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Updated: Jul 14, 2026

On-Chip Endothelial Inflammatory Phenotyping
Published on: July 22, 2012
Gene expression profiling of inflamed human endothelial cells and influence of activated protein C
Nicola Franscini1, Esther B Bachli, Nenad Blau
1Medical Clinic B Research Unit, Department of Medicine, University Hospital, Zürich, Switzerland.
Insights
Activated protein C (APC) reduces inflammation in human coronary artery endothelial cells by downregulating key inflammatory genes. This pathway offers a novel anti-inflammatory mechanism, particularly effective in mild to moderate inflammation.
Area of Science:
- Endothelial biology
- Inflammation research
- Coagulation and inflammation pathways
Background:
- Systemic inflammation activates vascular endothelium, causing hypotension, thrombosis, and organ damage.
- The activated protein C (APC) pathway links coagulation and inflammation.
- Endothelial cells are central to inflammatory responses.
Purpose of the Study:
- To investigate gene expression profiles in human coronary artery endothelial cells (HCAECs) stimulated with proinflammatory cytokines.
- To determine the influence of APC on the expression of candidate genes regulated by these stimuli.
Main Methods:
- Human coronary artery endothelial cells (HCAECs) were stimulated with interleukin-1beta, interferon-gamma, and tumor necrosis factor-alpha.
- Gene expression profiling was performed, followed by verification using real-time PCR, ELISA, and HPLC.
- Activities of transcription factors were assessed.
Main Results:
- APC downregulated tetrahydrobiopterin (BH4) synthesis, interleukin-6, interleukin-8, monocyte chemotactic protein-1 (MCP-1), and intercellular adhesion molecule-1 (ICAM-1) at transcriptional and protein levels.
- APC inhibited the activities of transcription factors c-Fos, FosB, and c-Rel in inflamed HCAECs.
- APC did not affect endothelial nitric oxide synthase, endothelial adhesion molecule, or vascular cell adhesion molecule-1.
Conclusions:
- APC exhibits a novel anti-inflammatory mechanism in HCAECs by suppressing c-Fos-dependent induction of MCP-1 and ICAM-1.
- APC downregulates the expression and activity of inflammation-related genes.
- This effect is most pronounced under intermediate or mild inflammatory conditions.
Background:
During systemic inflammation, activation of vascular endothelium by proinflammatory cytokines leads to hypotension, microvascular thrombosis, and organ damage. Recent data suggest a link between coagulation and inflammation through the activated protein C (APC) pathway. We studied gene expression profiles in human coronary artery endothelial cells (HCAECs) exposed to proinflammatory stimuli and the influence of APC on expression of candidate genes regulated by these stimuli.
Methods And Results:
HCAECs were stimulated with interleukin-1beta, interferon-gamma, and tumor necrosis factor-alpha. In gene expression profiling, 400 of 8400 genes were regulated >2-fold. Verification of selected candidate genes was achieved by measuring expression of mRNA species by real-time polymerase chain reaction, cytokine secretion by ELISA, and metabolites of tetrahydrobiopterin (BH4) biosynthesis by high-performance liquid chromatography. BH4 synthesis, interleukin-6, interleukin-8, monocyte chemotactic protein-1 (MCP-1), and intercellular adhesion molecule-1 (ICAM-1) were downregulated by APC at the transcriptional and protein level. Endothelial nitric oxide synthase, endothelial adhesion molecule, and vascular cell adhesion molecule-1 were not affected by APC. Activities of transcription factors c-Fos, FosB, and c-Rel were inhibited by APC in inflamed HCAECs.
Conclusions:
Our study revealed a novel antiinflammatory mechanism of APC-dependent gene regulation in HCAECs since c-Fos-dependent induction of MCP-1 and ICAM-1 was suppressed. APC downregulates expression and activity of genes related to inflammation, most pronounced under intermediate or mild inflammatory conditions.
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