Our objective was to investigate the effect of cholesterol [hypercholesterolemia and 7-ketocholesterol (7K)] on endoglin (Eng) expression and regulation with respect to endothelial or vascular dysfunction in vivo and in vitro. In vivo experiments were performed in 2-mo-old atherosclerosis-prone apolipoprotein E-deficient/LDL receptor-deficient (ApoE-/-/LDLR-/-) female mice and their wild-type C57BL/6J littermates. In in vitro experiments, human aortic endothelial cells (HAECs) were treated with 7K. ApoE-/-/LDLR-/- mice developed hypercholesterolemia accompanied by increased circulating levels of P-selectin and Eng and a disruption of NO metabolism. Functional analysis of the aorta demonstrated impaired vascular reactivity, and Western blot analysis revealed down-regulation of membrane Eng/Smad2/3/eNOS signaling in ApoE-/-/LDLR-/- mice. 7K increased Eng expression via Krüppel-like factor 6 (KLF6), liver X nuclear receptor, and NF-κB in HAECs. 7K-induced Eng expression was prevented by the treatment with 2-hydroxypropyl-β-cyclodextrin; 8-{[5-chloro-2-(4-methylpiperazin-1-yl) pyridine-4-carbonyl] amino}-1-(4-fluorophenyl)-4, 5-dihydrobenzo[g]indazole-3-carboxamide; or by KLF6 silencing. 7K induced increased adhesion and transmigration of monocytic human leukemia promonocytic cell line cells and was prevented by Eng silencing. We concluded that hypercholesterolemia altered Eng expression and signaling, followed by endothelial or vascular dysfunction before formation of atherosclerotic lesions in ApoE-/-/LDLR-/- mice. By contrast, 7K increased Eng expression and induced inflammation in HAECs, which was followed by an increased adhesion and transmigration of monocytes via endothelium, which was prevented by Eng inhibition. Thus, we propose a relevant role for Eng in endothelial or vascular dysfunction or inflammation when exposed to cholesterol.-Vicen, M., Vitverova, B., Havelek, R., Blazickova, K., Machacek, M., Rathouska, J., Najmanová, I., Dolezelova, E., Prasnicka, A., Sternak, M., Bernabeu, C., Nachtigal, P. Regulation and role of endoglin in cholesterol-induced endothelial and vascular dysfunction in vivo and in vitro.
- MeSH
- aorta cytologie metabolismus patologie MeSH
- apolipoproteiny E genetika MeSH
- aterosklerotický plát etiologie genetika metabolismus MeSH
- beta-cyklodextriny farmakologie MeSH
- cévní endotel účinky léků metabolismus patologie MeSH
- cholesterol metabolismus MeSH
- endoglin genetika metabolismus MeSH
- hypercholesterolemie komplikace genetika metabolismus MeSH
- indazoly farmakologie MeSH
- KLF6 metabolismus MeSH
- kultivované buňky MeSH
- kyseliny isonikotinové farmakologie MeSH
- lidé MeSH
- myši inbrední C57BL MeSH
- myši MeSH
- NF-kappa B metabolismus MeSH
- oxid dusnatý metabolismus MeSH
- P-selektin metabolismus MeSH
- proteiny Smad metabolismus MeSH
- receptory LDL genetika MeSH
- synthasa oxidu dusnatého, typ III metabolismus MeSH
- zvířata MeSH
- Check Tag
- lidé MeSH
- myši MeSH
- ženské pohlaví MeSH
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
Krevní buňky podléhají během odběru, zpracování a skladování významným morfologickým a biochemickým změnám. Struktura a funkce krevních buněk jsou ovlivněny řadou faktorů, počínaje technikou odběru, složením antikoagulačního roztoku, kontaktem s povrchem odběrového vaku či setu, metodou zpracování, obsahem leukocytů v produktu či způsobem deleukotizace. Metabolické a morfologické alterace erytrocytů i trombocytů v koncentrátech limitují jejich skladovatelnost a pravděpodobně mohou ovlivnit terapeutický efekt transfuze. Sdělení předkládá stručný přehled změn, které v krevních buňkách v průběhu skladování probíhají, možnosti monitorování buněčného poškození a shrnuje význam stanovení markerů buněčného poškození pro výzkum, validaci nových postupů a praxi.
