In current study, we confirmed circFTO was prominently elevated in the PDR patient as well as HERCs stimulated by HG. Interestingly, circFTO-silenced inhibited the proliferation, migration and tube information of HRECs. Additionally, we demonstrated that circFTO regulated the PDR progression through modulating miR-141-3p/ZEB1 axis.
EMT is a vital step in the cell proliferation and migration[25]. As a physiological and pathological phenomenon, EMT refers to the loss of epithelial cell characteristics and the acquisition of stromal cell characteristics [26]. The EMT process mediates the decrease of the membrane protein Ecadherin expression, which mediates the tight junction between epithelial cells, and the up-regulation of the expression of connexins such as N-cadherin or Vimentin between stromal cells [27]. Excessive proliferation and migration is the main manifestation of PDR [28]. Yang et al. [29] confirmed that E-cadherin was depleted and N-cadherin, Vimentin were elevated in HG treated ARPE19 cells, implying that EMT is the key of the development of DR. Similarly, in this study, we found the E-cadherin protein levels were was decreased, N-cadherin and Vimentin was increased in HG stimulated HERCs. These results suggested that regulation of EMT development might be a novel methods of PDR treatment.
In recent years, many reports discovered that circRNAs are single stranded circular RNA without 3 'and 5' terminal structures [18]. Circular RNAs consist of exonic circular RNAs (ecricRNAs), intron circular RNAs (ciRNAs) and exon intron circular RNAs (ElciRNAs) [30]. Various circRNAs have been demonstrated to be participate in the DR progression. Li et al [31] found circRNA_0084043 was up-regulated in the HG incubated ARPE-19 cells, and induced the oxidative damage and inflammation in the DR development. Jiang et al. [32] confirmed that circZNF532 participated in the modulation of proliferation and differentiation of pericytes in DR. Similarly, current study demonstrated that circFTO was elevated in both PDR tissues and HG-treated HERCs. circFTO-silenced suppressed the biological behavior of the HG-treated HERCs. These results were consistent with He et al study [24].
As sponge adsorbents or competitive endogenous RNA molecules of miRNA, circRNAs can compete with corresponding miRNA to regulate the mRNA expression [22]. MiRNAs have been demonstrated to inhibit the mRNA translation, and regulate various biological processes [33]. Accumulating reports have found that cricRNAs regulate cell biological behavior through sponging miRNA in DR. Zou et al. [34] found that circCOL1A2 promotes the developments of DR via negative regulating miR-29b expressions. Li et al. [31] confirmed circRNA_0084043 relieved pathological development of DR via sponging miR-140-3p. In this research, we demonstrated circFTO functions as a miR-141-3p sponge in HG treated HERCs via bioinformatic tools. Double Luciferase Report and RNA-pull down assays further confirmed circFTO could binds to miR-141-3p, which was proved to inhibit proliferation as well as migration in various diseases. Zhang et al. [35] showed miR-141-3p suppressed the growth as well as migration of vascular smooth muscle cells to relieve atherosclerosis through regulating the Keap1/Nrf2/HO-1 signaling pathway. Besides, miR-141-3p also exhibited anti-proliferation effects in cancers, including colorectal cancer [36], osteosarcoma [37], and breast cancer [38]. This research confirmed miR-141-3p was elevated in HG treated HERCs. miR-141-3p-silenced antagonized the si-circFTO effects. Zhang et al [39] demonstrated miR-141-3p depressed the growth of retinal vascular epithelial cells and promoted apoptosis of retinal ganglion cells, which was similar to our results. These results indicated that circFTO regulated the development of PDR via sponging miR-141-3p.
Subsequently, we confirmed circFTO up-regulates ZEB1 expression via competitively binding with miR-141-3p. ZEB1 is a transcriptional inhibitor of E-cadherin in the process of epithelial cell transdifferentiation into mesenchymal cells. Up-regulation of ZEB1expressions inhibited the E-cadherin levels [40]. For instances, miR-873 regulated the growth as well as metastasis of papillary thyroid cancer cells via modulating ZEB1 [41]. Additionally, Han et al. [42] demonstrated miRNA-150-5p negatively regulated ZEB1 in the development of diabetic cardiomyopathy. However, the research on ZEB1 in PDR is very limited. In present research, miR-141-3p had a direct targeting relationship with ZEB1. Overexpression of miR-141-3p prominently depleted the ZEB1 expression, while over expressed ZEB1 inverted the miR-141-3p mimic effects in HERCs. Our results suggested that circFTO may promote the biological behavior of HG treated HERCs through modulating the miR-141-3p/ZEB1 axis.
To sum up, circFTO functioned as a sponge of miR-141-3p in PDR via regulating ZEB1. Moreover, circFTO may regulate the biological behavior of HERCs through modulating the miR-141-3p/ZEB1 axis. This research may provide a novel theoretical basis for the PDR therapy in the future.