抑制组蛋白甲基转移酶 EZH2 可诱导血管僵硬。

Inhibition of the histone methyltransferase EZH2 induces vascular stiffness.

机构信息

Molecular Cardiology Research Institute, Tufts Medical Center, Boston, MA 02111, U.S.A.

Department of Medical Pharmacology and Physiology, Dalton Cardiovascular Research Center, University of Missouri, Columbia, MO 65203, U.S.A.

出版信息

Clin Sci (Lond). 2024 Mar 6;138(5):251-268. doi: 10.1042/CS20231478.

Abstract

Vascular stiffness increases with aging, obesity and hypertension and predicts cardiovascular risk. The levels of histone H3-lysine-27 methylation (H3K27me) and the histone methyltransferase EZH2 both decrease in aging vessels, driving vascular stiffness. The impact of EZH2 inhibitors on vascular stiffness is unknown. We tested the hypothesis that the EZH2 inhibitor GSK126, currently in development for cancer treatment, increases vascular stiffness and explored underlying molecular mechanisms. Young (3 month) and middle-aged (12 month) male mice were treated with GSK126 for 1-2 months and primary human aortic smooth muscle cells (HASMCs) from young male and female donors were treated with GSK126 for 24-48 h. Stiffness was measured in vivo by pulse wave velocity and in vitro by atomic force microscopy (AFM) and vascular structure was quantified histologically. Extracellular matrix proteins were studied by qRT-PCR, immunoblotting, zymography and chromatin immunoprecipitation. GSK126 treatment decreased H3K27 methylation (H3K27me) and increased acetylation (H3K27ac) in mouse vessels and in HASMCs. In GSK126-treated mice, aortic stiffness increased without changes in vascular fibrosis. EZH2 inhibition enhanced elastin fiber degradation and matrix metalloprotease-2 (MMP2) expression. In HASMCs, GSK126 treatment increased synthetic phenotype markers and intrinsic HASMCs stiffness by AFM with altered cytoskeletal structure and increased nuclear actin staining. GSK126 also increased MMP2 protein expression, activity and enrichment of H3K27ac at the MMP2 promoter in HASMCs. GSK126 causes vascular stiffening, inducing MMP2 activity, elastin degradation, and modulation of SMC phenotype and cytoskeletal stiffness. These findings suggest that EZH2 inhibitors used to treat cancer could negatively impact the vasculature by enhancing stiffness and merits examination in human trials.

摘要

血管僵硬随着年龄增长、肥胖和高血压而增加,并预测心血管风险。组蛋白 H3-赖氨酸-27 甲基化(H3K27me)和组蛋白甲基转移酶 EZH2 的水平在衰老的血管中均降低,从而导致血管僵硬。EZH2 抑制剂对血管僵硬的影响尚不清楚。我们检验了 EZH2 抑制剂 GSK126(目前正在开发用于癌症治疗)增加血管僵硬的假设,并探讨了潜在的分子机制。年轻(3 个月)和中年(12 个月)雄性小鼠用 GSK126 治疗 1-2 个月,年轻和成年雄性供体的原代人主动脉平滑肌细胞(HASMCs)用 GSK126 治疗 24-48 小时。通过脉搏波速度在体内测量僵硬,通过原子力显微镜(AFM)在体外测量僵硬,并通过组织学定量血管结构。通过 qRT-PCR、免疫印迹、凝胶酶谱和染色质免疫沉淀研究细胞外基质蛋白。GSK126 处理降低了小鼠血管和 HASMCs 中的 H3K27 甲基化(H3K27me)并增加了乙酰化(H3K27ac)。在 GSK126 处理的小鼠中,主动脉僵硬增加而血管纤维化没有变化。EZH2 抑制增强了弹性纤维降解和基质金属蛋白酶-2(MMP2)表达。在 HASMCs 中,GSK126 处理通过 AFM 增加了合成表型标志物和 HASMCs 的固有僵硬,其细胞骨架结构改变,核肌动蛋白染色增加。GSK126 还增加了 HASMCs 中 MMP2 蛋白表达、活性和 MMP2 启动子处 H3K27ac 的富集。GSK126 还增加了 MMP2 蛋白表达、活性和 HASMCs 中 MMP2 启动子处 H3K27ac 的富集。GSK126 导致血管僵硬,诱导 MMP2 活性、弹性蛋白降解以及 SMC 表型和细胞骨架僵硬的调节。这些发现表明,用于治疗癌症的 EZH2 抑制剂可能通过增强僵硬而对血管系统产生负面影响,值得在人类试验中进行检查。

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