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Effects of Replacing Dietary Monounsaturated Fat With Carbohydrate on HDL (High-Density Lipoprotein) Protein Metabolism and Proteome Composition in Humans. 碳水化合物替代单不饱和脂肪对人体高密度脂蛋白代谢和蛋白质组组成的影响。
Pub Date : 2019-09-26 DOI: 10.1161/ATVBAHA.119.312889
Allison B. Andraski, Sasha A. Singh, L. Lee, Hideyuki Higashi, Nathaniel Smith, Bo Zhang, M. Aikawa, F. Sacks
OBJECTIVEClinical evidence has linked low-HDL (high-density lipoprotein) cholesterol levels with high cardiovascular disease risk; however, its significance as a therapeutic target remains unestablished. We hypothesize that HDLs functional heterogeneity is comprised of metabolically distinct proteins, each on distinct HDL sizes and that are affected by diet. Approach and Results: Twelve participants were placed on 2 healthful diets high in monounsaturated fat or carbohydrate. After 4 weeks on each diet, participants completed a metabolic tracer study. HDL was isolated by Apo (apolipoprotein) A1 immunopurification and separated into 5 sizes. Tracer enrichment and metabolic rates for 8 HDL proteins-ApoA1, ApoA2, ApoC3, ApoE, ApoJ, ApoL1, ApoM, and LCAT-were determined by parallel reaction monitoring and compartmental modeling, respectively. Each protein had a unique, size-specific distribution that was not altered by diet. However, carbohydrate, when replacing fat, increased the fractional catabolic rate of ApoA1 and ApoA2 on alpha3 HDL; ApoE on alpha3 and alpha1 HDL; and ApoM on alpha2 HDL. Additionally, carbohydrate increased the production of ApoC3 on alpha3 HDL and ApoJ and ApoL1 on the largest alpha0 HDL. LCAT (lecithin-cholesterol acyltransferase) was the only protein studied that diet did not affect. Finally, global proteomics showed that diet did not alter the distribution of the HDL proteome across HDL sizes.CONCLUSIONSThis study demonstrates that HDL in humans is composed of a complex system of proteins, each with its own unique size distribution, metabolism, and diet regulation. The carbohydrate-induced hypercatabolic state of HDL proteins may represent mechanisms by which carbohydrate alters the cardioprotective properties of HDL.
目的:临床证据表明低hdl(高密度脂蛋白)胆固醇水平与高心血管疾病风险相关;然而,其作为治疗靶点的意义尚未确定。我们假设HDL功能异质性是由代谢不同的蛋白质组成的,每种蛋白质都有不同的HDL大小,并受饮食的影响。方法和结果:12名参与者被安排在两种高单不饱和脂肪或碳水化合物的健康饮食中。每种饮食4周后,参与者完成了一项代谢示踪剂研究。用Apo(载脂蛋白)A1免疫纯化法分离HDL,分为5个大小。8种HDL蛋白(apoa1、ApoA2、apo3、ApoE、ApoJ、ApoL1、ApoM和lcat)的示踪剂富集和代谢率分别通过平行反应监测和区室模型测定。每种蛋白质都有一个独特的、大小特定的分布,不受饮食的影响。然而,当碳水化合物取代脂肪时,增加了ApoA1和ApoA2对alpha3 HDL的分数分解代谢率;ApoE对α 3和α 1 HDL的影响;和ApoM对alpha2 HDL的影响此外,碳水化合物增加了alpha3 HDL上apo3的产生,以及最大的alpha0 HDL上ApoJ和ApoL1的产生。LCAT(卵磷脂-胆固醇酰基转移酶)是研究中唯一不受饮食影响的蛋白质。最后,整体蛋白质组学研究表明,饮食并没有改变高密度脂蛋白蛋白质组在高密度脂蛋白大小上的分布。本研究表明,人体高密度脂蛋白是由一个复杂的蛋白质系统组成的,每个蛋白质都有自己独特的大小分布、代谢和饮食调节。碳水化合物诱导HDL蛋白的高分解代谢状态可能代表了碳水化合物改变HDL的心脏保护特性的机制。
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引用次数: 14
C-X-C Ligand 16 Is an Independent Predictor of Cardiovascular Death and Morbidity in Acute Coronary Syndromes. C-X-C配体16是急性冠状动脉综合征心血管死亡和发病率的独立预测因子
Pub Date : 2019-09-26 DOI: 10.1161/ATVBAHA.119.312633
T. Andersen, T. Ueland, T. Ghukasyan Lakic, A. Åkerblom, M. Bertilsson, P. Aukrust, A. Michelsen, S. James, R. Becker, R. Storey, L. Wallentin, A. Siegbahn, F. Kontny
