The invention relates to
hypoxia response therapeutic VEGFA (
vascular endothelial growth factor A) mRNA (
messenger Ribonucleic Acid) and application thereof. The mRNA comprises a 5'end cap, a 5 'UTR (
Untranslated Region) containing a Kozak sequence, VEGFA ORF (Open Region Fragment), a 3' UTR containing an
RNA (Ribonucleic Acid)
binding protein HuR
binding site, a RhoBAST fluorescent
aptamer at the
tail end of the 3 'UTR and a PolyA
tail. According to the design, through a HuR hypoxia-dependent nuclear
plasma transport mechanism, the stability of mRNA in hypoxic cells is improved by 2.5 times, the
protein expression quantity is improved by 2 times, and proliferation of endothelial cells is remarkably promoted. Further disclosed is a VEGFA mRNA
delivery system based on engineered
extracellular vesicles (EVs): EVs
surface modified kidney targeting
peptide LTH. The
system is efficiently accumulated in ischemic kidneys, VEGFA expression is remarkably enhanced, and abnormal vascular
hyperplasia of external renal organs is avoided. Animal experiments prove that the
survival rate of a renal
ischemia-
reperfusion injury model can be increased to 100% by intravenous injection of
drug-loaded EVs, and the capillary density is remarkably increased 7 days
after treatment. The invention is suitable for treating ischemic diseases, organ
ischemia reperfusion injury or chronic wounds and the like, and has the advantages of accurate targeting,
hypoxia response, high stability and safety.