从NF-κB和Notch-1通路探索紫杉醇-重组水蛭素介入涂层抗再狭窄的细胞学机制Investigating the cytological mechanisms of paclitaxel-recombinant hirudin interventional coating to prevent restenosis via NF-κB and Notch-1 pathways
王婷,徐元珊,李红梅
摘要(Abstract):
目的 探索紫杉醇-重组水蛭素介入涂层复合物(LFN)调控Notch-1和NF-κB通路间交互作用关键位点抗再狭窄的微观机制。方法 利用网络药理学技术初筛LFN调控双信号通路交互作用的预测靶点,构建LPS+Jagged-1诱导人冠状动脉平滑肌细胞(HCASMCs)增殖迁移模型,通过敲减或过表达双通路间枢纽基因,明确其交互作用与HCASMCs增殖迁移的相关性。在此基础上,对LFN初筛靶点进行精筛,进而在HCASMCs模型上予以LFN干预,从LFN双向调控Notch-1和NF-κB通路切入,深入阐释LFN防治介入术后再狭窄的细胞学机制。结果 网络药理学筛选结果表明,LFN对再狭窄的调控包含多种生物学模块和过程。联合LPS和Jagged-1以1μg/ml的浓度24 h持续刺激HCASMCs可诱导建立双通路活化细胞模型。与模型组比较,最佳浓度下的LFN(1μmol/L的紫杉醇配比0.2 mg/ml比伐芦定)对造模活化后的HCASMCs迁移和增殖变化具有显著抑制作用,可下调HCASMCs中NF-κB和Notch-1基因表达、上调IκBα基因表达,降低NICD、VEGF、MMP2、MMP9和Bcl-xL基因表达,同时下调OPN、PCNA、Notch-1和NF-κB(细胞核)蛋白表达、上调NF-κB(细胞质)蛋白表达(P<0.05)。其中,Notch-1与NICD表达的变化可直接影响LFN的作用效果。结论 LFN的抗再狭窄效应是通过调节Notch-1和NF-κB双通路间交互作用、阻断HCASMCs从收缩型向分泌型转变而实现。
关键词(KeyWords): 紫杉醇-重组水蛭素介入涂层;抗再狭窄;NF-κB和Notch-1通路;细胞学机制;微观调控
基金项目(Foundation): 北京市自然科学基金面上项目(7222279)
作者(Author): 王婷,徐元珊,李红梅
参考文献(References):
- [1]GBD 2016 DALYs and HALE Collaborators.Global,regional,and national disability-adjusted life-years(DALYs)for 333diseases and injuries and healthy life expectancy(HALE)for195 countries and territories,1990-2016:a systematic analysis for the Global Burden of Disease Study 2016[J].Lancet,2017,390(10100):1260-1344.DOI:10.1016/S0140-6736(17)32130-X.
- [2]Jukema JW,Verschuren JJ,Ahmed TA,et al.Restenosis after PCI.Part 1:pathophysiology and risk factors[J].Nat Rev Cardiol,2011,9(1):53-62.DOI:10.1038/nrcardio.2011.132.
- [3]Moser J,van Ark J,van Dijk MC,et al.Distinct differences on neointima formation in immunodeficient and humanized mice after carotid or femoral arterial injury[J].Sci Rep,2016,6:35387.DOI:10.1038/srep35387.
- [4]Kounis NG,Koniari I,Roumeliotis A,et al.Thrombotic responses to coronary stents,bioresorbable scaffolds and the Kounis hypersensitivity-associated acute thrombotic syndrome[J].J Thorac Dis,2017,9(4):1155-1164.DOI:10.21037/jtd.2017.03.134.
- [5]Torrado J,Buckley L,Duran A,et al.Restenosis,stent thrombosis,and bleeding complications:Navigating between scylla and charybdis[J].J Am Coll Cardiol,2018,71(15):1676-1695.DOI:10.1016/j.jacc.2018.02.023.
- [6]Zhang J,McIntosh BE,Wang B,et al.A human pluripotent stem cell-based screen for smooth muscle cell differentiation and maturation identifies inhibitors of intimal hyperplasia[J].Stem Cell Reports,2019,12(6):1269-1281.DOI:10.1016/j.stemcr.2019.04.013.
- [7]Windecker S,Kolh P,Alfonso F,et al.2014ESC/EACTS Guidelines on myocardial revascularization:the task force on Myocardial Revascularization of the European Society of Cardiology(ESC)and the European Association for Cardio-Thoracic Surgery(EACTS)Developed with the special contribution of the European Association of Percutaneous Cardiovascular Interventions(EAPCI)[J].Eur Heart J,2014,35(37):2541-2619.DOI:10.1093/eurheartj/ehu278.