OBJECTIVEThe CXCL16 (chemokine C-X-C motif ligand 16) is a scavenger receptor for OxLDL (oxidized low-density lipoproteins) and involved in inflammation at sites of atherosclerosis. This study aimed to investigate the association of CXCL16 with clinical outcome in patients with acute coronary syndrome. Approach and Results: Serial measurements of CXCL16 were performed in a subgroup of 5142 patients randomized in the PLATO trial (Platelet Inhibition and Patient Outcome). Associations between CXCL16 and a composite of cardiovascular death, spontaneous myocardial infarction or stroke, and the individual components were assessed by multivariable Cox regression analyses. The hazard ratio per 50% increase in admission levels of CXCL16 analyzed as continuous variable was 1.64 (95% CI, 1.44-1.88), P<0.0001. This association remained statistically significant after adjustment for randomized treatment, clinical variables, CRP (C-reactive protein), leukocytes, cystatin C, NT-proBNP (N-terminal pro-brain natriuretic peptide), troponin T, GDF-15 (growth differentiation factor 15), and other biomarkers; hazard ratio 1.23 (1.05-1.45), P=0.0126. The admission level of CXCL16 was independently associated with cardiovascular death (1.50 [1.17-1.92], P=0.0014) but not with ischemic events alone, in fully adjusted analyses. No statistically independent association was found between CXCL16 measured at 1 month, or change in CXCL16 from admission to 1 month, and clinical outcomes.CONCLUSIONSIn patients with acute coronary syndrome, admission level of CXCL16 is independently related to adverse clinical outcomes, mainly driven by an association to cardiovascular death. Thus, CXCL16 measurement may enhance risk stratification in patients with this condition.CLINICAL TRIAL REGISTRATIONURL: http://www.clinicaltrials.gov. Unique identifier: NCT00391872.
目的CXCL16(趋化因子C-X-C基模配体16)是氧化低密度脂蛋白(OxLDL)的清除率受体,参与动脉粥样硬化部位的炎症。本研究旨在探讨CXCL16与急性冠脉综合征患者临床预后的关系。方法和结果:在PLATO试验(血小板抑制和患者结局)中随机分配的5142例患者亚组中进行了CXCL16的一系列测量。通过多变量Cox回归分析评估CXCL16与心血管死亡、自发性心肌梗死或卒中的组合以及单个成分之间的相关性。作为连续变量分析的CXCL16入院水平每增加50%的风险比为1.64 (95% CI, 1.44-1.88), P<0.0001。在调整随机治疗、临床变量、CRP (C反应蛋白)、白细胞、胱抑素C、NT-proBNP (n端前脑利钠肽)、肌钙蛋白T、GDF-15(生长分化因子15)和其他生物标志物后,这种关联仍具有统计学意义;风险比1.23 (1.05 ~ 1.45),P=0.0126。在完全校正分析中,CXCL16的入院水平与心血管死亡独立相关(1.50 [1.17-1.92],P=0.0014),但与单独的缺血性事件无关。在1个月时测量的CXCL16或入院至1个月时CXCL16的变化与临床结果之间没有统计学上独立的关联。结论在急性冠脉综合征患者中,CXCL16的入院水平与不良临床结局独立相关,主要与心血管死亡相关。因此,测量CXCL16可能会增强这种疾病患者的风险分层。临床试验注册网址:http://www.clinicaltrials.gov。唯一标识符:NCT00391872。
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引用次数: 23
VWF (von Willebrand Factor) Comes in From the Cold As a Strategy to Improve Platelet Storage. VWF(血管性血友病因子)作为一种改善血小板储存的策略来自寒冷。
Pub Date : 2019-09-25 DOI: 10.1161/ATVBAHA.119.313069
J. Emsley
The interaction between platelet GPIb (glycoprotein Ib) and VWF (von Willebrand factor) is essential for blood hemostasis and occurs when VWF is bound to damaged subendothelium representing the first step in platelet adhesion. The interaction is mediated between the N-terminal domain of GPIb and the VWF A1 domain and does not normally occur under static conditions requiring high hydrodynamic shear stress to stimulate the binding by unfolding VWF. In clinical settings where the hemostatic system needs a boost such as hemorrhage or low platelet counts (thrombocytopenia) transfusion of platelets is a desirable therapeutic option. However, storing platelets for transfusion at room temperature presents a problem as there is an increased risk of microbial infection. Thus, refrigerated platelet storage is a superior alternative, but cold treatment leads to rapid platelet clearance after transfusion. Recent studies from the group of Renhao Li using a variety of approaches confirmed the findings from previous work1,2 showing the importance of the GPIb receptor as a driver of cold platelet clearance.3 In addition, they implicated the interaction with ligand (VWF) as making a significant contribution to the clearance mechanism.3 The same group then reported that the OS1 (optimized sequence 1) peptide, which binds to GPIb, and is a highly selective and potent inhibitor of the interaction with VWF when added during platelet refrigeration improved the recovery and survival of platelets.4
