The Role of PRRC2B in Cerebral Vascular Remodeling Under Acute Hypoxia in Mice

High altitude exposure leads to various cognitive impairments. The cerebral vasculature system plays an integral role in hypoxia‐induced cognitive defects by reducing oxygen and nutrition supply to the brain. RNA N6‐methyladenosine (m6A) is susceptible to modification and regulates gene expression in response to environmental changes, including hypoxia. However, the biological significance of m6A in endothelial cell performance under hypoxic conditions is unknown. Using m6A‐seq, RNA immunoprcipitation‐seq, and transcriptomic co‐analysis, the molecular mechanism of vascular system remodeling under acute hypoxia is investigated. A novel m6A reader protein, proline‐rich coiled‐coil 2B (PRRC2B), exists in endothelial cells. PRRC2B knockdown promoted hypoxia‐induced endothelial cell migration by regulating alternative splicing of the alpha 1 chain of collagen type XII in an m6A‐dependent manner and the decay of matrix metallopeptidase domain 14 and ADAM metallopeptidase domain 19 mRNA in an m6A‐independent manner. In addition, conditional knockout of PRRC2B in endothelial cells promotes hypoxia‐induced vascular remodeling and cerebral blood flow redistribution, thus alleviating hypoxia‐induced cognitive decline. Therefore, PRRC2B is integral in the hypoxia‐induced vascular remodeling process as a novel RNA‐binding protein. These findings provide a new potential therapeutic target for hypoxia‐induced cognitive decline.