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Statin prevents tissue factor expression in human endothelial cells: role of Rho/Rho-kinase and Akt pathways
Masato Eto1, Toshiyuki Kozai, Francesco Cosentino
1Division of Cardiology, CardioVascular Center, University Hospital and University of Zurich, Zurich, Switzerland.
Insights
Statins inhibit thrombin-induced tissue factor expression in endothelial cells by blocking Rho/Rho-kinase and activating Akt. This clarifies statin mechanisms in acute coronary syndromes.
Area of Science:
- Cardiovascular Biology
- Cell Signaling
- Pharmacology
Background:
- Tissue factor is crucial for thrombus formation in acute coronary syndromes.
- Regulatory pathways of tissue factor expression are not fully understood.
- Statins demonstrate efficacy in treating acute coronary syndromes.
Purpose of the Study:
- Investigate thrombin-induced tissue factor signaling in human endothelial cells.
- Determine the inhibitory effects of statins on this pathway.
Main Methods:
- Utilized human aortic endothelial and smooth muscle cells.
- Assessed tissue factor expression and activity.
- Examined the roles of Rho A, p38 MAP kinase, and Akt signaling pathways.
- Employed specific inhibitors (Y-27632, SB203580, wortmannin) and simvastatin.
Main Results:
- Simvastatin inhibited thrombin-induced tissue factor expression and activity in a concentration-dependent manner.
- Simvastatin blocked thrombin-induced Rho A activation but not p38 MAP kinase activation.
- Thrombin-induced Akt dephosphorylation was inhibited by simvastatin and a Rho-kinase inhibitor.
- Mevalonate reversed the inhibitory effects of simvastatin.
Conclusions:
- Thrombin-induced tissue factor expression is regulated by Rho/Rho-kinase, Akt, and p38 MAP kinase pathways.
- Simvastatin exerts its inhibitory effect by targeting Rho/Rho-kinase and promoting Akt activation.
- These findings offer novel insights into the therapeutic actions of statins in acute coronary syndromes.
Background:
Tissue factor plays a pivotal role in thrombus formation in acute coronary syndromes. However, the regulatory mechanisms underlying tissue factor expression are poorly understood. Statins are effective in patients with acute coronary syndromes. Hence, the aim of this study was to clarify in human endothelial cells the signaling pathways of thrombin-induced tissue factor expression and potential inhibitory effects of statins.
Methods And Results:
In human aortic endothelial cells, simvastatin prevented tissue factor induction by thrombin (4 U/mL) in a concentration-dependent manner. The increase in tissue factor activity on the cell surface was also blocked by simvastatin. Simvastatin also prevented the upregulation of tissue factor expression and activity in human aortic smooth muscle cells. Mevalonate (100 micromol/L) reversed the inhibitory effect of simvastatin on tissue factor expression. Thrombin induced rapid activation of Rho A and p38 MAP kinase. The Rho-kinase inhibitor Y-27632 and the p38 MAP kinase inhibitor SB203580 prevented tissue factor induction. Akt was dephosphorylated by thrombin; the phosphoinositol 3-kinase inhibitor wortmannin enhanced its dephosphorylation as well as thrombin-induced tissue factor expression. Simvastatin prevented thrombin-induced Rho A activation but not p38 MAP kinase activation. Akt dephosphorylation by thrombin was blocked by both simvastatin and Y-27632.
Conclusions:
Endothelial tissue factor induction by thrombin is regulated by Rho/Rho-kinase, Akt, and p38 MAP kinase. Simvastatin prevents its induction through inhibition of Rho/Rho-kinase and activation of Akt. These findings provide new insights into the action of statins in acute coronary syndromes.
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