Evidence map›Paper›PMID 39901821›Full record

ArticleCardiovascular research2025

Circular RNAs increase during vascular cell differentiation and are biomarkers for vascular disease.

Bernd H Northoff, Andreas Herbst, Catharina Wenk, Lena Weindl, Gabor Gäbel, Andre Brezski, Kathi Zarnack, Alina Küpper, Stefanie Dimmeler, Alessandra Moretti and 13 more

Abstract read
In one paragraph

Article in Cardiovascular research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
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  3. Regulation of antiviral and antitumor immunity by theProceedings of the National Academy of Sciences of the United States of America · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors.

Bernd H NorthoffInstitute of Laboratory Medicine, LMU University Hospital, LMU Munich, Marchioninistr. 15, 81377 Munich, Germany.ORCID 0000-0002-7333-3231
Andreas HerbstInstitute of Laboratory Medicine, LMU University Hospital, LMU Munich, Marchioninistr. 15, 81377 Munich, Germany.
Catharina WenkInstitute of Laboratory Medicine, LMU University Hospital, LMU Munich, Marchioninistr. 15, 81377 Munich, Germany.
Lena WeindlInstitute of Laboratory Medicine, LMU University Hospital, LMU Munich, Marchioninistr. 15, 81377 Munich, Germany.
Gabor GäbelDepartment of Vascular Medicine, HELIOS Klinikum Krefeld, Krefeld, Germany.
Andre BrezskiBuchmann Institute for Molecular Life Sciences (BMLS), Faculty of Biological Sciences, Goethe University Frankfurt, Frankfurt, Germany.
Kathi ZarnackBuchmann Institute for Molecular Life Sciences (BMLS), Faculty of Biological Sciences, Goethe University Frankfurt, Frankfurt, Germany.ORCID 0000-0003-3527-3378
Alina KüpperInstitute of Laboratory Medicine, LMU University Hospital, LMU Munich, Marchioninistr. 15, 81377 Munich, Germany.
Stefanie DimmelerInstitute of Cardiovascular Regeneration, Centre of Molecular Medicine, Goethe University, Frankfurt, Germany.ORCID 0000-0002-1045-2436
Alessandra MorettiDepartment of Internal Medicine I, Cardiology, Klinikum rechts der Isar, School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany.ORCID 0000-0001-5782-7832
Karl-Ludwig LaugwitzDepartment of Internal Medicine I, Cardiology, Klinikum rechts der Isar, School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany.
Stefan EngelhardtInstitute of Pharmacology and Toxicology, Technical University of Munich (TUM), Munich, Germany.ORCID 0000-0001-5378-8661
Lars MaegdefesselDepartment of Vascular and Endovascular Surgery, Technical University Munich, Munich, Germany.
Reinier A BoonInstitute of Cardiovascular Regeneration, Centre of Molecular Medicine, Goethe University, Frankfurt, Germany.
Stefanie DopplerDepartment of Cardiovascular Surgery, German Heart Center Munich, Technical University Munich, Munich, Germany.
Martina DreßenDepartment of Cardiovascular Surgery, German Heart Center Munich, Technical University Munich, Munich, Germany.ORCID 0000-0003-2200-6254
Harald LahmDepartment of Cardiovascular Surgery, German Heart Center Munich, Technical University Munich, Munich, Germany.ORCID 0000-0002-4477-3406
Rüdiger LangeDepartment of Cardiovascular Surgery, German Heart Center Munich, Technical University Munich, Munich, Germany.
Markus KraneDepartment of Cardiovascular Surgery, German Heart Center Munich, Technical University Munich, Munich, Germany.
Knut KrohnCore Unit DNA Technologies, Medical Faculty, University of Leipzig, Leipzig, Germany.
Alexander KohlmaierInstitute of Laboratory Medicine, LMU University Hospital, LMU Munich, Marchioninistr. 15, 81377 Munich, Germany.
Lesca M HoldtInstitute of Laboratory Medicine, LMU University Hospital, LMU Munich, Marchioninistr. 15, 81377 Munich, Germany.
Daniel TeupserInstitute of Laboratory Medicine, LMU University Hospital, LMU Munich, Marchioninistr. 15, 81377 Munich, Germany.ORCID 0000-0001-9843-0145

Funding

German Research Foundation
6 · The paper itself

Abstract

aimsThe role of circular RNAs (circRNAs) and their regulation in health and disease are poorly understood. Here, we systematically investigated the temporally resolved transcriptomic expression of circRNAs during differentiation of human induced pluripotent stem cells (iPSCs) into vascular endothelial cells (ECs) and smooth muscle cells (SMCs) and explored their potential as biomarkers for human vascular disease. METHODS AND

resultsUsing high-throughput RNA sequencing and a de novo circRNA detection pipeline, we quantified the daily levels of 31 369 circRNAs in a 2-week differentiation trajectory from human stem cells to proliferating mesoderm progenitors to quiescent, differentiated EC and SMC. We detected a significant global increase in RNA circularization, with 397 and 214 circRNAs up-regulated greater than two-fold (adjusted P < 0.05) in mature EC and SMC, compared with undifferentiated progenitor cells. This global increase in circRNAs was associated with up-regulation of host genes and their promoters and a parallel down-regulation of splicing factors. Underlying this switch, the proliferation-regulating transcription factor MYC decreased as vascular cells matured, and inhibition of MYC led to down-regulation of splicing factors such as SRSF1 and SRSF2 and changes in vascular circRNA levels. Examining the identified circRNAs in arterial tissue samples and in peripheral blood mononuclear cells (PBMCs) from patients, we found that circRNA levels decreased in atherosclerotic disease, in contrast to their increase during iPSC maturation into EC and SMC. Using machine learning, we determined that a set of circRNAs derived from COL4A1, COL4A2, HSPG2, and YPEL2 discriminated atherosclerotic from healthy tissue with an area under the receiver operating characteristic curve (AUC) of 0.79. circRNAs from HSPG2 and YPEL2 in blood PBMC samples detected atherosclerosis with an AUC of 0.73.

conclusionTime-resolved transcriptional profiling of linear and circRNA species revealed that circRNAs provide granular molecular information for disease profiling. The identified circRNAs may serve as blood biomarkers for atherosclerotic vascular disease.

Indexed as

AtherosclerosisCell DifferentiationEndothelial CellsInduced Pluripotent Stem CellsMyocytes, Smooth MuscleRNA, CircularBiomarkersCells, CulturedGene Expression ProfilingHumansMaleTranscriptomeBiomarkersRNA, CircularAneurysmAtherosclerosisBiomarkerBloodCircular RNA (circRNA)DifferentiationEndothelial cells (ECs)Induced pluripotent stem cells (iPSCs)Single-cellSmooth muscle cells (SMCs)SplicingTranscriptionTranscriptomicsVascular

Identifiers

PMID39901821
PMCPMC12038242

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.