- [8]Commandeur S,van Beusekom HM,van der Giessen WJ.Polymers,drug release,and drug-eluting stents[J].J Interv Cardiol,2006,19(6):500-506.DOI:10.1111/j.1540-8183.2006.00198.x.
- [9]Zilberman M,Schwade ND,Eberhart RC.Protein-loaded bioresorbable fibers and expandable stents:mechanical properties and protein release[J].J Biomed Mater Res B Appl Biomater,2004,69(1):1-10.DOI:10.1002/jbm.b.20026.
- [10]Liischer TF,Steffel J,Eberli FR,et al.Drug-eluting stent and coronary thrombosis:biological mechanisms and clinical implications[J].Circulation,2007,115(8):1051-1058.DOI:10.1161/CIRCULATIONAHA.106.675 934.
- [11]Finn AV,Nakazawa G,Joner M,et al.Vascular responses to drug eluting stents:importance of delayed healing[J].Arterioscler Thromb Vasc Biol,2007,27(7):1500-1510.DOI:10.1161/ATVBAHA.107.144220.
- [12]Finn AV,Joner M,Nakazawa G,et al.Pathological correlates of late drug-eluting stent thrombosis:strut coverage as a marker of endothelialization[J].Circulation,2007,115(18):2435-2441.DOI:10.1161/CIRCULATIONAHA.107.69373 9.
- [13]Laskey WK,Yancy CW,Maisel WH.Thrombosis in coronary drugeluting stents:report from the meeting of the Circulatory System Medical Devices Advisory Panel of the Food and Drug Administration Center for Devices and Radiologic Health,December 7-8,2006[J].Circulation,2007,115(17):2352-2357.DOI:10.1161/CIRCULATIONAHA,107.688416.
- [14]Silverman ME.Coronary-artery stents[J].N Engl J Med,2006,354(19):2076-2078.DOI:10.1056/NEJMc060570.
- [15]Shuchman M.Trading restenosis for thrombosis?New questions about drug-eluting stents[J].N Engl J Med,2006,355(19):1949-1952.DOI:10.1056/NEJMp068234.
- [16]McCormick C.The search for endothelium friendly stents[J].Med Device Technol,2007,18(3):30,32-33.
- 17王显.一种药物洗脱球囊系统:CN201520966484.5[P].2016-06-08.
- [18]Lin KH,Li JY,Chen RJ,et al.Paclitaxel exerts antiplatelet and antithrombotic activities:additional benefit from use of paclitaxel-coated balloons and-eluting stents in coronary revascularization and prevention of in-stent restenosis[J].Thromb Res,2023,225:63-72.DOI:10.1016/j.thromres.2023.03.017.
- [19]Schnorr B,Speck U,Scheller B.Review of clinical data with Paccocath-coated balloon catheters[J].Minerva Cardioangiol,2011,59(5):431-445.
- [20]Markwardt F.Hirudin and derivatives as anticoagulant agents[J].Thromb Haemost,1991,66(1):141-152.
- [21]Strauss BH,van der Giessen WJ.Verdouw PD.Hirudin and restenosis[J].Circulation,1992,85(5):1952-1953;author reply 1953-1954.
- [22]李红梅,王显.紫杉醇水蛭素支架涂层复合物对HCASMC炎性活化过程中TLR4-MyD88信号通路的影响[J].中国循证心血管医学杂志,2019,11(1):94-98.DOI:10.3969/j:issn.1674-4055.2019.01.24.
- [23]李红梅,王婷,李海燕.基于NF-κB与NRF2/ARE通路探索紫杉醇-比伐卢定介入涂层抗血管再狭窄的有效性及分子机制[J].心脏杂志,2024,36(2):135-143.DOI:10.12125/j.chj.202307039.
- [24]李红梅,李海燕.紫杉醇-比伐卢定球囊涂层复合物调控NF-κB与Nrf2/ARE通路抗HCASMC增殖迁移的机制研究[J].中国循证心血管医学杂志,2023,15(8):936-940,945.DOI:10.3969/j.issn.1674-4055.2023.08.09.
- [25]Ikeda U.Inflammation and coronary artery disease[J].Curr Vasc Pharmacol,2003,1(1):65-70.DOI:10.2174/1570161033386727.
- [26]Tardif JC.Antioxidants:the good,the bad and the ugly[J].Can J Cardiol,2006,22 Suppl B(Suppl B):61B-65B DOI:10.1016/s0828-282x(06)70988-6.
- [27]Juni RP,Duckers HJ,Vanhoutte PM,et al.Oxidative stress and pathological changes after coronary artery interventions[J].J Am Coll Cardiol,2013,61(14):1471-1481.DOI:10.1016/j.jacc.2012.11.068.
- [28]Kundi H.Association of novel inflammatory and oxidative stress biomarkers with in-stent restenosis[J].Angiology,2017,68(9):832.DOI:10.1177/0003319717700747.
