Long noncoding RNAs (lncRNAs) regulate the progression of
type 2 diabetes mellitus complicated with obstructive sleep apnoea (T2DM-OSA). However, the role of the
lncRNA nuclear paraspeckle assembly transcript 1 (NEAT1) in T2DM-OSA remains unknown. This study aimed to reveal the function of NEAT1 in T2DM-OSA and the underlying mechanism. KKAy mice were exposed to intermittent
hypoxia (IH) or intermittent normoxia to generate a T2DM-OSA mouse model. HMEC-1 cells were treated with high
glucose (HG) and IH to construct a T2DM-OSA cell model.
RNA expression was detected by qRT-PCR. The
protein expression of
Apelin,
NF-E2-related factor 2 (Nrf2),
haem oxygenase-1 (HO-1), and up-frameshift suppressor 1 (UPF1) was assessed using western blot. Cell injury was evaluated using flow cytometry,
enzyme-linked
immunosorbent assay, and oxidative stress kit assays. RIP,
RNA pull-down, and
actinomycin D assays were performed to determine the associations between NEAT1, UPF1, and
Apelin. NEAT1 expression was upregulated in the aortic vascular tissues of mice with T2DM exposed to IH and HMEC-1 cells stimulated with HG and IH, whereas
Apelin expression was downregulated. The absence of NEAT1 protected HMEC-1 cells from HG- and IH-induced damage. Furthermore, NEAT1 destabilized
Apelin mRNA by recruiting UPF1.
Apelin overexpression decreased HG- and IH-induced injury to HMEC-1 cells by activating the Nrf2/HO-1 pathway. Moreover, NEAT1 knockdown reduced HG- and IH-induced injury to HMEC-1 cells through
Apelin. NEAT1 silencing reduced HMEC-1 cell injury through the
Apelin/Nrf2/HO-1 signalling pathway in T2DM-OSA.Abbreviations: LncRNAs, long non-coding RNAs; T2DM,
type 2 diabetes mellitus; OSA, obstructive sleep apnoea; NEAT1, nuclear paraspeckle assembly transcript 1; IH, intermittent
hypoxia; HMEC-1, human microvascular endothelial cells; HG, high
glucose; Nrf2,
NF-E2-related factor 2; UPF1, up-frameshift suppressor 1; HO-1,
haem oxygenase-1; qRT-PCR, quantitative real-time polymerase chain reaction; ELISA,
enzyme-linked
immunosorbent assay; GAPDH,
glyceraldehyde 3-phosphate dehydrogenase; TNF-α, tumour
necrosis factor-α;
CCK-8, Cell Counting Kit-8; IL-1β,
interleukin-1β; ROS,
reactive oxygen species; MDA,
malondialdehyde; SOD,
superoxide dismutase; RIP,
RNA immunoprecipitation; SD, standard deviations; GSH,
glutathione; AIS, acute
ischaemic stroke;
HMGB1, high mobility group box-1
protein; TLR4,
toll-like receptor 4.