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Endothelial and circulating C19MC microRNAs are biomarkers of infantile hemangioma
Graham M. Strub, Andrew L. Kirsh, Mark E. Whipple, Winston P. Kuo, Rachel B. Keller, Raj P. Kapur, Mark W. Majesky, Jonathan A. Perkins
Graham M. Strub, Andrew L. Kirsh, Mark E. Whipple, Winston P. Kuo, Rachel B. Keller, Raj P. Kapur, Mark W. Majesky, Jonathan A. Perkins
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Research Article Angiogenesis Dermatology

Endothelial and circulating C19MC microRNAs are biomarkers of infantile hemangioma

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Abstract

Infantile hemangioma (IH) is the most common vascular tumor of infancy, and it uniquely regresses in response to oral propranolol. MicroRNAs (miRNAs) have emerged as key regulators of vascular development and are dysregulated in many disease processes, but the role of miRNAs in IH growth has not been investigated. We report expression of C19MC, a primate-specific megacluster of miRNAs expressed in placenta with rare expression in postnatal tissues, in glucose transporter 1–expressing (GLUT-1–expressing) IH endothelial cells and in the plasma of children with IH. Tissue or circulating C19MC miRNAs were not detectable in patients having 9 other types of vascular anomalies or unaffected children, identifying C19MC miRNAs as the first circulating biomarkers of IH. Levels of circulating C19MC miRNAs correlated with IH tumor size and propranolol treatment response, and IH tissue from children treated with propranolol or from children with partially involuted tumors contained lower levels of C19MC miRNAs than untreated, proliferative tumors, implicating C19MC miRNAs as potential drivers of IH pathogenesis. Detection of C19MC miRNAs in the circulation of infants with IH may provide a specific and noninvasive means of IH diagnosis and identification of candidates for propranolol therapy as well as a means to monitor treatment response.

Authors

Graham M. Strub, Andrew L. Kirsh, Mark E. Whipple, Winston P. Kuo, Rachel B. Keller, Raj P. Kapur, Mark W. Majesky, Jonathan A. Perkins

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Figure 2

GLUT-1+ IH endothelial cells contain C19MC miRNAs.

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GLUT-1+ IH endothelial cells contain C19MC miRNAs.
(A and B) Paraffin se...
(A and B) Paraffin sections of (A) proliferative IH (from 6-mo-old child) and (B) involuted IH (from 44-mo-old child) were labeled with immunofluorescent antibodies to endothelial CD31 and IH endothelial GLUT-1. Overlaid DAPI images indicate GLUT-1+CD31+ endothelial cells. On adjacent sections, in situ hybridization probes to endothelial miR-126a-3p and C19MC miR-517a/c-3p indicate that normal CD31+GLUT-1– endothelium (white arrows) contains miR-126a-3p but not miR-517a/c-3p, while CD31+GLUT-1+ tumor endothelium (yellow arrows) contains both miR-126a-3p and miR-517a/c-3p. A scrambled miR probe was used as a negative control; nuclei were stained with Fast Red. Scale bar: 100 μm (middle); 50 μm (bottom). (C) In situ hybridization images of sections from placenta demonstrate miR-517a/c-3p in the placental trophoblast (black arrows). miR-517a/c-3p and miR-126a-3p were detected in villous endothelial cells (magenta arrows). Scale bar: 200 μm (top); 50 μm (bottom). (D) FACS and qRT-PCR analysis of a proliferative IH confirmed GLUT-1+CD31+ cells as the miR-517–expressing cell type. A single-cell suspension from proliferative IH was labeled with GLUT-1–EGFP and CD31-PE antibodies and sorted into GLUT-1+CD31+ and GLUT-1–CD31– populations. RNA isolation and qRT-PCR analysis of these sorted populations demonstrates enriched miR-517a-3p expression in the GLUT-1+CD31+ population. The y axis represents relative mRNA or miRNA compared with levels of GAPDH or RNU48, respectively. Data points on the qRT-PCR graphs indicate duplicate samples prepared at the sorting stage from the same lesion, and error bars represent standard deviations.

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