HMG-CoA reductase inhibitors (statins) increase endothelial progenitor cells via the PI 3-kinase/Akt pathway
1Division of Molecular Cardiology, Department of Medicine IV, University of Frankfurt, Frankfurt, Germany. Dimmeler@em.uni-frankfurt.de
Insights
Statins, used for lowering cholesterol, significantly boost the differentiation of endothelial progenitor cells (EPCs). This action, mediated by the PI3K/Akt pathway, may explain their cardiovascular benefits.
Area of Science:
- Cardiovascular Science
- Hematology
- Molecular Biology
Background:
- HMG-CoA reductase inhibitors (statins) are primary lipid-lowering agents proven to reduce cardiovascular disease morbidity and mortality.
- Endothelial progenitor cells (EPCs) play a crucial role in vascular repair and neovascularization.
Purpose of the Study:
- To investigate the effect of statins on endothelial progenitor cell differentiation.
- To elucidate the molecular mechanisms underlying statin-induced EPC differentiation.
Main Methods:
- Isolation of mononuclear cells and CD34-positive hematopoietic stem cells from peripheral blood.
- Treatment of mice with statins and analysis of hematopoietic stem cell populations.
- Assessment of the PI3K/Akt pathway involvement using pharmacological inhibitors and genetic constructs.
Main Results:
- Statins potently augmented EPC differentiation in human cells and increased hematopoietic stem cells and differentiated EPCs in mice.
- Statin-induced EPC differentiation was dependent on the PI3K/Akt pathway.
- Vascular Endothelial Growth Factor (VEGF) also utilizes the Akt pathway to enhance EPC numbers.
Conclusions:
- Statins significantly enhance EPC differentiation, potentially through the PI3K/Akt pathway.
- Augmentation of circulating EPCs by statins may contribute significantly to their cardioprotective effects in coronary artery disease patients.
Abstract:
HMG-CoA reductase inhibitors (statins) have been developed as lipid-lowering drugs and are well established to reduce morbidity and mortality from coronary artery disease. Here we demonstrate that statins potently augment endothelial progenitor cell differentiation in mononuclear cells and CD34-positive hematopoietic stem cells isolated from peripheral blood. Moreover, treatment of mice with statins increased c-kit(+)/Sca-1(+)--positive hematopoietic stem cells in the bone marrow and further elevated the number of differentiated endothelial progenitor cells (EPCs). Statins induce EPC differentiation via the PI 3-kinase/Akt (PI3K/Akt) pathway as demonstrated by the inhibitory effect of pharmacological PI3K blockers or overexpression of a dominant negative Akt construct. Similarly, the potent angiogenic growth factor VEGF requires Akt to augment EPC numbers, suggesting an essential role for Akt in regulating hematopoietic progenitor cell differentiation. Given that statins are at least as potent as VEGF in increasing EPC differentiation, augmentation of circulating EPC might importantly contribute to the well-established beneficial effects of statins in patients with coronary artery disease.
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