Yin Hang, Li Xiaoxing, Lu Dazhou, Zhao Xin, Yang Zeyu, Wang Zerui, Xu Feng, Chen Yuguo, Li Chuanbao
Department of Emergency Medicine, Qilu Hospital of Shandong University, Jinan, People's Republic of China.
Shandong Provincial Clinical Research Center for Emergency and Critical Care Medicine, Institute of Emergency and Critical Care Medicine of Shandong University, Chest Pain Center, Qilu Hospital of Shandong University, Jinan, People's Republic of China.
J Inflamm Res. 2025 Feb 5;18:1719-1738. doi: 10.2147/JIR.S485163. eCollection 2025.
Aortic dissection (AD) is a life-threatening cardiovascular emergency and currently lacks effective drug treatment. Inflammation is a critical mechanism in the development of AD, and identifying specific molecular targets to regulate inflammation is crucial for stopping its progression. This study aimed to investigate the role of MR-1 and ROCK1 in the regulation of inflammation in AD and their potentialities as therapeutic targets.
Researchers performed protein immunoblotting on aortic wall tissue from 10 patients who underwent aortic arch replacement and 10 patients who underwent coronary artery bypass grafting to examine the expression levels of MR-1, ROCK1, and inflammatory pathways in the aortas. In vitro experiments, human aortic smooth muscle cells were extracted, and an in vitro dissection model was constructed with angiotensin II. siRNA silencing studies were performed to investigate the effects of MR-1 and ROCK1 on the development of AD and their interconnections.
Analysis of aortic tissues revealed significantly elevated levels of MR-1 and ROCK1 in AD patients, and meanwhile the inflammatory indexes showed the same trend. Furthermore, it was observed that overexpression of MR-1 and ROCK1 facilitated smooth muscle cell phenotypic transformation and augmented matrix metalloproteinase release in in vitro settings through inflammatory pathway activation. The relationship between MR-1 and ROCK1 was elucidated, too.
MR-1 and ROCK1 overexpression is associated with the occurrence and development of AD through inflammation. This study highlights the role of inflammation in AD development and tap the potentiality of using MR-1 and ROCK1 as targets to alleviate AD development.
主动脉夹层(AD)是一种危及生命的心血管急症,目前缺乏有效的药物治疗。炎症是AD发生发展的关键机制,确定调控炎症的特定分子靶点对于阻止其进展至关重要。本研究旨在探讨MR-1和ROCK1在AD炎症调控中的作用及其作为治疗靶点的潜力。
研究人员对10例行主动脉弓置换术的患者和10例行冠状动脉旁路移植术的患者的主动脉壁组织进行蛋白质免疫印迹,以检测主动脉中MR-1、ROCK1及炎症通路的表达水平。在体外实验中,提取人主动脉平滑肌细胞,用血管紧张素II构建体外夹层模型。进行小干扰RNA沉默研究,以探究MR-1和ROCK1对AD发展的影响及其相互关系。
主动脉组织分析显示,AD患者中MR-1和ROCK1水平显著升高,同时炎症指标呈现相同趋势。此外,观察到MR-1和ROCK1的过表达在体外通过激活炎症途径促进平滑肌细胞表型转化并增加基质金属蛋白酶释放。MR-1与ROCK1之间的关系也得到了阐明。
MR-1和ROCK1的过表达通过炎症与AD的发生发展相关。本研究突出了炎症在AD发展中的作用,并挖掘了将MR-1和ROCK1作为靶点以减轻AD发展的潜力。