Article

circSP199a, a circularized RNA sponge targeting miR-199a-5p and -3p, mitigates mouse cardiac hypertrophy and fibrosis

Hua-yan Wu1, Chuan-meng Zhou1, Yuan Gao1, Yi-hong Wen1, Ya-ting Hu1, Heng-li Zhao1, Wen-yan Dong2, Xiao-yao Liu3, Lin Zhai1, Yi Li1, Meng-zhen Zhang1, Jie-ning Zhu1, Hui Li1, Jin-dong Xu1, Ning Ma3, Yu-peng Liu4, Xi-long Zheng5, Xian-hong Fang4, Zhi-xin Shan1
1 Key Laboratory of Clinical Pharmacology Guangdong Provincial Health Commission, Medical Research Institute, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou 510080, China
2 Center for Innovative Drug Discovery, Greater Bay Area Institute of Precision Medicine (Guangzhou), Nansha District, Guangzhou 510042, China
3 School of Basic Medical Sciences, Guangzhou National Laboratory, Guangzhou Medical University, Guangzhou 510005, China
4 Guangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou 510080, China
5 Department of Biochemistry & Molecular Biology, Libin Cardiovascular Institute, The University of Calgary, Calgary, AB, Canada
Correspondence to: Xian-hong Fang: fangxianhong@gdph.org.cn, Zhi-xin Shan: shanzhixin@gdph.org.cn,
DOI: 10.1038/s41401-025-01620-9
Received: 27 March 2025
Accepted: 18 June 2025
Advance online: 28 July 2025

Abstract

Increasing evidence shows that microRNAs (miRNAs) are functionally associated with cardiac remodeling. Functionally, some cytoplasmic circRNAs may act as miRNA sponges to inhibit functions of the combined miRNAs. Our previous study showed that miR-199a-5p and -3p promote cardiac hypertrophy and fibrosis. In this study, we designed and synthesized a novel circularized RNA sponge, circSP199a, and evaluated the therapeutic effects of circSP199a against cardiac hypertrophy and fibrosis. The synthesized circSP199a included 6 repeats of reverse complements of seed sequences of miR-199a-5p and -3p with 515 nt in length. We showed that the synthesized circSP199a and expression vector-mediated circSP199a expression inhibited cardiomyocyte hypertrophy and mitigated the fibrotic phenotypes in neonatal mouse cardiac fibroblasts and human cardiac organoid fibrosis via the combination of miR-199a-5p and -3p. Furthermore, intravenous injection of AAV9-circSP199a for 21 days in advance significantly ameliorated transverse aortic constriction-induced cardiac injury and remodeling in mice. We demonstrated that circSP199a blocked the functions of miR-199a-5p and -3p to enhance the expression of target genes of PGC-1α, Rb1, Sirt1 and Smad1 both in vitro and in vivo. These results provide new insights into the development of RNA sponge-based therapies for cardiac hypertrophy and fibrosis.
Keywords: cardiac hypertrophy and fibrosis; microRNAs; miRNA sponge; miR-199a-5p; miR-199a-3p; human cardiac organoid

Article Options

Download Citation

Cited times in Scopus