Heart Center and Beijing Key Laboratory of Hypertension, Beijing Chaoyang Hospital and Beijing Institute of Respiratory Medicine, Capital Medical University, Beijing, 100020, China.
Department of Cardiology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, 100020, China.
Mol Med. 2024 Nov 20;30(1):223. doi: 10.1186/s10020-024-00997-3.
BACKGROUND: Vascular calcification is a crucial pathophysiological process associated with age-related cardiovascular diseases. Elabela, a recently identified peptide, has emerged as a significant player in the regulation of cardiovascular function and homeostasis. However, the effects and underlying mechanisms of Elabela on age-related vascular calcification remain largely unexplored. METHODS: In-vivo vascular calcifications of C57BL/6J mice (8-week-old) and young (8-week-old) or aged (72-week-old) SD rats were injected with vitamin D3 (VitD3) or saline, respectively. Furthermore, the VitD3-overloaded mice received Elabela (1 mg/kg/d), peroxisome proliferators-activated receptor-γ (PPAR-γ) activator Rosiglitazone (5 mg/kg/d) or copper-ionophore Elesclomol (20 mg/kg/d), respectively. As for in-vitro studies, primary rat vascular smooth muscle cells (VSMCs) were isolated from aortas and cultured for explore the role and underlying mechanism of Elabela in vascular calcification. RESULTS: There were marked increases in FDX1 and Slc31a1 levels in both aortas and VSMCs during vascular calcification, coinciding with a rise in copper levels and a decrease in Elabela levels. Alizarin red and von-Kossa staining indicated that the administration of Elabela effectively hindered the progression of vascular cuproptosis and arterial calcification in VitD3-overloaded mice and rat arterial rings models. Moreover, Elabela significantly suppressed osteogenic differentiation and calcium deposition in VSMCs and strikingly reversed high phosphate-induced augmentation of FDX1 expression, DLAT aggregation as well as intracellular copper ion levels. More importantly, Elabela exhibited remarkable abilities to prevent mitochondrial dysfunctions in primary rat VSMCs by maintaining mitochondrial membrane potential, inhibiting mitochondrial division, reducing mitochondrial ROS production and increasing ATP levels. Interestingly, Elabela mitigated cellular senescence and production of pro-inflammatory cytokines including IL-1α, IL-1β, IL-6, IL-18 and TNF-α, respectively. Furthermore, Elabela upregulated the protein levels of PPAR-γ in VitD3-overloaded mice. Administrating PPAR-γ inhibitor GW9662 or blocking the efflux of intracellular copper abolished the protective effect of Elabela on vascular calcification by enhancing levels of FDX1, Slc31a1, Runx2, and BMP2. CONCLUSION: Elabela plays a crucial role in protecting against vascular cuproptosis and arterial calcification by activating the PPAR-γ /FDX1 signaling. Elabela supplementation and cuproptosis suppression serve as effective therapeutic approaches for managing vascular calcification and related cardiovascular disorders.
背景:血管钙化是与年龄相关的心血管疾病相关的关键病理生理过程。Elabela 是一种新发现的肽,它在心血管功能和稳态的调节中起着重要作用。然而,Elabela 对与年龄相关的血管钙化的作用和潜在机制在很大程度上仍未得到探索。
方法:在 C57BL/6J 小鼠(8 周龄)和年轻(8 周龄)或老年(72 周龄)SD 大鼠的体内血管钙化模型中,分别注射维生素 D3(VitD3)或生理盐水。此外,VitD3 超负荷的小鼠分别接受 Elabela(1mg/kg/d)、过氧化物酶体增殖物激活受体-γ(PPAR-γ)激动剂罗格列酮(5mg/kg/d)或铜离子载体 Elesclomol(20mg/kg/d)治疗。在体外研究中,从主动脉分离原代大鼠血管平滑肌细胞(VSMCs)并进行培养,以探讨 Elabela 在血管钙化中的作用和潜在机制。
结果:在血管钙化过程中,主动脉和 VSMCs 中的 FDX1 和 Slc31a1 水平明显升高,同时铜水平升高,Elabela 水平降低。茜素红和 von-Kossa 染色表明,Elabela 的给药可有效抑制 VitD3 超负荷小鼠和大鼠动脉环模型中血管铜死亡和动脉钙化的进展。此外,Elabela 可显著抑制 VSMCs 的成骨分化和钙沉积,并显著逆转高磷诱导的 FDX1 表达、DLAT 聚集以及细胞内铜离子水平的增加。更重要的是,Elabela 通过维持线粒体膜电位、抑制线粒体分裂、减少线粒体 ROS 产生和增加 ATP 水平,显著防止原代大鼠 VSMCs 的线粒体功能障碍。有趣的是,Elabela 减轻了细胞衰老和促炎细胞因子的产生,包括 IL-1α、IL-1β、IL-6、IL-18 和 TNF-α。此外,Elabela 上调了 VitD3 超负荷小鼠中 PPAR-γ 的蛋白水平。给予 PPAR-γ 抑制剂 GW9662 或阻断细胞内铜的流出可通过增加 FDX1、Slc31a1、Runx2 和 BMP2 的水平,消除 Elabela 对血管钙化的保护作用。
结论:Elabela 通过激活 PPAR-γ/FDX1 信号通路,在防止血管铜死亡和动脉钙化中发挥关键作用。Elabela 补充和铜死亡抑制是管理血管钙化和相关心血管疾病的有效治疗方法。
Aging (Albany NY). 2020-3-31
Arterioscler Thromb Vasc Biol. 2014-2-27
Acta Pharmacol Sin. 2022-3
J Mol Cell Cardiol. 2017-11-29
Biomed Pharmacother. 2023-12-31
Cardiovasc Res. 2023-12-30