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过氧化物酶 2 缺乏加剧血管紧张素Ⅱ诱导的腹主动脉瘤。

Deficiency of peroxiredoxin 2 exacerbates angiotensin II-induced abdominal aortic aneurysm.

机构信息

Cardiovascular Division, Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA.

Biotherapeutics Translational Research Center, Korea Research Institute of Bioscience & Biotechnology, Daejeon, Republic of Korea.

出版信息

Exp Mol Med. 2020 Sep;52(9):1587-1601. doi: 10.1038/s12276-020-00498-3. Epub 2020 Sep 14.

Abstract

Abdominal aortic aneurysm (AAA) is an inflammatory vascular disease characterized by structural deterioration of the aorta caused by inflammation and oxidative stress, leading to aortic dilatation and rupture. Peroxiredoxin 2 (PRDX2), an antioxidant enzyme, has been reported as a potential negative regulator of inflammatory vascular diseases, and it has been identified as a protein that is increased in patients with ruptured AAA compared to patients with nonruptured AAA. In this study, we demonstrated that PRDX2 was a pivotal factor involved in the inhibition of AAA progression. PRDX2 levels were increased in AAA compared with those in normal aortas in both humans and mice. Ultrasound imaging revealed that the loss of PRDX2 accelerated the development of AAA in the early stages and increased AAA incidence in mice infused with angiotensin II (Ang II). Prdx2 mice infused with Ang II exhibited increased aortic dilatation and maximal aortic diameter without a change in blood pressure. Structural deterioration of the aortas from Prdx2 mice infused with Ang II was associated with increases in the degradation of elastin, oxidative stress, and intramural thrombi caused by microhemorrhages, immature neovessels, and the activation of matrix metalloproteinases compared to that observed in controls. Moreover, an increase in inflammatory responses, including the production of cell adhesion molecules and the accumulation of inflammatory cells and proinflammatory cytokines due to PRDX2 deficiency, accelerated Ang II-induced AAA progression. Our data confirm that PRDX2 plays a role as a negative regulator of the pathological process of AAA and suggest that increasing PRDX2 activity may be a novel strategy for the prevention and treatment of AAA.

摘要

腹主动脉瘤(AAA)是一种炎症性血管疾病,其特征为炎症和氧化应激引起的主动脉结构恶化,导致主动脉扩张和破裂。过氧化物酶 2(PRDX2)是一种抗氧化酶,已被报道为炎症性血管疾病的潜在负调控因子,并且已被确定为与非破裂性 AAA 患者相比,破裂性 AAA 患者中增加的蛋白质。在这项研究中,我们证明 PRDX2 是抑制 AAA 进展的关键因素。AAA 中的 PRDX2 水平高于人类和小鼠的正常主动脉。超声成像显示,PRDX2 的缺失加速了 AAA 在早期阶段的发展,并增加了 Ang II 输注小鼠的 AAA 发生率。Ang II 输注的 Prdx2 小鼠表现出主动脉扩张增加和最大主动脉直径增加,而血压没有变化。与对照相比,Ang II 输注的 Prdx2 小鼠的主动脉结构恶化与弹性蛋白降解增加、氧化应激以及微出血、不成熟的新生血管和基质金属蛋白酶激活引起的壁内血栓形成有关。此外,由于 PRDX2 缺乏导致的炎症反应增加,包括细胞黏附分子的产生以及炎症细胞和促炎细胞因子的积累,加速了 Ang II 诱导的 AAA 进展。我们的数据证实 PRDX2 作为 AAA 病理过程的负调节剂发挥作用,并表明增加 PRDX2 活性可能是预防和治疗 AAA 的一种新策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62b8/8080566/4e17d6685f44/12276_2020_498_Fig1_HTML.jpg

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