Abstract
Background
Impaired angiogenesis contributes to increased pulmonary vascular resistance in persistent pulmonary hypertension of the newborn (PPHN). Notch signaling, critical to lung angiogenesis, is modulated by micro-RNAs (miR). RNA sequencing of pulmonary arterial endothelial cells (PAEC) from a PPHN lamb model revealed downregulated miR-30b-5p.
Methods
We investigated whether decreased levels of miR-30b-5p in PPHN affect angiogenesis by facilitating excess Dll4, a predicted target for miR-30b-5p. We obtained PAEC from a fetal lamb model of PPHN and transfected them with miR-30b-5p mimic and inhibitor. We assessed protein levels by immunoblotting and in vitro angiogenesis by tube formation in Matrigel. We performed In-situ RNA hybridization for in vivo miR-30b-5p levels in the lamb lungs.
Results
PPHN lamb lungs showed decreased miR-30b-5p levels in vivo. PPHN PAEC transfected with miR-30b-5p mimic showed improved capillary tube formation. Control PAEC showed inhibition of tube formation after transfection with miR-30b-5p inhibitor. Transfection with miR-30b-5p led to the downregulation of Dll4, in PPHN PAEC.
Conclusion
We conclude that decreased miR-30b-5p in PPHN facilitates overexpression of Dll4, which contributes to impaired angiogenesis in PPHN. MiR-30b-5p improves angiogenesis in PPHN by improving Dll4/Jag1 balance (Jag1, a proangiogenic notch ligand), suggesting an epigenetic role in PPHN.
Impact
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The present study describes a novel mechanism of epigenetic control of impaired angiogenesis in PPHN via miR-30b-5p.
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The present study also provides new direction for future in vivo studies in animals and patients with PPHN to investigate the role of miR-30b-5p as a biomarker of angiogenesis in PPHN.
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All data generated or analyzed during this study are included in this published article [and its supplementary information files].
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Funding
Supported by 1R01HL 136597-01 and 1R01HL174635-01 from NHLBI; Children’s Research Institute Pilot Innovation Research Award and Muma Endowed Chair in Neonatology; and Advancing a Healthier Wisconsin Foundation Endowment (GGK).
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Sunil Kumar Sati, MBBS - had substantial contributions to conception and design; acquisition of data; analysis and interpretation of data; drafting the article and revising article critically for important intellectual content; and approving the version to be published. Ujala Rana, PhD - had substantial contributions to acquisition of data. Chintamani Joshi, PhD - had substantial contributions to acquisition of data. Ru-Jeng Teng, MD - had substantial contributions to acquisition of data, analysis, and interpretation of data. Girija G. Konduri, MD - had substantial contributions to conception and design; analysis and interpretation of data; revising article critically for important intellectual content; and approving the final version to be published.
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Sati, S.K., Rana, U., Joshi, C. et al. Decreased endothelial micro-RNA-30b-5p impairs angiogenesis in fetal lambs with persistent pulmonary hypertension. Pediatr Res 98, 1912–1919 (2025). https://doi.org/10.1038/s41390-025-04098-7
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DOI: https://doi.org/10.1038/s41390-025-04098-7
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