Srivastava Swayam Prakash, Zhou Han, Shenoi Rachel, Morris Myshal, Lainez-Mas Begoña, Takagaki Yuta, Rajendran Barani Kumar, Setia Ocean, Aryal Binod, Kanasaki Keizo, Koya Daisuke, Inoki Ken, Dardik Alan, Fernández-Hernando Carlos, Shulman Gerald I, Goodwin Julie E
Department of Pediatrics, Yale University School of Medicine, New Haven, CT.
Vascular Biology and Therapeutics Program, Yale University, New Haven, CT.
bioRxiv. 2025 May 12:2025.05.08.652142. doi: 10.1101/2025.05.08.652142.
The role of cell-specific ANGPTL4 is not well known in the context of ECs, specifically in pathological angiogenesis and its relation to diabetic kidney disease. Here, we demonstrate that endothelial ANGPTL4 is required to induce a metabolic phenotype that favors mesenchymal activation in ECs and tubules in diabetic conditions. Diabetes accelerates mesenchymal activation and fibrogenesis in control mice however, the same effects were not observed in endothelial-cell specific knock out mice. This mesenchymal activation in diabetes is directly linked with pathological neovascularization, endothelial leakage, lipid and glycolysis metabolite load, de novo lipogenesis (DNL) and related mitochondrial damage, activation of the immune system, c-GAS-STING activation and transcription of pro-inflammatory cytokines. However, endothelial ANGPTL4-depleted mice had stable vessels, improved levels of lipid and glucose metabolism, suppressed levels of DNL, restored mitochondrial function, and mitigated levels of c-GAS-STING-mediated inflammation. Moreover, Inhibition of DNL, and STING via small molecule inhibitors suppressed pathological neovascularization and endothelial leakage, normalized fatty acid oxidation and reduced pathological glycolysis and de novo lipogenesis (DNL). These data demonstrate the crucial roles of endothelial ANGPTL4 in regulating pathogenic angiogenesis in the renal vasculature during diabetes.
在血管内皮细胞(ECs)的背景下,细胞特异性血管生成素样蛋白4(ANGPTL4)的作用尚不明确,特别是在病理性血管生成及其与糖尿病肾病的关系方面。在此,我们证明内皮细胞ANGPTL4是诱导一种代谢表型所必需的,这种代谢表型有利于糖尿病条件下ECs和肾小管中的间充质激活。糖尿病会加速对照小鼠的间充质激活和纤维化,然而,在内皮细胞特异性敲除小鼠中未观察到相同的效果。糖尿病中的这种间充质激活与病理性新生血管形成、内皮渗漏、脂质和糖酵解代谢产物负荷、从头脂肪生成(DNL)及相关的线粒体损伤、免疫系统激活、c-GAS-STING激活和促炎细胞因子的转录直接相关。然而,内皮细胞ANGPTL4缺失的小鼠血管稳定,脂质和葡萄糖代谢水平改善,DNL水平受到抑制,线粒体功能恢复,c-GAS-STING介导的炎症水平减轻。此外,通过小分子抑制剂抑制DNL和STING可抑制病理性新生血管形成和内皮渗漏,使脂肪酸氧化正常化,并减少病理性糖酵解和从头脂肪生成(DNL)。这些数据证明了内皮细胞ANGPTL4在糖尿病期间调节肾血管系统中致病性血管生成的关键作用。
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