipose tissue. The isolated rat aortas were endothelial cell (EC)-denuded by elastase treatment in the lumen and cut into segments of 1 mm long aortic rings that were placed in Matrigel (BD Biosciences, USA). The aorta rings were transfected with miRNA mimics prior to treatment with media containing AngII. Over the next 7 days, the aorta rings were monitored for the outgrowth of SMCs using microscope once per day.
Statistical analysis
Quantitative data were expressed as the means±SEM. For statistical analysis, one-way ANOVA with Bonferroni correction was performed using the OriginPro 8 SR4 software (ver. 8.0951, OriginLab Corporation, Northampton, MA, USA) if there were more than 3 groups. For two group comparison, student’s t-test was used. A p value of less than 0.05 was considered to be statistically significant.
Results
AngII-induced rat aortic VSMC proliferation is mediated by mTOR
We first confirmed that AngII-induced VSMCs proliferation. AngII significantly increased VSMC proliferation at the concentrations of 50 nM or higher (Fig. 1A). However, when the cells were pretreated with a potent mTOR inhibitor rapamycin, AngII-induced VSMC proliferation was suppressed indicating that mTOR was involved in the AngII-induced proliferation of VSMCs (Fig. 1B). Since 50 nM (or higher) AngII induced VSMC proliferation, 50 nM of AngII was used to stimulate VSMC proliferation for further experiments.
miR-761 directly targets mTOR and is down-regulated during AngII-induced VSMC proliferation
We have hypothesized that AngII-induced proliferation of VSMCs may be mediated by miRNAs, leading to increased mTOR activity. To test the hypothesis, first, we have selected 16 miRNAs based on miRNA database (www.TargetScan.org) (Table 1). Next, we transfected HeLa cells with selected miRNAs, and then evaluated mTOR expression using Western blot (Fig. 2A). Four miRNAs (miR-143/150/214/761) significantly repressed mTOR expression. However, three of them (miR-143/150/214) induced significant cell death (data not show), thus consequently excluded from further experiments. The expression of miR-761 was significantly decreased as the VSMCs proliferated in response to AngII treatment (Fig. 2B).
For luciferase assay, the 3’-UTR of mTOR was cloned into a pmirGLO vector using xhoI and xbaI endonuclease site to produce a pmTOR-3UTR vector. HeLa cells were transiently transfected with the pmTOR-3UTR vector (or pmirGLO control vector), in combination with miR-761 mimics, negative control mimics (scrambled miRNA; N.C.), or anti-miR-761. Transfection with miR-761 significantly decreased luciferase activity in pmTOR-3UTR group, while it had no significant effect on pmirGLO control vector transfected group. Furthermore, anti-miR-761 treatment prior to miR-761 delivery abrogated miR-761-mediated decrease of luciferase activity (Fig. 2C). Although mRNA expression of mTOR was not changed by miR-761 transfection, mTOR protein expression was decreased by miR-761 transfection (Fig. 2D), indicating the inhibitory mechanism of miR-761 on mTOR expression was to disrupt translation of mTOR from mRNA rather than degradation of mRNA itself. Such decrease of mTOR expression in miR-761 treated group, both at mRNA and protein level, was recovered by anti-miR-761 treatment performed prior to miR-761 transfection. Additionally, when the cells were transfected with increasing doses of anti-miR-761, the expressions of mTOR mRNA or proteins were not significantly changed (Fig. 2E). Although VSMC proliferation after anti-miR-761 delivery showed a tendency to increase, it was not statistically significant (Fig. 2F).
MiR-761 suppresses AngII-induced cell cycle progression and subsequent proliferation of VSMCs by inhibiting mTOR signaling pathway
To examine the effect of miR-761 the AngII-induced proliferation of VSMCs, first, we performed cell cycle analysis. Although the percentage of cells in S phage of rapamycin-treated cells was lower than that of miR-761-treated cells, the percentage of cells in S phase of miR-761-treated cells was still lower than that of AngII-stimulated cells (Fig. 3A). Furthermore, the results of cell viability assay also indicated that transfection of miR-761 suppressed AngII-induced proliferation in a dose-dependent manner (Fig. 3B). Such anti-proliferative effect of miR-761 was further demonstrated by immunocyto- chemical staining of Ki-67, a proliferating cell marker [29]. The expression of Ki-67 was significantly decreased in miR-761-transfected VSMCs compared to AngII-stimulated cells (Fig. 3C). Additionally, we examined the phosphorylation status of p70S6k and 4EBP1 that is known to be regulated by mTOR [25]. The results of Western blot indicated that the phosphorylation of p70S6k and 4EBP1 were decreased in the miR-761 transfected group. These data suggested that exogenous miR-761 delivery decreased biological activity of mTOR, subsequently suppressing activation mTOR/p70S6K/4EBP1 signal pathway (Fig. 3D). Again, anti-miR-761 treatment performed prior to miR-761 transfection abrogated all the miR-761-mediated changes, indicating those changes were actually mediated by miR-761.