- [29]Jiang F,Zhang B,Zhang X,et al.miRNA-92a inhibits vascular smooth muscle cell phenotypic modulation and may help prevent in-stent restenosis[J].Mol Med Rep,2023,27(2):40.DOI:10.3 892/mmr.2023.12927.
- [30]Jain M,Dev R,Doddapattar P,et al.Integrin α9 regulates smooth muscle cell phenotype switching and vascular remodeling[J].JCI Insight,2021,6(10):e147134.DOI:10.1172/jci.insight.147134.
- [31]Yu Q,Li W,Jin R,et al.PI3Kγ(Phosphoinositide 3-Kinaseγ)regulates vascular smooth muscle cell phenotypic modulation and neointimal formation through CREB(Cyclic AMP-Response Element Binding Protein)/YAP(Yes-Associated Protein)signaling[J].Arterioscler Thromb Vasc Biol,2019,39(3):e91-e105.DOI:10.1161/ATVBAHA.118.312212.
- [32]Yang F,Chen Q,He S,et al.miR-22 is a novel mediator of vascular smooth muscle cell phenotypic modulation and neointima formation[J].Circulation,2018,137(17):1824-1841.DOI:10.1161/CIRCULATIONAHA.117.027799.
- [33]Frismantiene A,Kyriakakis E,Dasen B,et al.Actin cytoskeleton regulates functional anchorage-migration switch duringT-cadherin-induced phenotype modulation of vascular smooth muscle cells[J].Cell Adh Migr,2018,12(1):69-85.DO I:10.1080/19336918.2017.1319545.
- [34]Lindner V,Booth C,Prudovsky I,et al.Members of the Jagged/Notch gene families are expressed in injured arteries and regulate cell phenotype via alterations in cell matrix and cell-cell interaction[J].Am J Pathol,2001,159(3):875-883.DOI:10.1016/S0002-9440(10)61763-4.
- [35]Wang X,Li H,Sun X,et al.Evaluation of drug release from paclitaxel+hirudin-eluting balloons and the resulting vascular reactivity in healthy pigs[J].Exp Ther Med,2018,16(4):3425-3432.DOI:10.3892/etm.2018.6653.
- [36]Newby AC.Matrix metalloproteinases regulate migration,proliferation,and death of vascular smooth muscle cells by degrading matrix and non-matrix substrates[J].Cardiovasc Res,2006,69(3):614-624.DOI:10.1016/j.cardiores.2005.08.002.
- [37]Bauvois B.New facets of matrix metalloproteinases MMP-2 and MMP-9 as cell surface transducers:outside-in signaling and relationship to tumor progression[J].Biochim Biophys Acta,2012,1825(1):29-36.DOI:10.1016/j.bbcan.2011.10.001.
- [38]Kessenbrock K,Plaks V,Werb Z.Matrix metalloproteinases:regulators of the tumor microenvironment[J].Cell,2010,141(1):52-67.DOI:10.1016/j.cell.2010.03.015.
- [39]Li Y,Li H,Chen B,et al.miR-141-5p suppresses vascular smooth muscle cell inflammation,proliferation,and migration via inhibiting the HMGB1/NF-kappaB pathway[J].J Biochem Mol Toxicol,2021,35(8):e22828.DOI:10.1002/jbt.22828.
- [40]Di B,Li HW,Li W,et al.Liraglutide inhibited AGEs induced coronary smooth muscle cell phenotypic transition through inhibiting the NF-kappaB signal pathway[J].Peptides,2019,112:125-132.DOI:10.1016/j.peptides.2018.11.008.
- [41]Clement N,Gueguen M,Glorian M,et al.Notch3 and ILlbeta exert opposing effects on a vascular smooth muscle cell inflammatory pathway in which NF-kappaB drives crosstalk[J].J Cell Sci,2007,120(Pt 19):3352-3361.DOI:10.1242/jcs.007872.
- [42]Lin DS,Zhang CY,Li L,et al.Circ_ROB02/miR-149 axis promotes the proliferation and migration of human aortic smooth muscle cells by activating NF-κB signaling[J].Cytogenet Genome Res,2021,161(8-9):414-424.DOI:10.1159/000517294.
- [43]Havrda MC,Johnson MJ,O'Neill CF,et al.A novel mechanism of transcriptional repression of p27kip1,through Notch/HRT2 signaling in vascular smooth muscle cells[J].Thromb Haemostasis,2006,96(3):361-370.DOI:10.1160/TH06-04-0224.
- [44]Khokha R,Murthy A,Weiss A.Metalloproteinases and their natural inhibitors in inflammation and immunity[J].Nat Rev Immunol,2013,13(9):649-665.DOI:10.1038/nri3499.