Blood cells are subjected to important morphologic and biochemical changes during collection, processing and storage. Their structure and function are influenced by a number of factors, such as collection technique, composition of coagulation solution, contact with the surface of the collection bag or set, method of processing and content of leukocytes in the product or leukodepletion method. Metabolic and morphologic alterations in red blood cells and platelets concentrates limit their storage and may be associated with delayed posttransfusion recovery in vivo. The communication provides a brief summary of changes in blood cells during storage, the possibitity to monitor cell injury and summarizes the significance of markers of cell injury research, validation of new procedures and practice.
PURPOSE: The objective of our study was to identify changes in the coagulation and serum concentration of soluble P-selectin (sP-sel) after i.v. bolus of 0.75 mg/kg enoxaparin in a group of 33 patients during PCI. METHODS AND RESULTS: As compared to baseline, i.v. enoxaparin increased anti -Xa activity and FIIa inhibition together with APTT and thrombin time tests within 20 min, that persisted for 60 min. At 6 h, the results of all tests had returned to baseline. In contrast, the level of prothrombin fragments (F1 + 2) decreased persistingly for a period of 6 h (baseline 1.19 ± 0.42 nmol/l, after 20 min 1.03 ± 0.46 nmol/l, after 60 min 1.06 ± 0.43 nmol/l, after 6 h 0.95 ± 0.40 nmol/l, p < 0.001 vs. baseline for all values). In addition, i.v. enoxaparin decreased serum sP-sel level (baseline 111.80 ± 37.05 ng/ml, after 20 min 87.80 ± 33.17 ng/ml, after 60 min 86.45 ± 29.15 ng/ml, after 6 h 92.24 ± 31.34 ng/ml, p < 0.001 vs. baseline value for all). sP-sel level mildly correlated with both F Xa inhibition (r = -0.275, p < 0.05) and F1 + 2 level (r = 0.274, p < 0.05). CONCLUSION: Intravenous enoxaparin induced target F Xa inhibition (>0.6 IU/ml) for 60 min in 82% of study patients. During the 6 h of monitoring, a decrease of thrombin generation (F1 + 2) and sP-selectin levels were observed.
- MeSH
- antikoagulancia farmakologie MeSH
- balónková koronární angioplastika metody MeSH
- časové faktory MeSH
- enoxaparin farmakologie MeSH
- faktor Xa MeSH
- inhibitory faktoru Xa MeSH
- injekce intravenózní MeSH
- lidé středního věku MeSH
- lidé MeSH
- nemoci koronárních tepen terapie MeSH
- P-selektin účinky léků metabolismus MeSH
- parciální tromboplastinový čas MeSH
- protrombin antagonisté a inhibitory MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- thrombin účinky léků metabolismus MeSH
- trombinový čas MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- klinické zkoušky MeSH
Anthracyclines are one of the most effective anticancer drugs ever developed, but their clinical use has been hampered by the risk of severe cardiotoxicity. In this study, we investigated whether rabbits exposed to a different cumulative dose of anthracycline suffer from immunohistochemically detectable vascular toxicity and endothelial dysfunction. Daunorubicin (3 mg/kg, i.e. 50 mg/m²) was administered i.v. to rabbits once weekly for 1-10 weeks to reach different cumulative doses of the drug (50-500 mg/m²), while control rabbits received saline. The rabbits were sacrificed either 24 hours or 7 days after reaching each particular cumulative dose, and aortas and right femoral arteries were collected for immunohistochemical analysis. Immunohistochemical analysis showed ICAM-1 staining in many aortas from both saline and daunorubicin-treated rabbits without any relationship to the anthracycline treatment. On the contrary, unlike in the lipopolysaccharide-treated or hypercholesterolemic rabbits, no distinct immunoreactivity for other markers of inflammation, oxidative and nitrosative stress (VCAM-1, 4-HNE, iNOS and nitrotyrosine) were detected in aortas and femoral arteries from either control or daunorubicin-treated animals. No relationship to the cumulative dose of the drug or post-expose set up of harvesting was found. In this study, we have demonstrated that daunorubicin does not induce gross histopathological changes in the studied arteries and it fails to induce immunohistochemically detectable endothelial dysfunction. Thus, we propose that endothelial cells are much less susceptible to anthracycline toxicity than cardiac myocytes. In addition, our data suggest that vascular toxicity of anthracyclines plays rather a minor role in the cardiovascular complications of anthracycline chemotherapy.
