Department of Endocrinology, The Second Affiliated Hospital, Hengyang Medical School, University of South China, No. 35 Jiefang Road, Zhengxiang District, Hengyang, 421001, Hunan Province, China.
Department of Gastroenterology, Hengyang Central Hospital, Hengyang, 421001, China.
Cardiovasc Toxicol. 2024 Jun;24(6):587-597. doi: 10.1007/s12012-024-09863-4. Epub 2024 May 1.
Vascular lesions frequently arise as complication in patients diagnosed with diabetes mellitus (DM). Presently, percutaneous coronary intervention (PCI) and antithrombotic therapy serve as primary treatments. However, in-stent restenosis persists as a challenging clinical issue following PCI, lacking sustained and effective treatment. Linarin (LN) exhibits diverse pharmacological activities and is regarded as a potential drug for treating various diseases, including DM. But its specific role in restenosis after vascular injury in DM patients remains unclear. A rat model of diabetes-related restenosis was established to evaluate the role of LN on neointimal hyperplasia. Vascular smooth muscle cells (VSMCs) stimulated by high glucose (HG, 30 mM) underwent LN treatment. Additionally, an overexpression plasmid of A disintegrin and metalloproteinases (ADAM10) was constructed to transfect VSMCs. We employed CCK-8, Brdu, wound-healing scratch, and transwell migration assays to evaluate the proliferation and migration of VSMCs. Furthermore, western blot and immunofluorescence assays were utilized to investigate the expressions of ADAM10 and the downstream Notch signaling pathway in vivo and in vitro models. LN notably alleviated intimal hyperplasia after vascular injury in DM rats and reduced the protein expression of ADAM10, alongside its downstream Notch1 signaling pathway-related proteins (Notch1, NICD and Hes1) in rat carotid artery tissues. LN effectively suppressed the proliferation and migration of VSMCs induced by HG, downregulating the protein expression of ADAM10, Notch1, NICD and Hes1. Moreover, our findings indicated that ADAM10 overexpression significantly reversed LN's effects on proliferation, migration, and the expression of Notch1 signaling pathway-related proteins in HG-treated VSMCs. LN demonstrates potential therapeutic efficacy in addressing restenosis after diabetic-related vascular injury, with the ADAM10 mediated Notch signaling pathway playing a pivotal role.
血管病变常作为糖尿病(DM)患者的并发症出现。目前,经皮冠状动脉介入治疗(PCI)和抗血栓治疗是主要的治疗方法。然而,PCI 后支架内再狭窄仍然是一个具有挑战性的临床问题,缺乏持续有效的治疗。亚麻酸(LN)具有多种药理活性,被认为是治疗包括 DM 在内的各种疾病的潜在药物。但其在 DM 患者血管损伤后再狭窄中的具体作用尚不清楚。建立糖尿病相关再狭窄大鼠模型,评估 LN 对新生内膜增生的作用。高糖(HG,30mM)刺激的血管平滑肌细胞(VSMCs)接受 LN 治疗。此外,构建了 A 型金属蛋白酶(ADAM10)的过表达质粒转染 VSMCs。我们采用 CCK-8、Brdu、划痕愈合和 Transwell 迁移实验评估 VSMCs 的增殖和迁移。进一步,采用 Western blot 和免疫荧光实验,在体内和体外模型中研究 ADAM10 及其下游 Notch 信号通路的表达。LN 显著减轻 DM 大鼠血管损伤后的内膜增生,并降低大鼠颈动脉组织中 ADAM10 及其下游 Notch1 信号通路相关蛋白(Notch1、NICD 和 Hes1)的蛋白表达。LN 有效抑制 HG 诱导的 VSMCs 的增殖和迁移,下调 ADAM10、Notch1、NICD 和 Hes1 的蛋白表达。此外,我们的研究结果表明,ADAM10 过表达显著逆转 LN 对 HG 处理的 VSMCs 增殖、迁移和 Notch1 信号通路相关蛋白表达的影响。LN 对糖尿病相关血管损伤后再狭窄具有潜在的治疗效果,ADAM10 介导的 Notch 信号通路发挥关键作用。
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