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肝素结合表皮生长因子样生长因子(HB-EGF)反义寡核苷酸可预防高脂血症相关动脉粥样硬化。

Heparin-binding EGF-like growth factor (HB-EGF) antisense oligonucleotide protected against hyperlipidemia-associated atherosclerosis.

机构信息

Saha Cardiovascular Research Center, University of Kentucky, Lexington, KY, 40536, USA.

Cardiovascular Antisense Drug Discovery Group, Ionis Pharmaceuticals, Carlsbad, CA, 92010, USA.

出版信息

Nutr Metab Cardiovasc Dis. 2019 Mar;29(3):306-315. doi: 10.1016/j.numecd.2018.12.006. Epub 2019 Jan 9.

Abstract

BACKGROUND AND AIMS

Heparin-binding EGF-like growth factor (HB-EGF) is a representative EGF family member that interacts with EGFR under diverse stress environment. Previously, we reported that the HB-EGF-targeting using antisense oligonucleotide (ASO) effectively suppressed an aortic aneurysm in the vessel wall and circulatory lipid levels. In this study, we further examined the effects of the HB-EGF ASO administration on the development of hyperlipidemia-associated atherosclerosis using an atherogenic mouse model.

METHODS AND RESULTS

The male and female LDLR deficient mice under Western diet containing 21% fat and 0.2% cholesterol content were cotreated with control and HB-EGF ASOs for 12 weeks. We observed that the HB-EGF ASO administration effectively downregulated circulatory VLDL- and LDL-associated lipid levels in circulation; concordantly, the HB-EGF targeting effectively suppressed the development of atherosclerosis in the aorta. An EGFR blocker BIBX1382 administration suppressed the hepatic TG secretion rate, suggesting a positive role of the HB-EGF signaling for the hepatic VLDL production. We newly observed that there was a significant improvement of the insulin sensitivity by the HB-EGF ASO administration in a mouse model under the Western diet as demonstrated by the improvement of the glucose and insulin tolerances.

CONCLUSION

The HB-EGF ASO administration effectively downregulated circulatory lipid levels by suppressing hepatic VLDL production rate, which leads to effective protection against atherosclerosis in the vascular wall.

摘要

背景与目的

肝素结合表皮生长因子(HB-EGF)是一种代表性的表皮生长因子家族成员,在各种应激环境下与 EGFR 相互作用。先前,我们报道了使用反义寡核苷酸(ASO)靶向 HB-EGF 可有效抑制血管壁中的主动脉瘤和循环脂质水平。在这项研究中,我们使用致动脉粥样硬化小鼠模型进一步研究了 HB-EGF ASO 给药对高血脂相关动脉粥样硬化发展的影响。

方法和结果

雄性和雌性 LDLR 缺陷小鼠在含有 21%脂肪和 0.2%胆固醇的西方饮食中接受对照和 HB-EGF ASO 共处理 12 周。我们观察到 HB-EGF ASO 给药可有效下调循环 VLDL 和 LDL 相关脂质水平;一致地,HB-EGF 靶向可有效抑制主动脉中的动脉粥样硬化发展。EGFR 阻滞剂 BIBX1382 的给药抑制了肝 TG 分泌率,表明 HB-EGF 信号对肝 VLDL 产生具有积极作用。我们新观察到 HB-EGF ASO 给药可改善西方饮食小鼠模型的胰岛素敏感性,表现为葡萄糖和胰岛素耐量的改善。

结论

HB-EGF ASO 给药可通过抑制肝 VLDL 产生率有效下调循环脂质水平,从而有效保护血管壁免受动脉粥样硬化的侵害。

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