血小板GPIb(糖蛋白Ib)和VWF(血管性血友病因子)之间的相互作用对止血至关重要,当VWF与受损的内皮下层结合时发生相互作用,这是血小板粘附的第一步。这种相互作用是在GPIb的n端结构域和VWF A1结构域之间介导的,通常不会在静态条件下发生,需要高流体动力剪切应力来通过展开VWF来刺激结合。在需要加强止血系统的临床环境中,如出血或血小板计数低(血小板减少症),输注血小板是一种理想的治疗选择。然而,在室温下储存用于输血的血小板存在一个问题,因为微生物感染的风险增加了。因此,冷藏血小板储存是一个更好的选择,但冷处理导致输血后血小板快速清除。李仁浩(Renhao Li)小组最近使用多种方法进行的研究证实了先前工作的发现1,2,表明GPIb受体作为冷血小板清除驱动因素的重要性此外,他们暗示与配体(VWF)的相互作用对清除机制有重要贡献该研究小组还报道,在血小板冷冻过程中添加与GPIb结合的OS1(优化序列1)肽,可有效抑制与VWF的相互作用,提高血小板的恢复和存活
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引用次数: 1
Revisiting Vascular Remodeling in the Single-Cell Transcriptome Era. 在单细胞转录组时代重新审视血管重构。
Pub Date : 2019-09-25 DOI: 10.1161/ATVBAHA.119.313174
Jifeng Zhang, Lin Chang, M. Garcia-Barrio, Y. E. Chen
Correspondence to: Jifeng Zhang, PhD, Frankel Cardiovascular Center, Department of Internal Medicine, University of Michigan Medical Center, NCRC Bldg 26, Room 357S 2800 Plymouth Rd, Ann Arbor, MI 48109, Email jifengz@umich.edu; or Y. Eugene Chen, MD, PhD, Frankel Cardiovascular Center, Department of Internal Medicine, University of Michigan Medical Center, NCRC Bldg 26, Room 361S 2800 Plymouth Rd, Ann Arbor, MI 48109, Email echenum@umich.edu
通讯:张继峰博士,密歇根大学医学中心内科弗兰克尔心血管中心,NCRC 26号楼357S室2800 Plymouth Rd, Ann Arbor, MI 48109, Email jifengz@umich.edu;或Y. Eugene Chen,医学博士,密歇根大学医学中心内科弗兰克尔心血管中心,NCRC 26号楼361S室,密歇根州安娜堡普利茅斯路2800号,电邮echenum@umich.edu
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引用次数: 2
Coronary Artery Disease Risk-Associated Plpp3 Gene and Its Product Lipid Phosphate Phosphatase 3 Regulate Experimental Atherosclerosis. 冠状动脉疾病相关Plpp3基因及其产物脂质磷酸酶3调控实验性动脉粥样硬化
Pub Date : 2019-09-19 DOI: 10.1161/ATVBAHA.119.313056
P. Mueller, Liping Yang, Margo F. Ubele, Guogen Mao, J. Brandon, Julia Vandra, T. Nichols, D. Escalante-Alcalde, A. Morris, S. Smyth
OBJECTIVEGenome-wide association studies identified novel loci in PLPP3 (phospholipid phosphatase 3) that associate with coronary artery disease risk independently of traditional risk factors. PLPP3 encodes LPP3 (lipid phosphate phosphatase 3), a cell-surface enzyme that can regulate the availability of bioactive lysophopsholipids including lysophosphatidic acid (LPA). The protective allele of PLPP3 increases LPP3 expression during cell exposure to oxidized lipids, however, the role of LPP3 in atherosclerosis remains unclear. Approach and Results: In this study, we sought to validate LPP3 as a determinate of the development of atherosclerosis. In experimental models of atherosclerosis, LPP3 is upregulated and co-localizes with endothelial, smooth muscle cell, and CD68-positive cell markers. Global post-natal reductions in Plpp3 expression in mice substantially increase atherosclerosis, plaque-associated LPA, and inflammation. Although LPP3 expression increases during ox-LDL (oxidized low-density lipoprotein)-induced phenotypic modulation of bone marrow-derived macrophages, myeloid Plpp3 does not appear to regulate lesion formation. Rather, smooth muscle cell LPP3 expression is a critical regulator of atherosclerosis and LPA content in lesions. Moreover, mice with inherited deficiency in LPA receptor signaling are protected from experimental atherosclerosis.CONCLUSIONSOur results identify a novel lipid signaling pathway that regulates inflammation in the context of atherosclerosis and is not related to traditional risk factors. Pharmacological targeting of bioactive LPP3 substrates, including LPA, may offer an orthogonal approach to lipid-lowering drugs for mitigation of coronary artery disease risk.
