Article

CircSARS-CV2-N1368 from SARS-CoV-2 impairs endothelial cell function through the upregulation of ATF7 to activate TLR4/NF-κB/ROS signaling

Yi-hong Wen1,2, Heng-li Zhao2, Shao-yu Wu2, Jia-xue Jiang1, Yuan Gao2, Zi-fan Wang2, Xiao-yao Liu3, Fei Yu2, Tao Ou1, An-zhi Zhao2, Li-wen Chen2, Jin-hua Fang2, Hua-yan Wu1, Jie-ning Zhu4, Ning Ma3, Jiu-feng Sun5, Xian-hong Fang6, Zhi-xin Shan1,2,4
1 School of Medicine, South China University of Technology, Guangzhou 510006, China
2 Medical Research Institute, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou 510080, China
3 School of Basic Medical Sciences, Guangzhou National Laboratory, Guangzhou Medical University, Guangzhou 510005, China
4 Guangdong Provincial Key Laboratory of Clinical Pharmacology, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou 510080, China
5 Guangdong provincial Institute of public health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou 511430, China
6 Guangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou 510080, China
Correspondence to: Xian-hong Fang: fangxianhong@gdph.org.cn, Zhi-xin Shan: shanzhixin@gdph.org.cn,
DOI: 10.1038/s41401-025-01516-8
Received: 10 November 2024
Accepted: 16 February 2025
Advance online: 11 March 2025

Abstract

SARS-CoV-2 can encode circular RNAs (circRNAs); however, the potential effects of exogenous SARS-CoV-2 circRNAs on cardiovascular sequelae remain unknown. Three circRNAs derived from the nucleocapsid (N) gene of SARS-CoV-2, namely, circSARS-CV2-Ns, were identified for functional studies. In particular, circSARS-CV2-N1368 was shown to enhance platelet adhesiveness to endothelial cells (ECs) and inhibit EC-dependent vascular relaxation. Moreover, exogenous expression of circSARS-CV2-N1368 suppressed EC proliferation and migration and decreased angiogenesis and cardiac organoid beating. Mechanistically, we elucidated that circSARS-CV2-N1368 sponged the microRNA miR-103a-3p, which could reverse circSARS-CV2-N1368-induced EC damage. Additionally, activating transcription factor 7 (ATF7) was identified as a target gene of miR-103a-3p, and Toll-like receptor 4 (TLR4) was verified as a downstream gene of ATF7 that mediates circARS-CV2-N1368-induced activation of nuclear factor kappa B (NF-κB) signaling and ROS production in ECs. Importantly, the reactive oxygen species (ROS) scavenger NAC mitigated the circSARS-CV2-N1368-promoted EC impairment. Our findings reveal that the TLR4/NF-κB/ROS signal pathway is critical for mediating circSARS-CV2-N1368-promoted oxidative damage in ECs, providing insights into the endothelial impairment caused by circSARS-CV2-Ns.
Keywords: SARS-CoV-2; circular RNA; miR-103a-3p; endothelial cells; reactive oxygen species

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