Circular RNAHMGCS1spongesMIR4521to aggravate type 2 diabetes-induced vascular endothelial dysfunction

Noncoding RNA plays a pivotal role as novel regulators of endothelial cell function. Type 2 diabetes, acknowledged as a primary contributor to cardiovascular diseases, plays a vital role in vascular endothelial cell dysfunction due to induced abnormalities of glucolipid metabolism and oxidative stress. In this study, aberrant expression levels ofcircHMGCS1andMIR4521were observed in diabetes-induced human umbilical vein endothelial cell dysfunction. Persistent inhibition ofMIR4521accelerated development and exacerbated vascular endothelial dysfunction in diabetic mice. Mechanistically,circHMGCS1upregulated arginase 1 by spongingMIR4521, leading to decrease in vascular nitric oxide secretion and inhibition of endothelial nitric oxide synthase activity, and an increase in the expression of adhesion molecules and generation of cellular reactive oxygen species, reduced vasodilation and accelerated the impairment of vascular endothelial function. Collectively, these findings illuminate the physiological role and interacting mechanisms ofcircHMGCS1andMIR4521in diabetes-induced cardiovascular diseases, suggesting that modulating the expression ofcircHMGCS1andMIR4521could serve as a potential strategy to prevent diabetes-associated cardiovascular diseases. Furthermore, our findings provide a novel technical avenue for unraveling ncRNAs regulatory roles of ncRNAs in diabetes and its associated complications.