目的:全基因组关联研究确定了与冠状动脉疾病风险独立于传统危险因素相关的PLPP3(磷脂磷酸酶3)的新位点。PLPP3编码LPP3(脂质磷酸磷酸酶3),LPP3是一种细胞表面酶,可以调节生物活性溶血磷脂的可用性,包括溶血磷脂酸(LPA)。PLPP3的保护性等位基因在细胞暴露于氧化脂质时增加LPP3的表达,然而,LPP3在动脉粥样硬化中的作用尚不清楚。方法和结果:在这项研究中,我们试图验证LPP3作为动脉粥样硬化发展的决定因素。在动脉粥样硬化的实验模型中,LPP3上调,并与内皮细胞、平滑肌细胞和cd68阳性细胞标志物共定位。小鼠出生后整体Plpp3表达降低显著增加动脉粥样硬化、斑块相关LPA和炎症。尽管在ox-LDL(氧化低密度脂蛋白)诱导的骨髓源性巨噬细胞表型调节过程中,LPP3表达增加,但髓系Plpp3似乎并不调节病变的形成。相反,平滑肌细胞LPP3的表达是动脉粥样硬化和病变中LPA含量的关键调节因子。此外,LPA受体信号遗传缺陷的小鼠可防止实验性动脉粥样硬化。结论我们的研究结果发现了一种新的脂质信号通路,它在动脉粥样硬化的背景下调节炎症,而与传统的危险因素无关。生物活性LPP3底物(包括LPA)的药理学靶向可能为降低冠状动脉疾病风险的降脂药物提供正交方法。
{"title":"Coronary Artery Disease Risk-Associated Plpp3 Gene and Its Product Lipid Phosphate Phosphatase 3 Regulate Experimental Atherosclerosis.","authors":"P. Mueller, Liping Yang, Margo F. Ubele, Guogen Mao, J. Brandon, Julia Vandra, T. Nichols, D. Escalante-Alcalde, A. Morris, S. Smyth","doi":"10.1161/ATVBAHA.119.313056","DOIUrl":"https://doi.org/10.1161/ATVBAHA.119.313056","url":null,"abstract":"OBJECTIVE\u0000Genome-wide association studies identified novel loci in PLPP3 (phospholipid phosphatase 3) that associate with coronary artery disease risk independently of traditional risk factors. PLPP3 encodes LPP3 (lipid phosphate phosphatase 3), a cell-surface enzyme that can regulate the availability of bioactive lysophopsholipids including lysophosphatidic acid (LPA). The protective allele of PLPP3 increases LPP3 expression during cell exposure to oxidized lipids, however, the role of LPP3 in atherosclerosis remains unclear. Approach and Results: In this study, we sought to validate LPP3 as a determinate of the development of atherosclerosis. In experimental models of atherosclerosis, LPP3 is upregulated and co-localizes with endothelial, smooth muscle cell, and CD68-positive cell markers. Global post-natal reductions in Plpp3 expression in mice substantially increase atherosclerosis, plaque-associated LPA, and inflammation. Although LPP3 expression increases during ox-LDL (oxidized low-density lipoprotein)-induced phenotypic modulation of bone marrow-derived macrophages, myeloid Plpp3 does not appear to regulate lesion formation. Rather, smooth muscle cell LPP3 expression is a critical regulator of atherosclerosis and LPA content in lesions. Moreover, mice with inherited deficiency in LPA receptor signaling are protected from experimental atherosclerosis.\u0000\u0000\u0000CONCLUSIONS\u0000Our results identify a novel lipid signaling pathway that regulates inflammation in the context of atherosclerosis and is not related to traditional risk factors. Pharmacological targeting of bioactive LPP3 substrates, including LPA, may offer an orthogonal approach to lipid-lowering drugs for mitigation of coronary artery disease risk.","PeriodicalId":8404,"journal":{"name":"Arteriosclerosis, Thrombosis, & Vascular Biology","volume":"74 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86143303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 23
Endothelial β-Catenin Signaling Supports Postnatal Brain and Retinal Angiogenesis by Promoting Sprouting, Tip Cell Formation, and VEGFR (Vascular Endothelial Growth Factor Receptor) 2 Expression. 内皮β-Catenin信号通过促进萌芽、尖端细胞形成和VEGFR(血管内皮生长因子受体)2的表达来支持出生后大脑和视网膜血管生成。
Pub Date : 2019-09-19 DOI: 10.1161/ATVBAHA.119.312749
A. Martowicz, Marta Trusohamn, Nina Jensen, J. Wisniewska-Kruk, M. Corada, Frank Chenfei Ning, Julianna Kele, E. Dejana, D. Nyqvist
OBJECTIVEActivation of endothelial β-catenin signaling by neural cell-derived Norrin or Wnt ligands is vital for the vascularization of the retina and brain. Mutations in members of the Norrin/β-catenin pathway contribute to inherited blinding disorders because of defective vascular development and dysfunctional blood-retina barrier. Despite a vital role for endothelial β-catenin signaling in central nervous system health and disease, its contribution to central nervous system angiogenesis and its interactions with downstream signaling cascades remains incompletely understood. Approach and Results: Here, using genetically modified mouse models, we show that impaired endothelial β-catenin signaling caused hypovascularization of the postnatal retina and brain because of deficient endothelial cell proliferation and sprouting. Mosaic genetic analysis demonstrated that endothelial β-catenin promotes but is not required for tip cell formation. In addition, pharmacological treatment revealed that angiogenesis under conditions of inhibited Notch signaling depends upon endothelial β-catenin. Importantly, impaired endothelial β-catenin signaling abrogated the expression of the VEGFR (vascular endothelial growth factor receptor)-2 and VEGFR3 in brain microvessels but not in the lung endothelium.CONCLUSIONSOur study identifies molecular crosstalk between the Wnt/β-catenin and the Notch and VEGF-A signaling pathways and strongly suggest that endothelial β-catenin signaling supports central nervous system angiogenesis by promoting endothelial cell sprouting, tip cell formation, and VEGF-A/VEGFR2 signaling.
