Chen Jun, Brodsky Sergey V, Goligorsky David M, Hampel Dierk J, Li Hong, Gross Steven S, Goligorsky Michael S
Department of Medicine, State University of New York, Stony Brook, NY, USA.
Circ Res. 2002 Jun 28;90(12):1290-8. doi: 10.1161/01.res.0000022161.42655.98.
Diabetic vasculopathy is central to the development of diverse cardiovascular, renal, retinal, and neurological complications of diabetes. We previously demonstrated that growth of endothelial cells on glycated extracellular matrix proteins (collagen and matrigel) results in a significant decrease in cell proliferation. In the present study, we show that early-passage human umbilical vein endothelial cells (HUVECs) grown on glycated collagen (GC) express hallmarks of premature cell senescence, ie, increase in the proportion of cells expressing senescence-associated beta-galactosidase activity, apoptotic rate, and p53 and p14(AFR) expression, but in contrast to replicative senescence, display neither attrition of telomeres nor decrease in telomerase activity. An increased frequency of prematurely senescent cells was similarly observed in vivo in aortae of young Zucker diabetic rats, compared with lean controls. NO production by HUVECs grown on GC was decreased, despite a 3-fold increase in eNOS expression and was associated with the increased nitrotyrosine-modified proteins. Development of premature senescence of HUVECs on GC could be prevented and reversed by treatments with the peroxynitrite scavenger, ebselen, eNOS intermediate N(omega)-hydroxy-L-arginine (NOHA), or superoxide dismutase mimetic Mn-TBAP. Concomitant with the reversal of senescence, ebselen, and NOHA each restored NO production to levels observed with HUVECs grown on unmodified collagen. Our findings indicate that diabetes mellitus in vivo and GC exposure in vitro elicit premature senescence of the vascular endothelium, a process with distinct pathogenetic mechanisms. Premature senescence of the vascular endothelium is hypothesized to be an important contributor to diabetic vasculopathy and a consequence of reduced NO availability, peroxynitrite, and/or superoxide excess.
糖尿病血管病变是糖尿病多种心血管、肾脏、视网膜及神经并发症发生发展的核心环节。我们之前证实,内皮细胞在糖化细胞外基质蛋白(胶原蛋白和基质胶)上生长会导致细胞增殖显著减少。在本研究中,我们发现,在糖化胶原蛋白(GC)上生长的早期传代人脐静脉内皮细胞(HUVECs)表现出细胞早衰的特征,即表达衰老相关β-半乳糖苷酶活性的细胞比例增加、凋亡率升高以及p53和p14(AFR)表达增加,但与复制性衰老不同的是,端粒既没有磨损,端粒酶活性也没有降低。与瘦对照组相比,在年轻的 Zucker 糖尿病大鼠的主动脉中同样观察到体内过早衰老细胞的频率增加。在GC上生长的HUVECs产生的一氧化氮(NO)减少,尽管内皮型一氧化氮合酶(eNOS)表达增加了3倍,且与硝基酪氨酸修饰蛋白增加有关。用过氧亚硝酸盐清除剂依布硒仑、eNOS中间体N(ω)-羟基-L-精氨酸(NOHA)或超氧化物歧化酶模拟物Mn-TBAP处理可预防和逆转GC上HUVECs的过早衰老。随着衰老的逆转,依布硒仑和NOHA各自将NO产生恢复到在未修饰胶原蛋白上生长的HUVECs所观察到的水平。我们的研究结果表明,体内糖尿病和体外GC暴露会引发血管内皮细胞过早衰老,这一过程具有独特的发病机制。血管内皮细胞过早衰老被认为是糖尿病血管病变的重要促成因素,也是NO可用性降低、过氧亚硝酸盐和/或超氧化物过量的结果。