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丝裂原活化蛋白激酶激活的蛋白激酶2(MK2)缺乏可预防动脉损伤后的不良重塑并促进内皮愈合。

Deficiency of MAPK-activated protein kinase 2 (MK2) prevents adverse remodelling and promotes endothelial healing after arterial injury.

作者信息

Kapopara P R, von Felden J, Soehnlein O, Wang Y, Napp L C, Sonnenschein K, Wollert K C, Schieffer B, Gaestel M, Bauersachs J, Bavendiek U

机构信息

Udo Bavendiek, MD, Department of Cardiology and Angiology, Carl-Neuberg Str. 01, Hannover Medical School, 30625-Hannover, Germany, Tel.: +49 511 532 2229, Fax: +49 511 532 3357, E-mail:

出版信息

Thromb Haemost. 2014 Dec;112(6):1264-76. doi: 10.1160/TH14-02-0174. Epub 2014 Aug 14.

Abstract

Maladaptive remodelling of the arterial wall after mechanical injury (e. g. angioplasty) is characterised by inflammation, neointima formation and media hypertrophy, resulting in narrowing of the affected artery. Moreover, mechanical injury of the arterial wall causes loss of the vessel protecting endothelial cell monolayer. Mitogen-activated protein kinase (MAPK)-activated protein kinase 2 (MK2), a major downstream target of p38 MAPK, regulates inflammation, cell migration and proliferation, essential processes for vascular remodelling and re-endothelialisation. Therefore, we investigated the role of MK2 in remodelling and re-endothelialisation after arterial injury in genetically modified mice in vivo. Hypercholesterolaemic low-density-lipoprotein-receptor-deficient mice (ldlr-/-) were subjected to wire injury of the common carotid artery. MK2-deficiency (ldlr-/-/mk2-/-) nearly completely prevented neointima formation, media hypertrophy, and lumen loss after injury. This was accompanied by reduced proliferation and migration of MK2-deficient smooth muscle cells. In addition, MK2-deficiency severely reduced monocyte adhesion to the arterial wall (day 3 after injury, intravital microscopy), which may be attributed to reduced expression of the chemokine ligands CCL2 and CCL5. In line, MK2-deficiency significantly reduced the content of monocytes, neutrophiles and lymphocytes of the arterial wall (day 7 after injury, flow cytometry). In conclusion, in a model of endothelial injury (electric injury), MK2-deficiency strongly increased proliferation of endothelial cells and improved re-endothelialisation of the arterial wall after injury. Deficiency of MK2 prevents adverse remodelling and promotes endothelial healing of the arterial wall after injury, suggesting that MK2-inhibition is a very attractive intervention to prevent restenosis after percutaneous therapeutic angioplasty.

摘要

机械损伤(如血管成形术)后动脉壁的适应性重塑以炎症、新生内膜形成和中膜肥厚为特征,导致受影响动脉狭窄。此外,动脉壁的机械损伤会导致具有保护作用的血管内皮细胞单层缺失。丝裂原活化蛋白激酶(MAPK)激活的蛋白激酶2(MK2)是p38 MAPK的主要下游靶点,它调节炎症、细胞迁移和增殖,这些都是血管重塑和再内皮化的重要过程。因此,我们在体内研究了基因修饰小鼠动脉损伤后MK2在重塑和再内皮化中的作用。将高胆固醇血症低密度脂蛋白受体缺陷小鼠(ldlr-/-)的颈总动脉进行钢丝损伤。MK2缺陷(ldlr-/-/mk2-/-)几乎完全阻止了损伤后新生内膜形成、中膜肥厚和管腔狭窄。这伴随着MK2缺陷平滑肌细胞增殖和迁移的减少。此外,MK2缺陷严重降低了单核细胞对动脉壁的黏附(损伤后第3天,活体显微镜检查),这可能归因于趋化因子配体CCL2和CCL5表达的降低。同样,MK2缺陷显著降低了动脉壁中单核细胞、中性粒细胞和淋巴细胞的含量(损伤后第7天,流式细胞术)。总之,在内皮损伤(电损伤)模型中,MK2缺陷强烈增加了内皮细胞的增殖,并改善了损伤后动脉壁的再内皮化。MK2缺陷可防止损伤后动脉壁的不良重塑并促进内皮愈合,这表明抑制MK2是预防经皮治疗性血管成形术后再狭窄的一种非常有吸引力的干预措施。

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