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Table 3 CircRNAs in the regulation of BBB functions in different CNS disorders

From: Non-coding RNAs in the regulation of blood–brain barrier functions in central nervous system disorders

CNS disorders

Year

LncRNAs

Levels in disease

Study materials

Main regulatory effects on BBB

Main mechanisms

Refs.

Ischemic stroke

2018

circDLGAP4

Down

Mouse, bEnd.3

Upregulation of circDLGAP4 expression significantly attenuates neurological deficits and decreases infarct areas and BBB damage, and downregulates the EndoMT

circDLGAP4 ameliorates ischemic stroke outcomes by targeting miR-143 to downregulate EndoMT and increase TJ proteins claudin-5, occludin, and ZO-1

[63]

2020

circCCDC9

Down

Mice

circCCDC9 overexpression protects the BBB barrier with decreased permeability and brain water content and restores NO production and eNOS expression

circCCDC9 overexpression inhibits apoptosis and the expression of Notch1, NICD (Notch intracellular domain), and Hes1 to suppress the Notch pathway

[102]

Subarachnoid hemorrhage

2021

circARF3

Down

Rats

circARF3 overexpression improves BBB integrity and neurological scores, decreases neuronal apoptosis and microglial activation

circARF3 attenuates BBB destruction in SAH by regulating the miR-31-5p-activated MyD88-NF-κB pathway

[114]

TBI

2021

circLphn3

Down

Mice

circLphn3 overexpression attenuates the hemin-induced BBB permeability

circLphn3 binds to miR-185-5p and regulates the expression of tight junction proteins after TBI

[121]

SCI

2021

circRNAAbca1

Up

mice

miR-135b-5p was the most downregulated miRNA after SCI, circRNAAbca1 and KLF4 were predicted to be its target circRNA and mRNA, respectively

circAbca1 plays a neuroinhibitory role by targeting the miR-135b-5P/KLF4 axis

[134]

Glioma

2019

circ‐USP1

Up

GECs

Knockdown of circ‐USP1 disrupts the barrier integrity, increases its permeability, and reduces claudin‐5, occludin, and ZO‐1 expressions

circ‐USP1 regulates barrier permeability via miR‐194‐5p/FLI1/claudin‐5, occludin, and ZO‐1 axis

[165]

2019

CircRNA_001160

Up

GECs

Polypyrimidine tract binding protein 1 (PTBP1) promotes the function of circRNA_001160, and double silencing of PTBP1 and circRNA_001160 increases BTB permeability

circRNA_001160 regulates BTB permeability via miR-195-5p/ETV1/claudin-5, ZO-1, and occludin axis

[166]

2019

cDENND4C

Up

GECs

Knockdown of cDENND4C increases BTB permeability via downregulating the expressions of tight junction-related proteins

cDENND4C regulates BTB permeability via miR-577/ZO-1, occludin, and claudin-1 axis

[167]

MS, EndoMT

2018

circular RNA HECW2

Up

hBMECs

Knockdown of circHECW2 expression inhibits the EndoMT, which may contribute to BBB damage

circHECW2 acts as a sponge for miR-30D to regulate the EndoMT, and increases expression of ATG5 (Autophagy Related 5) and the NOTCH pathway

[175]

2020

circ_HECW2

Up

hBMECs

circ_HECW2 silencing promotes cell proliferation, suppresses cell apoptosis and EndoMT

circ_HECW2 directly binding to miR-30e-5p to regulate NEGR1 and LPS-induced EndoMT

[176]

Meningitis

2020

circ_2858

Up

hBMECs

Overexpression of circ_2858 decreases the level of TJ proteins and increase BBB permeability

circ_2858 regulated BBB permeability by competitively binding miR-93-5p, thereby inducing the upregulation of VEGFA and downregulation TJ proteins such as ZO-1, occludin, and claudin-5

[191]