c Pulmonary hypertension (PHT) is associated with high mortality in sickle cell anemia (SCA). Previously, we showed that elevated levels of placenta growth factor (PlGF) in SCA patients correlate with increased levels of the potent vasoconstrictor endothelin-1 (ET-1) and PHT. Moreover, PlGF induced the expression of ET-1 via hypoxia-inducible factor 1␣. Here, we show a novel example of ET-1 posttranscriptional regulation by PlGF via action of microRNA 648 (miR-648), which is subject to transcriptional coregulation with its host gene, MICAL3 (microtubule-associated monooxygenase, calponin, and LIM domain containing 3gene). PlGF repressed expression of miR-648 in endothelial cells. Luciferase reporter assays using wild-type and mutant ET-1 3= untranslated region (UTR) constructs, and transfection of miR-648 mimics showed that miR-648 targets the 3= UTR of ET-1 mRNA. Since miR-648 is located in a 5=-proximal intron of MICAL3, we examined which of three potential promoters was responsible for its expression. The MICAL3 distal promoter (P1) was the predominant promoter used for transcription of premiR-648, and it was under positive control by PAX5 (paired box protein 5) transcription factor, as demonstrated by the loss and gain of function of PAX5 activity, and chromatin immunoprecipitation analysis. These studies provide a novel link wherein PlGF-mediated downregulation of PAX5 attenuates miR-648 expression leading to increased ET-1 levels that are known to induce PHT in SCA.
Endothelin-1 (ET-1), a 21-amino-acid peptide hormone primarily synthesized and secreted by endothelium in vivo, is involved in proliferation of smooth muscle cells and vascular tone (1-4). In the vasculature, the endothelin system, comprising endothelin ligands (ET-1, ET-2, and ET-3), endothelin receptors (ET-AR and ET-BR), and two activating peptidases, has a basal vasoconstricting role; dysfunction contributes to the development of diseases such as hypertension and other cardiovascular diseases (3). Hypoxia is a potent inducer of ET-1 gene expression in endothelial cells via activation of hypoxia-inducible factor 1␣ (HIF-1␣) (5, 6).Pulmonary hypertension (PHT), occurs in ca. 10% of adults with sickle cell anemia (SCA), and its diagnosis is associated with a 38 to 40% mortality at 2 to 6 years (7,8). Sickle mice develop PHT with increasing age, manifested as high pulmonary artery pressures and right ventricular hypertrophy (9). Physiological factors implicated in PHT in SCA include endothelial dysfunction, pulmonary vasoconstriction, and vascular remodeling, all of which are associated with chronic hemolysis, hypoxia, hemostatic activation, and inflammation (8, 10-12). ET-1 and nitric oxide (NO) are mutually opposing pulmonary vasoactive factors that regulate pulmonary vascular tone. It is postulated that hemolysis leads to quenching of NO by extracellular/cell-free hemoglobin, thereby reducing NO bioavailability (11, 13), which in turn leads to the clinical manifestations of sickle PHT (13-15). Numerous studies in SCA and other hemolytic anem...