通过干扰 TGFβ1 信号通路,血管抑素抑制血管平滑肌细胞钙化。

Inhibition of vascular smooth muscle cell calcification by vasorin through interference with TGFβ1 signaling.

机构信息

Department of Internal Medicine and Cardiology, Charité - Universitätsmedizin Berlin, Campus Virchow-Klinikum, Augustenburgerplatz 1, 13353 Berlin, Germany; Institute for Physiology and Pathophysiology, Johannes Kepler University Linz, Altenberger Strasse 69, 4040 Linz, Austria.

Department of Internal Medicine and Cardiology, Charité - Universitätsmedizin Berlin, Campus Virchow-Klinikum, Augustenburgerplatz 1, 13353 Berlin, Germany.

出版信息

Cell Signal. 2019 Dec;64:109414. doi: 10.1016/j.cellsig.2019.109414. Epub 2019 Sep 7.

Abstract

Elevated transforming growth factor β1 (TGFβ1) levels are frequently observed in chronic kidney disease (CKD) patients. TGFβ1 contributes to development of medial vascular calcification during hyperphosphatemia, a pathological process promoted by osteo-/chondrogenic transdifferentiation of vascular smooth muscle cells (VSMCs). Vasorin is a transmembrane glycoprotein highly expressed in VSMCs, which is able to bind TGFβ to inhibit TGFβ signaling. Thus, the present study explored the effects of vasorin on osteo-/chondrogenic transdifferentiation and calcification of VSMCs. Primary human aortic smooth muscle cells (HAoSMCs) were treated with recombinant human TGFβ1 or β-glycerophosphate without or with recombinant human vasorin or vasorin gene silencing by siRNA. As a result, TGFβ1 down-regulated vasorin mRNA expression in HAoSMCs. Vasorin supplementation inhibited TGFβ1-induced pathway activation, SMAD2 phosphorylation and downstream target genes expression in HAoSMCs. Furthermore, treatment with exogenous vasorin blunted, while vasorin knockdown augmented TGFβ1-induced osteo-/chondrogenic transdifferentiation of HAoSMCs. In addition, phosphate down-regulated vasorin mRNA expression in HAoSMCs. Phosphate-induced TGFβ1 expression was not affected by addition of exogenous vasorin. Nonetheless, the phosphate-induced TGFβ1 signaling, osteo-/chondrogenic transdifferentiation and calcification of HAoSMCs were all blunted by vasorin. Conversely, silencing of vasorin aggravated osteoinduction in HAoSMCs during high phosphate conditions. Aortic vasorin expression was reduced in the hyperphosphatemic klotho-hypomorphic mouse model of CKD-related vascular calcification. In conclusion, vasorin, which suppresses TGFβ1 signaling and protects against osteo-/chondrogenic transdifferentiation and calcification of VSMCs, is reduced by pro-calcifying conditions. Thus, vasorin is a novel key regulator of VSMC calcification and may represent a potential therapeutic target for vascular calcification during CKD.

摘要

转化生长因子 β1(TGFβ1)水平升高在慢性肾脏病(CKD)患者中经常观察到。TGFβ1在高磷血症期间促进中膜血管钙化的发展,这是一个由血管平滑肌细胞(VSMCs)的骨/软骨转化分化促进的病理过程。血管紧张素原是一种在 VSMCs 中高度表达的跨膜糖蛋白,能够结合 TGFβ 以抑制 TGFβ 信号。因此,本研究探讨了血管紧张素原对 VSMCs 的骨/软骨转化分化和钙化的影响。用重组人 TGFβ1 或β-甘油磷酸盐处理原代人主动脉平滑肌细胞(HAoSMCs),而不处理或用重组人血管紧张素原或血管紧张素原基因 siRNA 沉默处理。结果表明,TGFβ1 下调 HAoSMCs 中的血管紧张素原 mRNA 表达。血管紧张素原补充抑制 TGFβ1 诱导的 HAoSMCs 通路激活、SMAD2 磷酸化和下游靶基因表达。此外,外源性血管紧张素原处理减弱,而血管紧张素原敲低增强 TGFβ1 诱导的 HAoSMCs 骨/软骨转化分化。此外,磷酸盐下调 HAoSMCs 中的血管紧张素原 mRNA 表达。外源性血管紧张素原的添加不影响磷酸盐诱导的 TGFβ1 表达。尽管如此,磷酸盐诱导的 TGFβ1 信号、HAoSMCs 的骨/软骨转化分化和钙化均被血管紧张素原减弱。相反,在高磷条件下,沉默血管紧张素原加重了 HAoSMCs 的成骨诱导。在 CKD 相关血管钙化的高磷 klotho 低表达小鼠模型中,主动脉血管紧张素原表达减少。总之,血管紧张素原抑制 TGFβ1 信号并防止 VSMCs 的骨/软骨转化分化和钙化,在促钙化条件下减少。因此,血管紧张素原是 VSMC 钙化的新的关键调节剂,可能代表 CKD 期间血管钙化的潜在治疗靶点。

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