- MeSH
- antibiotika antitumorózní farmakologie MeSH
- antigeny CD31 metabolismus MeSH
- antracykliny farmakologie MeSH
- aorta účinky léků metabolismus MeSH
- apoptóza MeSH
- arteria femoralis metabolismus MeSH
- daunomycin farmakologie MeSH
- endoteliální buňky cytologie MeSH
- imunohistochemie metody MeSH
- kardiomyocyty účinky léků MeSH
- králíci MeSH
- mezibuněčná adhezivní molekula-1 metabolismus MeSH
- nemoci cév chemicky indukované MeSH
- P-selektin metabolismus MeSH
- zvířata MeSH
- Check Tag
- králíci MeSH
- mužské pohlaví MeSH
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
Metabolic abnormalities frequently associated with type 2 diabetes, feature besides endothelial dysfunction a novel factor of low cholesterol absorption and high cholesterol synthesis. We hypothesized an association between endothelial dysfunction and disturbances in cholesterol turnover, predisposing advanced atherosclerosis in patients with type 2 diabetes. We studied 75 patients: 30 with type 2 diabetes, 30 non-diabetic subjects with a history of cardiovascular disease, and 15 healthy subjects. Plasma sterols, soluble adhesion molecules sCD14, sCD40 Ligand, monocyte chemo-attractant protein-1 (MCP-1), sE- and sP-selectins were measured with and without atorvastatin therapy. The diabetic patients showed significantly higher levels of lathosterol and lower levels of sitosterol and campesterol. Non-diabetic subjects showed no significant differences in non-cholesterol based sterols. Plasma levels of hsCRP, sE- and sP-selectins and MCP-1 were significantly increased in patients with diabetes. The plasma levels of sCD40L correlate significantly with clinical parameters of BMI and glycaemia, and the plasma levels of sP-selectin correlate significantly with parameters of glycaemia and HbA(1c). The diabetic patients without statin therapy showed a significant correlation of sE-selectin with the marker of cholesterol absorption-sitosterol and sitosterol/cholesterol ratio. The diabetic patients without statin therapy showed a significant inverse correlation of sP-selectin with the marker of cholesterol synthesis-lathosterol. Both relationships disappeared with statin treatment. We conclude that endothelial dysfunction in obese patients with type 2 diabetes mellitus and cardiovascular disease associates with obesity and glycaemic control. The relation of parameters of endothelial dysfunction (such as sP-selectin and sE-selectin) with cholesterol synthesis and absorption may be influenced by reverse cholesterol transport.
- MeSH
- antigeny CD14 * metabolismus MeSH
- antigeny CD40 * metabolismus MeSH
- chemokin CCL2 * metabolismus MeSH
- cholesterol * metabolismus MeSH
- diabetes mellitus 2. typu * metabolismus MeSH
- E-selektin * metabolismus MeSH
- kyseliny heptylové * farmakologie MeSH
- lidé středního věku MeSH
- lidé MeSH
- ligandy MeSH
- metabolismus lipidů účinky léků MeSH
- P-selektin * metabolismus MeSH
- pyrroly * farmakologie MeSH
- statiny * farmakologie MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- práce podpořená grantem MeSH