目的神经细胞源性Norrin或Wnt配体激活内皮细胞β-catenin信号传导对视网膜和脑血管化至关重要。Norrin/β-catenin通路成员的突变有助于遗传性致盲疾病,因为血管发育缺陷和血视网膜屏障功能障碍。尽管内皮β-连环蛋白信号在中枢神经系统健康和疾病中起着至关重要的作用,但其对中枢神经系统血管生成的贡献及其与下游信号级联的相互作用仍不完全清楚。方法和结果:在这里,使用转基因小鼠模型,我们发现内皮细胞β-catenin信号通路受损导致出生后视网膜和大脑血管不足,因为内皮细胞增殖和发芽不足。镶嵌遗传分析表明内皮β-catenin促进尖端细胞的形成,但不是必需的。此外,药物治疗显示,Notch信号抑制条件下的血管生成依赖于内皮细胞β-catenin。重要的是,内皮细胞β-catenin信号通路受损会抑制血管内皮生长因子受体(VEGFR)-2和VEGFR3在脑微血管中的表达,而在肺内皮中则不会。结论我们的研究发现了Wnt/β-catenin与Notch和VEGF-A信号通路之间的分子串扰,并强烈提示内皮细胞β-catenin信号通路通过促进内皮细胞发芽、尖端细胞形成和VEGF-A/VEGFR2信号通路支持中枢神经系统血管生成。
{"title":"Endothelial β-Catenin Signaling Supports Postnatal Brain and Retinal Angiogenesis by Promoting Sprouting, Tip Cell Formation, and VEGFR (Vascular Endothelial Growth Factor Receptor) 2 Expression.","authors":"A. Martowicz, Marta Trusohamn, Nina Jensen, J. Wisniewska-Kruk, M. Corada, Frank Chenfei Ning, Julianna Kele, E. Dejana, D. Nyqvist","doi":"10.1161/ATVBAHA.119.312749","DOIUrl":"https://doi.org/10.1161/ATVBAHA.119.312749","url":null,"abstract":"OBJECTIVE\u0000Activation of endothelial β-catenin signaling by neural cell-derived Norrin or Wnt ligands is vital for the vascularization of the retina and brain. Mutations in members of the Norrin/β-catenin pathway contribute to inherited blinding disorders because of defective vascular development and dysfunctional blood-retina barrier. Despite a vital role for endothelial β-catenin signaling in central nervous system health and disease, its contribution to central nervous system angiogenesis and its interactions with downstream signaling cascades remains incompletely understood. Approach and Results: Here, using genetically modified mouse models, we show that impaired endothelial β-catenin signaling caused hypovascularization of the postnatal retina and brain because of deficient endothelial cell proliferation and sprouting. Mosaic genetic analysis demonstrated that endothelial β-catenin promotes but is not required for tip cell formation. In addition, pharmacological treatment revealed that angiogenesis under conditions of inhibited Notch signaling depends upon endothelial β-catenin. Importantly, impaired endothelial β-catenin signaling abrogated the expression of the VEGFR (vascular endothelial growth factor receptor)-2 and VEGFR3 in brain microvessels but not in the lung endothelium.\u0000\u0000\u0000CONCLUSIONS\u0000Our study identifies molecular crosstalk between the Wnt/β-catenin and the Notch and VEGF-A signaling pathways and strongly suggest that endothelial β-catenin signaling supports central nervous system angiogenesis by promoting endothelial cell sprouting, tip cell formation, and VEGF-A/VEGFR2 signaling.","PeriodicalId":8404,"journal":{"name":"Arteriosclerosis, Thrombosis, & Vascular Biology","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83812261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 31
Arterial Stiffness Modulates the Association of Resting Heart Rate With Rapid Renal Function Decline in Individuals With Type 2 Diabetes Mellitus. 动脉僵硬调节2型糖尿病患者静息心率与肾功能快速下降的关系
Pub Date : 2019-09-12 DOI: 10.1161/ATVBAHA.119.313163
Jian-jun Liu, Sylvia Liu, R. L. Gurung, K. Ang, Wern Ee Tang, C. Sum, S. Tavintharan, S. Hadjadj, S. Lim
