Garraud Marie, Khacef Kahina, Vion Anne-Clémence, Leconte Claire, Yin Min, Renard Jean-Marie, Marchand-Leroux Catherine, Boulanger Chantal M, Margaill Isabelle, Beray-Berthat Virginie
Equipe de recherche "Pharmacologie de la Circulation Cérébrale" EA4475, Faculté de Pharmacie de Paris, Université Paris Descartes, Sorbonne Paris Cité, Paris, France.
INSERM, U970, Paris Cardiovascular Research Center, Université Paris Descartes, Sorbonne Paris Cité, Paris, France.
J Neurol Sci. 2016 Nov 15;370:187-195. doi: 10.1016/j.jns.2016.09.026. Epub 2016 Sep 16.
Thrombolysis with recombinant tissue plasminogen activator (rt-PA) is currently the only approved pharmacological strategy for acute ischemic stroke. However, rt-PA exhibits vascular toxicity mainly due to endothelial damage. To investigate the mechanisms underlying rt-PA-induced endothelial alterations, we assessed the role of rt-PA in the generation of endothelial microparticles (EMPs), emerging biological markers and effectors of endothelial dysfunction. The mouse brain-derived endothelial cell line bEnd.3 was used. Cells were treated with rt-PA at 20, 40 or 80μg/ml for 15 or 24h, and EMPs were quantified in the culture media using Annexin-V staining coupled with flow cytometry. Rt-PA enhanced EMP release from bEnd.3 cells with a maximal increase at the 40μg/ml dose for 24h (+78% compared to controls). Using tranexamic acid and aprotinin we demonstrated that plasmin is responsible for rt-PA-induced EMP release. The p38 MAPK inhibitor SB203580 and the poly(ADP-ribose)polymerase (PARP) inhibitor PJ34 also reduced rt-PA-induced EMP production, suggesting that p38 MAPK and PARP are downstream intracellular effectors of rt-PA/plasmin. Rt-PA also altered through plasmin the morphology and the confluence of bEnd.3 cells. By contrast, these changes did not implicate p38 MAPK and PARP. This study demonstrates that rt-PA induces the production of microparticles by cerebral endothelial cells, through plasmin, p38 MAPK and PARP pathways. Determining the phenotype of these EMPs to clarify their role on the endothelium in ischemic conditions could thus be of particular interest.
重组组织型纤溶酶原激活剂(rt-PA)溶栓是目前唯一被批准用于急性缺血性卒中的药物治疗策略。然而,rt-PA主要由于内皮损伤而表现出血管毒性。为了研究rt-PA诱导内皮改变的机制,我们评估了rt-PA在内皮微粒(EMPs)生成中的作用,EMPs是内皮功能障碍新出现的生物标志物和效应物。使用从小鼠脑衍生的内皮细胞系bEnd.3。细胞用20、40或80μg/ml的rt-PA处理15或24小时,使用膜联蛋白-V染色结合流式细胞术对培养基中的EMPs进行定量。rt-PA增强了bEnd.3细胞的EMPs释放,在40μg/ml剂量处理24小时时增加最大(与对照组相比增加78%)。使用氨甲环酸和抑肽酶,我们证明纤溶酶是rt-PA诱导EMPs释放的原因。p38丝裂原活化蛋白激酶(MAPK)抑制剂SB203580和聚(ADP-核糖)聚合酶(PARP)抑制剂PJ34也减少了rt-PA诱导的EMPs产生,表明p38 MAPK和PARP是rt-PA/纤溶酶的细胞内下游效应物。rt-PA还通过纤溶酶改变了bEnd.3细胞的形态和汇合度。相比之下,这些变化与p38 MAPK和PARP无关。本研究表明,rt-PA通过纤溶酶、p38 MAPK和PARP途径诱导脑内皮细胞产生微粒。因此,确定这些EMPs的表型以阐明它们在缺血条件下对内皮的作用可能会特别有意义。