Suppr超能文献

慢性肾脏病中的高磷血症通过甘露糖苷酶介导的 SCAP N-聚糖复合物类型转换加剧动脉粥样硬化。

Hyperphosphatemia in chronic kidney disease exacerbates atherosclerosis via a mannosidases-mediated complex-type conversion of SCAP N-glycans.

机构信息

Department of Cardiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, People's Republic of China.

Department of Nephrology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, People's Republic of China.

出版信息

Kidney Int. 2021 Jun;99(6):1342-1353. doi: 10.1016/j.kint.2021.01.016. Epub 2021 Feb 23.

Abstract

Blood phosphate levels are linked to atherosclerotic cardiovascular disease in patients with chronic kidney disease (CKD), but the molecular mechanisms remain unclear. Emerging studies indicate an involvement of hyperphosphatemia in CKD accelerated atherogenesis through disturbed cholesterol homeostasis. Here, we investigated a potential atherogenic role of high phosphate concentrations acting through aberrant activation of sterol regulatory element-binding protein (SREBP) and cleavage-activating protein (SCAP)-SREBP2 signaling in patients with CKD, hyperphosphatemic apolipoprotein E (ApoE) knockout mice, and cultured vascular smooth muscle cells. Hyperphosphatemia correlated positively with increased atherosclerotic cardiovascular disease risk in Chinese patients with CKD and severe atheromatous lesions in the aortas of ApoE knockout mice. Mice arteries had elevated SCAP levels with aberrantly activated SCAP-SREBP2 signaling. Excess phosphate in vitro raised the activity of α-mannosidase, resulting in delayed SCAP degradation through promoting complex-type conversion of SCAP N-glycans. The retention of SCAP enhanced transactivation of SREBP2 and expression of 3-hydroxy-3-methyl-glutaryl coenzyme A reductase, boosting intracellular cholesterol synthesis. Elevated α-mannosidase II activity was also observed in the aortas of ApoE knockout mice and the radial arteries of patients with uremia and hyperphosphatemia. High phosphate concentration in vitro elevated α-mannosidase II activity in the Golgi, enhanced complex-type conversion of SCAP N-glycans, thereby upregulating intracellular cholesterol synthesis. Thus, our studies explain how hyperphosphatemia independently accelerates atherosclerosis in CKD.

摘要

血磷酸盐水平与慢性肾脏病(CKD)患者的动脉粥样硬化性心血管疾病有关,但分子机制尚不清楚。新出现的研究表明,高磷血症通过干扰胆固醇稳态参与 CKD 加速动脉粥样硬化形成。在这里,我们研究了高磷酸盐浓度通过异常激活固醇调节元件结合蛋白(SREBP)和切割激活蛋白(SCAP)-SREBP2 信号通路在 CKD 患者、高磷血症载脂蛋白 E(ApoE)敲除小鼠和培养的血管平滑肌细胞中发挥潜在致动脉粥样硬化作用的可能性。高磷血症与中国 CKD 患者动脉粥样硬化性心血管疾病风险增加以及 ApoE 敲除小鼠主动脉粥样硬化病变严重程度呈正相关。小鼠动脉中的 SCAP 水平升高,SCAP-SREBP2 信号通路异常激活。体外过量的磷酸盐会提高α-甘露糖苷酶的活性,通过促进 SCAP N-糖链的复合型转化,导致 SCAP 降解延迟。SCAP 的保留增强了 SREBP2 的反式激活和 3-羟-3-甲基戊二酰辅酶 A 还原酶的表达,从而促进细胞内胆固醇的合成。在 ApoE 敲除小鼠的主动脉和高磷血症尿毒症患者的桡动脉中也观察到α-甘露糖苷酶 II 活性升高。体外高磷酸盐浓度可提高高尔基体内α-甘露糖苷酶 II 的活性,增强 SCAP N-糖链的复合型转化,从而上调细胞内胆固醇的合成。因此,我们的研究解释了高磷血症如何独立加速 CKD 中的动脉粥样硬化。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验