OBJECTIVEResting heart rate (RHR) has been associated with cardiovascular risk, but data on renal outcomes are still scarce. We aimed to study the association of RHR with rapid renal function decline (RRFD) and to explore whether the association of RHR with RRFD is modulated by arterial stiffness in individuals with type 2 diabetes mellitus. Approach and Results: One thousand one hundred forty-two Asian people with type 2 diabetes mellitus were followed for 3.9±0.9 years in a regional hospital and a primary care facility. RRFD was defined as eGFR decline of 5 mL/min per 1.73 m2 or greater per year. Arterial stiffness was assessed by carotid-femoral pulse wave velocity. One hundred sixty-eight participants (15%) were classified as having RRFD. Participants with elevated RHR were younger, had higher levels of HbA1c, albuminuria, C-reactive protein, and pulse wave velocity. Compared with the lowest quartile, participants in quartile 4 had a higher risk for RRFD after adjustment for known risk factors (adjusted odds ratio 1.91 [1.11-3.28]). RHR improved discrimination and net reclassification for prediction of RRFD above traditional risk factors. Remarkably, arterial stiffness modulated the association of RHR with RRFD (P for interaction =0.03). RHR was significantly associated with risk of RRFD only in those with increased arterial stiffness (pulse wave velocity above age-reference value 7.7 m/s).CONCLUSIONSRHR independently predicts RRFD, and the association is modulated by arterial stiffness. An elevated heart rate may be one factor in the spectrum of cardiovascular risk factors associated with renal functional impairment, especially in those with type 2 diabetes mellitus and an increased arterial stiffness.
目的心率(RHR)与心血管风险相关,但关于肾脏预后的数据仍然很少。我们旨在研究RHR与快速肾功能下降(RRFD)的关系,并探讨2型糖尿病患者RHR与RRFD的关系是否受动脉僵硬度的调节。方法和结果:在一家地区医院和一家初级保健机构对1142名亚洲2型糖尿病患者进行了3.9±0.9年的随访。RRFD定义为每年每1.73 m2或更大的eGFR下降5 mL/min。通过颈-股脉波速度评估动脉僵硬度。168名参与者(15%)被归类为RRFD。RHR升高的参与者更年轻,HbA1c、蛋白尿、c反应蛋白和脉搏波速度水平更高。与最低四分位数相比,经已知危险因素校正后,四分位数4的参与者发生RRFD的风险更高(校正优势比为1.91[1.11-3.28])。RHR改善了RRFD预测的区分和净重分类,高于传统的危险因素。值得注意的是,动脉硬度调节了RHR与RRFD的关联(相互作用P =0.03)。RHR仅在动脉僵硬度升高(脉搏波速度高于年龄参考值7.7 m/s)的人群中与RRFD风险显著相关。结论srhr独立预测RRFD,其相关性受动脉僵硬度调节。心率升高可能是与肾功能损害相关的心血管危险因素谱中的一个因素,特别是在2型糖尿病和动脉僵硬增加的患者中。
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引用次数: 6
Endothelial Targets in Stroke: Translating Animal Models to Human. 中风中的内皮靶:动物模型到人类模型的转换。
Pub Date : 2019-09-12 DOI: 10.1161/ATVBAHA.119.312816
A. Andjelkovic, J. Xiang, S. Stamatovic, Y. Hua, G. Xi, Michael M. Wang, R. Keep
Cerebral ischemia (stroke) induces injury to the cerebral endothelium that may contribute to parenchymal injury and worsen outcome. This review focuses on current preclinical studies examining how to prevent ischemia-induced endothelial dysfunction. It particularly focuses on targets at the endothelium itself. Those include endothelial tight junctions, transcytosis, endothelial cell death, and adhesion molecule expression. It also examines how such studies are being translated to the clinic, especially as adjunct therapies for preventing intracerebral hemorrhage during reperfusion of the ischemic brain. Identification of endothelial targets may prove valuable in a search for combination therapies that would specifically protect different cell types in ischemia.
