Yeung Jennifer, Adili Reheman, Yamaguchi Adriana, Freedman Cody J, Chen Angela, Shami Ryan, Das Aditi, Holman Theodore R, Holinstat Michael
Department of Pharmacology, University of Michigan Medical School, Ann Arbor, MI.
Department of Chemistry and Biochemistry, University of California Santa Cruz, Santa Cruz, CA.
Blood Adv. 2020 Sep 22;4(18):4522-4537. doi: 10.1182/bloodadvances.2020002493.
Arterial thrombosis is the underlying cause for a number of cardiovascular-related events. Although dietary supplementation that includes polyunsaturated fatty acids (PUFAs) has been proposed to elicit cardiovascular protection, a mechanism for antithrombotic protection has not been well established. The current study sought to investigate whether an omega-6 essential fatty acid, docosapentaenoic acid (DPAn-6), and its oxidized lipid metabolites (oxylipins) provide direct cardiovascular protection through inhibition of platelet reactivity. Human and mouse blood and isolated platelets were treated with DPAn-6 and its 12-lipoxygenase (12-LOX)-derived oxylipins, 11-hydroxy-docosapentaenoic acid and 14-hydroxy-docosapentaenoic acid, to assess their ability to inhibit platelet activation. Pharmacological and genetic approaches were used to elucidate a role for DPA and its oxylipins in preventing platelet activation. DPAn-6 was found to be significantly increased in platelets following fatty acid supplementation, and it potently inhibited platelet activation through its 12-LOX-derived oxylipins. The inhibitory effects were selectively reversed through inhibition of the nuclear receptor peroxisome proliferator activator receptor-α (PPARα). PPARα binding was confirmed using a PPARα transcription reporter assay, as well as PPARα-/- mice. These approaches confirmed that selectivity of platelet inhibition was due to effects of DPA oxylipins acting through PPARα. Mice administered DPAn-6 or its oxylipins exhibited reduced thrombus formation following vessel injury, which was prevented in PPARα-/- mice. Hence, the current study demonstrates that DPAn-6 and its oxylipins potently and effectively inhibit platelet activation and thrombosis following a vascular injury. Platelet function is regulated, in part, through an oxylipin-induced PPARα-dependent manner, suggesting that targeting PPARα may represent an alternative strategy to treat thrombotic-related diseases.
动脉血栓形成是许多心血管相关事件的根本原因。尽管已有人提出包含多不饱和脂肪酸(PUFAs)的膳食补充剂具有心血管保护作用,但抗血栓保护机制尚未完全明确。本研究旨在探究ω-6必需脂肪酸二十二碳五烯酸(DPAn-6)及其氧化脂质代谢产物(氧化脂质)是否通过抑制血小板反应性提供直接的心血管保护作用。用DPAn-6及其12-脂氧合酶(12-LOX)衍生的氧化脂质11-羟基二十二碳五烯酸和14-羟基二十二碳五烯酸处理人和小鼠的血液及分离出的血小板,以评估它们抑制血小板活化的能力。采用药理学和遗传学方法阐明DPA及其氧化脂质在预防血小板活化中的作用。研究发现,脂肪酸补充后血小板中DPAn-6显著增加,且它通过其12-LOX衍生的氧化脂质有效抑制血小板活化。通过抑制核受体过氧化物酶体增殖物激活受体-α(PPARα)可选择性逆转这种抑制作用。使用PPARα转录报告基因检测以及PPARα基因敲除小鼠证实了PPARα的结合。这些方法证实血小板抑制的选择性是由于DPA氧化脂质通过PPARα发挥作用。给予DPAn-6或其氧化脂质的小鼠在血管损伤后血栓形成减少,而在PPARα基因敲除小鼠中这种作用被阻断。因此,本研究表明DPAn-6及其氧化脂质能有效抑制血管损伤后的血小板活化和血栓形成。血小板功能部分通过氧化脂质诱导的PPARα依赖性方式调节,这表明靶向PPARα可能是治疗血栓相关疾病的一种替代策略。