MicroRNA-761 inhibits migration in Ang II-stimulated VSMCs
Migration of VSMC under pathologic condition has been reported to contribute to development of vascular diseases, including atherosclerosis and post-angioplasty restenosis [4]. Therefore, we also examined the effect of miR-761 on the AngII-induced VSMC migration. According to the results of Transwell assay, AngII treatment significantly increased the number of migrated cells, and this increase was significantly suppressed by both miR-761 and rapamycin transfected VSMCs. MicroRNA-761 also inhibited migration of Ang II-stimulated VSMCs (Fig. 4A), but such inhibitory effect of miR-761 was abrogated by anti-miR-761 pre-treatment. In wound healing assay, the distance between wound edges were shortest in the AngII-stimulated group, while the miR-761-treated group and the rapamycin-treated group showed longer distance compared to the AngII-treated group (Fig. 4B). The sprouting of SMCs from the aortic rings of miR-761-treated group was lower compared to the AngII-treated group (Fig. 4C), indicating that miR-761 suppressed not only VSMC proliferation, but also cell migration. For both wound healing and SMC sprouting, anti-miR-761 pre-treatment abrogated the inhibitory effect of miR-761.
Discussion
Accumulating evidence suggests that miRNAs play important roles in regulating VSMC proliferation. For example, miRNA-21 has been reported to increase VSMC proliferation after vascular injury by targeting phosphatase and tensin homolog (PTEN) [15]. Furthermore, miR-221 and -222 also increased VSMC proliferation by targeting p27kip1 and p57kip2, respectively [21]. On the other hand, miR-26a, -143, and -145 have been demonstrated to decrease VSMC proliferation [6, 19]. Additionally, involvement of miRNAs in phenotypic switch of VSMCs and their proliferation during neointima formation has been demonstrated [20]. These studies strongly suggest that miRNA-dependent regulation of VSMC proliferation and migration is an important component of vascular biology, as well as of development and progression of vascular diseases.
The correlation between AngII and vascular diseases such as atherosclerosis has long been recognized [30]. Furthermore, a previous study reported that AngII induced proliferation and migration of VSMCs by activating mTOR signal pathway [16], indicating inhibition of mTOR pathway may be an effective way of suppressing excessive VSMC proliferation and migration under pathologic conditions such as atherosclerosis. In the present study, we identified a new miRNA, namely miR-761, which inhibits mTOR expression by binding to its 3’ UTR. Although the delivery of anti-miR-761 did not induce significant increase of mTOR expression or VSMC proliferation under normal condition suggesting endogenous miR-761-mediated down-regulation of mTOR may not be as significant as we expected, our data indicated that exogenous miR-761 delivery still can be used as an effective therapeutic approach to suppress the AngII-induced VSMC proliferation and migration. It has been reported that G1 cell cycle progression is regulated by PI3K/Akt/mTOR/p70S6k signaling [8]. Thus, disruption of this signaling pathway can lead to cell cycle arrest, and exogenous miR-761 produced such result in the present study.
To date, only few papers have been published regarding the role of miR-761 in biological systems. In fact, as of 2014 Dec, PubMed search using miR-761 as a key word resulted only 2 research articles. One study implicated miR-761 in controlling nervous system development [5], and the other study indicated that miR-761 acts as an anti-apoptotic molecule targeting mitochondrial fission factor (MFF) [22]. Thus, this study is the first in vitro study proved the concept that delivery of exogenous miR-761 can be an effective anti-proliferative therapy by down-regulating mTOR signaling pathway. However, this anti-proliferative effect of miR-761 has to be further validated using an in vivo model, and there are few points need to be considered prior to any in vivo study.
One of the obvious limitations of the present study is that the anti-proliferative effect of miR-761 was examined in only one type of cells, VSMCs. In other words, the effect of miR-761 may not be VSMC specific when it is delivered in vivo. For example, if miR-761 is used to suppress neointima formation after balloon injury, miR-761 can be delivered via intravenous injection. However, this systemic delivery of miR-761 can be problematic because indiscriminate delivery of miR-761 can result in unwanted suppression of vascular endothelial cell (EC) growth as well. Since rapid regrowth of EC, called re-endothelialization, has been considered important in preventing intimal thickening as well as vascular thrombosis [2, 24], preventing proliferation of EC should not be occur. Considering such possibility, local delivery rather than systemic delivery seems to be logical approach because local delivery immediately after the balloon injury (denudation of existing endothelium) can directly target the VSMCs exposed rather than targeting the neighboring intact ECs. Additionally, a proven, effective mean of miRNA delivery should be ready prior to conducting an in vivo study. Consequently, further studies that can address these issues are warranted.
In conclusion, the present study, for the first time, provides evidence that miR-761 suppresses VSMC proliferation and migration through repression of mTOR expression and subsequent down-regulation of p70S6K/4EBP1. With further in vivo validation and optimization of delivery system, exogenous miR-761 can be a potent therapeutic agent for the treatment of restenosis and atherosclerosis.
Footnotes
Acknowledgments
This study was supported by a Korea Science and Engineering Foundation grant funded by the Korean government (MEST) (NRF-2015M3A9E6029519, NRF-2015M3A9E6029407, NRF-2011-0019243, and NRF-2011-0019254) and a grant from the Korea Health 21 R&D Project, Ministry of Health & Welfare, Republic of Korea (A120478).