脑缺血(脑卒中)可引起脑内皮损伤,导致脑实质损伤和预后恶化。本文综述了目前关于如何预防缺血诱导的内皮功能障碍的临床前研究。它特别关注内皮细胞本身的目标。包括内皮细胞紧密连接、胞吞作用、内皮细胞死亡和粘附分子表达。它还探讨了如何将这些研究转化为临床,特别是作为预防缺血性脑再灌注期间脑出血的辅助疗法。内皮靶点的鉴定可能在寻找联合治疗中证明是有价值的,这种联合治疗可以特异性地保护缺血中的不同细胞类型。
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引用次数: 35
ALDH2 (Aldehyde Dehydrogenase 2) Protects Against Hypoxia-Induced Pulmonary Hypertension. ALDH2(醛脱氢酶2)对缺氧引起的肺动脉高压有保护作用。
Pub Date : 2019-09-12 DOI: 10.1161/ATVBAHA.119.312946
Yu Zhao, Bailu Wang, Jian Zhang, Dayu He, Qun Zhang, C. Pan, Qiu-huan Yuan, Yinan Shi, Haiyang Tang, F. Xu, Shujian Wei, Yuguo Chen
OBJECTIVEHypoxia-induced pulmonary hypertension (HPH) increases lipid peroxidation with generation of toxic aldehydes that are metabolized by detoxifying enzymes, including ALDH2 (aldehyde dehydrogenase 2). However, the role of lipid peroxidation and ALDH2 in HPH pathogenesis remain undefined. Approach and Results: To determine the role of lipid peroxidation and ALDH2 in HPH, C57BL/6 mice, ALDH2 transgenic mice, and ALDH2 knockout (ALDH2-/-) mice were exposed to chronic hypoxia, and recombinant tissue-specific ALDH2 overexpression adeno-associated viruses were introduced into pulmonary arteries via tail vein injection for ALDH2 overexpression. Human pulmonary artery smooth muscle cells were used to elucidate underlying mechanisms in vitro. Chronic hypoxia promoted lipid peroxidation due to the excessive production of reactive oxygen species and increased expression of lipoxygenases in lung tissues. 4-hydroxynonenal but not malondialdehyde level was increased in hypoxic lung tissues which might reflect differences in detoxifying enzymes. ALDH2 overexpression attenuated the development of HPH, whereas ALDH2 knockout aggravated it. Specific overexpression of ALDH2 using AAV1-ICAM (intercellular adhesion molecule) 2p-ALDH2 and AAV2-SM22αp-ALDH2 viral vectors in pulmonary artery smooth muscle cells, but not endothelial cells, prevented the development of HPH. Hypoxia or 4-hydroxynonenal increased stabilization of HIF (hypoxia-inducible factor)-1α, phosphorylation of Drp1 (dynamin-related protein 1) at serine 616, mitochondrial fission, and pulmonary artery smooth muscle cells proliferation, whereas ALDH2 activation suppressed the latter 3.CONCLUSIONSIncreased 4-hydroxynonenal level plays a critical role in the development of HPH. ALDH2 attenuates the development of HPH by regulating mitochondrial fission and smooth muscle cell proliferation suggesting ALDH2 as a potential new therapeutic target for pulmonary hypertension.
目的:缺氧诱导的肺动脉高压(HPH)增加脂质过氧化,产生有毒的醛,这些醛被解毒酶代谢,包括ALDH2(醛脱氢酶2)。然而,脂质过氧化和ALDH2在HPH发病机制中的作用尚不清楚。方法与结果:为了确定脂质过氧化和ALDH2在HPH中的作用,我们将C57BL/6小鼠、ALDH2转基因小鼠和ALDH2敲除(ALDH2-/-)小鼠暴露于慢性缺氧环境中,并通过尾静脉注射将重组组织特异性ALDH2过表达腺相关病毒引入肺动脉,使ALDH2过表达。用人肺动脉平滑肌细胞体外阐明其潜在机制。慢性缺氧促进了脂质过氧化,这是由于肺组织中活性氧的过量产生和脂氧合酶的表达增加。缺氧肺组织中4-羟基壬烯醛水平升高,而丙二醛水平未升高,这可能反映了解毒酶的差异。ALDH2过表达可减弱HPH的发展,而ALDH2敲除可加重HPH的发展。利用AAV1-ICAM(细胞间粘附分子)2- ALDH2和aav2 - sm22 α - p-ALDH2病毒载体在肺动脉平滑肌细胞特异性过表达ALDH2,而非内皮细胞特异性过表达ALDH2,可阻止HPH的发生。缺氧或4-羟基烯醛增加了HIF(缺氧诱导因子)-1α的稳定性,丝氨酸616处Drp1(动力蛋白相关蛋白1)的磷酸化,线粒体分裂和肺动脉平滑肌细胞的增殖,而ALDH2的激活抑制了后者3。结论4-羟基壬烯醛水平升高在HPH的发生发展中起重要作用。ALDH2通过调节线粒体裂变和平滑肌细胞增殖来减弱HPH的发展,提示ALDH2可能是肺动脉高压的一个潜在的新治疗靶点。
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引用次数: 40
Ser-Phosphorylation of PCSK9 (Proprotein Convertase Subtilisin-Kexin 9) by Fam20C (Family With Sequence Similarity 20, Member C) Kinase Enhances Its Ability to Degrade the LDLR (Low-Density Lipoprotein Receptor). Fam20C (Family With Sequence Similarity 20, Member C)激酶ser -磷酸化PCSK9 (Proprotein converting ase Subtilisin-Kexin 9)增强其降解低密度脂蛋白受体(LDLR)的能力
Pub Date : 2019-09-05 DOI: 10.1161/ATVBAHA.119.313247
Ali Ben Djoudi Ouadda, M. Gauthier, Delia Susan-Resiga, E. Girard, R. Essalmani, M. Black, J. Marcinkiewicz, D. Forget, J. Hamelin, A. Evagelidis, Kévin Ly, R. Day, L. Galarneau, F. Corbin, B. Coulombe, A. Çaku, V. Tagliabracci, N. Seidah
OBJECTIVE PCSK9 (proprotein convertase subtilisin-kexin 9) enhances the degradation of the LDLR (low-density lipoprotein receptor) in endosomes/lysosomes. This study aimed to determine the sites of PCSK9 phosphorylation at Ser-residues and the consequences of such posttranslational modification on the secretion and activity of PCSK9 on the LDLR. Approach and Results: Fam20C (family with sequence similarity 20, member C) phosphorylates serines in secretory proteins containing the motif S-X-E/phospho-Ser, including the cholesterol-regulating PCSK9. In situ hybridization of Fam20C mRNA during development and in adult mice revealed a wide tissue distribution, including liver, but not small intestine. Here, we show that Fam20C phosphorylates PCSK9 at Serines 47, 666, 668, and 688. In hepatocytes, phosphorylation enhances PCSK9 secretion and maximizes its induced degradation of the LDLR via the extracellular and intracellular pathways. Replacing any of the 4 Ser by the phosphomimetic Glu or Asp enhanced PCSK9 activity only when the other sites are phosphorylated, whereas Ala substitutions reduced it, as evidenced by Western blotting, Elisa, and LDLR-immunolabeling. This newly uncovered PCSK9/LDLR regulation mechanism refines our understanding of the implication of global PCSK9 phosphorylation in the modulation of LDL-cholesterol and rationalizes the consequence of natural mutations, for example, S668R and E670G. Finally, the relationship of Ser-phosphorylation to the implication of PCSK9 in regulating LDL-cholesterol in the neurological Fragile X-syndrome disorder was investigated. CONCLUSIONS Ser-phosphorylation of PCSK9 maximizes both its secretion and activity on the LDLR. Mass spectrometric approaches to measure such modifications were developed and applied to quantify the levels of bioactive PCSK9 in human plasma under normal and pathological conditions.
目的:蛋白转化酶枯草杆菌素-酮素9 (pcsk9)促进内体/溶酶体低密度脂蛋白受体(LDLR)的降解。本研究旨在确定PCSK9在ser -残基上的磷酸化位点,以及这种翻译后修饰对PCSK9在LDLR上的分泌和活性的影响。方法和结果:Fam20C(家族序列相似性为20,成员C)磷酸化含有S-X-E/phospho-Ser基元的分泌蛋白中的丝氨酸,包括胆固醇调节蛋白PCSK9。在发育期间和成年小鼠中,Fam20C mRNA的原位杂交显示其广泛的组织分布,包括肝脏,但不包括小肠。在这里,我们发现Fam20C磷酸化PCSK9的47、666、668和688丝氨酸。在肝细胞中,磷酸化可增强PCSK9的分泌,并通过细胞外和细胞内途径使其诱导的LDLR降解最大化。Western blotting、Elisa和ldlr免疫标记证明,用拟磷Glu或Asp替代任何一个4 Ser位点,只有在其他位点磷酸化时才会增强PCSK9的活性,而取代Ala则会降低其活性。这一新发现的PCSK9/LDLR调控机制完善了我们对PCSK9全局磷酸化在ldl -胆固醇调节中的含义的理解,并使自然突变(如S668R和E670G)的后果合理化。最后,研究了ser -磷酸化与PCSK9在神经脆性x综合征中调节ldl -胆固醇的关系。结论ser -磷酸化可使PCSK9在LDLR上的分泌和活性最大化。研究人员开发了测量这种修饰的质谱方法,并将其用于在正常和病理条件下量化人血浆中生物活性PCSK9的水平。
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引用次数: 28
期刊
Arteriosclerosis, Thrombosis, & Vascular Biology
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